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The Children Left Behind

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When she was finally diagnosed with ADHD — after more than three decades of wondering what was wrong with her — Janel Dillard, of Clinton, Maryland, did what countless others before her have done: She threw herself into research.

She watched online videos, read newspaper articles, and scoured the Internet for information on the neuroscience of ADHD and how she could best treat it.

But from the moment she started her research, she said, she noticed something troubling: “I don’t often see people who look like me.”Janel, 36, is African American, and she grapples with an uncomfortable truth: The face of ADHD in the U.S.

is not black or brown, it is white — both in terms of the patients being diagnosed and the clinicians evaluating and treating them.Battling ADHD stigma in the BIPOC community is nothing new, but evidence shows that people of color — black and Latino in particular — are much less likely to be diagnosed with ADHD, even though they show symptoms at the same rate as white people.

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February 18, 2025The Trump administration’s recently established Make America Healthy Again Commission has come under fire from medical experts and patient advocacy groups for singling out autism spectrum disorder and ADHD, saying the “over-utilization of medication” for those and other conditions “pose a dire threat to the American people and our way of life.” The commission, which will be chaired by the newly confirmed director of Health and Human Services, Robert F. Kennedy, Jr., a vocal anti-vaccine advocate, says it aims to end ADHD, autism, and other chronic health conditions with “fresh thinking on nutrition, physical activity, healthy lifestyles, over-reliance on medication and treatments, the effects of new technological habits, environmental impacts, and food and drug quality and safety.”Almost immediately, the American Psychiatric Association (APA) and Autistic Self Advocacy Network (ASAN) condemned what it called the stigmatizing language and stated purpose of the commission, which established a 100-day mission to:“We know from the evidence and from our own clinical practice that the psychiatric drugs mentioned in the order, when prescribed and used as directed by properly trained psychiatrists, are safe, effective, and in some cases, lifesaving,” wrote APA CEO and Medical Director Marketa M.
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