if there is a pathological nature to the ailment of adhd, we should be able to test for it. if we lack the ability to identify the pathology, you cannot diagnose it. therefore we are treating a spectrum of symptoms alone and there is no way to know if you are over treating people.  you can give a symptom a name, you can official-ize it all you want, you can talk about it like a disease, but it's just a symptom or a behavior on a spectrum of severity nothing more nothing less.  the danger in "official-izing" it, is that you give people the idea that it should be medicated. disease=medication. in reality you have a vague set of tendencies or symptoms on a spectrum. this makes the medicating of everyone anywhere on this spectrum seem much more dubious doesn't it?
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