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Adult ADHD stimulant prescriptions are surging, and doctors are raising concerns

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Adult ADHD stimulant prescriptions are surging, and doctors are raising concerns

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Adults are seeking ADHD treatment at record rates. 

A new Canadian study reveals that stimulant prescriptions have more than doubled since the start of the COVID-19 pandemic, a trend that mirrors similar surges in the U.S., Australia, the U.K. and Finland.

Many mental health professionals say the findings align with what they are seeing in their clinics. 

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The study, which analyzed data from January 2016 to June 2024, found that the demographics of those receiving stimulants have shifted significantly. 

Before the pandemic, 48% of new recipients were female; during the pandemic, that number jumped to 59%. The most significant growth occurred among adults aged 25 to 34.

The time between a patient’s first ADHD-related healthcare visit and their first prescription shortened during the pandemic, researchers noted. (iStock)

The researchers also noted that the time between a patient’s first ADHD-related healthcare visit and their first prescription shortened during the pandemic.

By June 2024, the monthly rate of adults being prescribed stimulants reached 10.4 per 1,000 people, a more than sevenfold rise since the start of the study period.

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While this could signal more efficient care, it also raises questions about whether patients are receiving thorough evaluations, the study indicated. 

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Dr. Nissa Keyashian, a California-based board-certified psychiatrist and author of “Practicing Stillness,” said the spike was not a surprise.

“In my practice and that of many of my colleagues, many people, particularly women, have received a new diagnosis of ADHD, usually inattentive subtype, in adulthood,” Keyashian, who was not involved in the study, told Fox News Digital.

Many of these women had symptoms that were overlooked during childhood, the doctor said. 

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“Many only begin to struggle when they move out, are on their own and have to provide that structure for themselves,” an expert noted. (iStock)

Unlike the hyperactive or impulsive behaviors often seen in boys, the “inattentive subtype” typically causes fewer disruptions at home or school. 

“Many only begin to struggle when they move out, are on their own and have to provide that structure for themselves,” Keyashian noted.

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Jonathan Alpert, a New York City psychotherapist and author of the new book “Therapy Nation,” said he sees many adult patients who are struggling with focus, productivity and mental overload in a “very demanding digital environment.”

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“Those challenges can resemble ADHD, but they don’t always reflect an actual diagnosis,” Alpert, who also wasn’t involved in the research, told Fox News Digital. “Not every attention problem is ADHD.”

“Not every attention problem is ADHD.”

“We’re living in a culture that increasingly pathologizes normal human difficulty, and that should be concerning to everyone,” said Alpert.

The study also highlighted a shift in who is writing these prescriptions. While the number of stimulants prescribed by psychiatrists remained relatively stable, there was a significant increase in prescriptions from primary care providers and nurse practitioners.

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By June 2024, the monthly rate of adults dispensed stimulants reached 10.4 per 1,000 people, a more than sevenfold rise since the start of the study period in 2016. (iStock)

The rise of large telehealth companies during the pandemic could be a contributing factor, according to Keyashian, because there could have been an uptick in diagnoses for individuals who didn’t actually have ADHD.

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“Medication should treat a disorder, not become a performance enhancer,” Alpert noted. “Over time, that can lead to psychological reliance and reinforce the idea that normal struggles require medical solutions.”

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The researchers acknowledged some limitations of the study, including lack of access to detailed medical records and uncertainty regarding whether these findings apply to all geographic regions.

Some stimulants may have been prescribed off-label as an adjunctive treatment for depression or anxiety, which also surged during the pandemic, they noted.

“Many people, particularly women, have received a new diagnosis of ADHD … in adulthood.”

For those who suspect they may have ADHD, Keyashian recommends seeing a psychiatrist who is well-versed in that specific diagnosis. 

“It’s best to ask the physician you are seeing about their experience and expertise,” she advised.

