Te veel Ritalin, of teveel ADHD-ers?

adhd volwassenen medicijnenVolgens recente cijfers is er in 2011 meer Ritalin en andere ADHD-medicatie voorgeschreven dan in de jaren ervoor. Staatssecretaris Marlies Veldhuijzen van Zanten wil een onderzoek naar deze stijging  en de vermoedelijke toename van het aantal kinderen met ADHD en “toegenomen medicalisering van de zorg”. Een hele mond vol.

Mijn vraag is of de staatssecretaris echt zo van moet schrikken. Schattingen over het aantal mensen, dus niet alleen kinderen, met ADHD lopen al tijden uiteen. Dat er meer mensen, dus ook volwassenen, met ADHD rondlopen dan nu een diagnose hebben is al lang als waar aangenomen. Dus waarom dan de verwondering dat er meer medicatie is uitgeschreven als meer mensen de weg naar de hulpverlening kunnen vinden? Uiteraard is het belangrijk dat er niet lukraak met labeltjes wordt gesmeten, maar is dat geen algemene gedachte die bij controle van de zorg van belang is?

Dokter Henk Jan Out legt in zijn beschouwing de pijnpunten bloot. Hij stelt dat de discussie is verschoven van het belang van de patiënt naar een ideologische discussie over pro of contra pillengebruik zijn en hoe de farmaceutische industrie hier slim op inspeelt. Er zijn talloze voorbeelden van ADHD volwassenen of kinderen die belang hebben bij medicatie al dan niet in combinatie met therapie, en ook van ADHD-ers die bewust hebben gekozen om geen Ritalin of Concerta (meer) te gebruiken. Dit zou helemaal prima moeten zijn wanneer dit besluit is genomen in overleg met een deskundige en goed wordt begeleid. Het moet niet zo zijn dat het belang van de ADHD-er wordt ondergesneeuwd in een discussie over of medicatie een (deel van de) oplossing is.

Er bestaat momenteel een consensus in het wetenschappelijke veld dat ADHD bestaat en dat medicatie als Ritalin een hulpmiddel kan zijn wanneer op de juiste manier gebruikt en voorgeschreven door een bevoegd deskundige. Na de ophef in de Tweede Kamer over het gestegen gebruik van ADHD-medicatie lijkt de discussie niet meer te gaan over het nut van dit hulpmiddel, maar over of dit überhaupt nog mag worden voorgeschreven en welke rol de farmaceutische industrie speelt in de stijging van het gebruik van Ritalin en van de ADHD-diagnoses.

Mensen met ADHD kunnen prima leven zonder hulp en medicatie. Mensen met ADHD hebben hulp en medicatie hard nodig. Twee tegenstrijdige stellingen die beide waar zijn, het verschilt per persoon in hoeverre hulpmiddelen als medicatie en therapie wenselijk zijn. Wanneer iemand met ADHD tegen problemen aanloopt is het van belang een breed spectrum van hulpmiddelen te bieden om de beste en meest persoonlijke combinatie te kunnen proberen. Het moet niet zo zijn dat mensen die Ritalin of Concerta gebruiken zich moeten verdedigen omdat ze een hulpmiddel gebruiken voor een erkende aandoening. Zoals dokter Hek Jan Out stelt moet de focus terug op de behoeften van de patiënt, daar ben ik het helemaal mee eens.

Over Danitsja Koster

Comments

  1. Hoi Redactie! Lezen jullie je mail wel, heb verscheidende berichten gestuurd maar 0 feedback.

    Vreemd?

  2. No offense. Of course. 😉

  3. Kijk zo nu en dan op de site ted.com (aanrader) en kwam deze post tegen van (en over) een Adhd’er:


    Lets see what undiagnosed Adhd in Adults looks like from the outside….

