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   "content" : "# Mer lek, færre diagnoser\n\n## Kunnskapsløst\n\n## Ikke for lite utredning\n\nEr flere diagnoser og piller riktig svar på den økende andelen barn og unge som ikke har det bra?\n\nLek er barns språk. Det er et problem at lekerommene stenges ned i den offentlige psykiske helsetjenesten for barn og unge, mens skjemabaserte utredninger og diagnoser tar mer og mer plass.\n\nLeken er helt grunnleggende for barns helse og utvikling. Alle pattedyr leker og forteller oss med det hvilken instinktiv drift dette egentlig er. Barn i dag har mindre tid og rom for fri lek enn tidligere generasjoner. Det kan henge sammen med den økningen vi har sett i psykiske uhelse og skolefrafall hos dagens barn og unge. Vi vet at lek utvikler helt nødvendige ferdigheter som sosial kompetanse, mental robusthet og motorikk.\n\nI mange år har lek også vært brukt som en observasjonsmetode og en behandlingsform i barnepsykiatrien. Gjennom lek kan barn fortelle oss noe grunnleggende om hvem de er og hva de strever med. Studier på leketerapi har vist effekt for vansker som depresjon og angst (Midgley 2021), og [mye utelek i barnehagen er korrelert med høyere empati og bedre læring](https://www.utdanningsnytt.no/barnehage-lek-og-laering/utelek-i-barnehagen-gir-mer-konsentrerte-skolebarn/174325#:~:text=– Våre funn støtter oppfatningen mange,timer per dag som fireåringer.) opp i skolealder. Til stor frustrasjon for mange som jobber i en presset psykisk helsetjeneste for barn og unge er det derimot stadig færre som mottar faglig hjelp basert på lekbaserte metoder, mens utredninger og diagnoser tar mer og mer plass.\n\nNår voksenpsykiater – og professor emeritus – Tor Ketil Larsen anklager [fagfolk i dagens barne- og ungdomspsykiatri](/meninger/debatt/i/ArzPg3/adhd-spesialistene-har-plikt-til-grundig-utredning) for manglende «diagnostisk kompetanse» og for å drive med «leketerapi og uendelige uvirksomme analyser i freudiansk tradisjon», krever det en oppklaring. Dette er ikke bare en kunnskapsløs *rant* fra en voksenpsykiater. Det er rett og slett feil.\n\nEr det noe dagens spesialister i Bup har, er det nettopp diagnostisk kompetanse. De er pålagt å møte barn og familiene deres med et helt batteri av spørreskjemaer for å lete etter en diagnose allerede ved første møte. Ettersom stadig flere barn og unge også får diagnoser som ADHD, angst og depresjon, er også hjelpen som gis, oftere og oftere i form av en resept. På den måten er barne- og ungdomspsykiatrien i ferd med å bli en helsetjeneste formet etter modell av voksenpsykiatrien.\n\nProblemet er at barn er ikke små voksne. En hjerne i utvikling er i stadig forandring og krever andre forståelser og behandlingstilnærminger enn en voksen hjerne. [Noen voksenpsykiatere ser ut til å mene at dersom pasienter de møter hos seg hadde fått riktig diagnose som barn, ville problemene deres vært løst](/meninger/debatt/i/kwq4lk/adhd-er-ingen-motediagnose-for-mange-kommer-hjelpen-for-sent). Dette er en naiv forenkling av hvordan vi skal forstå og behandle sosial ulikhet, kriminalitet og rusproblemer. Dette er problemer som krever sammensatte hjelpetiltak over tid – og langt mer enn en diagnose og en resept.\n\nBarn og unge som strever bør alltid få hjelp, men på riktig nivå og tilpasset sin utvikling. Barn utvikler seg alltid et i samspill med sine omgivelser. Det utviklingspsykologiske blikket kan glippe i en tid der man søker forenklede og individfokuserte løsninger på sammensatte problemer.\n\nSelv om diagnoser er riktig hjelp for noen barn og unge, er det forskning som nå peker på at en diagnose også kan virke motsatt. Medikalisering er blitt et problem i dagens helsevesen. Ordet betyr at problemer som ikke nødvendigvis er medisinske, søkes løst med medisinske metoder.\n\n[Norsk forskning](https://utdanningsforskning.no/artikler/2021/bidrar-medikalisering-av-ungdom-til-utstotning-fra-skole-og-arbeidsliv/) har pekt på at en overdreven sykdomsforståelse hos barn og unge kan bidra til høyere risiko for å havne utenfor arbeidslivet som voksen. Dersom barne- og ungdomspsykiatrien skal være en tjeneste som tilbyr bærekraftig hjelp, bør vi nå stoppe opp og spørre om flere diagnoser og piller er riktig svar på den økende andelen barn og unge som ikke har det bra.\n\nDenne uken vedtok Norsk Psykologforening på sitt landsmøte en resolusjon der det vektlegges et mer helhetlig perspektiv på barn og unges strev. De skriver blant annet at de «er bekymret for at standardiserte og raske forløp har fått forrang fremfor en helhetlig og fleksibel oppfølging i psykisk helsevern for barn og unge».\n\nDet er med andre ord ikke for lite utredning som er problemet i dagens psykiske helsetjeneste for barn og unge, slik noen hevder.\n\nLeketerapi er en behandlingsform som har sine røtter i en psykodynamisk tradisjon i psykisk helsevern. Den tar nettopp hensyn til en helhetlig forståelse av barn som strever og kan gi barn et rom til å forstå seg selv og mestre sitt eget strev på en annen måte enn en diagnose. Begge tilnærminger kan være nødvendig. Men en biologisk forståelse av barns psykiske strev sammen med effektivisering og arbeidspress i Bup, har latt diagnoser dominere hjelpen vi gir. Det er på tide å snu denne utviklingen, jobbe mer helhetlig og forebyggende, slik at mer lek kan bidra til færre piller.\n\n- [Charlotte LundeOverlege i BUP, barnepsykiater og medforfatter av «Lek og læring i et nevroperspektiv»](http://aftenposten.no/av/charlotte-lunde-6)\n- [Fredrik CappelenPsykologspesialist og lekeforsker](http://aftenposten.no/av/fredrik-cappelen)\n- [Kjersti Lohne Psykologspesialist og styremedlem Oslo psykologforening](http://aftenposten.no/av/kjersti-lohne-2)",
   "created_at" : "2025-12-02 15:05:22",
