Minding the Mental Health of Our Kids
Transcription
Minding the Mental Health of Our Kids
Alternatives ® For the Health Conscious Individual VOLUME 15 • N O 3 • MARCH 2012 Minding the Mental Health of Our Kids R aising children has never been easy. And I’m sure no one would agree more than my parents. They had to be saints to have dealt with all that I put them through. Maybe it’s because it’s now my turn, but I honestly believe that raising a child has become increasingly more difficult. When I was growing up, the divorce rate was nothing like it is today. At practically every meal, we sat down and ate as a family. The large majority of our meals were cooked at home. Fast food and eating out were rare luxuries. Sodas were an infrequent Inside News to Use: Tap Water and Prostate Cancer. . . . . . . . . . . . . . . . . . 5 Alternatives Mailbox: Is Oatmeal Really Good for You? . . . . . . . . . . . . . . . . . . . . 7 You will observe with concern how long a useful truth may be known, and exist, before it is generally received and practiced on. — Benjamin Franklin VOLUME 15 • N O 3 • MARCH 201 2 “treat” and junk food consisted of an occasional candy bar or sucker. We made popcorn the “old-fashioned” way. Pancakes were made from milk, eggs, and flour, they didn’t come premade from the freezer section of the grocery store. Antibiotics were real drugs reserved for real problems. And bathroom medicine cabinets contained only Band-Aids, aspirin, Pepto Bismol, castor oil, and a bottle of rubbing alcohol, instead of looking like a miniature pharmacy. Our children’s diets and exposure to drugs have changed more in the last three or four decades than they have in the last hundred years. And it now is a direct reflection of their overall health. For the last 20 years, I’ve been warning about the childhood obesity problem, the early onset of puberty, and how diseases that were once only found in the elderly, like diabetes and heart disease, are becoming commonplace in gradeschool children. One of the most telltale signs of this drastic change in diet, however, is the outrageous number of children now being diagnosed with and treated for mental illnesses—specifically attention deficit hyperactivity disorder (ADHD) and bipolar disorder. The Reality of ADHD ADHD is being diagnosed at such a high rate that it’s hard to actually know just how many kids have been classified as such, and how many are being given drugs to “treat” the problem. Some studies estimate one in 10 children has been diagnosed with ADHD. Some say as many as 15% of all boys and 6% of all girls have the problem. Others say as many as 20% of all school-aged children have ADHD. (Am J Public Health 99;89:1359–1364) Whatever the true figure is, a few facts stand out. The number of people being diagnosed (of all ages and gender) is increasing each year. Over the last 15 years, the number of children between the ages of 13 and 18 being treated with medication has increased 6.5% each year! (Am Psychiatry Epub 2011 Sept. 28) To add to the insanity (no pun intended), this year the American Academy of Pediatrics changed their ADHD guidelines. Instead of recommending that screenings start at age 6, they now say it’s possible to diagnose and treat ADHD starting at age 4. While “behavioral intervention” by parents and teachers is the 1 Alternatives recommended first step of treatment, it’s obvious what the end result will be…medication. If what is being offered as behavior intervention really worked, the number of drug prescriptions for ADHDdiagnosed children wouldn’t be exploding. The bottom line is that more pre-school and elementary students will be prescribed stimulants like Ritalin, amphetamines like Adderall, and now, antidepressants. believing that early treatment with drugs equates to prevention.) And, ADHD isn’t just a childhood problem any longer. More and more adults are being diagnosed with ADHD since the current thinking is that many children are never “cured” and need to stay on medication for life. Welcome to the new “United States of Adderall.” In 1994–1995, for individuals age 19 and under, a diagnosis of bipolar disorder was made in 25 of 100,000 doctor visits. In 2002–2003, that number rose to 1,003 per 100,000 visits. And that number has continued to increase. The Bipolar Blues Bipolar disorder is a condition in which people swing from periods of mania (an abnormally elevated mood) to depression. (Originally, it was called manic depressive. I guess that term sounds a little too ominous, particularly when you’re dealing with children. From a pharmaceutical marketing standpoint, “early onset” bipolar disorder sounds better, especially