Category Archives: ADHD Treatment

Are you tired of the prescription medication for ADHD? Are you concern that the medication turns your child into a lifeless zombie, and steals away his/her personality and creativity? We might just have the solution you are looking for at Natural Alternative ADHD Treatment.

Sugar Coated

I just love the passion of these people making all these documentaries exposing the corrupted food system in this country.

Every time I watched one of these documentaries, I feel upset. I feel that I've been lied to during my training years as a student and intern.

Now that I don't have to be supervised by anyone. I told the patients what I believe, which is the truth.

Sugar is such an addicting ingredients that is in everything. It's amazing. Parents still believe that fat is bad.

NO!!! Sugar is worst.

I've been telling all my patients to avoid added sugar and simple carbohydrate all this time. It's like no one can give it up.

Watch the full documentary here and help spread the words.

2016 Hawaii Academy of Nutrition & Dietetics Spring Conference

Here’s the Agenda…and I’m attending.

I have not been to any Hawaii Dietetics Association Conference for ages...but this one draws my attention: the microbiome, food allergies, Peace diet and supplements.

These are all up my alleys.

I deal with kids with food allergies, multiple food allergies, eosinophilic esophagitis, Crohn's, constipation and many other GI/nutrition problems.

I'm excited...see you there.

Support Great Strides Honolulu May 28, 2016

Support Me and My Team Mucous Mob in Fight for the Cure for Cystic Fibrosis.

As most of you know, I'm an experienced pediatric dietitian in Honolulu, HI.

One of few states with very low incidence of Cystic Fibrosis as we have a population of predominately Asian background. However, I practice in a world class medical facility that also houses the State's only Cystic Fibrosis Center.

As any excellent CF Center would do, we have a Family Education Day each year. This year's Family Education would be held on 27 May, 2016 at the Hale Koa Hotel in Waikiki in Honolulu. The Family Education Day would be followed by the Annual Great Stride Walk at Kapiolani Park on the May 28, 2016.

The Great Strides is a fun, family-friendly event that raises awareness and support for people with CF and their families. Our patients will have their own team of supporters. And the providers in our facility is creating our own team, the Mucous Mob.

Real progress has been made in the search for a cure, but the lives of people with CF are still cut far too short. There still is no cure for this devastating disease. Being part of the CF team, I see the progress and lives we change everyday. Without these life-saving treatment and measures, our patients would not have achieve what they have today.

By walking today, I am helping add tomorrows to the lives of people living with cystic fibrosis.

Please join me to increase awareness and research for cure of this life-threatening disease. On behalf of all our patients with Cystic Fibrosis and our team, I thank you for your support.

Click here to join me in the walk or donate to support.

Your gift is 100% tax-deductible.

Hawaii Academy of Nutrition & Dietetics 2016 Annual Spring Conference

Its' that time of the year again. This year the Hawaii Academy of Nutrition and Dietetics (HAND) title is “Side by Side: Strengthening Collaborative Actions to Improve Nutrition”.

In an era where information is everywhere, but knowledge is harder to come by, this conference is a must.

When: Friday, May 6th, 2016 from 7am – 3pm

Where: Pomaika‘i Ballrooms, Dole Cannery-Iwilei (Honolulu, Hawaii)

The 2016 HAND Spring Conference May 6th 7am - 3pm at Pomaikai Ballroom

Speakers and topics:

Mary Beth Augustine – Microbiome Nutrition for the RDN

Aukahi Austin – Behavioral Techniques for Lifestyle Change

Jan Patenaude – Food Allergies, Food Sensitivities & Food Intolerances: The Practitioners Role

Dr. Terry Shintani – The Peace Diet

Mary Beth Augustine – Dietary Supplements: Science, Art & Practice

Dr. Helen Petrovitch – The Grade Study

Registration Deadlines and Pricing:

Registration Open – Sunday, March 20, 2016

Early Bird pricing (Sunday, March 20, 2016 – Friday, April 8, 2016)

■ Students/Retirees – $85
■ Members – $98
■ Non-members – $115

Regular pricing (Saturday, April 9, 2016 – Friday, April 22, 2016)
■ Students/Retirees – $95
■ Members – $115
■ Non-members – $130

Late pricing (Saturday, April 23, 2016 – Friday, May 6, 2016)
■ All others – $130

Register here

Email handcpi@gmail.com for more information.

