Fidgeting: Spin vs. Science

My local Memorial weekend festival had fidget spinners for sale, ranging from $12 to over $20, advertised to help with ADHD, anxiety and more.  It left me wondering what we know about their effectiveness.  It turns out very little.  On my go-to research source, pubmed, I could find no single study on fidget spinners or their kin (cubes, etc.).  But NPR published two articles exactly two years apart, one on fidget spinners and one on fidgeting.  ball-1023984_1920

On May 14, 2017, NPR published an article on fidget spinners.

Essentially, the article quotes a Duke professor suggesting to stick with what’s known to work.

The professor points out that there’s no evidence that fidget spinners work.  Though it’s said, what seems perhaps buried or likely to be easily overlooked is that the reason there’s no evidence is that there’s actually no trustworthy research on them.  See here.

Meanwhile, two years earlier, on May 14, 2015, NPR published an article describing a small study that shows that children with ADHD performed better on tasks requiring concentration when they fidgeted.  (The children worked while on a swivel chair that they, of course, spun and moved.)

Overall, more movement meant better performance for these kids (kids without ADHD, on the other hand, did worse with movement).  The lead author, however, cautioned against both too little and too much movement.  See here.

Perhaps fidget spinners would fall into too much movement or the wrong kind (attracting eyes as well as fingers), but it’d be interesting to see some real research on them.

Medication Metaphor: Tunnels

Imagine yourself inside a room full of tunnels.

You can look down any of them.  Maybe you like this sense of freedom.  Maybe you also find it distracting.led-lighting-1846929_1920

But now you have your ADHD medication.

Walls go up over all the tunnels except the one you’re facing.

When you turn your head, the wall for the last tunnel you faced slides up.  The wall for the tunnel you now face slides down.

You can switch which tunnel you look down, but you can see only one tunnel at a time.

You can also see the tunnels with obstacles.

On medication, you find it’s easier to enter these previously-avoided tunnels (maybe because the more appealing tunnels have their walls up, keeping their temptations out of sight).

And once you enter one of these “harder” tunnels, the medication helps you stay there.

This is part of the experience of ADHD medication for many of those with ADHD, on the one that’s working for them.

Something Fishy

ADHD comes with omega-3 and omega-6 fatty acid deficiencies.

But upping your omega-3 and omega-6 fatty acids may have little effect on your ADHD symptoms.  What gives? Recent research reveals that it’s all about the ratio.

ADHD means low levels of both but overall higher levels of omega-6 to omega-3.

So now you may say, well, I just need to increase my omega-3 levels, right? Oh, how I wish it were so simple.  Researchers have tried this with only some succesfish-2207845_1920s.  A supplement heavier on the omega-3 than omega-6 side may be better, as indicated by a study that found benefit from giving participants an omega-3/6 supplement containing mostly EPA and DHA (omega-3), with only 60mg of LA (omega-6).

Still, it seems you’re best off knowing your ratio.  And then knowing how much omega-3 (EPA and DHA, specifically) and omega-6 (LA or AA, specifically) you need to optimize it.

See here.

It’s nothing personal.

This is for the loved ones of those with ADHD.

Yesterday, I sat with my husband and tried to just talk.  We are so busy doing things, we hardly ever just talk.  Ten minutes into it, I could tell his mind was elsewhere.  I let him know it looked like he was somewhere else mentally.  He said he was.  I asked what was going on, and he said he was “bored.”  “Ouch,” I said.

Then I remembered something.  It’s nothing personal.  I know hong-kong-1990268_1920what I tried to share with him would be quite fascinating to another psychology-lover.  But my husband has ADHD and becomes easily bored with things less exciting than a book such as The Martian.

He also prefers action to talk.  It’s hard to keep his attention.

As Thom Hartmann, author of The Edison Gene, points out those with ADHD constantly monitor the environment for what’s of high stimulation, with a swift ability to turn to these things.  If this high stimulation or need to act is lacking, they may shut down on you.  Kind of like your computer going into sleep mode.  When this happens, breathe and begin breakdancing (attention-getter!) or relax and remind yourself it’s nothing personal.  Really.

Their brains may be tuned to a different frequency.

 

For my fellow writers

background-1986075_1920Kristen Lamb’s posts offer clear guidance to writers trying to figure out how to use social media effectively.  Plus she offers opportunities for free critiques.

Here.

 

Medicating Children

As the mother of a teenager with ADHD soon entering high school, I want to know the pros and cons of medication.  If you are a parenpill-1254786t reading this, you likely do, too.  And I will admit, I’m torn.

The research seems too unfinished for me to rely on it as much as I might like.

Consider that over 40 scholars from the UK, USA, Denmark, Italy, Germany, Switzerland and Australia will be reviewing  various “pharmacological interventions” to rank how well they work and their “tolerability profiles,” looking at these things for children, teens and adults.  The scholars note that “there is a lack of up-to-date and comprehensive evidence on how available ADHD drugs compare and rank” with regard to their ability to deliver desired results and to do so with tolerable side effects.  See more here.

But do we keep waiting for what seem to be more definitive answers? At what cost?

Consider this…recent research suggests that school could be a more rewarding experience for children and teens with ADHD who use medication for their symptoms.

Examining about 10, 0000 12-year-old twins, some who’d been followed since 7 years of age, researchers found that medication-free children with ADHD showed lower educational achievement than children with ADHD using methylphenidate (Ritalin, Concerta).  And the medicated children showed lower educational achievement than children without ADHD.  That is, ADHD appeared to lead to lower educational achievement but especially when unmedicated.  Plus ADHD symptoms predicted a negative educational trajectory from 14 to 16 years of age.  See study here.

Where does this leave us parents wanting our children to have the best chance at achieving what deep down really matters to them?

It leaves me leaning toward the test of experience.  I am willing to let my teen, when wishing to do so, swallow a pill as I (figuratively) swallow mine.

Meanwhile, I will keep combing the research….

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