since the public has been brainwashed into Alternatives® I haven’t been able to find any recent or concrete figures on the incidence of bipolar disorder in children, but what I have uncovered is truly frightening. The number of young people being treated for bipolar disorder increased 40-fold in the United States between 1994 and 2003! (Arch Gen Psychiatry 07;64(9):1032–1039) If that’s not scary enough, The Child and Adolescent Bipolar Foundation reports that, with each generation since WWII, the rates of both depression and bipolar disorder have increased. And, the average age at the onset of bipolar disorder symptoms has gone down an average of 10 years with each successive generation. No one seems to have an explanation as to why. I would have to say “duh” to that. I say, where there’s confusion, there’s opportunity...and no one knows this better than the pharmaceutical industry. I’d be hard-pressed to think of a better way to increase your market for a drug than to “uncover” a lifelong disease that starts at birth, whose symptoms are so common and subjective that there’s no way to refute the diagnosis. To add icing to the cake, insurance reimbursement is skewed in favor of medication. Psychiatrists I’ve spoken with say insurance companies pay them three times the money for “checking and adjusting” a child’s medication than they do for spending the same amount of time counseling them. Doctors now say that symptoms of “juvenile” bipolar disorder can be detected as early as infancy. Difficulty sleeping and settling or separation anxiety are signs of the disorder. Some children aren’t even out of diapers before they are started on medication. Children are being prescribed powerful mind-altering drugs at a time when their central nervous systems are still developing. No one yet knows the true damage or future consequences of such risky practices. These are the same drugs given to adults—drugs that have been shown to have very serious side effects like diabetes, hormonal disruption, infertility, significant weight gain, and blood disorders. Additionally, it has been proven that these drugs can cause the very same problems they are being given to treat—problems like hyperactivity, depression, insomnia, and psychosis. What’s worse, most Author: Dr. David Williams; Editor: Larissa Long ISSN# 0893-5025. Published monthly for $69.99/yr. by Mountain Home Publishing at 7811 Montrose Road, Potomac, MD 20854. Editorial Office: 7811 Montrose Road, Potomac, MD 20854. Periodicals postage paid at Rockville, MD and at additional mailing offices. Postmaster: Send address changes to Alternatives, PO Box 3262, Lancaster, PA 17604-3262. Copyright © Healthy Directions, LLC All rights reserved. Photocopying or reproduction is strictly prohibited without permission from the publisher. The approaches described in this newsletter are not offered as cures, prescriptions, diagnoses, or a means of diagnoses to different conditions. The author and publisher assume no responsibility in the correct or incorrect use of this information, and no attempt should be made to use any of this information as a form of treatment without the approval and guidance of your doctor. Dr. Williams works with Healthy Directions, LLC to develop his unique formulations that supply many of the hard-to-find nutrients he recommends. Dr. Williams is compensated on the sales of these nutritional supplements and health products, which allows him to continue devoting his life to worldwide research and the development of innovative, effective health solutions. 2 MARCH 201 2 children aren’t given just a single drug, but multiple drugs. Diagnosis Is a Judgment Call It’s virtually impossible to track the actual number of true cases of bipolar illness in children. This is because there isn’t any definitive test for the problem, and the symptoms are very similar to ADHD. There are no blood tests or brain scans that can definitively confirm a diagnosis of either condition. Instead, a doctor will ask questions about a child’s mood, sleeping patterns, energy levels, and behavior, including: Being overly silly or joyful ■ Being sad ■ Feelings of guilt ■ Short temper or irritability ■ Talking a lot ■ Cranky ■ Stays busy ■ Looks for constant fun or excitement ■ Difficulty concentrating ■ Losing interest in activities ■ Eating more or eating less ■ Gaining or losing weight ■ Losing energy or having too much energy ■ Sleeping less or sleeping more ■ Separation anxiety ■ Carbohydrate cravings ■ Bed-wetting ■ Fidgetiness ■ Difficulty getting up in the morning ■ The symptoms cast such a wide net that every child could “qualify” for treatment at one time or another. Strong