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In 2018, I attended IACAPAP Congress in Prague, and I can never forget the feeling when there were protestors outside the building carrying placards saying: HIDE YOUR CHILDREN; CHILD PSYCHIATRISTS ARE HERE!


Doctor’s Perspective

  1. Risk: One of the fears that come with the lack of exercise is that those who take ADHD medication are more likely to abuse drugs. But in reality, it’s just the opposite. Untreated ADHD increases the risk of substance abuse; appropriate treatment reduces this risk.
  2. Safety: Stimulants are not safe. On the contrary, stimulants have been proven safe and effective over more than 70 years of their use.
  3. Cure vs. Big pharma: The notion of how these drugs don’t cure ADHD. But experience and training teach how stimulants are highly effective at easing symptoms of the disorder; there is a reason why they are the first line of treatment.
  4. Medical vs. Moral problem: Since ADHD has a behavioral manifestation of its symptoms, many clinicians don’t regard them as a neurodevelopmental concern
  5. Personal factors: Prescribing volume, gender, and recency of subspecialty training also influence these decisions
  6. Accountability: This comes with prescribing Schedule II–a controlled drug with a disclaimer of being a high potential for abuse and psychological or physical dependence
  7. Fear of Stimulant misuse and diversion: Diversion refers to exchanging, selling, or giving away controlled medications. Misuse refers to the use of a controlled medicine either in a way that was not prescribed or by a person who was not prescribed the drug by a licensed clinician. Both have associated health and legal consequences.
  8. Assurance: Being unsure of one’s ability to recognize when a patient is attempting to obtain these prescriptions for abuse or diversion

ADHD medications are the most prescribed psychotropic drugs globally, with notable exceptions in France and Italy. Though trends in prescribing these medications vary widely internationally, the increasing numbers of neurodevelopmental and psychiatric disorders only cannot explain up to tenfold or more differences in the choice of treatment methods. This mainly depends upon the multiple contexts.

  1. Goodman, Geoff, a psychoanalyst, described this struggle effectively; “‘Knowledge equals power,” and its corollary, lack of knowledge equals vulnerability, made the therapeutic work especially challenging for me.



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Dr. Aisha Sanober Chachar

Consultant Child & Adolescent Psychiatrist; Co-founder & Director @synapsepk Mental Health Entrepreneur. Recycled Stardust.Balint Group.Psychoanalysis.Grit 🇵🇰