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Finnish Doctors Are Prescribing Video Games For ADHD

Daniel_Stuckey writes "Ville Tapio runs a private psychiatry center in Helsinki, and psychiatrists had told him they were reluctant in particular to hand out drugs for patients with attention deficit hyperactivity disorder (ADHD). ADHD drugs are psychostimulants, they are frequently abused, and kids can be prescribed them young and kept on a regimen for years. Tapio had an idea to do it better. His alternative? Getting people with mental health concerns to play video games. They're special video games, of course — ones that can change how your brain works, with a technique loosely termed gameified neuroplasticity therapy."

45 of 76 comments (clear)

  1. As a client by Anonymous Coward · · Score: 1

    It worked for ... SHINEY RING!!
    *runs off*

  2. Medication at work... by mythosaz · · Score: 3, Funny

    Sorry boss, my doctor says I need to medicate every 2 hours while I'm awake.

  3. special videogames by themushroom · · Score: 1

    As though there aren't a lot of people with mental health concerns playing videogames all day...

    Must not be Pac-Man or Space Invaders they're playing if they're trying to fix an attention deficit.

  4. Are there any available for free? by uslurper · · Score: 1

    Are there any of these games available as an app or free download?

    --
    oldhack: "Security is a waste of money until shit hits the fan. 5 minutes later, it becomes waste of money again. "
    1. Re:Are there any available for free? by Anonymous Coward · · Score: 5, Informative

      According to the article, these "games" utilize a brain-scanning cap that you place on your head. It reads brainwave activity and translates it into motions on the screen. It's designed to get the user to focus on tasks better and improve concentration. I don't see it being feasible with the size, power, and physical limitations of a smartphone or tablet anyway.

      As someone with ADHD, I can easily see where this could work over time. If something could train my brain to slow down (without drugs), I am sure I'd be able to concentrate on tasks a lot better. Sort of like folks with anger control issues learning to breathe calmly and count to three (or whatever they do).

    2. Re:Are there any available for free? by Anonymous Coward · · Score: 1

      YOU train your own brain. It doesn't do it for you. The 'game' just gives you a pretty interface to distract you while you do it. It's a positive feed-back loop. You can do it without the game. Meditate.

      Think of the cap like a mouse or joystick interface. There's no reason it can't work on a tablet or phone (you'd need a bluetooth interface for the cap). There are a few DIY BCI (brain-computer interfaces) designs out there. They aren't great, but they'd work well enough to practice this type of meditation.

    3. Re:Are there any available for free? by rtb61 · · Score: 1

      Interesting, sounds like the pharmaceuticals will be spending hundreds of millions of dollars with the lobbyists to get it banned ASAP. Cure, screw that, treat the symptoms with patented 1,000% profit drugs. It is going to be a real battle.

      --
      Chaos - everything, everywhere, everywhen
    4. Re:Are there any available for free? by seebs · · Score: 1

      The key point is the feedback so you can tell whether it's working, and the structure that provides a reward mechanism to overcome the brain problem. Sounds useful to me.

      --
      My blog: http://www.seebs.net/log/ --- My iPhone/iPad app: http://www.seebs.net/seebsfrac/
    5. Re:Are there any available for free? by deadlydiscs · · Score: 1

      Been there, done that: http://science.slashdot.org/story/13/09/24/1922221/fda-will-regulate-some-apps-as-medical-devices ...and technically (regulation wise), I'd support any software aiming or proclaiming to treat or cure should have some scrutiny applied as a "medical device". Unchecked, it's only a matter of time before the penis/breast enlargement industry figures out a way to hop on the software-based-medicine bandwagon.

  5. Finnish Joke by Anonymous Coward · · Score: 5, Funny

    How do you tell the difference between an introvert and an extrovert in Finland? A Finnish extrovert looks at your feet instead of his own when talking.

    1. Re:Finnish Joke by Anonymous Coward · · Score: 1

      I am Finnish, and I approve of this joke.