proponents of treating children say, however, VOLUME 15 • N O 3 that the final decision is based on the frequency of these symptoms and whether the changes in behavior are more extreme than normal. In other words, the diagnosis becomes a judgment call. With the same defining criteria, I could be labeled as having both disorders. Most of us could. But, for the most part, we have the ability to explain and justify our behavior. As adults, we know the consequences, side effects, social stigma, and inconveniences associated with long-term medication use and can choose what we want to do. Young children can’t. Their only option is to trust and rely on their parents. Pharma to the “Rescue” Today, more and more parents are put in the position of having to decide whether or not to place their child on medication. The pressure can be enormous and it can be one of the most difficult decisions a parent has to make. The pharmaceutical industry and the psychiatric community help alleviate the guilt by saying the causes of ADHD and bipolar disorder are unknown. They say the strongest evidence links the conditions to genetic factors or brain damage and the best thing a parent can do is focus on pharmaceutical ways to immediately help the child until the medical community discovers more about the problems. They feel that diet, nutrition, and the child’s home environment have little, if anything, to do with the disorders. They tend to ignore the facts that ADHD is far more common in lower income populations in the U.S. (poor nutrition?) and incidence rates are 5 to 10 times greater in the United States compared to other countries. In Great Britain, the incidence of ADHD is reportedly less than 1%, but it may be that their criteria for diagnosis is stricter (or they aren’t as inclined to treat everything pharmaceutically, as we are in this country). (MMWR 10;59(44):1439–1443) (World Psychiatry 03;2(2):104–113) Pharmaceutical companies also like to ignore that most of the studies that have found no relationship between diet and ADHD or bipolar disorder are flawed. They overlook the studies that have found such a relationship, as well as the observations of millions of parents and clinicians who have successfully treated these conditions with dietary modifications. How Fear and Stress Feed the Issue During the last 60 years, the lives of children have become more and more complicated. The family, one of the most stabilizing parts of a child’s life, has changed dramatically. Divorce is far more common. Shared custody and split, part-time living arrangements can create a sense of instability and insecurity. Living and interacting with multiple stepsiblings from numerous marriages and multiple sets of grandparents and other relatives only adds to the confusion and stress. Children see war, killing, and conflict every day on the news, in their video games, and in the movie theaters. And, in their early years, it’s hard to separate fact from fiction. I’m sure a little more anxiety sets in when they realize there 3 Alternatives really are no super heroes and the good guy doesn’t always survive. hippocampal adult neurogenesis (the creation of new neurons). Uncertainty creates fear in children, just as it does with adults. And, while adults and children share many of the same fears, there’s one universal fear of children. That’s the fear of adults. His article focused primarily on adults, but the same problem could occur in children, and I would highly suspect the damage would have even longer-lasting and detrimental effects. In children, neurogenesis or new nerve formation is still taking place and neurological connections are in their beginning and very active stages. To children, adults are big, often menacing, smart, and powerful. Adults, both intentionally and unintentionally, have the power to hurt children. Even the most loving parents and teachers realize how easy it is to instill fear in a child, even when they don’t mean to. If the fear isn’t quickly recognized and resolved through reassurance, it can have a dramatic and lasting impact on the child’s happiness, learning ability, and behavior. From a physiological standpoint, fear equates to stress. Chronic fear results in chronic stress. I recently read a very interesting article the Armed Forces Journal (December 2011) by Major Stephen Flanagan, that discussed the effects of stress on soldiers training at the U.S. Army Ranger School. As you can imagine, these soldiers are placed under extremely stressful situations. What Flanagan found was that short bursts of stress during their training can be beneficial. However, evolution has geared the human stress response