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  • 5
    Apr
    2013
    7:37pm, EDT

    All in the ADHD family: Diagnosis in kids can spotlight parents' own condition

    By Linda Carroll, Kate Snow and Meghan Frank, NBC News

    As a little girl, Bonnie Ihme had big plans. Bright and artistically talented, she dreamed of becoming an architect.

    But the older she got, the more distant that dream seemed. By third grade, school had become a struggle. She felt easily distracted and found it impossible to focus in class. Eventually she abandoned her plan to be an architect. Ihme got married, had two kids and began cleaning houses and helping her husband with his business.

    But even that simpler life felt impossibly difficult. The Michigan mom had trouble keeping track of all the threads of her life. She’d send her kids to school without sneakers on gym day. She’d forget to bring library books back. She felt more overwhelmed than ever before.

    “I really would try hard to pull it all together,” Ihme told NBC’s Kate Snow in an interview airing on Rock Center Friday. “But when … you’re late for a Christmas concert that your daughter was really looking forward to going to and we get there and her class is walking back to the classroom and the tears in her eyes… you try harder.”

    Ihme saw history repeating itself in her 10-year-old son, Jacob, who began struggling with school, just as she had. Jacob would spend hours doing his homework, only to forget to bring it to school the next morning. Ihme’s heart ached for her son.

    Click here for more on ADHD symptoms

    She decided to do something for him that no one had thought to do for her. She brought Jacob to a specialist in search of answers. After a battery of tests, the specialist diagnosed her son with ADHD – attention deficit hyperactivity disorder. He then told Ihme that the disorder was often inherited. That was when she began to wonder if ADHD had been her problem, too.

    “I knew I was bright,” she told Snow. “And on some things that they were teaching I was higher than the rest of the class. But then I’d struggle with a lot of the other things and wonder what was wrong with me.”

    Ihme went through the same testing her son did, and at age 42, was diagnosed with ADHD.


    While many people think of ADHD as a childhood disorder -- something that kids eventually grow out of – long term studies have shown that ADHD sometimes lasts a lifetime. In fact, a report published in the April edition of Pediatrics found that nearly 30 percent of kids diagnosed with ADHD still suffered severe symptoms well into adulthood.

    In the prospective study, researchers from the Boston Children’s Hospital and the Mayo Clinic tracked 5,718 children born between 1976 and 1982 for several decades. Among the children were 367 who’d been given a diagnosis of ADHD. Out of that number, 232 agreed to participate in the study.

    As it turned out, life was a lot harder for ADHD sufferers than it was for their peers. They were at higher risk for death and suicide, with nearly 60 percent suffering from an additional psychiatric disorder.

    In a similar longitudinal study, researchers from New York University started out following 207 boys who’d been diagnosed with ADHD between ages 6 and 12 and 178 boys without ADHD. By the time the boys had reached their 40s and 50s, there were big differences between the two groups, according to the report published in December in the Archives of General Psychiatry.

    Clinical psychologist Rachel Klein, lead author of the New York University study and a pioneer in the field of ADHD, put it this way.

    “Compared to the kids without ADHD, these children had more often died,” said Klein, Director of the Anita Saltz Institute for Anxiety and Mood at the NYU Child Study Center. “Many more had been in jail. Many more had been hospitalized for psychiatric reasons, mostly drug abuse.”

    But the bad news didn’t stop there.

    Almost a third of the ADHD boys had dropped out of high school and, on average, they made less money and experienced a higher divorce rate than their peers who didn’t have the disorder.

    Much of that resonates with Frank South, who, at 49, discovered he had ADHD.

    Professionally successful, South wrote for such hit TV shows as Hill Street Blues, Cagney & Lacey, and Melrose Place. But over the years he’s struggled in his personal life. He’s been married three times and can find the details of daily life challenging.

    In fact, he says he’s so easily distracted that a simple trip to pick up a 12-pack of paper towels for his daughter’s basketball team can turn into Mission Impossible.

    “You end up in the Costco going through things that you’re not even going to buy and the time goes right by because you find it so interesting,” he told Snow.

    From freeze-dried granola to flat screen TVs, anything and everything becomes so alluring that hours later, the basketball team is still without paper towels.

    “It’s debilitating,” he told Snow. “But the thing is, before your diagnosis, before you understand these things, you think, ‘I’m a jerk.’ And you feel like, ‘I’m also not very bright if I can’t just go and get a 12 pack of paper towels and bring them to the basketball coach without being two hours late."

    After years of berating himself for such mishaps, and drinking hard to shut out the negative thoughts, South, like Ihme, finally spoke with a psychiatrist after his son Harry was diagnosed with ADHD and he started thinking he too might have the disorder.