To Medicate or Not to Medicate

What the China Study Reminds Us?

Recently, the gastroenterologist at work came to me all excited and ask to borrow my "The China Study" book.

He watched a documentary on Netflix where they conducted a study or, I should say, pilot program where participants were able to drop their overall cholesterol level and blood pressure significanly in a mere 10-days period just on a Plant-based diet alone.

He was hooked on the idea and the potential life-saving benefits. He's telling everyone in the clinic. He's going to try the diet on himself.

I'm excited for him too. I'll posted again when I find out his new cholesterol level.

Anyway, I'm writing this post for another reason. If this diet is so good, why can't more people benefit from it. My thought is I have a website that focuses on natural alternative ADHD treatment, not on other chronic illness. How can I help?

This got me thinking...didn't we know all these years that most chronic illnesses, heart diseases and cancers are caused by poor lifestyle choices - crappy food that we eat, sitting around on our butts all day???

But only parents with children with ADHD are interested in alternative natural methods.

I have many consults from parents with children with ADHD or autism wants to find an alternative treatment with diet and supplements. But I have yet recieve an consults for parents asking for an alternative treatment for their teens high blood pressure or high cholesterol.

I have a 17-year-old patient who is obese and started on high blood pressure medication for her new hypertension. She came to see me for about 2-3 months. She followed my advise of eating half her meals fruits and vegetables first, cut out soda and juices, and exercising daily for just 30 minutes. She lost about 30lbs in the time period and we got her off her blood pressure medication, because her blood pressure normalized.

So why can't we have more of these examples on a daily basis?

By the way, if you're interested. The documentaries on Netflix are "Forks Over Knives" and "Plant Pure Nation". They both referenced Dr. Collin Campbell's famous China Study.

90 percent of pediatric specialists not following clinical guidelines when treating preschoolers with ADHD

A recent study by pediatricians from the Cohen Children's Medical Center of New York examined to what extent pediatric physicians adhere to American Academy of Pediatrics (AAP) clinical guidelines regarding pharmacotherapy in treating young patients with Attention Deficit Hyperactivity Disorder (ADHD). The results showed that more than 90 percent of medical specialists who diagnose and manage ADHD in preschoolers do not follow treatment guidelines recently published by the AAP.

"It is unclear why so many physicians who specialize in the management of ADHD -- child neurologists, psychiatrists and developmental pediatricians -- fail to comply with recently published treatment guidelines," said Andrew Adesman, MD, senior investigator and chief of developmental and behavioral pediatrics at Cohen Children's Medical Center in New Hyde Park. "With the AAP now extending its diagnosis and treatment guidelines down to preschoolers, it is likely that more young children will be diagnosed with ADHD even before entering kindergarten. Primary care physicians and pediatric specialists should recommend behavior therapy as the first line treatment."

Current clinical guidelines for pediatricians and child psychiatrists associated with the American Academy of Child & Adolescent Psychiatry (AACAP) recommend that behavior therapy be the initial treatment approach for preschoolers with ADHD, and that treatment with medication should only be pursued when counseling in behavior management is not successful.

The study also found that more than one-in-five specialists who diagnose and manage ADHD in preschoolers recommend pharmacotherapy as a first-line treatment alone or in conjunction with behavior therapy. Although the AAP recommends that pediatricians prescribe methylphenidate when medication is indicated, more than one-third of specialists who prescribe medication for preschool ADHD said they 'often' or 'very often' choose a medication other than methylphenidate initially (19.4 percent amphetamines; 18.9 percent non-stimulants).

"Although the AAP's new ADHD guidelines were developed for primary care pediatricians, it is clear that many medical subspecialists who care for young children with ADHD fail to follow recently published guidelines," said Jaeah Chung, MD, the study's principal investigator who also practices at Cohen Children's. "At a time when there are public and professional concerns about over-medication of young children with ADHD, it seems that many medical specialists are recommending medication as part of their initial treatment plan for these children."

Read more at Science Daily.

American Academy of Pediatrics expands ages for ADHD diagnosis and treatment in children

Updated guidelines from the American Academy of Pediatrics (AAP) offer new information on diagnosing and treating Attention-Deficit/Hyperactivity Disorder (ADHD) in younger children and in adolescents.

