I don&#x27;t doubt that ADHD exists so much as I suspect that it is wildly overdiagnosed in the U.S. Every other developed country has much, much lower rates of diagnosis than the U.S., but even in countries like France where there is a cultural inclination to find diagnoses or interventions other than an ADHD diagnosis, there are still ADHD diagnoses (at a rate that is a few percentage points of the US diagnosis rate).<p>The main treatment for ADHD is of course lifelong amphetamine prescriptions, and the US has a private pharmaceuticals industry very happy to market to insecure parents. And a general American insecurity about education that results in an astonishingly high proportion of elementary schoolers who get no or minimal recess at all.<p>The single biggest risk factors for an ADHD diagnosis are  being male and being in the youngest quartile of your classroom. This is something we have managed to pathologize.