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Children and ADD &ADHD

 

Jaren's Story: ADD and ADHD

Guided Imagery For Focus in ADHD

Medication & Non-Drug Approaches to Attention Deficit Disorder

A Rational Approach to the Treatment of ADD and ADHD

 

 

 

Jaren's Story
Working with ADD and ADHD

by J. Wayne Erickson

In 1990 and 1991, while working as a safety engineer in Prudhoe Bay on the coast of the Arctic Ocean, two notable events occurred in my life. The American Society of Safety Engineers selected me as one of the first ten men to be honored in the “Who’s Who of Safety Engineers from Alaska.” The second event occurred two months later when my employers blackballed me from ever working there again.

While serving as a safety engineer, it had been my responsibility to identify the safety and health hazards facing all employees. State and federal law requires that when hazards are recognized, the safety engineer must do everything he can do to eliminate the risk. If it can not be eliminated, steps must be taken to reduce the exposure and the risk itself.

Along with others, I became extremely ill after eating most every meal at Prudhoe Bay. Acute gas, diarrhea, headaches and a heartbeat gone wild were some of the symptoms I endured. Through a process of exclusion and with the help of Dr. Schwartz’s book In Bad Taste, I was able to determine that MSG and aspartame were causing my problems. What I did not know was that the companies responsible for the foods the employees ate had gone through an MSG crisis just months before my arrival.

These events occurred while the Arctic oil industry was coping with political and legal fallout from the Exxon Valdez oil spill. The last thing they wanted to have happen from a Public Relations’ viewpoint was to be hit by litigation accusing them of knowingly feeding their own people toxin-laden foods. Instead, they chose to go along with the glutamate industry’s assurance that MSG was safe and recognized by the Food and Drug Administration (FDA).

I had insisted that Marriott, Arco and British Petroleum set up an education program regarding MSG and aspartame. I knew that the problems were most severe when I drank or ate a diet food that contained both MSG and aspartame (NutraSweet). When in a dry state, aspartame is stable but as soon as it is ingested, it begins to break down into a variety of toxic chemicals. One of these chemicals is methanol (wood alcohol), which in turn becomes formaldehyde (used in the oil fields to kill bacteria and also in the preservation of dead bodies). The major danger of formaldehyde ingestion is death, but it also causes blackouts and seizures as well as many of the symptoms of MSG poisoning. I proposed that an education program begin with those who prepared the foods, providing them knowledge so as to not use MSG, Accent or other contaminated foods improperly labeled with vague terms such as “natural flavor” or simply “flavoring.”

Although officials instructed the cooks not to use pure MSG, it was left in the kitchen. Nothing was done to reduce the exposure of either MSG (Accent) or aspartame (NutraSweet) in food and drink.

Then a fortuitous set of circumstances arose and my 4-year-old grandson, Michael, was left in my care while my son and his wife made a 1000-mile snowmobile trip to Nome. As we lived close to Michael’s school, I would drive Michael to school in the morning and meet him at the school bus stop in the afternoon. One of his close friends, Jaren, lived only a few houses away from the bus stop. If Michael and I did not make connections at the bus stop, we arranged to meet at Jaren’s home where his charming grandmother, Ruby, would be there babysitting.

On one occasion, I noted a pamphlet about ADD and ADHD (Attention Deficit Disorder and Attention Deficit Hyperactive Disorder). Ruby told me that Jaren was having some problems with ADD, and that his parents had gone through several doctors and tried as many cures, including the drug Ritalin. I told her of my effort researching MSG and aspartame since my toxin-induced stroke. Because of that, I was also familiar with ADD and ADHD. I told Ruby how renowned scientists had evidence that these disorders were often precipitated by overexposure to MSG and aspartame.

Ruby was surprised, for she knew that none of the doctors consulted had ever mentioned that as a possibility. She asked for more information and I shared a series of articles I had written and published in Alaska Wellness magazine.