Emerging evidence makes it possible to diagnose and manage ADHD in children from ages 4 to 18 (the previous AAP guidelines, from 2000 and 2001, covered children ages 6 to 12). The new guidelines describe the special considerations involved in diagnosing and treating preschool children and adolescents. They also include interventions to help children with hyperactive/impulsive behaviors that do not meet the full diagnostic criteria for ADHD.

"Treating children at a young age is important, because when we can identify them earlier and provide appropriate treatment, we can increase their chances of succeeding in school," said Mark Wolraich, MD, FAAP, lead author of the report. "Because of greater awareness about ADHD and better ways of diagnosing and treating this disorder, more children are being helped."

ADHD is the most common neurobehavioral disorder in children, occurring in about 8 percent of children and youth.

The report, "ADHD: Clinical Practice Guidelines for the Diagnosis, Evaluation and Treatment of Children and Adolescents with Attention-Deficit/Hyperactivity Disorder," will be released on October 16, at the AAP National Conference & Exhibition in Boston, and will be published in the November 2011 issue of Pediatrics (published online Oct. 16).

According to the AAP guidelines, in preschool children (ages 4 and 5) with ADHD, doctors should first try behavioral interventions, such as group or individual parent training in behavior management techniques. Methylphenidate may be considered for preschool children with moderate to severe symptoms who do not see significant improvement after behavior therapy, starting with a lower dose. For elementary school children and adolescents, the AAP recommends both FDA-approved medications and behavior therapy.

"Because ADHD is a chronic condition, it requires a team approach, including the patients, their parents, the pediatrician, therapists, and teachers," Dr. Wolraich said.

In addition to the formal recommendations for assessment, diagnosis and treatment of ADHD, the guidelines provide a single algorithm to guide the clinical process. The AAP is also releasing a newly revised and updated ADHD Toolkit to assist health care providers diagnose and treat ADHD in their patients. To help parents understand the new guidance on ADHD, the AAP has published a detailed and updated consumer resource book entitled "ADHD: What Every Parent Needs to Know."

Science Daily

Global surge in ADHD diagnosis has more to do with marketing than medicine

You can't catch attention deficit hyperactivity disorder (ADHD). Yet the ADHD diagnosis and treatment of this behavioral condition is spreading like a contagion -- surging as much as tenfold in some countries.

Call it an economic and cultural plague, but not necessarily a medical one, says Brandeis professor Peter Conrad. In a recent paper in the journal Social Science and Medicine, Conrad and coauthor Meredith Bergey examined the growth of ADHD in the United Kingdom, Germany, France, Italy and Brazil.

Until recently, North America tallied by far the most ADHD diagnoses, and the United States consumed 90 percent of all Ritalin, one of the most common ADHD drugs. ADHD diagnosis continues to grow in the U.S., but Americans account for only 75 percent of Ritalin users today.

Conrad and Bergey attribute ADHD's growth to five trends. Drug companies are effective lobbyists, and have spurred some countries to relax marketing restrictions on stimulants. Psychoanalytic treatment with talk therapy is giving way to biological psychiatry -- treating psychological problems with drugs. More European and South American psychologists and psychiatrists are adopting the American-based Diagnostic and Statistical Manual (DSM) standards, which are broader and have a lower threshold for diagnosing ADHD. Vocal ADHD advocacy groups work closely with drug companies to promote pharmaceutical treatment.

Lastly, the easy availability of ADHD information and self-diagnosis via the Internet empowers consumers to ask for prescription treatment.

Many websites promoting ADHD drugs offer checklists with questions like these:
Do you fidget a lot?
Is it hard for you to concentrate?
Are you disorganized at work and home?
Do you start projects and then abandon them?

"These checklists turn all kinds of different behaviors into medical problems," Conrad says. "The checklists don't distinguish what is part of the human condition and what is a disease."

According to the study, in the U.K., diagnosis of the disorder in school-age children grew from less than one percent in the 1990s to about five percent today. In Germany, prescription ADHD drugs rose from 10 million daily doses in 1998 to 53 million in 2008.
Growth in Italy and France has been slower, in part due to those countries' more restrictive pharmaceutical drug laws. However, even those nations are becoming more lax, says Conrad. In Brazil, a rising number of ADHD advocacy groups, many with close ties to the pharmaceutical industry, are raising awareness of the disorder.