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   "metadata" : "{\"image_url\":\"https://premium.vgc.no/v2/images/66babfdb-ea73-4500-9631-36659775e3fc?fit=crop&format=auto&h=1365&w=2048&s=d7cc1551e8af122835d04cf91e4de64a6bd28cb3\",\"raw_feed_item\":\"<item>\\n            <title><![CDATA[Kunnskapsløs rant og direkte feil fra voksenpsykiater om «leketerapi» for barn og unge]]></title>\\n            <link>https://www.aftenposten.no/meninger/debatt/i/y51W7g/er-flere-diagnoser-og-piller-svaret-for-den-oekende-andelen-unge-som-ikke-har-det-bra</link>\\n            <guid>https://www.aftenposten.no/i/y51W7g</guid>\\n            <pubDate>Tue, 02 Dec 2025 14:24:42 GMT</pubDate>\\n            <description><![CDATA[Charlotte Lunde, Fredrik Cappelen og Kjersti Lohne svarer Tor Ketil Larsen.]]></description>\\n            <enclosure length=\\\"65535\\\" type=\\\"image/jpeg\\\" url=\\\"https://premium.vgc.no/v2/images/766283a7-dcce-42e0-8c51-fda2efbee987?fit=crop&amp;format=auto&amp;h=1152&amp;tight=true&amp;w=2048&amp;s=25f83864175f27ccc1c59a5dd94eb7dc3b77a181\\\" />\\n        </item>\",\"author\":\"\",\"content\":\"# Mer lek, færre diagnoser\\n\\n## Kunnskapsløst\\n\\n## Ikke for lite utredning\\n\\nEr flere diagnoser og piller riktig svar på den økende andelen barn og unge som ikke har det bra?\\n\\nLek er barns språk. Det er et problem at lekerommene stenges ned i den offentlige psykiske helsetjenesten for barn og unge, mens skjemabaserte utredninger og diagnoser tar mer og mer plass.\\n\\nLeken er helt grunnleggende for barns helse og utvikling. Alle pattedyr leker og forteller oss med det hvilken instinktiv drift dette egentlig er. Barn i dag har mindre tid og rom for fri lek enn tidligere generasjoner. Det kan henge sammen med den økningen vi har sett i psykiske uhelse og skolefrafall hos dagens barn og unge. Vi vet at lek utvikler helt nødvendige ferdigheter som sosial kompetanse, mental robusthet og motorikk.\\n\\nI mange år har lek også vært brukt som en observasjonsmetode og en behandlingsform i barnepsykiatrien. Gjennom lek kan barn fortelle oss noe grunnleggende om hvem de er og hva de strever med. Studier på leketerapi har vist effekt for vansker som depresjon og angst (Midgley 2021), og [mye utelek i barnehagen er korrelert med høyere empati og bedre læring](https://www.utdanningsnytt.no/barnehage-lek-og-laering/utelek-i-barnehagen-gir-mer-konsentrerte-skolebarn/174325#:~:text=– Våre funn støtter oppfatningen mange,timer per dag som fireåringer.) opp i skolealder. Til stor frustrasjon for mange som jobber i en presset psykisk helsetjeneste for barn og unge er det derimot stadig færre som mottar faglig hjelp basert på lekbaserte metoder, mens utredninger og diagnoser tar mer og mer plass.\\n\\nNår voksenpsykiater – og professor emeritus – Tor Ketil Larsen anklager [fagfolk i dagens barne- og ungdomspsykiatri](/meninger/debatt/i/ArzPg3/adhd-spesialistene-har-plikt-til-grundig-utredning) for manglende «diagnostisk kompetanse» og for å drive med «leketerapi og uendelige uvirksomme analyser i freudiansk tradisjon», krever det en oppklaring. Dette er ikke bare en kunnskapsløs *rant* fra en voksenpsykiater. Det er rett og slett feil.\\n\\nEr det noe dagens spesialister i Bup har, er det nettopp diagnostisk kompetanse. De er pålagt å møte barn og familiene deres med et helt batteri av spørreskjemaer for å lete etter en diagnose allerede ved første møte. Ettersom stadig flere barn og unge også får diagnoser som ADHD, angst og depresjon, er også hjelpen som gis, oftere og oftere i form av en resept. På den måten er barne- og ungdomspsykiatrien i ferd med å bli en helsetjeneste formet etter modell av voksenpsykiatrien.\\n\\nProblemet er at barn er ikke små voksne. En hjerne i utvikling er i stadig forandring og krever andre forståelser og behandlingstilnærminger enn en voksen hjerne. [Noen voksenpsykiatere ser ut til å mene at dersom pasienter de møter hos seg hadde fått riktig diagnose som barn, ville problemene deres vært løst](/meninger/debatt/i/kwq4lk/adhd-er-ingen-motediagnose-for-mange-kommer-hjelpen-for-sent). Dette er en naiv forenkling av hvordan vi skal forstå og behandle sosial ulikhet, kriminalitet og rusproblemer. Dette er problemer som krever sammensatte hjelpetiltak over tid – og langt mer enn en diagnose og en resept.\\n\\nBarn og unge som strever bør alltid få hjelp, men på riktig nivå og tilpasset sin utvikling. Barn utvikler seg alltid et i samspill med sine omgivelser. Det utviklingspsykologiske blikket kan glippe i en tid der man søker forenklede og individfokuserte løsninger på sammensatte problemer.\\n\\nSelv om diagnoser er riktig hjelp for noen barn og unge, er det forskning som nå peker på at en diagnose også kan virke motsatt. Medikalisering er blitt et problem i dagens helsevesen. Ordet betyr at problemer som ikke nødvendigvis er medisinske, søkes løst med medisinske metoder.\\n\\n[Norsk forskning](https://utdanningsforskning.no/artikler/2021/bidrar-medikalisering-av-ungdom-til-utstotning-fra-skole-og-arbeidsliv/) har pekt på at en overdreven sykdomsforståelse hos barn og unge kan bidra til høyere risiko for å havne utenfor arbeidslivet som voksen. Dersom barne- og ungdomspsykiatrien skal være en tjeneste som tilbyr bærekraftig hjelp, bør vi nå stoppe opp og spørre om flere diagnoser og piller er riktig svar på den økende andelen barn og unge som ikke har det bra.\\n\\nDenne uken vedtok Norsk Psykologforening på sitt landsmøte en resolusjon der det vektlegges et mer helhetlig perspektiv på barn og unges strev. De skriver blant annet at de «er bekymret for at standardiserte og raske forløp har fått forrang fremfor en helhetlig og fleksibel oppfølging i psykisk helsevern for barn og unge».\\n\\nDet er med andre ord ikke for lite utredning som er problemet i dagens psykiske helsetjeneste for barn og unge, slik noen hevder.\\n\\nLeketerapi er en behandlingsform som har sine røtter i en psykodynamisk tradisjon i psykisk helsevern. Den tar nettopp hensyn til en helhetlig forståelse av barn som strever og kan gi barn et rom til å forstå seg selv og mestre sitt eget strev på en annen måte enn en diagnose. Begge tilnærminger kan være nødvendig. Men en biologisk forståelse av barns psykiske strev sammen med effektivisering og arbeidspress i Bup, har latt diagnoser dominere hjelpen vi gir. Det er på tide å snu denne utviklingen, jobbe mer helhetlig og forebyggende, slik at mer lek kan bidra til færre piller.\\n\\n- [Charlotte LundeOverlege i BUP, barnepsykiater og medforfatter av «Lek og læring i et nevroperspektiv»](http://aftenposten.no/av/charlotte-lunde-6)\\n- [Fredrik CappelenPsykologspesialist og lekeforsker](http://aftenposten.no/av/fredrik-cappelen)\\n- [Kjersti Lohne Psykologspesialist og styremedlem Oslo psykologforening](http://aftenposten.no/av/kjersti-lohne-2)\",\"keywords\":[],\"twitter\":{},\"meta\":{\"description\":\"Charlotte Lunde, Fredrik Cappelen og Kjersti Lohne svarer Tor Ketil Larsen.\",\"msapplication-config\":\"/cnp-assets/favicon-6c399f1f/browserconfig.xml\",\"mobile-web-app-capable\":\"yes\",\"robots\":\"max-image-preview:large\",\"viewport\":\"width=device-width, initial-scale=1.0\",\"msapplication-TileColor\":\"#fff\",\"theme-color\":\"#fff\",\"application-name\":\"Aftenposten\",\"apple-mobile-web-app-status-bar-style\":\"black-translucent\",\"apple-mobile-web-app-title\":\"Aftenposten\",\"msapplication-TileImage\":\"/cnp-assets/favicon-6c399f1f/mstile-144x144.png\",\"apple-mobile-web-app-capable\":\"yes\"},\"description\":\"Charlotte Lunde, Fredrik Cappelen og Kjersti Lohne svarer Tor Ketil Larsen.