BEHAVIOR: Attention Deficit Disorder: Life in Overdrive

Doctors say huge numbers of kids and adults have attention deficit disorder. Is it for real?

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For neurologist Roseman, the same thing is true. With 11 offices in four states, he is perpetually on the go. "I'm at rest in motion," says the doctor. "I surround myself with partners who provide the structure. My practice allows me to be creative." Roseman has accountants to do the bookkeeping. He starts his day at 6:30 with a hike and doesn't slow down until midnight. "Thank God for my add," he says. But, he admits, "had I listened to all the negative things that people said when I was growing up, I'd probably be digging ditches in Idaho."

LESSONS

Whether ADHD is a brain disorder or simply a personality type, the degree to which it is a handicap depends not only on the severity of the traits but also on one's environment. The right school, job or home situation can make all the difference. The lessons of ADHD are truisms. All kids do not learn in the same way. Nor are all adults suitable for the same line of work.

Unfortunately, American society seems to have evolved into a one-size-fits- all system. Schools can resemble factories: put the kids on the assembly line, plug in the right components and send 'em out the door. Everyone is supposed to go to college; there is virtually no other route to success. In other times and in other places, there have been alternatives: apprenticeships, settling a new land, starting a business out of the garage, going to sea. In a conformist society, it becomes necessary to medicate some people to make them fit in.

This is not to deny that some people genuinely need Ritalin, just as others need tranquilizers or insulin. But surely an epidemic of attention deficit disorder is a warning to us all. Children need individual supervision. Many of them need more structure than the average helter-skelter household provides. They need a more consistent approach to discipline and schools that tailor teaching to their individual learning styles. Adults too could use a society that's more flexible in its expectations, more accommodating to differences. Most of all, we all need to slow down. And pay attention.

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