The Overmedication of American Children: A Deep Dive into Prescription Trends | May 13 2026, 19:29

Today I dug up something interesting about kids and pills.

Local doctors are somewhat surprised that I’m not on any medication. Recently, an acquaintance of a doctor said in passing that he has lots of young patients who regularly take 12–14 pills a day. I started researching — and my eyes nearly popped out.

I found that according to CDC data, nearly one in five children under 12 years old are on prescription drugs. In the 12–19 age cohort, it’s every third one. Moreover, the rate among boys up to 12 years old is one and a half times higher than among girls, which is largely explained by early ADHD diagnoses. If we’re talking about long-term use (3 months or more continuously), a fifth of all children and teenagers are involved. It is reported that ADHD was diagnosed in 11.4% of children, about 7 million people, approximately every ninth child in the country. Of those with an active diagnosis, 53.6% are taking stimulants (Adderall, Ritalin, Concerta, and equivalents). In terms of the entire child population, this means about 6% of American children are constantly on psychostimulants. Besides ADHD, there are antidepressants, anti-anxiety meds, and antipsychotics. 9.3% of all children ages 5–17 have taken some kind of “mental health” medication. Among teenagers 12–17 years old — 10.7%.

This is probably the most interesting thing I’ve found. The variability between states is threefold. In Louisiana, ADHD is diagnosed in nearly every fifth child, in California – three times less often. In Louisiana 80.2% of the diagnosed children were immediately put on medication, in California – 66.7%. The southern cluster (Louisiana, Mississippi, Alabama, South Carolina) consistently shows the highest figures.

Even more interesting is the breakdown by urbanization. In large metropolises, 7.1% of children take psychotropic drugs, in small towns — 8.5%, in rural areas — 12.1%. Yet, the proportion of those receiving psychotherapy is the same everywhere — about 11–13%. Why is that? Because rural areas disastrously lack psychologists and behavioral specialists, and the pill becomes the only alternative.

There’s a separate phenomenon — polypharmacy. This is the simultaneous use of 2+ drugs for over a month. Growth from 1.8% in the early 2000s to 3.3% today. About 300,000 American children regularly take three or more classes of psychotropic substances at the same time. And for children with complex chronic conditions (Children with Medical Complexity), the situation is completely off: 52.7% take 5+ medications daily, and 19.5% take more than 10 medications per day. Thus, the stories about 12–14 pills a day. Reports say that approximately every 12th child in the USA, taking multiple drugs concurrently, risks serious drug interaction. For teenage girls on combination therapy, this risk reaches 20%.

Reading why this has happened.

It turns out that here the child’s psyche is increasingly perceived as neurochemistry that needs to be corrected with a pill, rather than as a result of sleep, stress, family environment, and a heap of other factors. Or at least the parents understand that since the rest is not fixed, the pills are an easy way out. Deprescribing (planned drug withdrawal) is hardly practiced — it’s easier to prescribe than to take off.

Secondly, rates for commercial insurance visits to a psychotherapist are on average 22% lower than for a visit to a somatic specialist. As a result, 18.2% of psychologists operate outside insurance networks (compared to 1.7% of somatic specialists). Our family pays an average of $1507 a year for psychotherapy on top of the insurance. But the pill is covered by the formulary, and the prescription copay is minimal. What choice will a tired family make? Why we are unable to raise children without mental health issues is another big topic.

Well, and another interesting point. According to our laws, an official ADHD diagnosis requires the school to provide the child with “Sec 504”: double time on tests, reduced homework, a separate quiet room for exams, allowed breaks during lessons. In the race for college admission, many parents from affluent layers consciously go for a diagnosis — it’s a legal way to give a child an advantage. And here’s the delicate part: Sec 504 specifically forbids the school from considering the effect of “mitigating measures,” which the law counts as medication. Meaning, even if the child on medication is fully functional and excels in studies — their privileges are maintained. There is simply no incentive for the family to decrease the dosage or get off the drug. The system is set up to keep the child on medication until graduation.