\",\"schema\":{\"microdata\":{\"datePublished\":\"3. november\"}},\"is_paywalled\":1,\"og\":{\"type\":\"article\",\"image:height\":\"1365\",\"url\":\"https://www.aftenposten.no/meninger/debatt/i/y51W7g/er-flere-diagnoser-og-piller-svaret-for-den-oekende-andelen-unge-som-ikke-har-det-bra\",\"description\":\"Charlotte Lunde, Fredrik Cappelen og Kjersti Lohne svarer Tor Ketil Larsen.\",\"title\":\"Er flere diagnoser og piller svaret for den økende andelen unge som ikke har det bra?\",\"image:width\":\"2048\",\"image\":\"https://premium.vgc.no/v2/images/66babfdb-ea73-4500-9631-36659775e3fc?fit=crop&format=auto&h=1365&w=2048&s=d7cc1551e8af122835d04cf91e4de64a6bd28cb3\"},\"source_updated_at\":\"2025-12-02 10:03:29\",\"title\":\"Er flere diagnoser og piller svaret for den økende andelen unge som ikke har det bra?\",\"published_at\":\"2025-12-02 14:24:42\"}",
   "og_title" : "Er flere diagnoser og piller svaret for den økende andelen unge som ikke har det bra?",
   "published_at" : "2025-12-02 14:24:42",
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data-testid=\"byline:author-name\">Charlotte Lunde</span><div class=\"hyperion-css-c2jcik\">Overlege i BUP, barnepsykiater og medforfatter av «Lek og læring i et nevroperspektiv»</div></div></a></li><li class=\"hyperion-css-10c38m6\"><a title=\"Se journalistens profil: Fredrik Cappelen\" aria-label=\"Se journalistens profil: Fredrik Cappelen\" href=\"http://aftenposten.no/av/fredrik-cappelen\" class=\"hyperion-css-1u7c6r7\"><div class=\"hyperion-css-0\"><span class=\"byline-name hyperion-css-1ftacoo\" data-test-tag=\"byline:author-name\" data-testid=\"byline:author-name\">Fredrik Cappelen</span><div class=\"hyperion-css-c2jcik\">Psykologspesialist og lekeforsker</div></div></a></li><li class=\"hyperion-css-10c38m6\"><a title=\"Se journalistens profil: Kjersti Lohne \" aria-label=\"Se journalistens profil: Kjersti Lohne \" href=\"http://aftenposten.no/av/kjersti-lohne-2\" class=\"hyperion-css-1u7c6r7\"><div class=\"hyperion-css-0\"><span class=\"byline-name hyperion-css-1ftacoo\" data-test-tag=\"byline:author-name\" data-testid=\"byline:author-name\">Kjersti Lohne </span><div class=\"hyperion-css-c2jcik\">Psykologspesialist og styremedlem Oslo psykologforening</div></div></a></li></ul></div></div><div class=\"hyperion-css-ytalhi\"><div class=\"hyperion-css-upuxee\"><div class=\"contentWidth hyperion-css-eemj7d\"><div class=\"hyperion-css-152x5og\"><div class=\"hyperion-css-1xdhyk6\"></div></div></div></div><div class=\"hyperion-css-6kzd76\"></div></div><figure data-test-tag=\"image\" class=\"image fullWidthDesktop top stretch-image-asset-on-mobile landscape hyperion-css-mochwu\"><img class=\"image-asset hyperion-css-pqhvmp\" data-test-tag=\"image-asset\" src=\"https://premium.vgc.no/v2/images/a9a63a39-cba3-4f5d-b656-33b6a0b0beed?fit=crop&amp;format=auto&amp;h=1365&amp;w=2048&amp;s=0f30cf2409c0b18ac7fa396b534592854642427f\" srcSet=\"https://premium.vgc.no/v2/images/a9a63a39-cba3-4f5d-b656-33b6a0b0beed?fit=crop&amp;format=auto&amp;h=1365&amp;w=2048&amp;s=0f30cf2409c0b18ac7fa396b534592854642427f 2048w,https://premium.vgc.no/v2/images/a9a63a39-cba3-4f5d-b656-33b6a0b0beed?fit=crop&amp;format=auto&amp;h=960&amp;w=1440&amp;s=6132801cb8a031aa6341f8d0f331fd4ed5dd27a5 1440w,https://premium.vgc.no/v2/images/a9a63a39-cba3-4f5d-b656-33b6a0b0beed?fit=crop&amp;format=auto&amp;h=683&amp;w=1024&amp;s=859d85c61592a40aacb48e0a16f449fb9ffd4208 1024w,https://premium.vgc.no/v2/images/a9a63a39-cba3-4f5d-b656-33b6a0b0beed?fit=crop&amp;format=auto&amp;h=653&amp;w=980&amp;s=0384e476d06a628deb92844537d207ef0d82b21c 980w,https://premium.vgc.no/v2/images/a9a63a39-cba3-4f5d-b656-33b6a0b0beed?fit=crop&amp;format=auto&amp;h=520&amp;w=780&amp;s=764e71a57eacf225129726dfda4a38d266304f50 780w,https://premium.vgc.no/v2/images/a9a63a39-cba3-4f5d-b656-33b6a0b0beed?fit=crop&amp;format=auto&amp;h=387&amp;w=580&amp;s=b77f153fdcc5d2c44d167e993846c8a0cf322997 580w,https://premium.vgc.no/v2/images/a9a63a39-cba3-4f5d-b656-33b6a0b0beed?fit=crop&amp;format=auto&amp;h=253&amp;w=380&amp;s=6272af861860323babe0f83ca8715c95d58eb374 380w,https://premium.vgc.no/v2/images/a9a63a39-cba3-4f5d-b656-33b6a0b0beed?fit=crop&amp;format=auto&amp;h=133&amp;w=200&amp;s=83112daffd24dc25da8d7a7180675c572ae3e703 200w,https://premium.vgc.no/v2/images/a9a63a39-cba3-4f5d-b656-33b6a0b0beed?fit=crop&amp;format=auto&amp;h=67&amp;w=100&amp;s=20115dfc7f6a4b3d1f0208fa64dc208f104ab822 100w\" alt=\"Barn har mindre tid og rom for fri lek enn tidligere generasjoner. Det kan henge sammen med den økningen vi har sett i psykiske uhelse og skolefrafall hos dagens barn og unge, skriver innleggsforfatterne.\" sizes=\"(min-width: 380px) 980px, 100vw\" loading=\"eager\" fetchpriority=\"high\" style=\"aspect-ratio:2048 / 1365\"/><figcaption class=\"image-figcaption hyperion-css-1ksg4fz\" data-test-tag=\"image:caption\"><span class=\"image-caption\" aria-hidden=\"true\">Barn har mindre tid og rom for fri lek enn tidligere generasjoner. Det kan henge sammen med den økningen vi har sett i psykiske uhelse og skolefrafall hos dagens barn og unge, skriver innleggsforfatterne.</span><span class=\"image-byline hyperion-css-161dy2i\"> Illustrasjonsbilde: Olav Olsen</span></figcaption></figure><p class=\"contentWidth hyperion-css-1mepuqa\" data-test-tag=\"lead-text\">Er flere diagnoser og piller riktig svar på den økende andelen barn og unge som ikke har det bra?</p><div class=\"paywall hyperion-css-h9wc15\" data-test-tag=\"timestamp\"><div><time itemProp=\"datePublished\" dateTime=\"2025-12-02T14:24:42Z\" aria-label=\"Publisert: 02.12.2025 15:24\">Publisert: 02.12.2025 15:24</time></div></div><p class=\"paywall hyperion-css-1j42uic\">Lek er barns språk. Det er et problem at lekerommene stenges ned i den offentlige psykiske helsetjenesten for barn og unge, mens skjemabaserte utredninger og diagnoser tar mer og mer plass.