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“Many people today feel mentally scattered,” added Alpert. “The challenge is figuring out whether we’re seeing more [of the] disorder — or simply the cognitive strain of a hyper-distracted world.”

The research was published in the Canadian Medical Association Journal.

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Swiss man tests positive for hantavirus after returning from cruise linked to deadly outbreak

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Swiss man tests positive for hantavirus after returning from cruise linked to deadly outbreak

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A Swiss man who returned from a cruise linked to a deadly hantavirus outbreak has tested positive and been isolated, as health officials say the strain involved can spread between people in rare cases — though the overall risk remains low.

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Health authorities in Switzerland confirmed the man recently traveled aboard the MV Hondius, the cruise ship at the center of an outbreak that has already killed three passengers and sickened several others.

Swiss health officials said the man sought medical care after developing symptoms and was immediately placed in isolation. His wife, who traveled with him, is self-isolating but has not shown symptoms.

The officials confirmed his case involves the Andes strain of hantavirus.

RARE HANTAVIRUS HUMAN-TO-HUMAN TRANSMISSION SUSPECTED ON LUXURY CRUISE SHIP WHERE 3 HAVE DIED

The MV Hondius Dutch cruise ship is anchored in the Atlantic Ocean off Cape Verde on May 5, 2026. (Arilson Almeida/AP)

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The World Health Organization said the Andes strain is a rare form of hantavirus that can spread between humans through close contact — unlike most hantavirus infections, which are typically linked to exposure to rodent droppings.

South African health authorities said they also identified the Andes strain in two other passengers who were on the ship.

Health workers disembark from the Dutch-flagged MV Hondius cruise ship off Cape Verde on May 4, 2026, after three passengers died and several others fell seriously ill in a suspected hantavirus outbreak. (Qasem Elhato/AP)

The outbreak left the Dutch-flagged cruise ship stranded off the coast of Cape Verde, with nearly 150 passengers and crew on board as authorities scramble to contain the situation.

CDC REPORTS FIRST CRUISE NOROVIRUS OUTBREAK THIS YEAR, AS NEARLY 90 PEOPLE ARE INFECTED

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WHO Director-General Tedros Adhanom Ghebreyesus said Wednesday that three suspected cases were evacuated from the vessel and are being transported to the Netherlands for treatment.

“At this stage, the overall public health risk remains low,” Tedros said.

Authorities stress that while the Andes strain can spread person-to-person, transmission remains uncommon and typically requires close, prolonged contact.

Health officials have launched monitoring efforts for passengers both on board and those who have already disembarked, coordinating across multiple countries as the investigation continues.

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The ship departed Argentina on April 1 and was scheduled to travel through the Southern Atlantic, including stops in Antarctica, before the outbreak disrupted its itinerary.

Spain has agreed to receive the vessel in the Canary Islands, though local officials have raised concerns about potential risk to residents.

The Dutch-flagged MV Hondius cruise ship remains off Cape Verde on May 4, 2026, after three passengers died and several others fell seriously ill in a suspected hantavirus outbreak. (Qasem Elhato/AP)

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Hantavirus infections are rare but can be severe, with symptoms ranging from fever and fatigue to serious respiratory illness.

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The Associated Press contributed to this report.

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F.D.A. Blocked Publication of Research Finding Covid and Shingles Vaccines Were Safe

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F.D.A. Blocked Publication of Research Finding Covid and Shingles Vaccines Were Safe

Officials at the Food and Drug Administration have blocked publication of several studies supporting the safety of widely used vaccines against Covid-19 and shingles in recent months, a spokesman for the Department of Health and Human Services confirmed.

The studies, which cost millions of dollars in public funds, were conducted by scientists at the agency, who worked with data firms to analyze millions of patient records. They found serious side effects to be very rare.

In October, the scientists were directed to withdraw two Covid-19 vaccine studies that had been accepted for publication in medical journals. In February, top F.D.A. officials did not sign off on submitting abstracts about studies of Shingrix, a shingles vaccine, to a major drug safety conference.