  6. Re:Yikes. by phantomfive · · Score: 2

    It's not just any video game, it's specific video games made specifically for this purpose.

    The most interesting part of the article IMO, they are using EEG 'mind reading' controllers, so when your readings show up in a certain way, you progress in the game.

    Also, the summary makes it sound like they are prescribing this to everyone who comes along, when actually they are still doing preliminary studies. The preliminary studies seem to show good results, so they will probably continue deeper investigations into the topic.

    --
    "First they came for the slanderers and i said nothing."
  7. wrong police force by themushroom · · Score: 1

    The OFF-TOPIC / FLAMEBAIT moderators took this case, it's their jurisdiction.

    1. Re:wrong police force by CanHasDIY · · Score: 1

      Fuck you, fucking retarded faggot cunt. I was just trolling.

      Go shove another baseball bat up your fucking asshole.

      BTW: your homepage sucks much dick. Bitchtard.

      Strong case you're making for why we should care about your opinion.

      Oh wait, no - the opposite of what I just said.

      --
      An enigma, wrapped in a riddle, shrouded in bacon and cheese
    2. Re:wrong police force by Anarchduke · · Score: 1

      Did I just see a troll successfully counter-trolled? Its like watching Leonardo Dicaprio in Trollception.

      --
      who prays for Satan? Who in 18 centuries has had the humanity to pray for the 1 sinner that needed it most? ~Mark Twain
  8. Not so hard to get medicine by Anonymous Coward · · Score: 2, Insightful

    But rather a diagnosis. I'm a 27 year old Finn and despite many visits to several doctors, got my ADHD diagnosis just last month. Before that they had just said I was depressed. Yes, since I was a small child.

    After the diagnosis. my psychiatrist prescribed me medication straight away. He didn't even ask me for my opinion. And this is public healthcare we are talking about. They go apeshit if you try to get sleeping pills let alone medicine that are considered drugs like Concerta.

    Also I call BS on frequent abuse of medicine like Concerta in Finland. It's so expensive and pharmacies make sure that you don't buy more any sooner than you are supposed to have used up all of your medication. It's easier and cheaper to just buy something off the street.

  9. tetris by noh8rz10 · · Score: 3, Insightful

    nothing improves your concentration like an hour playing tetris. I can still hear the song in my head. for best results, play it on an original game boy.

    1. Re:tetris by omnichad · · Score: 1

      That's true - nothing better than the gameboy version. Especially for music.

    2. Re:tetris by julesh · · Score: 1

      gameboy tetris is too easy. if you want to make sure people are paying attention, you want a version where pressing the 'drop' button at the wrong time is instant death. The gameboy version just accelerates the block, IIRC.

    3. Re: tetris by Sigg3.net · · Score: 1

      Yeah, but back when Gameboy was the newest thing, my family didn't have one. Too expensive.
      But my older cousin did. So whenever you lost in Tetris, you could expect a slap in the face.

      (This method was tested on humans with terrific results.)

  10. Re:Not so hard to get medicine by CanHasDIY · · Score: 1

    After the diagnosis. my psychiatrist prescribed me medication straight away. He didn't even ask me for my opinion. And this is public healthcare we are talking about. They go apeshit if you try to get sleeping pills let alone medicine that are considered drugs like Concerta.

    Question about your doctor, or rather, the pens he has in his office: they don't happen to have Janssen Pharmaceuticals logos on them do they?

    In my nation, America, it's not uncommon for physicians to happily prescribe whatever the drug rep he's cheating on his wife with tells him to; I wonder if Finland is similar in any way.

    --
    An enigma, wrapped in a riddle, shrouded in bacon and cheese
  11. Re:Not so hard to get medicine by omnichad · · Score: 1

    Here in the US, you just say "I have a child..." and the doctor hands out a script for Adderall.

  12. Taking ADHD Seriously by CanHasDIY · · Score: 1

    After reading TFA, I can say it's nice to see a national healthcare system that actually takes ADD and ADHD seriously. Here in the USA, it seems (to me) that there's a lot of "misdiagnosis" of the malady, as if American physicians are more concerned about paychecks and drug rep kickbacks than actually treating the illness.

