Treatment for ADHD

Among the conclusions and recommendations that are stated in this policy statement are that attention deficit hyperactivity disorder should be recognized as a chronic condition and that a child-specific,

individualized treatment program should be developed for children with a goal of maximizing function to improve relationships and performance at school, decrease disruptive behaviors, promote safety, increase independence and improve self esteem.

Other recommendations include that stimulant medications and/or behavior therapy are appropriate and safe treatment for ADHD and that children should have regular and systematic follow-up to monitor goals and possible side effects.

The focus of behavioral treatment for ADHD involves providing your child with positive consequences for behaving in appropriate ways. The simple logic is that you can increase the frequency of desired behavior (e.g. putting away toys) by providing rewards when such behavior occurs. At the simplest level, this requires nothing more than noticing when your child is doing something you want to encourage (e.g. playing quietly) and making sure to comment on it (“Your doing such a nice job of playing quietly. I really appreciate that.”).

Think about the kinds of behavior treatment for ADHD you want to encourage, make sure your child understands what you want him or her to do, and then be sure to praise your child whenever you happen to observe it occurring. This simple technique of noticing good behavior is easy to overlook and can be quite helpful. I often recommend to parents that they make a conscious effort to catch their child doing something good at least 5 times a day and to point it out. When children are convinced that their parents notice and appreciate their efforts at behaving well, it frequently increases their desire to do so.

Some available forms as treatment for ADHD include:

· Concerta (long acting)
· Daytrana (long acting Ritalin patch)
· Focalin (short acting) and Focalin XR (long acting)
· Metadate CD (long acting)
· Metadate ER (long acting)
· Methylin (short acting) – chewable tables and oral solution
· Ritalin (short acting) – generic
· Ritalin LA (long acting)

Forms of Amphetamine as treatment for ADHD

Amphetamine stimulants are also available in different forms, including short acting (twice a day) and long acting (once a day) forms, including:

· Adderall (short acting) – generic
· Adderall XR (long acting)
· Dexedrine (short acting) – generic
· Vyvanse

Second Line treatment for ADHD

Second line medications or alternatives to the stimulants and Strattera include antidepressants, like buproprion (Welbutrin), imipramine (Tofranil), and Nortriptyline (Pamelor), and alpha-2-adrenergic agonists, like clonidine (Catapres) and guanfacine (Tenex).

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