The withdrawal of the studies is the latest step by the administration to try to limit access to vaccines. It has sharply cut research funding for vaccine development, released unvetted information casting doubt on vaccines, and blocked other information supporting their safety, most recently a paper on Covid vaccine effectiveness by career scientists from the Centers for Disease Control and Prevention.

Asked about the withdrawal of the Covid vaccine safety studies, Andrew Nixon, a spokesman for the Department of Health and Human Services, said in an email: “The studies were withdrawn because the authors drew broad conclusions that were not supported by the underlying data. The F.D.A. acted to protect the integrity of its scientific process and ensure that any work associated with the agency meets its high standards.”

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Of the shingles study that found the vaccine to be effective, he said, “The design of that study fell outside the agency’s purview.” He did not address a question about the Shingrix safety study, which found the vaccine to be safe.

In February, top F.D.A. officials did not sign off on submitting abstracts about studies of Shingrix, a shingles vaccine, to a major drug safety conference.Credit…George Frey/Reuters

A senior administration official said the decisions about the research had not reached Dr. Marty Makary, the F.D.A. commissioner, or Health Secretary Robert F. Kennedy Jr. Dr. Vinay Prasad was the head of the F.D.A. vaccine office at the time. Dr. Prasad, who recently left the agency, did not respond to a request for comment.

Last June, Mr. Kennedy’s office asked career C.D.C. staff members to delete from the agency’s website a 17-page summary supporting the safety of thimerosal, an additive largely removed from vaccines 25 years ago. Career scientists were later called into Health and Human Services legal offices and grilled about how the summary had been posted in the first place, they previously told The New York Times.

In posts on a website and on social media in August, Mr. Kennedy called for a prominent journal to “immediately retract” a large Danish study concluding that the vaccine additive aluminum salts was safe. Dr. Christine Laine, the editor in chief of the journal, Annals of Internal Medicine, said Mr. Kennedy did not directly contact the journal seeking a retraction. The study was not retracted.

In recent weeks, Dr. Jay Bhattacharya, who was serving as interim leader of the C.D.C., canceled the publication of a report concluding that the Covid vaccine sharply cut the odds of hospitalizations and emergency room visits last winter, saying the study had limitations.

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“At a moment when public trust in institutions like the C.D.C. is fragile, we cannot afford to lower our standards,” Dr. Bhattacharya wrote in an editorial about news coverage of his decision.

Dr. Aaron S. Kesselheim, a Harvard University medical professor who studies F.D.A. regulation, said he had worked with the agency on a number of research papers and found its work to meet “the highest standards of scientific investigation.” He suggested that the request to pull the papers was an act of “censorship.”

He added: “At any other time in history, this would be a major scandal that would lead to congressional hearings and resignations of leadership, and I hope that’s what happens next.”

The withdrawn F.D.A. studies examined the safety of the Covid vaccines used in 2023 and 2024. The agency’s scientists worked with outside data firms that compile and analyze massive data sets under contracts that cost taxpayers millions of dollars each year.

Both studies saw some light of day before they were pulled from publication. One, which examined the Covid vaccine in people older than 65, was posted on a preprint server, which is a repository for studies that have not yet undergone peer review. The study reviewed the records of about 7.5 million Medicare beneficiaries who got the vaccine. The researchers focused on the period of about 21 days after they got the vaccine and compared it to the next 20 days. They were looking to see if there were more health problems in the period right after vaccination.

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The study looked at 14 health outcomes potentially caused by the vaccine, including heart attacks, strokes and Guillain-Barré syndrome, an autoimmune condition sometimes associated with vaccines.

They only found a concern with one outcome, anaphylaxis, a severe allergic reaction affecting about 1 in a million people, from the Pfizer vaccine. “No other statistically significant elevations in risk were observed,” the study said.

