Comment by kuerbel

6 hours ago

I have the inattentive version but it's simply not bad enough to take meds.

What I don't like about this study is that they only take meds into consideration, but there are other treatment options. For example cognitive behaviour therapy. Also, they included studies that included self-diagnosed ADHD. Self diagnoses are on the rise and very often wrong (I.e. trauma response might present with adhd like symptoms). Aside from some other flaws I think the significance of this study is limited...

5 comments

kuerbel

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adastra22  5 hours ago

You be you and do what works for you. But cognitive behavioral therapy does not work by itself for ADHD. Stimulants are the gold standard treatment.

  • kuerbel  4 hours ago

    >But cognitive behavioral therapy does not work by itself for ADHD.

    But it does exactly that. There have been enough studies about this. CBT and medication combined improved faster, but CBT alone catches up in a few months. E.g. https://journals.sagepub.com/doi/abs/10.1177/108705471667119... or this study here: https://pubmed.ncbi.nlm.nih.gov/31280035/

    >Stimulants are the gold standard treatment.

    I'm not arguing that they don't help, but CBT also increases other metrics, e.g. self esteem, acceptance, self-efficacy, and so on.

    • disgruntledphd2  2 minutes ago

      > I'm not arguing that they don't help, but CBT also increases other metrics, e.g. self esteem, acceptance, self-efficacy, and so on.

      I was recently diagnosed, and am on stimulants, which are definitely helpful.

      That being said, I'd been going to therapy for about six years (currently winding that down), and I have to say that the therapy alone definitely helped with lots of the emotional/childhood stuff that I don't think would have been helped by medication alone.

      I would be prone to believe that both therapy & medication are effective, and indeed my prescribing doctor called this out (although she focused on CBT, which is the easy one to test with controlled trials).

  • reeredfdfdf  4 hours ago

    ADHD is a spectrum, not on/off thing. Someone with milder symptoms may do okay without stimulants, and find help from therapy. Those with worse symptoms typically need the stimulants.