    Going undiagnosed as an adult is not that unusual.

     “I think … that there are still many people walking around who have ADHD who are being impaired by it, and they don’t even know it,” said study co-author Dr. Xavier Castellanos, director of the Center for Neurodevelopmental Disorders at the New York University Child Study Center.

    Despite this, Castellanos acknowledges that some doctors may be over diagnosing ADHD. In fact, a New York Times story published last week concluded that over the last decade there’s been a 53 percent jump in the number of kids diagnosed with the disorder. Experts quoted in the story said they feared that the powerful stimulants used to treat ADHD might harm kids who don’t really need them.

    But for those who do have ADHD, taking medication can be life changing.

    South remembers when he first started taking medication for his ADHD.

    “It was like a window, a big window, opening up on my brain,” he said. “You know, sunlight coming in and being able to breathe and be calm enough to understand. And the fear and the anxiety level went down.”

    For those who still doubt that ADHD is a real brain disorder, Castellanos points to brain scans he’s done in some of the study volunteers. The scans of those who had been diagnosed with ADHD as children are thinner in areas that are known to control attention and govern emotion.

    “These are differences of less than a tenth of a millimeter,” Castellanos explained. “And yet, a tenth of a millimeter is a lot of brain cells.”

    Related stories: 

    ADHD seen in 11 percent of kids as diagnoses rise

    422 comments

    By third grade, school had become a struggle. She felt easily distracted and found it impossible to focus in class.

    Show more
    Explore related topics: children, deficit, parents, attention, disorder, adhd
  • 2
    Dec
    2012
    10:42am, EST

    Geithner urges Republican leaders to offer ideas on averting fiscal cliff

    By Tom Curry, NBC News national affairs writer

    Updated 11:43 am ET President Barack Obama’s fiscal cliff negotiator, Treasury Secretary Tim Geithner, predicted on NBC’s Meet the Press Sunday that congressional Republicans will accept Obama’s plan to raise income tax rates and limit deductions on people making $200,000 and over. “I think we’re going to get there,” he told NBC’s David Gregory.

    He said if Republican leaders have their own alternative ways to reduce federal deficits, they need to offer Obama their proposals.

    Treasury Secretary Timothy Geithner made the Sunday morning talk show rounds, saying "the only thing that stands in the way of a deal right now is if a group of Republican members decide they're going to block a deal." NBC's Mike Viqueira reports.

    “We need to know what they’re prepared to do on (tax) rates and revenues and we need to know what they’re prepared to do on the spending side,” he said.

    So far, Geithner said, they have not said “who should pay higher taxes.”

    In contrast, Geithner said, Obama has been specific, for example, about how he’d shift more of the burden of paying for Medicare to affluent retirees: his fiscal year 2013 budget proposal would increase premiums and co-payments for higher-income Medicare beneficiaries, starting in 2017.

    “If the Republicans don’t like those ideas and they want to do it differently (or) they want to go beyond that, then they have to tell us what makes sense for them and then we can take a look at it,” he said.

    Geithner is leading the bargaining with GOP leaders on how to avoid the “fiscal cliff” –Washington jargon for the combination of tax increases and spending reductions which are scheduled to occur under current law at the end of the year and which the Congressional Budget Office has said would tip the economy into a recession.

    Treasury Secretary Tim Geithner and Sens. Bob Corker and Claire McCaskill detail the ins and outs of the efforts to reach a deal to avert the fiscal cliff.

    With 29 days left to reach an agreement on avoiding the fiscal cliff, neither GOP leaders nor the president seem to be taking steps toward an accord.

    Two senators who were re-elected last month, Sen. Claire McCaskill, D- Mo., and Sen. Bob Corker, R- Tenn., also appeared on Meet the Press to comment on the fiscal cliff negotiations.

    Corker said he supported “closing loopholes” which he called "a pro-growth way of getting more revenues from wealthy Americans." He predicted that ultimately “cooler heads will prevail” and the two sides will agree on a deal.

    Corker said that in the fiscal cliff bargaining Obama had not yet proposed additional curbs on Medicare and other entitlement spending and he predicted “you’re not going to have a deal until that happens.”

    McCaskill said if current tax rates expire at year end, then “we would come back in January first thing and pass a tax cut” along the lines of Obama’s proposal. “Are the Republicans going to vote ‘no’ on that?” she asked incredulously.

    On Medicare, McCaskill said she would support “more aggressive means testing from higher co-pays from those people who can afford it.” In his Fiscal Year 2013 budget blueprint Obama proposed higher premiums and co-payments for higher-income Medicare recipients, cutting $28 billion in federal spending over ten years.

