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Treatment of ADHD

   

Treatment options for children and adolescents with ADHD include medication, psychotherapy, behavioral therapy, and social skills training. There are times when the entire family of a child with ADHD can benefit from support groups, or parenting skills training.

The Learning Disabilities Association of America does not take any position with regard to the treatment of ADHD. ADHD is not a specific learning disability. The information in this section is provided by the National Institute of Mental Health, from their publication Attention Deficit Hyperactivity Disorder, Revised September 2002, NIH Publication No. 03-3572.

No single treatment is the answer for every child. A child may sometimes have undesirable side effects to a medication that would make that particular treatment unacceptable. And, if a child with ADHD also has anxiety or depression, a treatment combining medication and behavioral therapy might be best. Each child’s needs and personal history must be carefully considered.

Medications

For decades, medications have been used to treat the symptoms of ADHD. Medications for ADHD help many children focus and be more successful at school, home, and play. Avoiding negative experiences now may actually help prevent addictions and other emotional problems later.

About 80 percent of children who need medication for ADHD still need it as teenagers. Over 50 percent need medication as adults.

The medications that seem to be the most effective are a class of drugs known as stimulants. Following is a list of the stimulants, their trade (or brand) names and their generic names. “Approved age” means that the drug has been tested and found safe and effective in children of that age.

Trade Name Generic Name Approved Age
Adderall amphetamine 3 and older
Concerta
methylphenidate
(long acting)
6 and older
Dexedrine dextroamphetamine 3 and older
Dextrostat dextroamphetamine 3 and older
Focalin desmethylphenidate 6 and older
Metadate ER methylphenidate
(extended release)
6 and older
Metadate CD methylphenidate
(extended release)
6 and older
Ritalin methylphenidate 6 and older
Ritalin SR methylphenidate
(extended release)
6 and older
Ritalin LA methylphenidate
(long acting)
6 and older

The Food and Drug Administration recently approved a medication for ADHD that is not a stimulant. The medication, Strattera, or atomoxetine, works on the neurotransmitter norepinephrine; whereas the stimulants primarily work on dopamine. Both of these neurotransmitters are believed to play a role in ADHD. More studies will need to be done to contrast Strattera with the medications already available but the evidence to date indicates that over 70 percent of children with ADHD given Strattera manifest significant improvement in their symptoms. – National Institute of Mental Health, 2002

For more information on ADHD or to order their 47 page booklet, contact the National Institute of Mental Health, http://www.nimh.nih.gov

 
 
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