The study was withdrawn after it had been accepted by the peer reviewed journal Drug Safety, according to people familiar with the work. Michael Stacey, a spokesman for the journal, said it deems submissions to be confidential and would not comment on them.

The Times obtained a copy of the Covid vaccine safety study of people who were 6 months to 64 years old. An abstract of the study appeared at one conference and remains online. Its withdrawal was first reported by STAT News.

That study examined the records of 4.2 million Covid vaccine recipients and examined their later experience with 17 conditions, including swelling of the brain, major blood clots, stroke and heart attacks. The study found rare cases of fever-related seizures and myocarditis, or inflammation of the heart muscle, known to be associated with Covid vaccines.

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“Given the available evidence, F.D.A. continues to conclude the benefits of vaccination outweigh the risks,” the study said.

Angela Rasmussen, an editor in chief of the journal Vaccine, said the paper had been withdrawn by the authors.

Dr. Caleb Alexander, a drug safety and methodology expert at Johns Hopkins University, reviewed both studies at the request of The Times and said that “no study answers every question” but “there is nothing inherently problematic regarding these reports.”

“It’s too bad that these haven’t seen the full light of day,” Dr. Alexander said in an email. “They provide useful information regarding the most commonly used COVID-19 vaccines.”

Jeffrey Morris, director of the University of Pennsylvania biostatistics division, who also reviewed the study drafts at the request of The Times, said the studies were generally well done.

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“I think if there’s any critique,” he said, “it’s that they don’t do enough of these studies with the resources they have.”

Dr. Jeanne Marrazzo, a former high-ranking National Institutes of Health official and chief executive of the Infectious Diseases Society of America, said that F.D.A. leaders withdrawing papers from publication is a “pretty active act of sabotage.”

“This black box of decision making around data suppression should be having people very alarmed and very worried,” said Dr. Marrazzo. She filed a whistle-blower complaint against the N.I.H., was fired by Mr. Kennedy and has since sued the agency, claiming that she was ousted for objecting to its policies.

By contrast, Mr. Kennedy’s team has had lower standards for releasing information critical of vaccines. A memo by Dr. Prasad, the former head of the F.D.A.’s vaccine division, drew widespread news coverage by claiming that the Covid vaccine had been linked to the deaths of 10 children, a conclusion the agency has not backed up or explained.

In February, agency officials did not sign off in time for staff to submit abstracts on two studies of the Shingrix vaccine to a drug safety conference, according to two people familiar with the decision. A senior administration official said the studies were not moving forward at the agency.

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One study found the efficacy to be in line with findings from the clinical trials done before agency approval. A safety study also aligned with what was known, finding an elevated but low risk for Guillain-Barré syndrome, an autoimmune disease already noted in the vaccine’s label.

Dr. Helen Chu, an infectious disease doctor who was among 17 scientists fired from an influential vaccine advisory body at the C.D.C. last summer, said large studies by health agencies are closely watched by doctors and professional societies. They are important, she said, because they can examine the effect of a vaccine on millions of people, far more than the thousands that were tracked in clinical trials.

“You really do need these studies for us to truly be safe and to make sure that vaccines continue to be safe,” she said. “These types of studies have to be done and the results have to be published.”

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Sleep apnea may be quietly changing your body in an unexpected way, study finds

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Sleep apnea may be quietly changing your body in an unexpected way, study finds

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Researchers in Israel have discovered a difference in muscle structure in those with obstructive sleep apnea (OSA).

According to a new study published in the journal Sleep and Breathing, people with OSA tend to have a higher muscle mass index, reflecting greater area relative to height, as well as lower density.

This means people with OSA may look like they have more muscle, but that muscle tends to be less dense and potentially less functional.

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The researchers gathered data from 209 adults in an overnight sleep study who underwent chest or abdominal CT scans, according to a press release.

Compared with a control group, the researchers found that people with OSA were older, more often male and heavier on average. They were also more likely to have hypertension, cardiovascular disease and poorer oxygen levels during sleep.