    1: Consistently forgetful. i.e walking into kitchen and forgetting why your there
    2: Start tasks but never finishes them or never gets round to starting them in the 1st place.
    3: Drinks lots of coffee or energy Drinks and smokes or used to smoke
    4: Has Anxiety and/or other mental health problems
    5: Very unorganised. So much so that it is a shock when they do what they say they are going to do at the time they said they would. Is constantly late
    6: Has trouble motivating themself to such a degree that they appear lazy.
    7: Has mood swings
    8: Often sais the wrong things at the wrong time
    9: Very impulsive and doesnt think before acting
    10: Has gone from job to job because of boredom or perceived injustice in the workplace
    11: Has constant relationship problems
    12: Seems to have difficulty in controlling any emotion. i.e If someone annoys them they cant ignore the anger and must act on it. Even to their own detriment.
    13: Has family members who are “Just as bad as them”
    14: Gets very sleepy when doing tasks that involve lots of focus.
    15: Is consistently distracted by things that are not relevant to the task at hand.
    16: Intelligent but has trouble showing it in any sort of constructive way. i.e unable to gain employment or qualifications in an area that they are fantastic at.
    17: Has an addictive nature
    18: Has trouble sleeping
    19: Has money problems all the time.

  4. joan flikweert zegt

    I like this…waar kan ik dan op drukken?

  5. Wel of geen medicijnen, wel of geen adhd, kijk eerst naar de oorzaak van de symptomen die er zijn.
    Kijk op http://www.bachbloesemsenmeer.nl

  6. Bekijk ADHD eens niet als label maar als talent. Je kunt hierover ook het artikel: “ADHD: Het Talent” lezen. Andere invalshoeken.

  7. Goeie website, Ben blij dat mensen bij elkaar kunnen komen, en kunnen leren en begrijpen hoe we beter kunnen omgaan met Goeie website, Ben blij dat mensen bij elkaar kunnen komen, en kunnen leren en begrijpen hoe we beter kunnen omgaan met ADHDers.

    Ik heb zelf jarenlang Ritalin gebruikt. soms wel 5 op een dag, Ik kon mij wel iets beter concentreren, maar mijn emoties waren erg duf and voelde mij niet vrolijk of happy.

    Ik heb toen ik 22was een heel bijzonder program van Art of Living gevolgt, de ademhalingscursus die mij ontzettend veel rust heeft gegeven en de hyperactiiteit enorm heeft afgewakt.. Het bijzondere is dat ik mijn handicap heb kunnen omzetten in mijn sterkste kant.

    De oefeningen die ik tijdens de Art of Living Cursus heb geleerd pas ik nog steeds toe, heeft heel erg geholpen tijdens mij laatste jaren van de studie zo ook in mijn relatie met mijn ouders en vriendin.

    Ik wil andere ADHDers deze fantastisch cursus op hart wijzen, wist niet dat ik zo rustig en ontspannen kan zijn. Goed voor mijzelf en de dierbaren om mij heen die iik voorheen vaak onbedoeld pijn deed.ADHDers.

    Ik heb zelf jarenlang Ritalin gebruikt. soms wel 5 op een dag, Ik kon mij wel iets beter concentreren, maar mijn emoties waren erg duf and voelde mij niet vrolijk of happy.

    Ik heb toen ik 22was een heel bijzonder program van Art of Living gevolgt, de ademhalingscursus die mij ontzettend veel rust heeft gegeven en de hyperactiiteit enorm heeft afgewakt.. Het bijzondere is dat ik mijn handicap heb kunnen omzetten in mijn sterkste kant.

    De oefeningen die ik tijdens de Art of Living Cursus heb geleerd pas ik nog steeds toe, heeft heel erg geholpen tijdens mij laatste jaren van de studie zo ook in mijn relatie met mijn ouders en vriendin. Ik ben 1 jaar na de cursus afgestapt van Ritalin, en voel ontzettend goed, energiek maar ook gefocussed.

    Ik wil andere ADHDers deze fantastisch cursus op hart wijzen, wist niet dat ik zo rustig en ontspannen kan zijn. Goed voor mijzelf en de dierbaren om mij heen die iik voorheen vaak onbedoeld pijn deed.

    http://www.artofliving.org/nl-nl/art-living-cursus-deel-1-art-breathing#distance=10&sSearch=&lat=&lng=&ctype=51879,12371,12519,12517,266225&acol=0&c=&cc=&d1=&d2=

    Ze hebben ook programmas speciaal gericht op kinderen Art Excel (8-12) en jeugd: YES!(13-17) & YES!+ (18-30)

  8. Exploring every online gambling game on the internet has become one of the events most enjoyed
    by users of gambling services nowadays. How not, all
    the games that used to be by yourself enjoyed abroad by people from the upper
    classes, now you can enjoy without having to depart the house and use
    a more affordable cost to take effect slot
    gambling in the house.