Human Behavior Under Isolation: Lessons from the SPHINX Experiment | May 10 2026, 18:01

In the book Project Hail Mary, Stratt tells Grace that in the USSR there was supposedly an experiment where people were locked up for several months to see what would happen, and that the people almost killed each other, leading to the experiment being halted. That wasn’t the case, but I googled and found there was another experiment – SPHINX in 1999.

There were several groups. In the first, there were four Russians and during the New Year celebrations with alcohol, they beat each other up (10 minutes, blood, they had to be pulled apart). Another group had three guys and a girl (Judith Lapier) and the mission ended because during the New Year’s celebrations, driven by excitement, Judith was attempted to be kissed twice, leading to the mission being terminated.

As VICE reports, the dialogue was “We should try kissing, I haven’t smoked for six months. Then we can kiss after the mission and compare. Let’s experiment now.”

The team included doctors with degrees (Lukyanuk, Karashkin, Murashov) and Haider Hobikhozhin, who essentially was a randomly included technician with secondary education, taking the place of the Japanese man to the right in the photo and who was first in the second photo. Who beat up or kissed whom is now somewhat forgotten.

Vadim Gushchin, a coordinator from IMBP, after the scandal stated that the fight was “friendly,” and that Lapier “ruined the mission, the atmosphere, by refusing to be kissed.”

At the Canadian Space Agency, Lapier was told that such behavior is normal for Russians and that public complaints would be considered taboo in the culture of the host country.

Understanding Jerusalem Syndrome and Its Global Counterparts | October 01 2025, 16:10

Listening to Sapolsky in the background, he mentioned Jerusalem Syndrome. It’s when a deeply religious American Baptist from the southern USA, having saved money and prepared, arrives in the Holy Land and sees that Jerusalem is just another city: traffic jams, smog, noise, pickpockets, McDonald’s—everything like that. And then—an interesting feature—in all cases, the person tears up sheets, takes off their clothes, and suddenly finds themselves on the streets of Jerusalem, dressed as if in a toga, begins to preach on the streets, calling for a simpler life and all that.

A psychiatric team arrives, takes the person to the hospital for a few days, everything becomes clear, they send him back home, and he never encounters this syndrome again.

Each year in Jerusalem, about up to many dozens of cases are recorded. It’s a recognized syndrome, about which scientific articles are published.

Sapolsky says that if hotels in Jerusalem always had, for example, checkered sheets instead of white ones, which seem to “invite” one to don a toga, it would help prevent the crisis.

But amusingly, there’s a twin brother of this disorder, the Paris Syndrome, which for some reason mainly affects the Japanese. Japanese tourists come to Paris because they are attracted by the culture, language, literature, and history of France, as well as the landmarks of Paris. However, once there, they encounter difficulties such as a language barrier (surprise surprise!), differences in mentality, and disappointment from the reality of Paris not meeting their expectations.

There’s also a milder version called the “Florentine Syndrome.” This often happens during a visit to one of the 50 museums in Florence, the cradle of the Renaissance. Suddenly, a visitor is overwhelmed by the depth of feeling the artist has imbued in the artwork. At this point, they acutely perceive all emotions, as if transported into the space of the image. Victims’ reactions vary up to hysteria or attempts to destroy the painting. Despite the syndrome’s relative rarity, guards in Florentine museums are specially trained on how to deal with its victims.

Overall, be careful with syndromes when you’re traveling.

PS. This image was made for me by google. In the second image, a guy in a tie tells a tearful girl 脆培, which seems just a meaningless set of characters, something like fragile culture. But when I asked ChatGPT, it told me it resembles 脱げ (nugu) — undress 🙂 if you ask Google Gemini to redo it, Google gives the same picture, where he’s also shouting 暁は, but at the same time, he has already taken off his shirt. But that’s also unclear what 暁 – it’s dawn. Generally, with Japanese, LLM is bad. I’ll leave the second image in the comments. By the way, there are several differences there, you can play a game to find ten differences. They are amusing