    Not sure if it's still as much an issue today as it was 5-10 years ago, but there was a time when US doctors prescribed Ritalin and other psychotropic drugs to any and every half-assed unruly child, rather than doing any medical or science-based testing to determine if they were indeed ADHD sufferers.

    --
    An enigma, wrapped in a riddle, shrouded in bacon and cheese
  13. Addiction to Prescription Medicine? by sharknado · · Score: 1

    Studies have found that kids with ADHD are much more likely to become addicted to video games. Does this count as an addiction to prescription medicine? Hmm....

  14. Re:Yikes. by interkin3tic · · Score: 2

    If someone claims alcoholism can be solved with a regimen of vodka, and they have evidence you can't prove wrong, you'd be dumb to insist it couldn't possibly be true just because it sounds incredible.

    Skepticism is fine, and ideally the study would already be published, but lets not reject it out of hand just because it sounds counterintuitive.

  15. Re:Not so hard to get medicine by Anonymous Coward · · Score: 1

    As another Finn I can add that it would be pointless as soon as there's a generic alternative. The public health care system mandates that the pharmacies inform you if the same drug that has been prescribed exists as a generic alternative and if you want to change to it because it's cheaper. Usually people do since the subsidy you get is much less if you want a more expensive option, if there's no difference from a medical POV. This is the case with normal prescriptions. I myself have had a chronic condition (epilepsy) for 15 years (a rare and difficult form that 1 in 100 epileptics have) and I get the "original" drug all the time since with any chronic condition the drug expenses are limited to 3 € each time you buy them (regardless of the amount but the max is three months needs). And no matter what drugs you buy, as long as they have been prescribed by a doctor, there's a limit on how high your annual expenses can be (if you have more than 550 € in annual drug expenses, the system pays the rest). Thus I'm not so sure pharmaceutical companies would benefit from influencing doctors to prescribe their drugs unless they're so new that the patents are still valid and generics don't exist.

  16. Re:Yikes. by NettiWelho · · Score: 2

    That's like prescribing vodka to an alcoholic.

    It gets worse!

    We also give money and healthcare to poor people!

  17. Re:Yikes. by ShanghaiBill · · Score: 1

    That's like prescribing vodka to an alcoholic.

    A common therapy for ADHD is to prescribe stimulants, which cause people with ADHD to calm down and stay focused. So there is some precedent for contrarian remedies.

  18. Yay games!!!! Wait... by WiiVault · · Score: 1

    As somebody with mild ADHD and who just happens to be a gamer I was exited by the headline. That is until I saw that these games aren't really games, at least not the kind any self-respecting gamer would choose. Bummer dude.

  19. Video Games and ADHD Go Well Together by organgtool · · Score: 1

    It has always amazed me how people who are diagnosed with ADHD manage to sit and play video games for hours on end. Yet for some reason, activities like listening to someone speak or learning a new subject seem like impossible tasks for them. This approach seems to make sense since it takes one of the few tasks these people seem to be able to focus on and uses it to rewire their brains to allow them to concentrate better on everyday activities.

    1. Re:Video Games and ADHD Go Well Together by BenSchuarmer · · Score: 1

      Common wisdom is that people with ADD and ADHD can't pay attention, but this isn't true. We pay attention to things we find rewarding (which generally does not include things that their teachers and parents want them to pay attention to).

      The solution is helping people with ADD/ADHD find rewards where they might not have found them on their own.

    2. Re:Video Games and ADHD Go Well Together by sumdumass · · Score: 1

      It shouldn't be too amazing. The video games offer a variety of constant visual stimulation that simply isn't there when listening to someone speak or learning a new subject. The ADHA sort of actually works for them in the games because the changes in visual input generally satisfies their attention interests while also making them a better player because the minute details that change often usually give performance advantages.