</p><p class=\"paywall hyperion-css-1j42uic\">Leken er helt grunnleggende for barns helse og utvikling. Alle pattedyr leker og forteller oss med det hvilken instinktiv drift dette egentlig er. Barn i dag har mindre tid og rom for fri lek enn tidligere generasjoner. Det kan henge sammen med den økningen vi har sett i psykiske uhelse og skolefrafall hos dagens barn og unge. Vi vet at lek utvikler helt nødvendige ferdigheter som sosial kompetanse, mental robusthet og motorikk. </p><div class=\"advertory-aftenposten-netboard-wrapper__article \"><div id=\"netboard_1\" class=\"advertory-aftenposten-netboard__article\"></div></div><p class=\"paywall hyperion-css-1j42uic\">I mange år har lek også vært brukt som en observasjonsmetode og en behandlingsform i barnepsykiatrien. Gjennom lek kan barn fortelle oss noe grunnleggende om hvem de er og hva de strever med. Studier på leketerapi har vist effekt for vansker som depresjon og angst (Midgley 2021), og <a aria-label=\"mye utelek i barnehagen er korrelert med høyere empati og bedre læring\" class=\"opinion hyperion-css-1raymq9\" href=\"https://www.utdanningsnytt.no/barnehage-lek-og-laering/utelek-i-barnehagen-gir-mer-konsentrerte-skolebarn/174325#:~:text=– Våre funn støtter oppfatningen mange,timer per dag som fireåringer.\" target=\"_blank\" rel=\"noopener nofollow noreferrer\" data-test-tag=\"external-link\">mye utelek i barnehagen er korrelert med høyere empati og bedre læring</a> opp i skolealder. Til stor frustrasjon for mange som jobber i en presset psykisk helsetjeneste for barn og unge er det derimot stadig færre som mottar faglig hjelp basert på lekbaserte metoder, mens utredninger og diagnoser tar mer og mer plass.</p><h2 class=\"paywall hyperion-css-npxxyf\" data-test-tag=\"paragraph-header\">Kunnskapsløst</h2><p class=\"paywall hyperion-css-1j42uic\">Når voksenpsykiater – og professor emeritus – Tor Ketil Larsen anklager <a data-test-tag=\"internal-link\" href=\"/meninger/debatt/i/ArzPg3/adhd-spesialistene-har-plikt-til-grundig-utredning\" class=\"hyperion-css-1raymq9\" rel=\"\" target=\"\" aria-label=\"fagfolk i dagens barne- og ungdomspsykiatri\" theme=\"opinion\">fagfolk i dagens barne- og ungdomspsykiatri</a> for manglende «diagnostisk kompetanse» og for å drive med «leketerapi og uendelige uvirksomme analyser i freudiansk tradisjon», krever det en oppklaring. Dette er ikke bare en kunnskapsløs <em>rant</em> fra en voksenpsykiater. Det er rett og slett feil. </p><div class=\"opinion extendedContent paywall hyperion-css-15ic3dq\"><blockquote data-test-tag=\"blockquote\" class=\"hyperion-css-qsvb07\">Dette er ikke bare en kunnskapsløs <em>rant</em> fra en voksenpsykiater. Det er rett og slett feil. </blockquote></div><p class=\"paywall hyperion-css-1j42uic\">Er det noe dagens spesialister i Bup har, er det nettopp diagnostisk kompetanse. De er pålagt å møte barn og familiene deres med et helt batteri av spørreskjemaer for å lete etter en diagnose allerede ved første møte. Ettersom stadig flere barn og unge også får diagnoser som ADHD, angst og depresjon, er også hjelpen som gis, oftere og oftere i form av en resept. På den måten er barne- og ungdomspsykiatrien i ferd med å bli en helsetjeneste formet etter modell av voksenpsykiatrien.</p><p class=\"paywall hyperion-css-1j42uic\">Problemet er at barn er ikke små voksne. En hjerne i utvikling er i stadig forandring og krever andre forståelser og behandlingstilnærminger enn en voksen hjerne. <a data-test-tag=\"internal-link\" href=\"/meninger/debatt/i/kwq4lk/adhd-er-ingen-motediagnose-for-mange-kommer-hjelpen-for-sent\" class=\"hyperion-css-1raymq9\" rel=\"\" target=\"\" aria-label=\"Noen voksenpsykiatere ser ut til å mene at dersom pasienter de møter hos seg hadde fått riktig diagnose som barn, ville problemene deres vært løst\" theme=\"opinion\">Noen voksenpsykiatere ser ut til å mene at dersom pasienter de møter hos seg hadde fått riktig diagnose som barn, ville problemene deres vært løst</a>. Dette er en naiv forenkling av hvordan vi skal forstå og behandle sosial ulikhet, kriminalitet og rusproblemer. Dette er problemer som krever sammensatte hjelpetiltak over tid – og langt mer enn en diagnose og en resept. </p><div class=\"opinion extendedContent paywall hyperion-css-15ic3dq\"><blockquote data-test-tag=\"blockquote\" class=\"hyperion-css-qsvb07\">Barne- og ungdomspsykiatrien er i ferd med å bli en helsetjeneste formet etter modell av voksenpsykiatrien. Problemet er at barn er ikke små voksne.</blockquote></div><p class=\"paywall hyperion-css-1j42uic\">Barn og unge som strever bør alltid få hjelp, men på riktig nivå og tilpasset sin utvikling. Barn utvikler seg alltid et i samspill med sine omgivelser. Det utviklingspsykologiske blikket kan glippe i en tid der man søker forenklede og individfokuserte løsninger på sammensatte problemer.</p><div class=\"advertory-aftenposten-netboard-wrapper__article \"><div id=\"brandboard\" class=\"advertory-aftenposten-netboard__article\"></div></div><p class=\"paywall hyperion-css-1j42uic\">Selv om diagnoser er riktig hjelp for noen barn og unge, er det forskning som nå peker på at en diagnose også kan virke motsatt. Medikalisering er blitt et problem i dagens helsevesen. Ordet betyr at problemer som ikke nødvendigvis er medisinske, søkes løst med medisinske metoder. </p><p class=\"paywall hyperion-css-1j42uic\"><a aria-label=\"Norsk forskning\" class=\"opinion hyperion-css-1raymq9\" href=\"https://utdanningsforskning.no/artikler/2021/bidrar-medikalisering-av-ungdom-til-utstotning-fra-skole-og-arbeidsliv/\" target=\"_blank\" rel=\"noopener nofollow noreferrer\" data-test-tag=\"external-link\">Norsk forskning</a> har pekt på at en overdreven sykdomsforståelse hos barn og unge kan bidra til høyere risiko for å havne utenfor arbeidslivet som voksen. Dersom barne- og ungdomspsykiatrien skal være en tjeneste som tilbyr bærekraftig hjelp, bør vi nå stoppe opp og spørre om flere diagnoser og piller er riktig svar på den økende andelen barn og unge som ikke har det bra.</p><h2 class=\"paywall hyperion-css-npxxyf\" data-test-tag=\"paragraph-header\">Ikke for lite utredning</h2><p class=\"paywall hyperion-css-1j42uic\">Denne uken vedtok Norsk Psykologforening på sitt landsmøte en resolusjon der det vektlegges et mer helhetlig perspektiv på barn og unges strev. De skriver blant annet at de «er bekymret for at standardiserte og raske forløp har fått forrang fremfor en helhetlig og fleksibel oppfølging i psykisk helsevern for barn og unge». </p><p class=\"paywall hyperion-css-1j42uic\">Det er med andre ord ikke for lite utredning som er problemet i dagens psykiske helsetjeneste for barn og unge, slik noen hevder.</p><p class=\"paywall hyperion-css-1j42uic\">Leketerapi er en behandlingsform som har sine røtter i en psykodynamisk tradisjon i psykisk helsevern. Den tar nettopp hensyn til en helhetlig forståelse av barn som strever og kan gi barn et rom til å forstå seg selv og mestre sitt eget strev på en annen måte enn en diagnose. Begge tilnærminger kan være nødvendig. Men en biologisk forståelse av barns psykiske strev sammen med effektivisering og arbeidspress i Bup, har latt diagnoser dominere hjelpen vi gir. Det er på tide å snu denne utviklingen, jobbe mer helhetlig og forebyggende, slik at mer lek kan bidra til færre piller.