It is virtually routine to give kids medications for ADHD. There is an industry organized around ADHD, well orchestrated, with abundant research to create the illusion of scientific certainty. But what happens when you look at the child’s behavior in the context of the family? What happens when parents, rather than being bystanders, are integral to the child’s treatment? What if the family becomes the patient? Check out this feel-good story.
When kids show signs of emotional or behavioral troubles they may be sent to a mental health professional who suggests that a “chemical imbalance” is the problem. Here’s what can happen when the family, not just the child, becomes the patient. The side-effects are good.
All families have Rule Systems, but they may not even know it. In this case story, psychiatrist/family therapist Dave Keith treats a family with a child diagnosed with ADHD. Watch how he disrupts the Family Rule system. Good things happen for the child.
Dave: I have to take a moment to applaud my good friend and muse, Amy Begel, who has a splendid
“Chemical Imbalance” has become a generally accepted way to think about psychological conditions like depression and anxiety. But David Keith offers another perspective: In fact, emotional problems may be a sign of mental health.
Good physicians take a clinical history in the interest of arriving at a diagnosis. While the clinical history is a review of ‘facts’, there are in fact, few ‘facts’ about human experience. Different examiners will get different histories depending upon what they ask about. Different family members give different reports of the same set of events. In my view clinical histories are a form of fiction pretending to be ‘objective’.
For Amy and Dave, common psychiatric “disorders” are part of relational patterns, usually embedded in the dynamics of the family. You just have to know how to look.
Part of the appeal of the “chemical imbalance” metaphor is that it people don’t have to feel ‘guilty” about their depression, or problems with their kids. But it can keep both patients and therapists from getting to the all-important bottom of things.
Here’s a first session with a “misbehaving” boy that reflects the corrosive effect of “enforced unity” in families
Dave: In an earlier post, Defiance in the Family: A Rebellion in the Name of Health, I described our idea