to last about 30 seconds, just enough to facilitate the “fight or flight” response. But, prolonged stress and the resulting cortisol that’s produced actually damages the part of the brain called the hippocampus. In fact, excess cortisol can stop 4 Flanagan discusses how this type of damage can explain higher rates of suicide, anxiety disorders, depression, hallucinations, posttraumatic stress disorder, and many other problems these soldiers face. I have no doubt children under chronic fear (stress) are more susceptible to the exact same problems. How Kids Deal with Fear and Stress Depending on personality, children (and adults) tend to deal with chronic fear and stress in one of two ways. Some keep it to themselves, hoping to get it under control until it resolves itself. They quietly retreat into their private worlds and worry about it and formulate plans to deal with it. They often begin to feel and act numb. They have difficulty concentrating or paying attention. They can become pessimistic, depressed, and lose interest in those things that they once valued. Others use action to deal with their fears. They act out and exhibit hostility toward others in an attempt to regain control of their life. They refuse to cooperate with parents, teachers, and other authority figures. They get busier and busier trying to outpace their fears, but their hyperactivity becomes less focused and less useful. It’s as though their minds need to be constantly stimulated so there’s no idle time available to concentrate on the fear or stress at hand. The two patterns are the same characteristics exhibited by children being diagnosed with ADHD and bipolar disorder. Doctors handing out prescriptions for these conditions rarely spend the time needed to truly understand the children they treat. It takes time for an unknown adult to gain the trust of a young child. From an economic standpoint, the extra time isn’t encouraged. Instead, their diagnosis is routinely based on interviews with the parents and/or recommendations from teachers and maybe a short observation of the child during the office visit. By the time the child sees the doctor, the diagnosis has been made and the parent is convinced that medication is the answer. The Real Causes of ADHD and Bipolar Disorder I don’t want to pile guilt on parents. ADHD and bipolar disorder symptoms are real and can be very difficult to deal with. But, in addition to the psychological stresses I’ve outlined that need to be resolved, it’s important to realize that most of these children’s conditions can be attributed to dietary and hormonal factors. The underlying difficultly, however, is that children can’t change these factors on their own, and parents oftentimes have to make major changes MARCH 201 2 NEWS TO TO USE USE from from around around the the world world NEWS Tap Water and Prostate Cancer TORONTO, CANADA—Researchers at Princess Margaret Hospital appear to have found a link between drinking tap water and prostate cancer deaths. For years, I’ve been warning about the dangers of contaminated water. Although our water system is one of the most sophisticated in the world, the purification process is actually pretty basic. We’re one of the few countries where the entire water supply to our homes has been treated. (We can drink from the hose outside, as well as from the water that fills the reservoir of the toilet). Even with that degree of sophistication, our water processing plants don’t have the capability of testing for each and every potential herbicide, pesticide, toxic compound, metal, radioactive particle, or drug that reaches the water source. And I seriously doubt they will ever be able to do so. Hormonal Link These researchers looked at the percentage of women using oral contraceptives, IUDs, condoms, and vaginal barrier contraceptives in 87 different countries. Then they compared the incidence and deaths from prostate cancer in those same countries. Unlike any of the other forms of contraceptives, they found the highest rates of pros- in their own diet and lifestyle habits to effectively improve the child’s health. It’s not easy. I know firsthand the added challenges of keeping a young child healthy and fed properly. However, many adults don’t want to change their own habits. They’re too busy, too VOLUME 15 • N O 3 tate cancer in those countries with the highest use of oral contraceptives. (BMJ Open 2011;1:e000311doi:10.1136) So far this doesn’t prove a direct connection between the two, but based on earlier studies I’ve covered in the past, it’s not much of a stretch. The estrogen in birth control pills passes in the urine into the sewage systems and eventually