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ADHD in Children Health Center

ADHD Multimodal Treatment

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ADHD (attention deficit hyperactivity disorder) is characterized by inattention, hyperactivity, and the inability to control impulses. It affects an estimated 5.2 million school-age children in the U.S.

Everyone, especially younger children, may have symptoms of ADHD from time to time. But with ADHD, the ability to function with daily activities is affected. A diagnosis of ADHD can be hard to make, and evaluation must be made by a specialist.

There are several different approaches to treating ADHD. But research suggests that for many children the best way to manage the symptoms is a multimodal approach.

What Is a Multimodal Approach to Treating ADHD?

Multimodal treatment involves multiple methods of treatment that work together to help a child with ADHD.

The main components of this approach are medications, behavioral therapy, and education.

Medications and ADHD

The most commonly prescribed medications for ADHD are stimulants. These include:

  • Adderall
  • Concerta
  • Daytrana
  • Dexedrine
  • Dextrostat
  • Focalin
  • Metadate
  • Methylin
  • Methylphenidate
  • Ritalin
  • Vyvanse
  • Quillivant

Some of these drugs may be available in longer acting formulations.

Non-stimulant medications used to treat ADHD, include:

  • Clonidine
  • Intuniv
  • Kapvay
  • Strattera

ADHD medications are used to improve children's ability to concentrate and work. Sometimes a doctor must prescribe different medications or different dosages before finding the best treatment for a child. Doctors and parents need to carefully monitor children taking medications for ADHD.

Side effects of ADHD medicines can include:

  • Anxiety
  • Decreased appetite
  • Fatigue
  • Irritability
  • Sleeping difficulties
  • Upset stomach

Most side effects are minor and improve with time. In some cases, doctors may lower a medication dosage to relieve side effects.

The FDA recommends that a thorough medical history and exam, including an evaluation of underlying heart or psychiatric problems, be done as part of an ADHD treatment plan. A higher risk of strokes, heart attacks, and sudden death among patients with existing heart conditions has been linked to use of ADHD medications. An increased risk of psychiatric problems has also been linked to ADHD medications.

Behavioral Therapy and ADHD

Behavioral therapy is designed to help a child curb problematic behaviors. This may involve helping the child learn to organize time and activities. Or it could help a child complete homework. It may also involve helping the child control his or her impulses and responses to emotional stimuli.

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