</p></article><div id=\"brandmetrics-survey\" class=\"advertory-brandmetrics-survey\"></div><div class=\"hyperion-css-1lkfsxc\"><button aria-label=\"Vis kommentarer\" title=\"Vis kommentarer\" type=\"button\" class=\"hyperion-css-1q6qqhb\"> <!-- -->Vis<!-- --> <!-- -->kommentarer</button></div><div class=\"hyperion-css-1yxx8oe\"><div class=\"hyperion-css-1jbnpry\"><button type=\"button\" title=\"Kopier URL til utklippstavle\" aria-label=\"Kopier URL til utklippstavle\" class=\"hyperion-css-pdsgro\">Kopier lenke</button><a data-test-tag=\"internal-link\" href=\"/tips\" class=\"hyperion-css-1f62hkp\" rel=\"\" target=\"\" aria-label=\"Tips oss\">Tips oss</a></div></div><div id=\"widget-recirculation-matrix\" class=\"extendedContent paywall hyperion-css-177q39v\"><h2 class=\"hyperion-css-r57xc5\" data-test-tag=\"widget:title\">ADHD-veksten</h2><div class=\"bundle extendedContent hyperion-css-cbecqi\"><ol class=\"hyperion-css-1700tdj\"><li class=\"hyperion-css-1lcs599\"><a data-test-tag=\"teaser-medium:link-internal\" href=\"/meninger/debatt/i/XMlgrn/adhd-er-i-ferd-med-aa-bli-vaar-tids-favorittforklaring-hvorfor\" class=\"imagePosition-top medium opinion-teaser hyperion-css-bvr9ut\" rel=\"\" target=\"\" aria-label=\"Hva blir den neste «trenden» i mental helse-feltet etter ADHD?\"><div class=\"hyperion-css-bjn8wh\"><div class=\"hyperion-css-1k8sl4j\"><img class=\"image-asset hyperion-css-175oghx\" data-test-tag=\"image-asset\" src=\"https://premium.vgc.no/v2/images/892ad8d1-c733-4aff-814d-d6d747d3e1a5?fit=crop&amp;format=auto&amp;h=1536&amp;w=2048&amp;s=64ee959450788cef4deb4445a3c8bb9ec2ce15c2\" srcSet=\"https://premium.vgc.no/v2/images/892ad8d1-c733-4aff-814d-d6d747d3e1a5?fit=crop&amp;format=auto&amp;h=1536&amp;w=2048&amp;s=64ee959450788cef4deb4445a3c8bb9ec2ce15c2 2048w,https://premium.vgc.no/v2/images/892ad8d1-c733-4aff-814d-d6d747d3e1a5?fit=crop&amp;format=auto&amp;h=1080&amp;w=1440&amp;s=bf04ad36c8889f3523f2ebc9b7cd4e551af6608a 1440w,https://premium.vgc.no/v2/images/892ad8d1-c733-4aff-814d-d6d747d3e1a5?fit=crop&amp;format=auto&amp;h=768&amp;w=1024&amp;s=cb52f806794da8f5550a704e345bd36b72ed56e9 1024w,https://premium.vgc.no/v2/images/892ad8d1-c733-4aff-814d-d6d747d3e1a5?fit=crop&amp;format=auto&amp;h=735&amp;w=980&amp;s=01f7da23d3105148ccf78793b2220c479587ba9d 980w,https://premium.vgc.no/v2/images/892ad8d1-c733-4aff-814d-d6d747d3e1a5?fit=crop&amp;format=auto&amp;h=585&amp;w=780&amp;s=a3ef7c5ad5645859080c07fc40032ff095f9763d 780w,https://premium.vgc.no/v2/images/892ad8d1-c733-4aff-814d-d6d747d3e1a5?fit=crop&amp;format=auto&amp;h=435&amp;w=580&amp;s=643a2aadf1b8c4580d01242176ee1971ea013c04 580w,https://premium.vgc.no/v2/images/892ad8d1-c733-4aff-814d-d6d747d3e1a5?fit=crop&amp;format=auto&amp;h=285&amp;w=380&amp;s=cb8058d656e6278a3af1b2dc08aca5b674e388ba 380w,https://premium.vgc.no/v2/images/892ad8d1-c733-4aff-814d-d6d747d3e1a5?fit=crop&amp;format=auto&amp;h=150&amp;w=200&amp;s=4f24d5628233ff2512c44eae9ced7f0443fc52cf 200w,https://premium.vgc.no/v2/images/892ad8d1-c733-4aff-814d-d6d747d3e1a5?fit=crop&amp;format=auto&amp;h=75&amp;w=100&amp;s=4de3c64dd2b478f72d3b9fe2ed14b2e54670200b 100w\" alt=\"\" sizes=\"(min-width: 981px) 980px, 100vw\" loading=\"lazy\" fetchpriority=\"auto\" style=\"aspect-ratio:2048 / 1536\"/></div></div><div class=\"hyperion-css-1hlrz9z\"><div class=\"teaser-label hyperion-css-52yh2p\">DEBATT<div class=\"timestamp friendly hyperion-css-10eh1jy\" data-test-tag=\"timestamp\"><span class=\"hyperion-css-ea91rp\">Publisert:</span><div><time itemProp=\"datePublished\" dateTime=\"2025-11-19T13:21:50Z\" aria-label=\"2025-11-19T13:21:50Z\" pubdate=\"pubdate\">19. november</time></div></div></div><div class=\"opinion hyperion-css-1ucd1we\"><h2 class=\"hyperion-css-1hyuqep\">Hva blir den neste «trenden» i mental helse-feltet etter ADHD?</h2></div></div></a></li><li class=\"hyperion-css-1lcs599\"><a data-test-tag=\"teaser-medium:link-internal\" href=\"/norge/i/3MLQQP/hun-gikk-ti-aar-paa-skolen-uten-aa-laere-noe-saerlig-foerst-som-voksen-fikk-hun-adhd-diagnosen\" class=\"imagePosition-top medium feature-teaser hyperion-css-bvr9ut\" rel=\"\" target=\"\" aria-label=\"Hun har en type ADHD som er vanskelig å oppdage. – Nå vet jeg at jeg ikke er lat eller dum.\"><div class=\"hyperion-css-bjn8wh\"><div class=\"hyperion-css-1k8sl4j\"><img class=\"image-asset hyperion-css-1m0dttj\" data-test-tag=\"image-asset\" src=\"https://premium.vgc.no/v2/images/785f1eda-03f6-4ef4-927f-c761fa0af7a8?fit=crop&amp;format=auto&amp;h=1536&amp;w=2048&amp;s=051fabc799d2101ff2634bbe13c889b9eade3b8c\" srcSet=\"https://premium.vgc.no/v2/images/785f1eda-03f6-4ef4-927f-c761fa0af7a8?fit=crop&amp;format=auto&amp;h=1536&amp;w=2048&amp;s=051fabc799d2101ff2634bbe13c889b9eade3b8c 2048w,https://premium.vgc.no/v2/images/785f1eda-03f6-4ef4-927f-c761fa0af7a8?fit=crop&amp;format=auto&amp;h=1080&amp;w=1440&amp;s=ce1f31b3ab37934c23613bddf0e7aa4452b205ca 1440w,https://premium.vgc.no/v2/images/785f1eda-03f6-4ef4-927f-c761fa0af7a8?fit=crop&amp;format=auto&amp;h=768&amp;w=1024&amp;s=b72a8b8a1099994a463370b842de51364c60780c 1024w,https://premium.vgc.no/v2/images/785f1eda-03f6-4ef4-927f-c761fa0af7a8?fit=crop&amp;format=auto&amp;h=735&amp;w=980&amp;s=ea71580a1b41e8ddf126cf5e6e7f96f11c62c0cd 980w,https://premium.vgc.no/v2/images/785f1eda-03f6-4ef4-927f-c761fa0af7a8?fit=crop&amp;format=auto&amp;h=585&amp;w=780&amp;s=45016a530885775262cd2316d14c486398e19a93 780w,https://premium.vgc.no/v2/images/785f1eda-03f6-4ef4-927f-c761fa0af7a8?fit=crop&amp;format=auto&amp;h=435&amp;w=580&amp;s=37f07865b0a5327e87ab43854c4a05711af9b23e 580w,https://premium.vgc.no/v2/images/785f1eda-03f6-4ef4-927f-c761fa0af7a8?fit=crop&amp;format=auto&amp;h=285&amp;w=380&amp;s=446e55c8e6347e8d134ae09d42f02b2872f29016 380w,https://premium.vgc.no/v2/images/785f1eda-03f6-4ef4-927f-c761fa0af7a8?fit=crop&amp;format=auto&amp;h=150&amp;w=200&amp;s=ca2e89bf9fc94139f6ccd5caed6cf977bb73c16b 200w,https://premium.vgc.no/v2/images/785f1eda-03f6-4ef4-927f-c761fa0af7a8?fit=crop&amp;format=auto&amp;h=75&amp;w=100&amp;s=b2a3c929cc1978c0940bfa99085d25114ac7c378 100w\" alt=\"\" sizes=\"(min-width: 981px) 980px, 100vw\" loading=\"lazy\" fetchpriority=\"auto\" style=\"aspect-ratio:2048 / 1536\"/></div></div><div class=\"hyperion-css-1hlrz9z\"><div class=\"teaser-label hyperion-css-52yh2p\">NORGE<div class=\"timestamp friendly hyperion-css-10eh1jy\" data-test-tag=\"timestamp\"><span class=\"hyperion-css-ea91rp\">Publisert:</span><div><time itemProp=\"datePublished\" dateTime=\"2025-11-16T10:12:27Z\" aria-label=\"2025-11-16T10:12:27Z\" pubdate=\"pubdate\">16. november</time></div></div></div><div class=\"opinion hyperion-css-1ucd1we\"><h2 class=\"hyperion-css-1hyuqep\">Hun har en type ADHD som er vanskelig å oppdage. – Nå vet jeg at jeg ikke er lat eller dum.