    Americans for Tax Reform founder Grover Norquist discusses remarks made by Treasury Secretary Tim Geithner on Meet the Press.

    But liberal Democrats have opposed that idea, saying it could erode support for Medicare among upper-income people, leading them to opt out of the program. “This will end Medicare as we know it,” said Rep. Allyson Schwartz, D- Pa., last spring when Republicans adopted Obama’s higher premium and co-pays idea as part of the negotiations over how to offset the cost of cutting the Social Security payroll tax.

    Obama’s initial fiscal cliff bargaining position has been that income tax rates and tax preferences enacted since 2001 should remain in effect for single earners making less than $200,000 a year and for married couples filing joint return who make less than $250,000.

    In a statement Sunday, House Democratic Leader Nancy Pelosi urged House Speaker John Boehner to bring to the floor a bill already passed by the Senate to continue current income tax rates for people making less than $200,000.

    She said if Boehner "refuses to schedule this widely-supported bill for a vote, Democrats will introduce a discharge petition to automatically bring to the floor the Senate-passed middle class tax cuts." A discharge petition is procedure by which a bill may be forced out of a committee and onto the House floor for a vote. The Democrats would need to get 218 members of the House to sign a discharge petition in order for this procedure to succeed.

    Republican leaders oppose any tax increase, although they would agree to a redesign of the income tax system that could raise more revenues for the federal government by ending or curtailing some deductions and other tax breaks.

    The GOP leaders also want some plan for reductions in spending on Medicare and other entitlements.

    The fiscal cliff refers to:

    • The expiration at year end of tax reductions enacted in 2001, 2003, 2009, and 2010.
    • A 27 percent cut in Medicare’s payment rates for doctors’ services.
    • A ten percent cut in defense spending and an 8 percent cut in nondefense spending -- cuts mandated by the Budget Control Act which Obama signed into law in 2010 as a part of a deal with Republicans to get them to agree to raise the federal government’s borrowing limit.
    • The end of emergency unemployment benefits.
    • The end of a temporary reduction of 2 percentage points in the Social Security payroll tax which was in effect this year and in 2011.

    In addition the Affordable Care Act will impose, starting in January, a new 3.8 percent Medicare payroll tax on income above $200,000 and will expand the tax to cover investment income as well as wage and salary income.

    About two-thirds of the fiscal cliff comes from the impending tax increases scheduled to take effect at the beginning of 2013 under current law.

    According to the nonpartisan Tax Policy Center, "Taxes would rise by more than $500 billion in 2013—an average of almost $3,500 per household—as almost every tax cut enacted since 2001 would expire."

    A report issued in October by the Center found that almost 90 percent of Americans would see their taxes rise unless Congress and the president agree to change current law. "For most households, the two biggest increases would be the expiration of the temporary cut in Social Security taxes and the expiration of the 2001/2003 tax cuts," the report said.

    2672 comments

    Going after rich people isn't enough. We need more, much more. The fiscal cliff looks like fiscal sanity to me. Will it push us into another recession? Maybe, but what's the alternative? Continue to burn the candle at both ends until we have nothing?

    Show more
    Explore related topics: congress, economy, deficit, capitol-hill, barack-obama
  • 21
    Aug
    2012
    3:44pm, EDT

    Education performance data raises questions for 2012 debates

    Matt Sullivan / Getty Images

    President Barack Obama speaks at Capital University on August 21, 2012 in Columbus, Ohio. President Obama began a two-day tour of Ohio and Nevada to discuss the choice in this election between two different visions of how to expand the economy.

    By Tom Curry, NBC News national affairs writer

    Broadening his attack on Republicans’ plans to curb federal spending, President Barack Obama campaigning in Ohio Tuesday portrayed GOP presidential candidate Mitt Romney and his running mate Paul Ryan, the chairman of the House Budget Committee, as intent on “gutting investments in education and science and infrastructure.”

    Obama said in his speech at Capital University in Columbus, “Putting a college education within reach for working families just doesn’t seem to be a big priority for my opponent.”

    Recommended: NBC/WSJ poll: Approval of Congress hits bottom

    Judged by his ten-year budget blueprint which unlike Romney’s education proposal has actually been approved by one house of Congress, Ryan isn’t satisfied with the return the federal government is getting on its investment in education.

    “While Federal spending on the Department of Education and related education programs has grown significantly over the past few decades, academic achievement has not seen a commensurate improvement,” Ryan said in the report accompanying his budget plan.

    President Obama touts his education policy, contrasting his budget proposal to GOP vice presidential pick Paul Ryan. Watch his entire speech.

    Ryan’s ten-year budget blueprint proposes to reduce some federal education outlays as part of its overall 12 percent cut in spending over ten years, for example consolidating and eliminating some of the 82 initiatives on improving the quality of teaching in public schools.