ends up in the drinking water supply. We’ve already seen where high levels of estrogen in surface water have resulted in widespread changes in the sexual development (feminization, sterilization, and sexual deformities) of fish and frogs. Reptiles, in particular, seem to be the “canary in the coal mine” when it comes to water pollution. Even the smallest concentrations of hormones or other water pollutants can have an immediate and dramatic effect on their reproduction and overall health. We seem to forget just how potent and life-changing sex hormones can be, and we’ve been detecting them in our rivers, lakes, and sources of drinking water for decades. I have no doubt that 5, 10, or 15 years from now the evidence will become so overwhelming that there will be a huge “discovery” and everyone will be warned of the danger. By then, however, it will be too late for millions of people who have either died or are suffering from the long-term consequences. It won’t be just hormones like estrogens, either. Aspirin use is so prevalent that it and other pharmaceuticals are already at detectable levels in the Great Lakes. PCB, pesticides, herbicides, plasticizers like BPA, and thousands of other chemicals eventually end up in our water. If you think about it, where else can they go? If you are not on a private, uncontaminated well (that you’ve tested), then there’s little doubt your tap water comes from a public water system and is contaminated. Estrogenic compounds found in drinking water may be contributing to both the incidence and mortality of prostate cancer. We know it is resulting in earlier puberty in girls and most likely a drop in fertility in men. I believe many of the pesticides that were developed to kill insects by specifically destroying their nervous system, are contributing to the unexplained increase in so many neurological diseases. Use Distilled Water Besides air, water is the only thing we take in on a consistent, everyday basis. It needs to be clean and pure. If the municipal water is your only choice, then I still recommend distilling the water with pre- and post-carbon filtration. To learn more about distillation, visit drdavidwilliams. com/distilled-water. The distiller I recommend is WaterWise 9000 (available at drdavidwilliams.com/ product/waterwise-distiller). ■ stressed, too…whatever. The pharmaceutical industry, once again, understands this and provides a solution of “better living through chemistry.” collusion. The parent and the Diagnosing children with ADHD or bipolar disorder requires And since repeated warnings and doctor have to both agree that the fault lies with the child. In effect, the child is behaving badly. punishment won’t change the 5 Alternatives behavior, then it has to be stopped by altering the brain chemistry. Agreeing that a child has a neurobiological disorder vindicates the parents. The doctor has saved another child and family. Other factors like nutrition, home life, and social issues no longer matter. No one has to make any changes and life can get back to normal. The public has accepted the propaganda that, for some unknown reason, ADHD and bipolar disorder are just afflicting children everywhere. Maybe it’s genetic. Who knows? Who cares? Whatever the reason, the parents are off the hook. It may not be exactly what most parents want to hear, but it provides a great sense of relief and lifts the burden of guilt. fats, proteins, and carbohydrates. These are all things that help increase your body’s ability to “fight or flee” and survive when confronted with stress. When the stress passes, cortisol levels return to normal and the body relaxes. In a chronically high-stress situation, levels don’t return to normal and we begin to experience many negative effects. The same effects you’ll recognize as being diagnostic markers for ADHD and bipolar disorder: Impaired cognitive performance (mental performance suffers) ■ Blood sugar levels are imbalanced (swings in mood and energy levels, craving for carbohydrates) ■ Decreased immunity (allergies, increased susceptibility to illness, slower wound healing) ■ Natural Solutions That Work I would say that practically every case of ADHD and bipolar disorder can be directly linked to dietary/nutritional, hormonal, or environmental factors—or, most commonly, a combination of these. The majority of cases can be resolved fairly easily, but some of the more difficult cases require greater effort and discipline on the part of the child and parents. But it is worth the effort. I mentioned the role of stress. As you may recall, chronic stress takes a physiological toll on the adrenal glands. In response to stress, the