Two days later, I met Jaren’s mother, Tonya. She had read the literature and wanted more answers. I told her about the 30-minute presentation I had worked up over the past year to summarize my seven-year research effort. I also told her how others had been relieved of ADD and ADHD symptoms when MSG and aspartame had been eliminated from their diet.

Tonya shared the emotional hell she and her husband were going through trying to find something that would help Jaren. He had trouble in school academically and personally, with both teachers and fellow classmates. Jaren would sometimes go on wild emotional swings and become mentally, emotionally and physically uncontrollable. I had noted that with his shirt off, his young body looked as if he was suffering from severe malnutrition - a condition some doctors attribute to overexposure to Ritalin.

Tonya noted that with Ritalin Jaren would calm down. However, Ritalin created other problems as bad or worse than the ADHD. Though sedate, Jaren sometimes became overly withdrawn from his environment. In addition, other health problems arose. Tonya was near tears, confiding that she and her husband had begun to fear for Jaren’s life. She said the doctors now had him on a variety of different pills, including antibiotics and antidepressants. None of these seemed to help and they had almost given up hope for a cure.

When I later met Jaren’s father, David, I sensed I already knew him though I could not recall where we had met. I later learned that he had been working as a chef in the same complex where I had lived while working on the coast of the Arctic Ocean. We had been there at the same time, and David had been one of the chefs who never learned about the dangers of aspartame and MSG. It is ironic that if David had received the training information I had fought for, his son might not be having the problems he now faced.

As I presented my information to David and Tonya, I explained the physical as well as the political and economic problems associated with the use of these toxins. I also explained that there is but one way to determine if they were indeed Jaren’s problems. A plan would have to be set up to avoid any more exposure. If they could do that, they might see definite progress within five to ten days.

Tonya and David agreed, and immediately started the process of going through everything in the house that Jaren might eat, drink or otherwise come in contact with, including toothpaste, shampoo and chewing gum. They removed anything that had aspartame, NutraSweet or Equal in it. Then they worked on locating all products containing MSG or its 40-some other names, which is much more difficult. The pile of toxic food and drinks became very impressive, but not much different from what I had found in many homes. These were the products, which would be off limits to Jaren.

I called David and Tonya daily for the first five days. To their surprise and delight, they saw definite positive effects within three days and expressed joy at the emotional and mental progress made. By the tenth day, they told me that they considered the results near miraculous. Jaren seemed much more stable, appeared to be gaining weight and had, on his own initiative, taken to shoveling snow off the driveway.

Tonya and David began reducing the amount of Ritalin they gave to Jaren. They based this decision on the fact that the reason he was originally given it no longer existed. Some of their doctors refused to recognize MSG and aspartame as the villains, while others said Jaren’s body was dependent upon the use of Ritalin and that he needed to be committed to its use for an undefined period of time. All seemed to agree, however, that Ritalin is a drug and, like alcohol or cocaine, Jaren might suffer withdrawal symptoms if reduction was too abrupt.

I then introduced Tonya and David to what the Indians in Wyoming have used as a cure-all for decades. They called it “The Healing Mud.” It is now known as Pascalite, after Emile Pascal, the 1930’s prospector who rediscovered it.

When I first read about Pascalite, I found substantial anecdotal data that this healing mud not only draws toxic material out of the body if taken internally, but also reduces pain and infection in open wounds on both humans and animals. I ordered some. As had been my policy when evaluating conflicting reports on the harmful affects of MSG and aspartame, I followed a doctor friend’s advice: “Use your own body for the ultimate testing ground as to the truth of the arguments. Your body will tell you the truth if you listen to it.” The Mayo Clinic calls this “The Golden Test” and considers it the only true test for food sensitivity.

Anecdotal data on MSG and aspartame toxicity indicates that one of the sensitivity symptoms can be the swelling of cartilage and tendons, causing extreme pain in joints and muscles, especially the feet and legs. Although I had done everything I could to avoid MSG for eight years, I had not always been completely successful for false labeling would sometimes catch me by surprise. As the pain in my legs was ever increasing, I began using Pascalite while maintaining my vigil to avoid further exposure to the toxins. Within three days, the pain in my feet and legs had appreciably decreased. By the fifth day, the pain was gone. I can now walk freely with no pain or support.