    This is all thanks to internet technology that can be close to online gambling fans taking into
    consideration the best gambling facilitate providers approaching the world.
    As in Indonesia itself, the certified online gambling agent site later
    Depoxito is here to help those of you who desire to spend forgive
    period considering vibes online gambling products.

    Since its presence in the domestic online gambling industry,
    Depoxito has presented various types of gambling games of the highest quality.
    Games such as soccer betting, casino, shooting fish,
    poker, lottery, and of course online slot games are comprehensible with international standards because they come from leading
    gambling sites such as Sbobet, Spade Gaming, Microgaming, Playtech, and thus on.

    For those of you who want to try out how risk-taking it is
    to achievement online gambling upon the ascribed gambling agent website Depoxito, rapidly register now and enjoy
    the best online gambling experience that you can’t find anywhere else.

  9. I think this is one of the so much significant info for me.
    And i’m glad studying your article. But want to remark on some basic things,
    The web site taste is wonderful, the articles is truly nice : D.
    Good activity, cheers

  10. For most recent information you have to pay a visit the web and on web I found this
    website as a finest site for latest updates.

  11. The best in class, Depoxito pay for you high-end experience that adopt the look and
    character of authentic VIP standarts, we offer you the best appealing to high-level experience of VIPs expect
    in any top stop casino, grand living casino royale pay for
    you the further studio design element including the grand blackjack, offering our VIP Customer the best experience of a Salon privee table.

    New style table furthermore feature across the room past grand roulette upgraded on our provider playtechs mini prestige roulette which
    delivering more engaging and richer playing experience.
    The extra experience contains a sum of seven tables
    including five blackjack tables, one roulette table and one baccarat table.
    Grand stimulate casino royale has been tall hand-engineered to fit the needs of
    our customer to using it, and contains unique elements that is
    specially intended to maximize the impact value we got from our customers and diversify
    it to the existing network.
    Soon, Depoxito will build an bigger certainty technology on flesh and blood casino for our VIP member, these most futuristic technology ever seen in live
    casino including this augmented reality. Which permit players to experience products
    upon an entire extra level which is never seen since literally leaping out
    of the game and taking the blackjack, baccarat, roulette and additional game into the total entire
    level.
    Depoxito VIP Baccarat, we find the money for you the extremely
    exclusive conscious VIP Baccarat that is played taking into account going on to 7 players at the same table
    and our very trained pretty stir baccarat dealer. And of course our VIP zealot will atmosphere as if
    they were in reality sitting at one of the summit casino baccarat table.
    This immersive gaming experience creates a hugely looking for excitement tell that our VIP
    players will find difficult to surpass.
    Here is the list of liven up casino game that depoxito provide,
    we come up with the money for the widest range of flesh and blood casino games on the publicize including
    : blackjack unlimited, blackjack prestige, roulette, baccarat, poker, hi-lo, sic bo,
    and grand alive casino royale such as Grand Baccarat, Grand Blackjack and Grand Roulette for
    our VIP member. And of course as a aficionado of Depoxito you can enjoy all the games that we meet the expense of to
    you, all you infatuation to reach is just visit our site
    depoxito and register it forlorn takes occurring to
    3 minutes and after that youre gratifying to achievement any game that you want.

    Be our VIP, subconscious our VIP fanatic of course fixed you the
    best give support to you can get from us all you compulsion to be a VIP devotee is certainly easy.
    every you infatuation is just save playing on our site, buildup and take steps behind a VIP once
    the amount that our company had written, keep playing and our customer assist
    will admittance you that you are promoted to become a VIP supporter upon our site.

  12. Pandora188 is one of the trusted online gambling bookies.
    Pandora188 is moreover the best marginal for members, because Pandora188 has been officially licensed by PAGCOR.
    Pandora188 moreover provides the most utter game in the manner of unprejudiced features that sync afterward all games using just one account.

    The Best service From Pandora188

    Pandora188 always provides the best minister to for players.
    We manage to pay for facilities such as 24-hour sentient talk that is directly
    served by customer relieve that has been trained in serving members.

    CS Pandora188 is as a consequence always upon standby to incite if members experience problems in the
    login process, transactions or in the game. Our staff
    can after that lead / have enough money the best
    promos for members.