adrenals release several hormones—one of which is cortisol. Cortisol increases blood sugar levels by counteracting the effects of insulin, suppresses the immune system, and helps metabolize 6 Thyroid dysfunction (weight gain or weight loss, fluctuating energy levels, depression, skin diseases) ■ Sodium loss (craving for salt, increased blood pressure) ■ Increased abdominal fat (metabolic syndrome, type 2 diabetes) ■ Dietary Changes It shouldn’t come as any surprise that two of the most common underlying problems directly associated with ADHD and bipolar disorder are weak and poorly functioning adrenal glands (hypoadrenia) and poor blood sugar control (typically hypoglycemia). That’s why cutting caffeine (an adrenal stimulant), high-fructose corn syrup, and refined carbohydrates (white flour, cereals, sugar, candy, fruit juices, sodas, etc.) from the diet and replacing those with nutrient-dense foods higher in protein and fat often makes such a huge difference. All of the things I’ve suggested to help rebuild the adrenal glands also help ADHD and bipolar disorder. Other things that help include eating more frequent but smaller meals throughout the day, not skipping meals, and eating high-quality protein snacks like nuts, peanut butter, cheese, whey powder, and avocados. Vitamins and Nutrients Although my child doesn’t have ADHD or bipolar disorder, his diet is pretty much one that would treat the problem. As I’ve said before, if you want to prevent most health problems, go on the diet you would use to treat the problem. Since I include a protein drink in my daily routine (get the recipe at drdavidwilliams.com/lecithinpower-shake-recipe), I often make him a smaller one, as well. I include lecithin granules in his, just as I do in mine. Choline and lecithin (which includes choline) have been shown to be beneficial in treating the manic phase of bipolar disorder. Most children like protein drinks. When you use skim milk and cream or whole milk (for children) and ice, it resembles a milk shake. The basic idea is to maintain a more consistent blood sugar level so the adrenals won’t have to work as hard. This gives them a chance to strengthen and rebuild and not have to constantly produce and release cortisol into the system. The entire process can be jumpstarted dramatically by providing children with nutrients needed specifically for improving glucose control and adrenal function. It explains why these same vitamins MARCH 201 2 and nutrients have been shown to help resolve ADHD and bipolar disorder. This includes several of the B vitamins, zinc, folic acid, chromium, iron, vitamins A, C, D, and E, and magnesium. The best method of getting these and others is with a quality multi-vitamin/ mineral supplement. Adrenal Glandular I also recommend an adrenal glandular. My favorite is Drenamin by Standard Process Laboratories. I chew two tablets every day myself. Standard Process products are primarily sold through doctors, but you can purchase Drenamin directly from totaldiscountvitamins.com. Thyroid Glandular Children with ADHD or bipolar disorder may also have poor thyroid function. I’ve found that most of the time, this can also be treated successfully with glandulars like Standard Process Laboratories’ Thytrophin (pureformulas.com) and iodine drops like Iosol (iherb. com or swansonvitamins.com). Omega-3 Fatty Acids As I mentioned in a recent issue, children with ADHD are very often deficient in the omega-3 fatty acids DHA and EPA. Young children in this country generally haven’t acquired a taste for fatty fish, and most diets don’t include chia, flax, or other sources of these fatty acids. However, I’ve seen the most remarkable results in children by simply adding daily fish oil capsules to their daily diet. I recommend Nordic Naturals Children’s DHA chewable softgels (nordicnaturals.com). I give my 8-year-old son the daily recommended dose of 4 soft gels a day, which comes out to just over 250 mg of total omega-3s, and some cinnamon, it has less of an effect on blood sugar levels. Since most meals contain more than one item, it’s really best to monitor your blood sugar levels to get a handle on what’s actually happening with various type meals. Is Oatmeal Really Good for You? Question: I was reading a past issue of Alternatives where you were discussing the glycemic index and a much earlier issue where you were talking about the benefits of oatmeal. There seems to be a contradiction. The glycemic index of oatmeal isn’t that low, however you say oatmeal is good for you. Which is it? —Mary D., West Valley City, Utah That’s why I suggest self-testing using a glucose monitor, like the OneTouch UltraMini, available