One theory regarding the benefits of Pascalite is that its broad base of minerals serves as an excellent mineral supplement. Technically, Pascalite is a calcium-based bentonite. Pascalite is believed to not only remove toxins from the body but also to build up the immune system. It is thus possible - perhaps even probable - that this combination may reduce the body’s sensitivity to toxins.

Jaren’s parents are continuing to eliminate any exposure to MSG and aspartame. They are also beginning to give him some Pascalite, but have decided not to attempt to withdraw him from Ritalin and other medications until school is out for the year. They want to monitor the effects of these changes closely. I have suggested to them that they find a doctor they can work with under this program, as well as the professional help of a psychiatrist and a pediatrician. I and most laymen do not know what the residual effects will be when Jaren is withdrawn from the broad assortment of toxic chemical and drugs he has been exposed to.

It is my belief that a young body, such as Jaren’s, can fight the proven toxins of MSG, aspartame and Ritalin. This fight can be dangerous and difficult. It is nearly impossible for even the most competent of doctors to determine what, if any, other physical problems exist as long as the proven toxins MSG and aspartame remain in the equation. I believe this is true for the four and half million children now on prescription Ritalin, as well as the near equal number of teenagers and adults.

For the moment, Jaren’s family basks in the joy of having finally won their first major victory. We do not know that Pascalite will be an aid to all children or for any specific ailment. All I can assure anyone is that it has worked for me. There are no adverse health problems known to arise from its use.

If permanent change and a cure for the majority of ADD and ADHD victims is to happen, we must look to the political and economic forces which allowed such things as MSG and aspartame to be even introduced to the public. Is the FDA, a budgeted billion dollar a year government agency, living up to the mission statement upon which it was founded - to “enforce the laws which assures the people of this nation honesty in labeling of the food and drink used - and - that there shall be no deleterious substances used in them.”

As Jaren’s true story illustrates, there are millions of children and parents who face a living hell from ADD and/or ADHD. They represent a major political force in a nation that is beginning to stagger from the economic load created by the unnecessarily ill effects caused by MSG, aspartame and Ritalin.

It is necessary, for all of our health, that all variations of MSG are honestly labeled and people such as Jaren’s family can use their freedom of choice to avoid use. Furthermore, why not ban MSG, aspartame and Ritalin from our food, drink, cosmetics, vaccines and medicines forever? They are not needed. Safe alternatives are available.

I can only hope that “Jaren’s Story” will help a few of the other Jaren’s of the world. Together, we can bring about change.

J. Wayne Erickson is noted as a “Professional Safety Engineer” in the American Society of Safety Engineers with extensive experience in the mining, construction and petroleum industries. He is the author of several articles on aspartame and MSG poisoning. Readers may contact him at (907) 561-0977 or via e-mail at ericadv@arctic.net

 

Guided Imagery For Focus in ADHD
by Mia Eyth
 
He remained in that relaxed, gently focused state throughout naptime.
I was delighted for him and held high hopes for his future.

Allan was a bright, energetic, engaging four-year-old with a hilarious sense of humor. He concocted silly jokes and ingenious names for his friends, and chattered incessantly about his latest favorite Disney movie. His body, his thoughts, and his attention roamed all over the classroom, lighting like a butterfly on any colorful, interesting thing, then fluttering away to the next attractive stimulus. Conversations with Allan were minimal – a word or two exchanged – because there was so much that excited his attention and drew it away from the speaker. He was constantly on the go: a sweet, smart, popular boy alternating between bursts of sparkling generosity and thunderclouds of impulsive hurtfulness.

Allan struggled in the preschool classroom, off-task more often than on-task, and we – family, teachers, classmates, friends – all worried, trying to help him focus and use his obvious talents. This was more than a decade ago, as we were just beginning to learn about attention disorders, but long before we thought they were possible in such young children who, developmentally, were supposed to lack attentional control.