    Excellence Pandora188 from supplementary websites

    Pandora188 provides the most truth game and has subsequent to through merged checks,
    appropriately that next you deed there will be no bugs or errors that can interfere bearing in mind your comfort similar to playing
    upon Pandora188.com, Pandora188 is moreover one of the companies that
    gets the best accreditation by Pagcor thus you don’t have
    to doubt and warning that your winnings will not be paid for by most sites and without help meet
    the expense of delightful promises for that reason that players are eager in registering.

    Pandora188 itself has a cyber security team and has prepared a system in the same way
    as a high sufficient security level correspondingly that players reach not obsession to fright that personal data can leak, and cause extra losses,
    Pandora188.com itself never gets complaints and always gets fine news from faithful members
    who are always proceed upon Pandora188.

  13. I am now not certain where you’re getting your info, however great
    topic. I needs to spend a while learning more or understanding more.
    Thank you for great information I was searching for this information for my mission.

  14. Ubobet is an internationally trusted gambling dealer since 2001 until
    now. By holding certified admission for online gambling sites
    that present various types of betting games. Games nearby count up Sportsbook, enliven Casino and Cockfight.
    Ubobet has reached the entire world gambling announce including the Indonesian market.
    At present, all morning there are more than 100 thousand players who entrust their bets
    in the city of Ubobet.

    Ubobet List Site

    To register an account, players cannot pull off it directly
    upon the Ubobet site. In new words, prospective players must register through the approved agent site for Ubobet listings
    such as Pandora188. By using Pandora188 ID the performer can bet upon this city.

    How to register is quite easy, just by filling out the registration form correctly.
    After that make a layer of at least 25 thousand, then the performer can bet on Ubobet.
    all performer who joins as a advocate at Pandora188 is entitled to a freebet supplementary and with a daily growth other
    without exception.

    Ubobet Login

    After registering, players can log in upon Ubobet in two
    ways. The first is through ascribed followers who have
    collaborations such as Pandora188. Because the two sites
    have already formed a partnership, which means that betting on the Pandora188 site is the thesame as betting upon Ubobet directly.
    Or by the second artifice you can directly log in to the Ubobet site if you already have an account.
    How to log in Ubobet is quite easy, just enter your ID & password correctly.

  15. Panduanjudi Login

    Panduanjudi is a trusted and endorsed poker site from
    PKV games server. We manage to pay for 9 types of vanguard games that can be played using
    just one ID. The games we have enough money supplement poker,
    domino99, bandarq, aduq, sakong, bandar66 and furthermore capsa susun. In auxiliary to having a large variety of games,
    http://www.Panduanjudi.com as well as has several attractive promos that can be enjoyed directly after subconscious registered as a member.
    bearing in mind unlimited weekly cashback promos that are calculated from the sum turnover,
    both winning and losing. moreover Panduanjudi in fact appreciate if there are members who invite associates or relations to work upon our site by giving a
    referral further of 10% to 20% of the number of turnover downline invited to play.

    To be the best poker site, Panduanjudi is always infuriating to supplement our facilities to be nimble to
    come up with the money for the best experience in playing poker at our place.

    One of the ways is the Gambling lead provides a means of payment that reaches all elements of Indonesian society.
    By practicing gone leading banks and accepting Simpati and XL story deposits.

    As skillfully as which players can make deposits using E-wallets such as GoPay, OVO and Funds.
    new than those mentioned above, of course there are yet advantages in Panduanjudi to vacillate to become the best poker sites such as:

  16. Most Trusted Online Gambling Site in Indonesia in 2021

    Nowadays playing online gambling is no stranger to the Indonesian people.
    Because most of these games are played by adults to parents.
    Playing online gambling is certainly easy nowadays. Especially later than the presence of
    increasingly well ahead smartphones, the presence of various leading online
    gambling sites in Indonesia is growing. One of the newest
    and most trusted online gambling sites at this era is Sakura188 agent.
    Here you will find various privileges behind you comport yourself upon this site.
    The reason is this site offers various advantages in its services.

    In serving bump payments Sakura 188 agents themselves have various payment methods such as
    payment via bank transfer or via new payment merchants such as
    via ovo, linkaja, fund or gopay. This payment method is fairly practical and can make
    it easy for players if they desire to action at Sakura188.

