Rationale for psychostimulants in ADHD

BMJ 2005; 330 doi: https://doi.org/10.1136/bmj.330.7482.95-b (Published 06 January 2005) Cite this as: BMJ 2005;330:95
  1. Alan Dugdale, consultant paediatrician (A.Dugdale@uq.edu.au)
  1. Department of Paediatrics and Child Health, University of Queensland, St Lucia, QLD 4067, Australia

EDITOR—Confusion about levels of diagnosis causes most debate about psychostimulants in childhood behavioural disorders.1 DSM-IV definitions are all syndromes—that is, symptoms and signs unrelated to pathology and aetiology. Most effective therapies treat pathology and aetiology; syndromes can be treated only symptomatically. The syndrome of chronic diarrhoea is analogous. Gluten intolerance is one cause. …

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