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James Barnes MSc., MA

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@psychgeist52

Psychotherapist/counsellor (MBACP)⎮Lecturer & Writer⎮Relational Psychotherapy
Subscribe: substack.com/@thebetweenus52
Website: jamesbarnes52.co.uk
Devon, England Joined November 2018
2.2K Following 14K Followers 25K Posts

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James Barnes MSc., MA Verified account @psychgeist52
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Nicolas Badre Verified account @BadreNicolas Nov 4
Another large study finds ADHD meds don't improve school performance, at least for kids on the margin of treatment.

I remain unsure what ADHD is. I was taught it was a delay in maturation that resolved. Later, a lifelong disorder of attention. More recently, a problem of alertness and reward pathways more than attention.

Either way, parents and teachers often push medication hoping to improve grades.

This study looked at all children aged 5 to 15 in Norway. It used differences in how clinics prescribe as a natural experiment. Using this analysis academic benefits of medication disappeared.

"For children and adolescents on the margin of pharmacological treatment for ADHD, we found no causal effect of pharmacological treatment on any of our measures of academic performance."

DOI: 10.1192/bjp.2026.10754
Picture: Figure 2(b) showing that GPA doesn’t significantly increase with meds using the instrumental variable analysis.
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James Barnes MSc., MA Verified account @psychgeist52
@naomicfisher makes many excellent points in this article, and her conclusion captures it:

"We should be able to appreciate and validate difference without seeing it through the lens of psychiatry. Access to services should be determined by need, not by a diagnosis."

thecritic.co.uk/119563-2/
thecritic.co.uk Selling self-diagnosis | Dr Naomi Fisher | The Critic Magazine Direct-to-consumer marketing is widening the boundaries of autism and ADHD, and the NHS is picking up the bill
James Barnes MSc., MA Verified account @psychgeist52
Why not the DSM II, when it had 60% fewer diagnoses, the term "reaction" was still used, and diagnoses weren't constructed so as to be ripe for reification?
Allen Frances Verified account @AllenFrancesMD Oct 28
Psychiatry would be better off if we stuck with DSM-III because each change leads to massive overdiagnosis.

When we finished DSM-IV, I
was proud we had made so few changes- but those we did make (in Autism, ADHD, Bipolar) all led to harmful fads.

DSM-5 was a disaster of dumb changes & there's absolutely no excuse for a DSM-6.
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