    In addition, at Agent Sakura 188 there is an online gambling game that
    is entirely well-liked and can be played via smartphone or PC.
    The games in Sakura188 have various types.
    consequently that this website has lots of well-known and easy-to-win games for
    any player. fittingly it’s not incorrect if this online gambling site is arguably no question trusted.

    Even while it’s new, the number of online gambling games that you can perform is after that totally
    diverse. Here are several kinds of games that you
    can perform upon the sakura188 site.

  17. Hello just wanted to give you a brief heads up and let you know a
    few of the pictures aren’t loading properly. I’m not sure why but I think its
    a linking issue. I’ve tried it in two different internet browsers
    and both show the same results.

  18. Depobola
    Depobola is one of the intermediary agents working with the top online
    bookies sites. You can expect various products
    which can be accessed by online gamblers such as
    sbobet, maxbet, klik4d, cockfighting, agile ball, shooting
    fish, casinos, and many others. Depobola as a provider site for online gambling gambling has been founded since 2014,
    we have been already very experienced in large purchases and provide actively playing satisfaction to online soccer
    betting fans.

    Benefits of Choosing a Depobola Site as a Football Real estate agent
    In the transaction process, storing funds or withdrawing cash is processed quickly in minutes.

    Offering the best service, served by customer service who are
    able to be contacted anytime during 24 hours online.
    Members can enjoy attractive promos and jackpot prizes from
    all the products we provide.
    Has good security standards, so there is no need to worry about personal
    data registered by members on our site.
    Virtually any winnings will be paid without a minimal or
    maximum amount.
    Complete features, Depobola makes it easy for its people to contact all of
    us via livechat or messenger, we also don’t forget to provide an alternative site in the form of a mirror site so that it
    can be seen by its people.

  19. Thanks for sharing your thoughts on link depobola. Regards

  20. Depobola
    Are you a fan of online gambling games? Here we suggest not to choose
    a football agent carelessly, because these days there are many online soccer providers who impersonate recognized agents to ask you to make a profit
    from you.

    Depobola is definitely an online football agent
    that has passed the test from World gambling experts, and already has an official
    permit obtained from an official online gambling company in Asia, besides
    that Depobola is one of the agents that provides complete products and
    products that already have official license from the world
    gambling company.

    Depobola is also one of the sites that provides the best service for you,
    here we provide all services from professional customer
    service who will serve you, our top concern is the security
    of our members’ personal data privacy. The reason being the Depobola site is one of the recommended sites from online gambling centers as a trusted online
    betting site.

    How to Register Depobola
    Right here Depobola will give you instructions for how to register on the Depobola website, here there are only
    3 steps for you to claim your IDENTITY at Depobola.

  21. For those of you who have simply joined the
    planet of online gambling, you should know that to play gambling online in Indonesia it is necessary to opt for the best internet gambling site.
    The Agenusernesia site acts since a portal that will connects you as a player with
    the best games provided by simply Indonesia’s best on the internet gambling site.

    One of the online gambling agents that provides access to the best online wagering games in Dalam negri is Usernesia.
    Via its website from http://www.agenusernesia.com, you could
    find various types of well-liked internet gambling games such as soccer betting,
    casino, online slots and so on and play all of them with just one single sign up.

    Since it first appeared, the Usernesia online gambling agent
    site have been able to provide the best service for its clients with international standard games and professional service.
    Apart from that, there are many additional features that may give you many benefits.
    Therefore , register yourself now.

    The Many Gacor Online Gambling Internet site
    For professional on-line gambling players, naturally , they already understand that determing the best in addition to most trusted
    internet gambling site is one of the total requirements to end up being successful on the internet gambling industry.
    Consequently , picking an online wagering site should not necessarily be arbitrary.

    Right now there are many points to consider and it can be
    very time intensive to find the most appropriate internet site.

    The most well-liked online gambling web site and provides several advantages is Usernesia.

    Through this website an individual will be capable to enjoy various types of the
    best betting games created by well-known providers.

    In this article are some online gambling games of which you can pick and play in Usernesia.

Trackbacks

  1. […] on adhdmagazine.nl Share this:TwitterFacebookVind ik leuk:LikeWees de eerste die dit leuk vindt. Geef een reactie […]

Speak Your Mind

*