</h2></div></div></a></li><li class=\"hyperion-css-1lcs599\"><a data-test-tag=\"teaser-medium:link-internal\" href=\"/norge/i/OowPLk/overlege-frykter-at-for-mange-faar-adhd-diagnose-kan-gjoere-mer-skade-enn-nytte\" class=\"imagePosition-top medium feature-teaser hyperion-css-bvr9ut\" rel=\"\" target=\"\" aria-label=\"Nå er overlegen bekymret: – ADHD-diagnosen har begynt å leve sitt eget liv\"><div class=\"hyperion-css-bjn8wh\"><div class=\"hyperion-css-1k8sl4j\"><img class=\"image-asset hyperion-css-1y6k4y8\" data-test-tag=\"image-asset\" src=\"https://premium.vgc.no/v2/images/e1a3b4e8-970b-4176-9d94-b2d4cf556ef5?fit=crop&amp;format=auto&amp;h=1536&amp;w=2048&amp;s=b65aa6d69946e28c35c3ab0f62ad6ea6adfd6af4\" srcSet=\"https://premium.vgc.no/v2/images/e1a3b4e8-970b-4176-9d94-b2d4cf556ef5?fit=crop&amp;format=auto&amp;h=1536&amp;w=2048&amp;s=b65aa6d69946e28c35c3ab0f62ad6ea6adfd6af4 2048w,https://premium.vgc.no/v2/images/e1a3b4e8-970b-4176-9d94-b2d4cf556ef5?fit=crop&amp;format=auto&amp;h=1080&amp;w=1440&amp;s=c748d7f80b05a5141a415a5c0e595fccfcd4b15d 1440w,https://premium.vgc.no/v2/images/e1a3b4e8-970b-4176-9d94-b2d4cf556ef5?fit=crop&amp;format=auto&amp;h=768&amp;w=1024&amp;s=ce991005c31a2c4f0963f45a7fc428b20f8e39fb 1024w,https://premium.vgc.no/v2/images/e1a3b4e8-970b-4176-9d94-b2d4cf556ef5?fit=crop&amp;format=auto&amp;h=735&amp;w=980&amp;s=96a10a999070da2e265ee4110f8f1ca2c67de8b5 980w,https://premium.vgc.no/v2/images/e1a3b4e8-970b-4176-9d94-b2d4cf556ef5?fit=crop&amp;format=auto&amp;h=585&amp;w=780&amp;s=eea8145a7e54462ccd47b6bbe8cc025390889391 780w,https://premium.vgc.no/v2/images/e1a3b4e8-970b-4176-9d94-b2d4cf556ef5?fit=crop&amp;format=auto&amp;h=435&amp;w=580&amp;s=2eca6015a7ce38262ff37d9690ff8fde353dcf3e 580w,https://premium.vgc.no/v2/images/e1a3b4e8-970b-4176-9d94-b2d4cf556ef5?fit=crop&amp;format=auto&amp;h=285&amp;w=380&amp;s=a59499c62f26892b3041696d3f8c38d8a8e8ecc8 380w,https://premium.vgc.no/v2/images/e1a3b4e8-970b-4176-9d94-b2d4cf556ef5?fit=crop&amp;format=auto&amp;h=150&amp;w=200&amp;s=bc6e6f1dd20a9ad9cca4883750be1b43b2f0b66e 200w,https://premium.vgc.no/v2/images/e1a3b4e8-970b-4176-9d94-b2d4cf556ef5?fit=crop&amp;format=auto&amp;h=75&amp;w=100&amp;s=18a88881fb6655db30598bb44f0a55a1777e757c 100w\" alt=\"\" sizes=\"(min-width: 981px) 980px, 100vw\" loading=\"lazy\" fetchpriority=\"auto\" style=\"aspect-ratio:2048 / 1536\"/></div></div><div class=\"hyperion-css-1hlrz9z\"><div class=\"teaser-label hyperion-css-52yh2p\">NORGE<div class=\"timestamp friendly hyperion-css-10eh1jy\" data-test-tag=\"timestamp\"><span class=\"hyperion-css-ea91rp\">Publisert:</span><div><time itemProp=\"datePublished\" dateTime=\"2025-11-09T19:23:03Z\" aria-label=\"2025-11-09T19:23:03Z\" pubdate=\"pubdate\">9. november</time></div></div></div><div class=\"opinion hyperion-css-1ucd1we\"><h2 class=\"hyperion-css-1hyuqep\">Nå er overlegen bekymret: – ADHD-diagnosen har begynt å leve sitt eget liv</h2></div></div></a></li><li class=\"hyperion-css-1lcs599\"><a data-test-tag=\"teaser-medium:link-internal\" href=\"/norge/i/almxBL/hvor-i-landet-du-bor-kan-avgjoere-om-du-faar-en-adhd-diagnose\" class=\"imagePosition-top medium feature-teaser hyperion-css-bvr9ut\" rel=\"\" target=\"\" aria-label=\"Fylket har den høyeste andelen barn med ADHD. – Enormt press fra foreldre og skole.\"><div class=\"hyperion-css-bjn8wh\"><div class=\"hyperion-css-1k8sl4j\"><img class=\"image-asset hyperion-css-ht6yin\" data-test-tag=\"image-asset\" src=\"https://premium.vgc.no/v2/images/da66d20d-26f3-4c69-a2b1-4781008aff6d?fit=crop&amp;format=auto&amp;h=1536&amp;w=2048&amp;s=9c09cffd5485bc2d643c75748bf4c3e5b26885f9\" srcSet=\"https://premium.vgc.no/v2/images/da66d20d-26f3-4c69-a2b1-4781008aff6d?fit=crop&amp;format=auto&amp;h=1536&amp;w=2048&amp;s=9c09cffd5485bc2d643c75748bf4c3e5b26885f9 2048w,https://premium.vgc.no/v2/images/da66d20d-26f3-4c69-a2b1-4781008aff6d?fit=crop&amp;format=auto&amp;h=1080&amp;w=1440&amp;s=420f92b37eda2e87bf45ed458c4809928b11c570 1440w,https://premium.vgc.no/v2/images/da66d20d-26f3-4c69-a2b1-4781008aff6d?fit=crop&amp;format=auto&amp;h=768&amp;w=1024&amp;s=e04604880f070a0d2ab7b8144cdcac32aabc46c6 1024w,https://premium.vgc.no/v2/images/da66d20d-26f3-4c69-a2b1-4781008aff6d?fit=crop&amp;format=auto&amp;h=735&amp;w=980&amp;s=1b5f9567d97e31f4e0ce811e74c2fe1294684acb 980w,https://premium.vgc.no/v2/images/da66d20d-26f3-4c69-a2b1-4781008aff6d?fit=crop&amp;format=auto&amp;h=585&amp;w=780&amp;s=db10134e5c26b5f315d2a00d52b84079fa929d75 780w,https://premium.vgc.no/v2/images/da66d20d-26f3-4c69-a2b1-4781008aff6d?fit=crop&amp;format=auto&amp;h=435&amp;w=580&amp;s=bbe5c6142282d73d078579782e22c72d1c9b40e5 580w,https://premium.vgc.no/v2/images/da66d20d-26f3-4c69-a2b1-4781008aff6d?fit=crop&amp;format=auto&amp;h=285&amp;w=380&amp;s=531e8e87e03d084faac1779d09772cb9885fce9b 380w,https://premium.vgc.no/v2/images/da66d20d-26f3-4c69-a2b1-4781008aff6d?fit=crop&amp;format=auto&amp;h=150&amp;w=200&amp;s=624d2f3913f9a39943fa8599888c6eac506a935d 200w,https://premium.vgc.no/v2/images/da66d20d-26f3-4c69-a2b1-4781008aff6d?fit=crop&amp;format=auto&amp;h=75&amp;w=100&amp;s=53729270491147fbe04310390fa8f0fdf8d077a3 100w\" alt=\"\" sizes=\"(min-width: 981px) 980px, 100vw\" loading=\"lazy\" fetchpriority=\"auto\" style=\"aspect-ratio:2048 / 1536\"/></div></div><div class=\"hyperion-css-1hlrz9z\"><div class=\"teaser-label hyperion-css-52yh2p\">NORGE<div class=\"timestamp friendly hyperion-css-10eh1jy\" data-test-tag=\"timestamp\"><span class=\"hyperion-css-ea91rp\">Publisert:</span><div><time itemProp=\"datePublished\" dateTime=\"2025-11-03T18:43:25Z\" aria-label=\"2025-11-03T18:43:25Z\" pubdate=\"pubdate\">3. november</time></div></div></div><div class=\"opinion hyperion-css-1ucd1we\"><h2 class=\"hyperion-css-1hyuqep\">Fylket har den høyeste andelen barn med ADHD. – Enormt press fra foreldre og skole.