      I agree, with your overall assertion but have to ask if the inverse is also true. If games can help rewire the brain to stimulate concentration, can the same mechanisms that allow ADHD players concentrate rewire the brain to make them less capable of concentrating when listening to a speaker or learning a new subject? I suspect that a lot of the old "tv will rot your brain" and "video games make you stupid" was anecdotal from ADHD players swarming to those mediums and excelling (playing lots of games and watching lots of TV but not doing well in school or their career). I'm just wondering if there is any truth to it outside of that.

    3. Re:Video Games and ADHD Go Well Together by WiiVault · · Score: 1

      Thank you! This is such a common misunderstanding people have and it can really lead you to confusion when actually dealing with a person who has the condition. In fact it was that exact problem that led to my parents being reluctant to put up the money to have me tested as an adolescent. They were caring people, but money was tight, and the few times I remember it being mentioned by friends or family as something to look into they would reply non-defensively that they had considered it and then provide examples of how I would read my software and computer manuals cover to cover (back when they were 200 pages) or had no problem focusing on cartoons, or how I had never been trouble in school. I remember them telling a teacher my at conferences in 5th grade after he suggested testing, and upon hearing it the teacher himself remarked that my issues must be something else then.

      This was compounded further by the fact that I am much more closely aligned with what used to be called ADD back before they bizarrely decided to reintegrate ADD and ADHD back into just ADHD. I'm not hyperactive at all, and despite ADD and ADHD's many shared symptoms I can't tell you how frustrating it is to have to explain to people who are confused about how I could be such a slow paced laid back person(to a fault) and have a disorder that people associate with kids jumping off the walls. This disorder is already so surprisingly misunderstood by the public that lumping slow pokes like myself with individuals who at first glance seem to be my polar opposite only further confuses those trying to understand my situation, and gives ammo to people who think the whole thing is made up or just a willpower issue.

    4. Re:Video Games and ADHD Go Well Together by p00kiethebear · · Score: 1

      Thank you for posting this. It sucks that the general population doesn't understand what it's like to have this. I used to play warhammer 40K and I would stay up for hours into the night painting miniatures and meticulously crafting terrain to display them on. Many kids with ADD do well in individual sports too, I was a good enough gymnast to take state. I loved tumbling and doing giant swings on the high bar. These things were rewarding to me.

      Put a copy of To Kill a Mockingbird in front of me at the age of 14 and ask me to read it and think about the underlying messages. Fuck that. I couldn't see any satisfaction in doing that and I had no motivation to WANT to do it so of course my attention is going to wander easily to something more interesting.

      --
      The Blade Itself
    5. Re:Video Games and ADHD Go Well Together by TeknoHog · · Score: 1

      Common wisdom is that people with ADD and ADHD can't pay attention, but this isn't true. We pay attention to things we find rewarding (which generally does not include things that their teachers and parents want them to pay attention to).

      The solution is helping people with ADD/ADHD find rewards where they might not have found them on their own.

      Nice summary. I think the latter bit is particularly important -- it's possible to get interested in something you didn't use to find interesting.

      I sometimes think I have some level of borderline ADH?D, as I have done well academically, but I find most real-life work unbearable. I have basically given up on an academic research career, since I don't work well in an office. At the moment I'm back at the university doing undergraduate studies, which is strangely enjoyable. Listening to a lecture is great fun, it's the perfect thing to focus on. (Meanwhile, some students are chatting etc. and missing the whole lecture, and they have to try and study the material later -- what a waste of time, especially if you have any kind of student life.)

      In fact, I believe happiness is all about focus. The problem is that it's hard to focus if you're not interested. One reason we enjoy sex is because it is something you'll do with 100% focus, and you forget about everything else for a while. Obviously, it's not so enjoyable if your mind is wandering.

      Meditation is, in a way, the ultimate way to enjoy a focused activity, but also one of the hardest, as there is little or no actual activity to get you into focus. However, it's possible to get into pretty much the same state via other, focused activities. Basically, if you get into a flow state, you can let go of the other activity and just enjoy the concentration itself.