Allan’s friends and classmates had an intuitive sense of his good nature because, even at that age, they tried to accommodate him and help him focus, while controlling their own flinching, tears, and desires to flee when his frustrations got the best of him. His teachers felt increasingly overwhelmed and at a loss of what to do when their usually effective interventions didn’t help. Further, as Allan’s body grew larger, the rest of his skills did not grow similarly, leading to increasing potential for harm from his increasingly frustrated outbursts. Although his classmates and teachers loved him dearly, they were a little bit afraid of and for him.

Allan’s birth date was such that his school district suggested an extra year in preschool might give him time to develop the skills necessary for kindergarten, without any age-related stigma attached. So, he remained in preschool with us for another year as we attempted to bring his coping skills on par with his active intellect. At the time, I was one of Allan’s teachers, a new Reiki practitioner, and a caring individual who could identify with his fluctuating attention and the frustrations of the mismatch of attention skills with intellectual and creative skills.

I had begun learning about Reiki as a way to talk about the colors I was sensing and the ways of knowing I had that seemed uncommon in our culture. I had learned some basic guided imagery in my training, and, in a gifted insight, I thought to try it with Allan one day at naptime when his classmates were exhausted and tearful, but he – quite expectedly – was still running in fifth gear.

Allan had been trying to play quietly in a small playhouse we had built from refrigerator boxes. The imagery I used evolved from that context, and I felt blessed and grateful as ideas flowed into me. As I sat outside the box and watched him through the window, I invited Allan to lie down on his back on the “kitchen floor” inside the box and imagine himself as an Allan-shaped pat of butter warming in a just-right sized frying pan. The pan was just warm enough for him to grow all soft and melty, and very comfortable.

Still using the butter image, we moved into a progressive relaxation technique. And then, as his breathing naturally slowed, we moved into a simple breath awareness technique. I offered him simple, age-appropriate suggestions affirming his ability to remember and use these techniques any time he needed to relax. He remained in that relaxed, gently-focused state throughout naptime. I was delighted for him and held high hopes for his future.

Because the adult culture of that time and place was not open to guided imagery or relaxation techniques for adults, let alone for young children, I only very gradually introduced the concepts to my colleagues, tolerating the skeptical looks and mistrust. In a program redesign, Allan and I were moved to different classrooms before we could really explore the use of guided imagery for attention disorders in young children. Eventually, Allan’s family was asked to enroll him in a program more suited to his needs, and I moved on to more receptive venues.

Since then, the human services field and our culture in general has evolved into a more accepting heart space, where guided imagery, energy work, and other methods of focusing intention and attention are more widely-accepted. The treatment of attention disorders and stress in children frequently involves relaxation techniques, guided imagery, and energy work. ADD-ADHD web sites often carry articles on these techniques, and treatment programs regularly use them to great benefit. I also use these techniques in my holistic counseling practice to help adults relax and regain focus and intentionality. When they bring the techniques into their daily lives, they skillfully model peacefulness and centeredness in a wondrous ripple effect.

Mia Eyth is a holistic counselor and Reiki Master offering a strengths-based, hope-full, creative practice supporting individuals in making effective, mindful, long-lasting changes in both daily coping and self-actualization. Call 457-1130.

 

 

 

Medication & Non-Drug Approaches to Attention Deficit Disorder

Al Collins

 

Lucy had been on Ritalin for three of her eleven years but was still not able to focus in school or remember to do her chores at home. She had trouble falling asleep and complained of lying in bed worrying about other children not liking her. Power struggles with her parents made life with Lucy less than fun for everybody in the family. 

 

In talking with her parents about other approaches to treating Lucy's ADD, I told them that even the best drug treatment, carefully monitored by experts, is not fully effective. The largest and best-designed research project ever done on drugs for ADD found that the treatment given by family physicians and pediatricians is significantly less effective than that provided by university research psychiatrists.  Even that provided only partial control of the inattentiveness, impulsiveness, and hyperactivity. Other studies have found that medication often does not work at all and can even make symptoms worse.  This is particularly true for children who are inattentive but do not show symptoms of hyperactivity. 