</h2></div></div></a></li></ol></div></div><div id=\"widget-inline-list\" class=\"extendedContent paywall hyperion-css-1wv24dq\"><div class=\"bundle hyperion-css-6nuwex\"><ol class=\"hyperion-css-19mvxvm\"><li class=\"hyperion-css-1og0r8\"><a data-test-tag=\"internal-link\" href=\"/emne/adhd-veksten\" class=\"hyperion-css-vpoaev\" rel=\"\" target=\"\" aria-label=\"ADHD-veksten\"><span class=\"hyperion-css-0\">ADHD-veksten</span></a></li><li class=\"hyperion-css-1og0r8\"><a data-test-tag=\"internal-link\" href=\"/tag/psykisk-helsevern\" class=\"hyperion-css-vpoaev\" rel=\"\" target=\"\" aria-label=\"Psykisk helsevern\"><span class=\"hyperion-css-0\">Psykisk helsevern</span></a></li><li class=\"hyperion-css-1og0r8\"><a data-test-tag=\"internal-link\" href=\"/tag/adhd\" class=\"hyperion-css-vpoaev\" rel=\"\" target=\"\" aria-label=\"ADHD\"><span class=\"hyperion-css-0\">ADHD</span></a></li></ol></div></div><div class=\"advertory-aftenposten-netboard-wrapper__article \"><div id=\"netboard_5\" class=\"advertory-aftenposten-netboard__article\"></div></div><div class=\"observer-placeholder\"><noscript></noscript></div><div class=\"hyperion-css-1q3hux1\"><button aria-label=\"Tilbake til forsiden\" title=\"Tilbake til forsiden\" type=\"button\" class=\"hyperion-css-1t4sy44\">Tilbake til forsiden</button></div><div class=\"advertory-aftenposten-netboard-wrapper__article advertory-aftenposten-bottom-ad\"><div id=\"netboard_6\" 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har mindre tid og rom for fri lek enn tidligere generasjoner. Det kan henge sammen med den økningen vi har sett i psykiske uhelse og skolefrafall hos dagens barn og unge, skriver innleggsforfatterne.\"},\"byline\":{\"title\":\"Illustrasjonsbilde: Olav Olsen\"},\"imageAsset\":{\"id\":\"a9a63a39-cba3-4f5d-b656-33b6a0b0beed\",\"size\":{\"width\":4786,\"height\":3191},\"hotspot\":{\"x\":162,\"y\":108,\"width\":3994,\"height\":2993},\"urls\":[{\"url\":\"https:\\u002F\\u002Fpremium.vgc.no\\u002Fv2\\u002Fimages\\u002Fa9a63a39-cba3-4f5d-b656-33b6a0b0beed?fit=crop&format=auto&h=1365&w=2048&s=0f30cf2409c0b18ac7fa396b534592854642427f\",\"width\":2048,\"height\":1365},{\"url\":\"https:\\u002F\\u002Fpremium.vgc.no\\u002Fv2\\u002Fimages\\u002Fa9a63a39-cba3-4f5d-b656-33b6a0b0beed?fit=crop&format=auto&h=960&w=1440&s=6132801cb8a031aa6341f8d0f331fd4ed5dd27a5\",\"width\":1440,\"height\":960},{\"url\":\"https:\\u002F\\u002Fpremium.vgc.no\\u002Fv2\\u002Fimages\\u002Fa9a63a39-cba3-4f5d-b656-33b6a0b0beed?fit=crop&format=auto&h=683&w=1024&s=859d85c61592a40aacb48e0a16f449fb9ffd4208\",\"width\":1024,\"height\":683},{\"url\":\"https:\\u002F\\u002Fpremium.vgc.no\\u002Fv2\\u002Fimages\\u002Fa9a63a39-cba3-4f5d-b656-33b6a0b0beed?fit=crop&format=auto&h=653&w=980&s=0384e476d06a628deb92844537d207ef0d82b21c\",\"width\":980,\"height\":653},{\"url\":\"https:\\u002F\\u002Fpremium.vgc.no\\u002Fv2\\u002Fimages\\u002Fa9a63a39-cba3-4f5d-b656-33b6a0b0beed?fit=crop&format=auto&h=520&w=780&s=764e71a57eacf225129726dfda4a38d266304f50\",\"width\":780,\"height\":520},{\"url\":\"https:\\u002F\\u002Fpremium.vgc.no\\u002Fv2\\u002Fimages\\u002Fa9a63a39-cba3-4f5d-b656-33b6a0b0beed?fit=crop&format=auto&h=387&w=580&s=b77f153fdcc5d2c44d167e993846c8a0cf322997\",\"width\":580,\"height\":387},{\"url\":\"https:\\u002F\\u002Fpremium.vgc.no\\u002Fv2\\u002Fimages\\u002Fa9a63a39-cba3-4f5d-b656-33b6a0b0beed?fit=crop&format=auto&h=253&w=380&s=6272af861860323babe0f83ca8715c95d58eb374\",\"width\":380,\"height\":253},{\"url\":\"https:\\u002F\\u002Fpremium.vgc.no\\u002Fv2\\u002Fimages\\u002Fa9a63a39-cba3-4f5d-b656-33b6a0b0beed?fit=crop&format=auto&h=133&w=200&s=83112daffd24dc25da8d7a7180675c572ae3e703\",\"width\":200,\"height\":133},{\"url\":\"https:\\u002F\\u002Fpremium.vgc.no\\u002Fv2\\u002Fimages\\u002Fa9a63a39-cba3-4f5d-b656-33b6a0b0beed?fit=crop&format=auto&h=67&w=100&s=20115dfc7f6a4b3d1f0208fa64dc208f104ab822\",\"width\":100,\"height\":67}]},\"characteristics\":{\"figure\":false,\"sensitive\":false},\"type\":\"image\",\"top\":true,\"lazy\":false,\"layout\":\"fullWidthDesktop\",\"presentationProperties\":{\"bylinePrefix\":\"Illustrasjonsbilde: \"}},\"text-lead\":{\"type\":\"text\",\"text\":{\"value\":\"Er flere diagnoser og piller riktig svar på den økende andelen barn og unge som ikke har det bra?\"},\"subtype\":\"lead\",\"layout\":\"contentWidth\"},\"text-timestamp\":{\"type\":\"text\",\"subtype\":\"timestamp\",\"text\":{\"value\":\"Publisert: 02.12.2025 15:24\",\"markup\":[]},\"friendly\":false,\"top\":true,\"showPublished\":true,\"externalClassName\":\"paywall\",\"lazy\":false},\"newsletter-signup\":{\"type\":\"newsletter-signup\",\"newsletterPublication\":\"ap\",\"newsletterId\":\"5272064d-7078-4c71-bfcd-08c95f5a507e\",\"newsletterName\":\"Morgenbrief\",\"newsletterDescription\":\"Få en kjapp oversikt over de største nyhetene, rett i innboksen, hver morgen.\",\"newsletterSignupMessage\":\"Takk, din påmelding er registrert. Administrer dine nyhetsbrev på \\\"Min side\\\".\",\"needsSubscription\":false,\"secondaryNewsletter\":{\"newsletterPublication\":\"ap\",\"newsletterId\":\"ba1a0e9b-996c-46bb-9ec7-8ac5c851fdc8\",\"newsletterName\":\"Se. Lese. Høre. Gjøre.\",\"newsletterDescription\":\"Debattredaktør Erik Tornes sender deg de mest interessante anmeldelsene og debattene.\",\"needsSubscription\":false},\"externalClassName\":\"paywall\"},\"article-marker-content-start\":{\"type\":\"article-marker\",\"subtype\":\"content-start\",\"externalClassName\":\"paywall\"},\"text\":{\"type\":\"text\",\"text\":{\"value\":\"Lek er barns språk. Det er et problem at lekerommene stenges ned i den offentlige psykiske helsetjenesten for barn og unge, mens skjemabaserte utredninger og diagnoser tar mer og mer plass.\"},\"externalClassName\":\"paywall\"},\"text-0\":{\"type\":\"text\",\"text\":{\"value\":\"Leken er helt grunnleggende for barns helse og utvikling. Alle pattedyr leker og forteller oss med det hvilken instinktiv drift dette egentlig er. Barn i dag har mindre tid og rom for fri lek enn tidligere generasjoner. Det kan henge sammen med den økningen vi har sett i psykiske uhelse og skolefrafall hos dagens barn og unge. Vi vet at lek utvikler helt nødvendige ferdigheter som sosial kompetanse, mental robusthet og motorikk. \"},\"externalClassName\":\"paywall\"},\"text-1\":{\"type\":\"text\",\"text\":{\"value\":\"I mange år har lek også vært brukt som en observasjonsmetode og en behandlingsform i barnepsykiatrien. Gjennom lek kan barn fortelle oss noe grunnleggende om hvem de er og hva de strever med. Studier på leketerapi har vist effekt for vansker som depresjon og angst (Midgley 2021), og mye utelek i barnehagen er korrelert med høyere empati og bedre læring opp i skolealder. Til stor frustrasjon for mange som jobber i en presset psykisk helsetjeneste for barn og unge er det derimot stadig færre som mottar faglig hjelp basert på lekbaserte metoder, mens utredninger og diagnoser tar mer og mer plass.