People with sleep apnea had a higher muscle mass index, yet the quality of that muscle was reduced. (iStock)

The findings showed a significant link between OSA and higher muscle mass index. However, lower muscle density was more strongly associated with age and weight than with OSA.

Worse sleep apnea severity was linked with lower skeletal muscle density (SMD) and higher skeletal muscle index (SMI), indicating larger but less dense muscle.

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Higher BMI was strongly linked with lower SMD and higher SMI, while older age was strongly linked with lower SMD.

Individuals over 60 years old and those with a BMI over 30 had much stronger links to lower muscle density than OSA alone, according to the research.

“These findings highlight that OSA is much more than a nighttime breathing disorder.”

Dr. Wendy Troxel, a Utah-based licensed clinical psychologist and senior behavioral scientist at RAND, simplified the main study findings in an interview with Fox News Digital.

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“Individuals with OSA may have more muscle mass, but that muscle may be less healthy because it contains more fat, which can impair strength and metabolic function,” said Troxel, who was not involved in the study.

Individuals over 60 years old and those with a BMI over 30 had much stronger links to lower muscle density than OSA alone. (iStock)

“This pattern overlaps with sarcopenia, a clinical condition where muscle becomes weaker and less efficient, even if muscle size doesn’t dramatically decline.” 

Troxel pointed out an “important” association between OSA severity and muscle quality, which was “modest compared to known risk factors, including age and body mass.”

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“[This indicates] that OSA may be one marker within a broader profile of metabolic risk,” she said.

“Clinically, these findings highlight that OSA is much more than a nighttime breathing disorder. It may signal underlying metabolic dysfunction affecting multiple systems, including muscle health.”

“These findings highlight that OSA is much more than a nighttime breathing disorder,” a sleep expert commented. (iStock)

In an interview with Fox News Digital, study co-author Ariel Tarasiuk, professor at the department of physiology and cell biology at Israel’s Ben-Gurion University of the Negev, shared his thoughts on the “paradoxical” findings.

“Age and obesity appeared to have a stronger influence on muscle health than sleep apnea itself,” he said. “This suggests that while sleep apnea may play a role, it is unlikely to be the primary factor driving these changes.”

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Patients should be aware that sleep apnea is not just about snoring or poor sleep, Tarasiuk said, as it can affect overall health, including muscle function.

“Getting properly diagnosed and treated matters,” he said. “CPAP therapy can make a real difference in improving breathing and sleep quality, but it’s only part of the picture.”

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“Maintaining a healthy weight and staying physically active are equally important for muscle health and for reducing the severity of sleep apnea,” he went on. “In short, treating sleep apnea is about protecting long-term health, not just getting a better night’s sleep.”

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Keeping a healthy weight and staying active is important in reducing the severity of sleep apnea, according to the researchers. (iStock)

Tarasiuk reminded clinicians that larger muscles don’t always mean healthier, as some muscles may be infiltrated with fat, which may reduce their strength and performance.

“This highlights the importance of looking beyond muscle size alone,” he said. “Routine imaging, such as CT scans performed for other reasons, can sometimes provide additional insight into muscle quality.”

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“Overall, the findings point toward a more holistic approach: treating the airway while also focusing on weight, physical activity and metabolic health.”

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“CPAP therapy can make a real difference in improving breathing and sleep quality, but it’s only part of the picture.”

The study findings may not apply to all populations, as it was conducted at a single center, according to Tarasiuk.

The researchers also did not have access to information on lifestyle factors like physical activity, diet, smoking or alcohol use, factors that can influence muscle health.

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“Looking ahead, larger studies across multiple centers will help confirm these findings and provide a broader picture,” Tarasiuk added.

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“Future research will also focus more on outcomes that matter in real life, such as how patients respond to treatments like CPAP, and on understanding how muscle changes develop over time in people with sleep apnea.”

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