at Wal-Mart. It’s an easy and precise way to see how specific foods affect your blood sugar levels and then compare that to the way you feel (your mood, energy level, etc.). You are correct. While oatmeal can be beneficial in many ways for some people, it is pretty high on the glycemic index, so it could result in a spike in blood sugar. The glycemic index provides a rough guideline for determining how foods affect blood sugar and insulin release, but it’s only a guideline. Ideally, I would suggest keeping your “postprandial” level (the level one hour after you eat) at 100 mg/dL or below. Check your blood sugar before you eat and then one hour afterward. If the postprandial level exceeds 100 mg/dL, that meal or food is a problem. It doesn’t matter if it’s something you know is sweet, such as a dessert, or something you think is healthy. If it spikes your postprandial blood sugar, it’s a problem for you. Once you identify the problem foods, you don’t need to keep checking them. For example, if you ate some oatmeal and your postprandial level was 125 mg/dL, then avoid oatmeal from there on out. Only check new meals to determine which ones don’t cause a spike in blood sugar over 100 mg/dL. Oatmeal’s effect on blood sugar does, in part, depend on how it’s consumed. If you add a teaspoon of sugar or some honey to a bowl of oatmeal, the glycemic index will skyrocket and it will trigger an even greater spike in blood sugar levels. If, however, you add a tablespoon of butter So for a small investment, you can learn a lot about how oatmeal and various other foods affect you. More importantly, by avoiding foods and meals that cause blood sugar spikes, you can reduce your risk of developing diabetes, heart disease, obesity, cancer, and a long list of other diseases. ■ Answer: VOLUME 15 • N O 3 7 Alternatives Special Web Features for March 2012 Visit my website, drdavidwilliams.com Check out my blog Traditional Fermented Foods: The Digestive Health Benefits One Food Can “Beet” High Blood Pressure Lifestyle Habits that Lower Blood Pressure Naturally No Time for Exercise? Resolve to Take the Stairs What Is Cholesterol, and Should I Be Concerned About It? Two Ways to Start Lowering Triglycerides but in children with ADHD or bipolar disorder, daily doses as high as 1 to 3 grams have been used. Other Factors to Consider There are other factors that have been linked to ADHD and bipolar disorder in children and may need to be ruled out, the most common being food allergies and exposure to lead. Most of the studies I’ve seen have found that the incidence of ADHD cases is higher in lower-income groups. Again, this may be partly due to stress issues I talked about earlier. But I can’t help but think diet also plays a role. Studies routinely find that lower-income groups generally tend to consume higher levels of refined carbohydrates and less quality protein…the perfect foundation for developing ADHD symptoms. Another trend over the last couple of decades has been that of feeding children along the lines of many of the popular, but ill-conceived health fads. For instance, children need high-quality fats in their diet. But, since there has been a lot of misinformation on the so-called dangers of fat, many parents only give their children low-fat or no-fat food items. They will allow olive oil but won’t feed them beef, butter, lamb, and other fat-containing foods. This is a huge mistake. A variety of healthy fats is good for everyone. These children subsist on lean chicken breasts, soy products, pasta, salads, bread, etc., and exhibit all the signs and symptoms of having fatty acid deficiencies at a time 8 when fats are crucial for normal growth and the development of their nervous and other systems. Eating quality fats doesn’t make one fat…refined carbohydrates do. Contact Us Here Questions or comments: [email protected]. Address changes: custsvc@ drdavidwilliams.com or 800‑527‑3044. Be sure to visit drdavidwilliams. com to learn much more. I don’t want to downplay the seriousness and the difficulty of dealing with either ADHD or bipolar disorder. For the child and the family, both can be a nightmare. There may be cases where either the type of changes I’ve discussed won’t solve the problem, or the underlying cause can’t be determined. And, I’m sure some of these disorders have a contributing genetic basis, maybe from a mother’s drug use or the child’s earlier exposure to some toxin. These cases may require medication. Based on research studies, my experiences and that of hundreds of other practitioners, however, I think that is more of the exception than the rule. ■ Until next month, take care, MARCH 201 2