\",\"markup\":[{\"type\":\"link:external\",\"offset\":284,\"length\":70,\"uri\":\"https:\\u002F\\u002Fwww.utdanningsnytt.no\\u002Fbarnehage-lek-og-laering\\u002Futelek-i-barnehagen-gir-mer-konsentrerte-skolebarn\\u002F174325#:~:text=%E2%80%93%20V%C3%A5re%20funn%20st%C3%B8tter%20oppfatningen%20mange,timer%20per%20dag%20som%20fire%C3%A5ringer.\",\"relationships\":[\"nofollow\",\"noreferrer\"]}]},\"externalClassName\":\"paywall\"},\"text-heading\":{\"type\":\"text\",\"text\":{\"value\":\"Kunnskapsløst\"},\"subtype\":\"heading\",\"externalClassName\":\"paywall\"},\"text-2\":{\"type\":\"text\",\"text\":{\"value\":\"Når voksenpsykiater – og professor emeritus – Tor Ketil Larsen anklager fagfolk i dagens barne- og ungdomspsykiatri for manglende «diagnostisk kompetanse» og for å drive med «leketerapi og uendelige uvirksomme analyser i freudiansk tradisjon», krever det en oppklaring. Dette er ikke bare en kunnskapsløs rant fra en voksenpsykiater. Det er rett og slett feil. \",\"markup\":[{\"type\":\"link:internal\",\"offset\":72,\"length\":43,\"uri\":\"article:ArzPg3\",\"expandedUri\":\"https:\\u002F\\u002Fwww.aftenposten.no\\u002Fmeninger\\u002Fdebatt\\u002Fi\\u002FArzPg3\\u002Fadhd-spesialistene-har-plikt-til-grundig-utredning\"},{\"type\":\"style:em\",\"offset\":305,\"length\":4}]},\"externalClassName\":\"paywall\"},\"text-blockquote\":{\"type\":\"text\",\"text\":{\"value\":\"Dette er ikke bare en kunnskapsløs rant fra en voksenpsykiater. Det er rett og slett feil. \",\"markup\":[{\"type\":\"style:em\",\"offset\":35,\"length\":4}]},\"subtype\":\"blockquote\",\"externalClassName\":\"paywall\",\"layout\":\"extendedContent\"},\"text-3\":{\"type\":\"text\",\"text\":{\"value\":\"Er det noe dagens spesialister i Bup har, er det nettopp diagnostisk kompetanse. De er pålagt å møte barn og familiene deres med et helt batteri av spørreskjemaer for å lete etter en diagnose allerede ved første møte. Ettersom stadig flere barn og unge også får diagnoser som ADHD, angst og depresjon, er også hjelpen som gis, oftere og oftere i form av en resept. På den måten er barne- og ungdomspsykiatrien i ferd med å bli en helsetjeneste formet etter modell av voksenpsykiatrien.\"},\"externalClassName\":\"paywall\"},\"text-4\":{\"type\":\"text\",\"text\":{\"value\":\"Problemet er at barn er ikke små voksne. En hjerne i utvikling er i stadig forandring og krever andre forståelser og behandlingstilnærminger enn en voksen hjerne. Noen voksenpsykiatere ser ut til å mene at dersom pasienter de møter hos seg hadde fått riktig diagnose som barn, ville problemene deres vært løst. Dette er en naiv forenkling av hvordan vi skal forstå og behandle sosial ulikhet, kriminalitet og rusproblemer. Dette er problemer som krever sammensatte hjelpetiltak over tid – og langt mer enn en diagnose og en resept. \",\"markup\":[{\"type\":\"link:internal\",\"offset\":163,\"length\":146,\"uri\":\"article:kwq4lk\",\"expandedUri\":\"https:\\u002F\\u002Fwww.aftenposten.no\\u002Fmeninger\\u002Fdebatt\\u002Fi\\u002Fkwq4lk\\u002Fadhd-er-ingen-motediagnose-for-mange-kommer-hjelpen-for-sent\"}]},\"externalClassName\":\"paywall\"},\"text-blockquote-5\":{\"type\":\"text\",\"text\":{\"value\":\"Barne- og ungdomspsykiatrien er i ferd med å bli en helsetjeneste formet etter modell av voksenpsykiatrien. Problemet er at barn er ikke små voksne.\"},\"subtype\":\"blockquote\",\"externalClassName\":\"paywall\",\"layout\":\"extendedContent\"},\"text-6\":{\"type\":\"text\",\"text\":{\"value\":\"Barn og unge som strever bør alltid få hjelp, men på riktig nivå og tilpasset sin utvikling. Barn utvikler seg alltid et i samspill med sine omgivelser. Det utviklingspsykologiske blikket kan glippe i en tid der man søker forenklede og individfokuserte løsninger på sammensatte problemer.\"},\"externalClassName\":\"paywall\"},\"text-7\":{\"type\":\"text\",\"text\":{\"value\":\"Selv om diagnoser er riktig hjelp for noen barn og unge, er det forskning som nå peker på at en diagnose også kan virke motsatt. Medikalisering er blitt et problem i dagens helsevesen. Ordet betyr at problemer som ikke nødvendigvis er medisinske, søkes løst med medisinske metoder. \"},\"externalClassName\":\"paywall\"},\"text-8\":{\"type\":\"text\",\"text\":{\"value\":\"Norsk forskning har pekt på at en overdreven sykdomsforståelse hos barn og unge kan bidra til høyere risiko for å havne utenfor arbeidslivet som voksen. Dersom barne- og ungdomspsykiatrien skal være en tjeneste som tilbyr bærekraftig hjelp, bør vi nå stoppe opp og spørre om flere diagnoser og piller er riktig svar på den økende andelen barn og unge som ikke har det bra.\",\"markup\":[{\"type\":\"link:external\",\"offset\":0,\"length\":15,\"uri\":\"https:\\u002F\\u002Futdanningsforskning.no\\u002Fartikler\\u002F2021\\u002Fbidrar-medikalisering-av-ungdom-til-utstotning-fra-skole-og-arbeidsliv\\u002F\",\"relationships\":[\"nofollow\",\"noreferrer\"]}]},\"externalClassName\":\"paywall\"},\"text-heading-9\":{\"type\":\"text\",\"text\":{\"value\":\"Ikke for lite utredning\"},\"subtype\":\"heading\",\"externalClassName\":\"paywall\"},\"text-10\":{\"type\":\"text\",\"text\":{\"value\":\"Denne uken vedtok Norsk Psykologforening på sitt landsmøte en resolusjon der det vektlegges et mer helhetlig perspektiv på barn og unges strev. De skriver blant annet at de «er bekymret for at standardiserte og raske forløp har fått forrang fremfor en helhetlig og fleksibel oppfølging i psykisk helsevern for barn og unge». \"},\"externalClassName\":\"paywall\"},\"text-11\":{\"type\":\"text\",\"text\":{\"value\":\"Det er med andre ord ikke for lite utredning som er problemet i dagens psykiske helsetjeneste for barn og unge, slik noen hevder.\"},\"externalClassName\":\"paywall\"},\"text-12\":{\"type\":\"text\",\"text\":{\"value\":\"Leketerapi er en behandlingsform som har sine røtter i en psykodynamisk tradisjon i psykisk helsevern. Den tar nettopp hensyn til en helhetlig forståelse av barn som strever og kan gi barn et rom til å forstå seg selv og mestre sitt eget strev på en annen måte enn en diagnose. Begge tilnærminger kan være nødvendig. Men en biologisk forståelse av barns psykiske strev sammen med effektivisering og arbeidspress i Bup, har latt diagnoser dominere hjelpen vi gir. 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   "source_updated_at" : "2025-12-02 10:03:29",
   "summary" : "Charlotte Lunde, Fredrik Cappelen og Kjersti Lohne svarer Tor Ketil Larsen.",
   "tags" : null,
   "title" : "Kunnskapsløs rant og direkte feil fra voksenpsykiater om «leketerapi» for barn og unge",
   "twitter_title" : null,
   "version" : 1
}