Parents struggling to cope as ADHD cases rise

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PITTSBURGH (AP) - At least once a month, Beth Tauberg gets a phone call from a frustrated parent whose child is newly diagnosed with attention deficit hyperactivity disorder, or ADHD.

Overwhelmed by a condition that causes their children to have trouble in school or feel like they don’t fit in, parents struggle to find answers.

“It’s really hard, when you first get that diagnosis, to find what direction you’re supposed to go in to help your child,” said Tauberg of O’Hara, who runs the Pittsburgh parent chapter of a national group known as CHADD, for Children and Adults with Attention Deficit Hyperactivity Disorder.

The demand for services occurs as more people are diagnosed with ADHD. Researchers say about 2 million more children and adolescents were diagnosed in 2011, compared with 2003. Experts attribute the surge to better tools to identify the disorder and recognition by pediatricians of tell-tale symptoms - risk-taking, hyperactivity and distraction - as much more than “kids being kids.”

“In the past, parents were more likely to attribute problems to just laziness or being ‘bad,’ and not even bring this up to the physician,” said Dr. Oscar Bukstein, medical director of DePelchin Children’s Center in Houston and former director of the ADHD program at the University of Pittsburgh. “Behavioral and emotional problems as disease or disorder just was not considered.”

Dr. Kristin Hannibal, a pediatrician, said standards set in the past decade allow physicians to determine who should be diagnosed with ADHD.

“These kids were in the classroom when we were growing up, but they were not diagnosed,” said Hannibal, clinical director of the Child Development Unit at Children’s Hospital of Pittsburgh.

The surge in cases prompted doctors nationwide to prescribe drugs to control the disorder. More than two-thirds of people with ADHD take stimulant medications such as Ritalin, according to the Centers for Disease Control and Prevention.

The drugs address core symptoms, but most children need other treatments, said Bukstein.

“The story that medication is all you need is absolutely a false one,” he said.

Marsha Zaleski of Franklin Park said medication plays an important part in the treatment of her son Mark, 14. Without it, the high school freshman can’t finish a chore, do homework or control his anger, she said.

“Without medication, he is loud, clumsy and distracted,” Zaleski said. “Sometimes he talks so fast, we don’t understand one word he says.”

Other factors helped his improvement, including support from North Allegheny School District, where administrators and teachers pay attention to his needs, she said. He gets good grades and has learned to play the guitar.

“Ninth grade has been a dream,” she said.

Such an experience is not the norm. Families often struggle for years to find behavioral therapy, experts said.

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