"There is no pharmacological magic bullet," says Conrad. No drug can account for nonmedical factors that may contribute to behavior. A fidgety student may be responding to the one-size-fits-all compulsory education system, Conrad says, not a flaw in his brain chemistry.

ADHD continues a long history of medicalizing behaviors, especially in the U.S., Conrad says. A century ago, masturbation was considered a disease. Men and women diagnosed with masturbatory insanity were institutionalized or subjected to surgical treatment.

"I think we may look back on this time in 50 years and ask, what did we do to these kids?" Conrad says.

To learn more about how our culture or country has come to this point, read A Disease Called Childhood. You'll learn the whole story from Dr. Wedge.

Read more at Science Daily

Element of surprise helps babies learn

Infants have innate knowledge about the world and when their expectations are defied, they learn best, researchers at Johns Hopkins University found.

In a paper to be published April 3 in the journal Science, cognitive psychologists Aimee E. Stahl and Lisa Feigenson demonstrate for the first time that babies learn new things by leveraging the core information they are born with. When something surprises a baby, like an object not behaving the way a baby expects it to, the baby not only focuses on that object, but ultimately learns more about it than from a similar yet predictable object.

"For young learners, the world is an incredibly complex place filled with dynamic stimuli. How do learners know what to focus on and learn more about, and what to ignore? Our research suggests that infants use what they already know about the world to form predictions. When these predictions are shown to be wrong, infants use this as a special opportunity for learning," said Feigenson, a professor of psychological and brain sciences in the university's Krieger School of Arts and Sciences. "When babies are surprised, they learn much better, as though they are taking the occasion to try to figure something out about their world."

The two researchers' study involved four experiments with preverbal 11-month-old babies, designed to determine whether babies learned more effectively about objects that defied their expectations. If they did, researchers wondered if babies would also seek out more information about surprising objects and if this exploration meant babies were trying to find explanations for the objects' strange behavior.

First the researchers showed the babies both surprising and predictable situations regarding an object. For instance, one group of infants saw a ball roll down a ramp and appear to be stopped by a wall in its path. Another group saw the ball roll down the ramp and appear to pass -- as if by magic -- right through the wall.

When the researchers gave the babies new information about the surprising ball, the babies learned significantly better. In fact, the infants showed no evidence of learning about the predictable ball. Furthermore, the researchers found that the babies chose to explore the ball that had defied their expectations, even more than toys that were brand new but had not done anything surprising.

The researchers found that the babies didn't just learn more about surprising objects -- they wanted to understand them. For instance, when the babies saw the surprising event in which the ball appeared to pass through the wall, they tested the ball's solidity by banging it on the table. But when babies saw a different surprising event, in which the ball appeared to hover in midair, they tested the ball's gravity by dropping it onto the floor. These results suggest that babies were testing specific hypotheses about the objects' surprising behavior.

"The infants' behaviors are not merely reflexive responses to the novelty of surprising outcomes, but instead reflect deeper attempts to learn about aspects of the world that failed to accord with expectations," said Stahl, the paper's lead author and a doctoral student in psychological and brain sciences.

"Infants are not only equipped with core knowledge about fundamental aspects of the world, but from early in their lives, they harness this knowledge to empower new learning."

The study was supported by the National Science Foundation Graduate Research Fellowship.

Read more at Science Daily

A Disease Called Childhood

New Book – “A Disease Called Childhood”.

What a sarcastic title? But very fitting.

I have the pleasure to review this book before its release on 24 March 2015.

This is book that long overdue. Dr. Wedge is brilliant and insightful. This is another whistle blower about how our society and economy is so driven by money, more specifically the financial well-being of pharmaceutical companies.

I work in a prestigious local hospital in Honolulu. I see children frequently with ADHD and on stimulants, and I cannot, in my position, to tell them to stop their ADHD medication. As society, we come to respect and trust "doctors" the most. I most I can do is suggest parents to at least try a few dietary changes, and that's only if they're motivated. Otherwise, it's a lot easier to give your child a pill in the morning.

I hope this book will bring more awareness to parents, educators and mostly the medical society.

Every parent with children with ADHD or suspects their children has ADHD should read this book first.