    Under Obama, Congress has created a new tax break for higher education, the American Opportunity tax credit, as well as increasing the maximum size of Pell Grants by $900.

    One focal point of the campaign debate has been what Ryan would do to Pell Grants, the single largest source of federal aid to low-income students for college education.

    For the 2010-2011 academic year Pell Grants provided about $37 billion in aid to nearly 9 million students.

    In his budget plan report, Ryan argued that “Pell Grants are the perfect example of promises that cannot be kept. The program is on an unsustainable path” due to legislation since 2007 including the Obama stimulus law that “made Pell Grants more generous than the Federal budget could afford.” He pointed out that the cost of the Pell Grant program has more than doubled since 2008, from $16 billion in 2008 to more than $36 billion in fiscal year 2013.

    More politics: Deadline looming, Akin says he's staying in Missouri Senate race

    While Obama has proposed a maximum Pell Grant award of $5,635 for 2013- 2014, Ryan’s plan proposes a maximum award of $5,550.

    On the campaign trail, President Obama attacked Mitt Romney's proposals for financing a college education and promoted his own record on education. NBC's Kristen Welker reports.

    Ryan also wants to “ensure aid is targeted to the truly needy” by the changing the formula which the Department of Education uses to determine how much a student and his or her family can be expected to contribute toward the student’s college tuition.

    Although some federal support for education is in the form of direct spending, such as Pell Grants, much of it is in the form of tax breaks, such as the Hope education tax credit (worth about $5 billion a year) and the deductibility of charitable contributions to educational institutions, worth about $6.5 billion.

    A witness at last month’s Senate Finance Committee hearing on education, James White of Congress’s watchdog agency, the Government Accountability Office, testified there isn’t enough data to know which of the tax breaks is most cost-effective in getting students to finish college or university.

    When Sen. John Thune, R- S.D., asked White if Congress were forced to pick only one education tax break, which one should survive, White answered: “Part of the problem here is that we are spending tens of billions of dollars on these programs and we don’t know the answer to the question you are asking.”

    Some economists and tax policy experts have questioned whether the tax breaks for higher education aren’t contributing to an inflationary spiral.

    Scott Hodge, president of the Tax Foundation testified to the Senate Finance Committee last month that federal subsidies for higher education are “fueling higher college costs by disconnecting student-consumers from the true cost of higher education. In turn, the benefits of these programs get capitalized into tuition costs because universities can boost tuitions without suffering the normal market backlash.”

    (Hodge’s group aims for a “neutral” tax code that is designed simply to raise enough revenue for the government to function, without tax breaks for favored groups or industries.)

    Reverend Doctor Francis Wade, the interim dean of the National Cathedral, joins  The Daily Rundown's Chuck Todd to talk about exclusive interviews the National Cathedral magazine – "Cathedral Age" – had with both President Barack Obama and Mitt Romney to talk about their religious beliefs

    Obama noted in his speech in Ohio Tuesday that over the past two decades, tuition and fees at American colleges and universities have more than doubled.

    “I put colleges and universities on notice: if they can’t stop tuition from going up, the funding they get from taxpayers will go down. We want to give them some incentive to start lowering tuition,” he said.

    A question that for now is going mostly un-debated in all the 2012 speech-making is why America isn’t getting better outcomes from its education investments.

    According to the Program for International Student Assessment (PISA), which tests students in 37 countries on their math, science and reading skills, average scores for U.S. 15-year old students were at about the average level for the entire group of 37 nations, but were below average in math.

    Students in more than a dozen nations, including France, Finland, Australia, Japan, and Korea performed significantly better than American students on the PISA math test. Each of those nations also spends less per student than the United States does – on average about 30 percent less, according to the Organization for Economic Cooperation and Development (OECD).

    “When we invest in your future, we’re investing in America’s future,” Obama said to students Tuesday at his Ohio campaign stop. “Businesses are mobile in the 21st century economy – they can locate anywhere – so they’re going to create jobs and they’re going to hire wherever they find the best educated, most highly skilled workers. And I don’t want them to have to look any further than right here in Columbus, right here in Ohio, right here in the United States of America.”

    He also said, “The fact is that countries that out-educate us today – they’ll be able to outcompete us tomorrow.” And according to OECD and PISA data, most of those countries are spending less on education and getting more educated students than the United States is.

    145 comments

    Instead of slamming your opponent for trying to close the gap on the federal deficit with concrete ideas and solutions, Mr. President, how about presenting your plan for closing the federal deficit gap.

    Show more
    Explore related topics: education, deficit, mitt-romney, barack-obama, paul-ryan, decision-2012, appfeatured

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