      So what does this have to do with working life? In my experience, there are very few jobs that encourage focused work. Even academic research has become this huge mess of constant social interactions, and a political quest for better positions and grants. I spent a few years as a science teacher, which turned out surprisingly nice for my philosophy; my job was to get people into an enjoyable state of focus for 1-2 hours at a time, and the preparations etc. outside lessons I could do when and where I felt like. OTOH, it is quite taxing as a heavy social activity, and it might be a while before I get back.

      --
      Escher was the first MC and Giger invented the HR department.
  20. Finland! by Presto+Vivace · · Score: 1

    Actually it sounds like a great idea.

  21. Re:Yikes. by Smauler · · Score: 1

    Actually, bad chronic alcoholism _has_ to be cured by alcohol, to some degree. You can't go cold turkey, you have to slowly come off. Therefore treatment of an alcoholic always involves more alcohol.

  22. Re:Yikes. by flyneye · · Score: 1

    In Colorado everything now is possible. Natural medication and video games...Should have them sharp as a tack by noon.

    --
    *Repent!Quit Your Job!Slack Off!The World Ends Tomorrow and You May Die!
  23. This is hardly new, by p00kiethebear · · Score: 2

    This has been going on for almost 20 years now. I had ADD as a kid and when I was 11 my parents sent me to a biofeedback clinic where I would sit in a dentist chair and concentrate on a pac-man. If my brain waves were in the ideal range the pac man would move through the maze and I would gain points. The speed at which he moved accelerated so the longer I was able to 'focus' the faster he would go through the maze and I'd get a higher score.

    I'm sure the technology must be much more precise these days and the games have probably gotten a lot more interesting to look at but they all essentially are based on the same principle.

    The problem is that most kids that age don't care about wanting to learn how to focus better. They just have fun being who they are naturally. These kinds of programs work really well for adults and younger people with a great deal of motivation to change / practice their 'focusing' ability but as an 11 year old, I got really bored doing this and eventually I started falling asleep in the chair half way through every session. Program was a wasted on me but I applaud my parents for wanting to try to help me without medication.

    --
    The Blade Itself
  24. Re:Yikes. by VanGarrett · · Score: 1

    I'm unclear on the relationship you have in mind. In this case, the patient has difficulty staying still and focusing, so the doctor is prescribing an activity which will require him to stay still and focus. Even without using specially designed games, video games tend to engage the player's attention, and endeavor to hold it. It makes sense to me that this could teach habits that improve concentration, and extended attention span.

  25. Re:Yikes. by Anarchduke · · Score: 1

    You know this actually happens in hospitals. People who are long term alcoholics are often prescribed medical whiskey to keep them from possibly dying from the shock of detox.

    --
    who prays for Satan? Who in 18 centuries has had the humanity to pray for the 1 sinner that needed it most? ~Mark Twain
  26. Neuroplasticity?!?!? by sasquatch989 · · Score: 1

    It's like exercise for your brain, and a great waste of money! http://www.newyorker.com/online/blogs/elements/2013/04/brain-games-are-bogus.html?mobify=0

  27. Re:Finland by sasquatch989 · · Score: 1

    Yep, this really does demonstrate what to expect from socialized medicine....mainstream doctors using bullshit as medicine. Is working memory training effective? A meta-analytic review. http://www.ncbi.nlm.nih.gov/pubmed/22612437

  28. Re:Yikes. by K.+S.+Kyosuke · · Score: 1

    People who are long term alcoholics are often prescribed medical whiskey

    Does medical whiskey taste as bad as hospital food?

    --
    Ezekiel 23:20
  29. What will the cost be vs medicine? by Gibby13 · · Score: 1

    I would think in the beginning you will only be able to do this in the Doctor's office and then on top of that how many times and a week and how often? It would be nice to be able to take the device home and upload results to your Doctor to review and then in return download new games/settings recommended from your Doctor. While I am hopeful, we won't see this in the US for a very long time.