I have to admit that I didn't have high hopes that Dr. Phil's second show on ADD would be any better than the first. Ok, confession. I didn't actually SEE the first one, but I read the transcript and heard lots about it.
I thought it was a lame attempt at helping three families with "possible" ADD. The first was a couple- the woman was diagnosed. Phil acknowledged she did have it, but his advice was only half-cooked: listen to a stress relieving CD, etc.
The second was sad. It showed an out of control 4 yr old. Since the boy could behave at school (though he was described as being socially withdrawn there), Phil said he couldn't have ADD, but rather was the victim of poor parenting. My heart ached for those parents who were clearly overwhelmed and ridden with guilt over their "inconsistant" parenting. Phil patronized them to the point that my stomach churned.
The last was a little girl whose mom did not want to medicate her. Phil said that if she does have ADD (it was never clear whether she did or didn't), then a trial of "safe" meds could sometimes be used.
The major theme of the show was to promote some guy's book on ADD- the same guy from the previous show. Phil kept referring to him as THE expert in the field of ADD. Funny, I never heard of him. Dr. Lawlis, I think it is.
I was so disappointed and angry, I posted a letter on his website. Wonder if it'll pass the scrutiny of their staff.
So, a little better than the first show, but clearly he still doesn't quite GET IT.
Here's what I posted on Dr. Phil's site-
Dr. Phil- wake up! Read the literature!
Though this show was an improvement over his last one, I still feel that Dr. Phil doesn't "get" AD/HD, nor does his author-guest. The people profiled on the show seemed almost secondary to the hype about the book.
As an expert in the field of ADD, I have never heard of Dr. Lawlis, so readers beware-If you want to read books from 'real' top experts in the field of ADD, look for these names: Dr. Edward Hallowell, Dr. John Ratey, Sari Solden, Dr. Patricia Quinn, Dr. Russell Barkley, Dr. Daniel Amen, Thom Hartmann.
Though Dr. Phil acknowledged that medications have their place in the treatment of ADD, I got a strong sense that those words were in reaction to people's comments from the last show, which leaned quite heavily on the incorrect notion that ADD is more a problem of poor parenting.
Which brings me to this episode.
I think he did a fair enough job with the first couple, accepting the fact that the wife did indeed have ADD. He could have been more helpful, though, in offering her some tips. Demonstrating that she was tense via her arm was downright silly. Who wouldn't feel tense in front of a live audience with hundreds of thousands more watching the show? Paleeez.
Though the relaxation CD probably would be helpful, it certainly isn't going to do much in the way of helping her concentrate, get organized, etc. The emphasis needs to be on a multi-modal treatment model: counseling, education, most likely medication, working with an ADD coach (something he consistently forgets to suggest) and a professional organizer. I was also bothered that he didn't call her husband on how he belittled his wife over and over again. If that was just a little snippet we saw, I can't imagine how he is in real life.
My clinical reaction regarding the 2nd profile- the little 4 year old who had uncontrollable tantrums- was that Dr. Phil really missed the mark big time. This is a child who may or may not have ADD, but he obviously has a major problem with self-regulation. To say that an ADD or Asperger diagnosis can be ruled out because his behavior is ok at school (which it's not, as he was described as being withdrawn) did such a disservice to those parents and the boy.
This was not a simple case of inconstant parenting, in my opinion. The parents were clearly overwhelmed by the intensity of his behaviors. I would have wondered about a differential diagnosis of a mood disorder- not poor parenting.
Finally, the last child, Savannah, didn't even get a shot at getting much help at all. The show ended before Dr. Phil could say much about what he thought was going on with her.
I had to laugh at how he said that a trial of meds- "safe" meds, can sometimes be considered. Is he implying that stimulants are NOT safe meds?
Underlying everything, I still feel that Dr. Phil is anti-medication, even though numerous studies have shown that meds are an integral part of a successful treatment plan for ADD.
Nice try, Phil. You came close to the mark, but not close enough, in my book.