 

The majority of children with ADD have at least one other psychological problem, most often anxiety or oppositional and defiant behavior,  but also frequently depression or a learning disability—and often more than one of these. The stimulant medications usually given for ADD don't help with these other conditions. Lucy clearly had an anxiety disorder as well as symptoms of oppositional and defiant behavior. And, she still had symptoms of ADD even though she was on medication!  So, where would our treatment begin?

 

As I usually do, I started with a two-pronged approach.  First, because the parent-child relationship had been damaged, I worked with the parents to begin a behavioral program designed to increase positive interactions with Lucy and reduce arguing and power struggles. Lucy’s parents were taught to ignore behaviors that they disapproved of but that weren't major problems. Short-term loss of privileges (for example, one day without computer privileges) was used as a consequence of oppositional or defiant behavior.  Once a week, we began a "special time" when each parent spent an hour one-on-one with Lucy, doing something of her choice. 

 

In individual counseling sessions with Lucy, I taught her simple techniques for reducing anxiety and susceptibility to stress: slow breathing from the heart and biofeedback to raise her finger temperature.  Lucy learned these rapidly and began to practice them daily at home and school.  I then taught her "mindfulness," a technique taken from Buddhism that many psychologists have adopted. Lucy learned to take note of her distractibility, anxiety, and oppositional behavior, give them "labels," and choose to do something healthier for herself.

 

When Lucy had begun to get good at her mindfulness, hand warming, and slow breathing, I began to teach her to focus her attention using neurofeedback, or what is also called neurotherapy or EEG biofeedback. This involved putting a sort of antenna on her head and measuring her brain waves. (Nothing is put into the child's brain; it is purely a matter of registering electrical activity that is already present.) Slower brain waves go with inattentiveness, faster ones with paying attention. I explained to Lucy's parents that a number of studies have found neurofeedback to be as effective as medication for children with ADD.  In some cases, a combination of medication and neurofeedback may be better then either of them alone. 

 

In the fall of this year, three new studies from two continents reported finding neurofeedback to be successful in treating ADD. The process is something like playing a video game with no hands.  Lucy sat in front of a computer monitor and watched data on the screen that reflected her brain wave activity. A graphic image, along with music or a simple sound, turned on when Lucy's brain waves showed that her attention had improved for a short time. The picture stopped moving, and music was suspended, when her brain waves showed that Lucy was getting distracted.

 

After thirty sessions of neurofeedback, and continuing practice of her mindfulness and relaxation exercises, Lucy was much improved.  I informed her pediatrician, who reduced Lucy's medication.  A few more sessions and she was finished, doing better than ever at school and home, and on less than half the medication she had previously been taking.  Her relationship with her parents was dramatically improved and Lucy felt much better about herself.  Another success for multimodal treatment of ADD!

 

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Al Collins, Ph.D., QEEG-T, is a clinical psychologist in Anchorage.  Besides EEG neurofeedback and biofeedback, he practices individual and family therapy.  Al shares an office with his wife Elaine Molchanov, a Jungian Analyst. See www.BrainDance.us.

 

A Rational Approach to the Treatment of ADD/ADHD

by David Newirth

 

 

[Author’s Note: For the sake of brevity, this article will focus on the treatment of ADD/ADHD. However, it is important to realize that this approach is also applicable to the treatment of depression, anxiety, insomnia and autism.

 

The terms ADD (attention deficit disorder) and ADHD (attention deficit-hyperactivity disorder) are used somewhat interchangeably to describe a neurological condition that is characterized by three types of behaviors: hyperactivity, distractibility, and impulsivity. ADD and ADHD are seemingly joined at the hip, in that many children are labeled as ADD/ADHD. The term “ADD” was renamed “ADHD” in the DSM-III-R, the manual used by psychiatrists to diagnose this disorder. Under the name of ADHD, the condition is broken down into three sub categories:

 

Inattentive ~ can’t seem to get focused or stay focused on a task or activity.

Hyperactive-impulsive ~ very active and often acts without thinking.

Combined ~ inattentive, impulsive, and very active.

Despite the American Psychiatric Association’s attempt to do away with the term “ADD,” it is still used by many to describe the predominantly inattentive form of ADHD. The use of “ADHD” usually implies the predominantly hyperactive-impulsive form of the condition. Even though patients may be diagnosed as ADD/ADHD or one of its sub-types, the psychotropic drugs used to treat these conditions are the same. Unfortunately, this one-size-fits-all approach does not always deliver positive outcomes. One study reported that 10-30% of individuals with ADHD either do not respond to or cannot tolerate treatment with stimulants, the class of drug most commonly prescribed to ADD/ADHD patients.

 

Urinary neurotransmitter testing

Practitioners looking to achieve the best outcomes for their patients can benefit greatly by making the distinction between ADD and ADHD. Urinary neurotransmitter testing is a useful tool for doctors making this distinction. The scientific literature has demonstrated definite links between the roles of neurotransmitters and ADHD. While there is no single neurotransmitter responsible for the condition, trends in urinary neurotransmitter data have been documented that draw a concise and distinct line between ADD and ADHD.

 

The Biochemistry of ADD/ADHD

The ability to focus is dependent upon a number of neurochemical effects. Some of the more significant determinants include the excitatory neurotransmitters epinephrine, norepinephrine, and phenylethylamine (PEA). Optimal levels of these transmitters are necessary to maintain focus. When one or more of these chemicals become either too high or too low, the ability to focus can be impaired. Additionally, epinephrine and norepinephrine play a role in hyperkinesis and overexcitation of nerve cells. Significantly elevated levels of these transmitters can contribute to hyperactivity.

 

Generally, one can classify neurotransmitters as excitatory, in the sense that they rev-up various physiologic functions, or inhibitory, in that they put the brake on the excitatory stimuli. The primary excitatory neurotransmitters are: glutamate, aspartate, epinephrine, norepinephrine, and phenylethylamine (PEA). The key inhibitory neurotransmitters are gamma aminobutyric acid (GABA), glycine and serotonin.

 

Targeted Amino Acid Therapy (TAAT)

The goal of targeted amino acid therapy is to individualize the treatment regimen to the patient based on the testing results, so as to create a dynamic balance of all the neurotransmitters by addressing the underlying deficiencies. This is coupled with assessing and correcting dietary deficiencies and promoting exercise, sleep, hygiene and stress management. TAAT is designed to supply the precursor substances for the body to increase neurotransmitter levels that are currently deficient. Being able to individually assay and target neurotransmitter deficiencies provides a decidedly more positive outcome to the patient struggling with issues such as ADD or ADHD.

 

Conventional Medical Approach

Most often, the medications prescribed for people with ADHD are stimulants. Ritalin (methylphenidate), Cylert and Adderall (amphetamines) and Strattera (non-amphetamine) are the most commonly prescribed medications. While these drugs may seem contradictory to prescribe as a stimulant for a hyperactive child, the theory is that they stimulate the behavior control center in the brain, resulting in increased focus. These drugs appear to work by elevating synaptic levels of epinephrine, dopamine and/or PEA. In patients that are experiencing lack of focus due to low levels of excitatory neurotransmitters, these drugs tend to work well. However, these drugs may exacerbate symptoms in patients who already have elevated levels of excitatory transmitters, and they would respond more positively to therapeutic regimens designed to counteract the effects of the excitatory transmitters.

 

In summary, stimulants are not the treatment answer for every person diagnosed with ADD/ADHD. If you are interested in pursuing a natural alternative for treatment of these conditions, please contact the author/clinic to schedule an appointment for evaluation and testing. An individualized approach to the diagnosis and treatment of these conditions offers a more positive outcome for the client, rather than the one-size-fits-all approach.

 

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Dr. David Newirth practices naturopathic medicine at the Alaska Family Wellness Center in Anchorage and can be reached at 561-9444 or through the website at www.alaskafamilywellnesscenter.com.