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The start of a new school year, and with it the return to a regimented daily structure, can highlight problems such as attention deficit hyperactivity disorder, or ADHD. Many parents are concerned that their child may have the disorder, marked by persistent inattention, hyperactive or impulsive behavior, or both. Those whose kids are diagnosed with ADHD want to make sure they get the best treatment. But as the number of children on medication for ADHD climbs, some experts worry that the disorder is being overdiagnosed and overtreated. To help sort out the complex issue, Berkeley Wellness turned to Stephen Hinshaw, PhD , a professor of psychology at UC Berkeley and co-author (with Richard Scheffler) of The ADHD Explosion: Myths, Medications, Money, and Today's Push for Performance (Oxford, 2014).

ADHD is very often a chronic condition. According to the American Academy of Child and Adolescent Psychiatry, about 30 - 65 percent of children with ADHD continue to experience symptoms through adolescence and into adulthood. ADHD can cause many problems in adulthood including impaired physical and mental health, poor work performance, and financial stress.

Full implementation of the action statements described in this guideline and the process-of-care algorithm might require changes in office procedures and/or preparatory efforts to identify community resources. The section titled Preparing the Practice in the process-of-care algorithm and further information can be found in the supplement to the Task Force on Mental Health report. 7 It is important to document all aspects of the diagnostic and treatment procedures in the patients' records. Use of rating scales for the diagnosis of ADHD and assessment for comorbid conditions and as a method for monitoring treatment as described in the process algorithm (see Supplemental Fig 2), as well as information provided to parents such as management plans, can help facilitate a clinician's accurate documentation of his or her process.

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When their child is diagnosed with ADHD, parents often have concerns about deciding the best way to help their child. It is important for parents to remember that ADHD can be successfully managed. There are many treatment options, so parents should work closely with everyone involved in the child's lifehealthcare providers, therapists, teachers, coaches, and other family members. Taking advantage of all the resources available will help parents guide their child towards success.

Again, your child's doctor will go over the specifics, depending on the medicine used. I encourage all patients to take all medicines seven days a week, at least for the first month. This allows parents to observe any changes during the weekends. If the team decides that taking the medication is not necessary on the weekends, so be it. However, this rule only applies to the psychostimulants. All other psychotropic medications need to be taken each and every day unless the doctor tells you otherwise.

In pediatric ADHD, a combined treatment approach generally consists of pharmacotherapy and some form of psychosocial intervention, generally consisting of training parents in behavioral management, consultation with teachers/school personnel and individual work with the child 116 For example, behavioral parent training (BPT) programs seem to be effective for children with disruptive behaviors, irrespective of co-occurring attentional/hyperactive difficulties. BPT techniques generally consist of training parents in general operant conditioning techniques such as contingent application of reinforcement or punishment in response to appropriate/inappropriate behaviors. Reinforcement procedures have typically relied on praise, privileges or tokens, whereas punishment methods have usually been loss of positive attention, privileges or tokens, or formal 'time out' from reinforcement.

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The start of a new school year, and with it the return to a regimented daily structure, can highlight problems such as attention deficit hyperactivity disorder, or ADHD. Many parents are concerned that their child may have the disorder, marked by persistent inattention, hyperactive or impulsive behavior, or both. Those whose kids are diagnosed with ADHD want to make sure they get the best treatment. But as the number of children on medication for ADHD climbs, some experts worry that the disorder is being overdiagnosed and overtreated. To help sort out the complex issue, Berkeley Wellness turned to Stephen Hinshaw, PhD , a professor of psychology at UC Berkeley and co-author (with Richard Scheffler) of The ADHD Explosion: Myths, Medications, Money, and Today's Push for Performance (Oxford, 2014).

ADHD is very often a chronic condition. According to the American Academy of Child and Adolescent Psychiatry, about 30 - 65 percent of children with ADHD continue to experience symptoms through adolescence and into adulthood. ADHD can cause many problems in adulthood including impaired physical and mental health, poor work performance, and financial stress.

Full implementation of the action statements described in this guideline and the process-of-care algorithm might require changes in office procedures and/or preparatory efforts to identify community resources. The section titled Preparing the Practice in the process-of-care algorithm and further information can be found in the supplement to the Task Force on Mental Health report. 7 It is important to document all aspects of the diagnostic and treatment procedures in the patients' records. Use of rating scales for the diagnosis of ADHD and assessment for comorbid conditions and as a method for monitoring treatment as described in the process algorithm (see Supplemental Fig 2), as well as information provided to parents such as management plans, can help facilitate a clinician's accurate documentation of his or her process.

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Children with ADHD who have the best outcomes are those who receive a combination of simultaneous interventions. While ADHD is not caused by poor parenting, or psychological, behavioral, emotional, or educational challenges, treating it successfully includes elements of all those components.

A. The MTA was designed and conducted in the early 1990s, before the extended release formulations of stimulant medications became widely available. The MTA used immediate release methylphenidate (Ritalin), which was administered three times a day. Currently, most children receiving stimulant treatment for ADHD are given a once-a-day dose of medication in the morning. However, this difference in medication administration does not change the study's main conclusions.

Behavior therapy involves reinforcing desired behaviors through rewards and praise and decreasing problem behaviors by setting limits and consequences. For example, one intervention might be that a teacher rewards a child who has ADHD for taking small steps toward raising a hand before talking in class, even if the child still blurts out a comment. The theory is that rewarding the struggle toward change encourages the full new behavior.

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ADHD and treatment is a very touchy subject. Many people are told that the only treatment for ADD ADHD is medication. I have tried to talk to these people and let them know that this isn't true, and then I get called all kinds of names. Because I have ADHD and I have dramatically reduced my symptoms, I know what works. I certainly do not use medication.

Be sure to pick your words carefully when praising your child's behavior or setting limits. Wow, you're having a great day today. You must have taken your meds! is a somewhat backhanded compliment. Better to say, Wow, you're trying really hard today. Nice job of paying attention, (or cleaning your room, sticking with a hard assignment, or staying in your seat). Without overdoing it, publicly praise as much as possible to bolster self-esteem and focus on your child's strengths. Be generous with the small but significant non-verbal cues of life a pat on the back here, a high-five there. You're spending a lot of time, effort, and spirit seeking treatment for the problem; just don't forget to nurture what's good about your child!!

There is no single test to diagnose ADHD. The doctor will do a physical exam of the child to make sure that no underlying condition, such as a hearing or vision problem, is causing ADHD-like symptoms. Still, a diagnosis of ADHD is based primarily on observations and reports of a child's behavior patterns. Your child's pediatrician may also refer you to a mental health professional who is experienced in childhood disorders such as ADHD.

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Left untreated, ADHD can pose threats to your health. Depression, anxiety and bipolar disorder are three conditions ADHD treatment can help you avoid. Psychiatrists believe that the mounting frustrations and disappointments of living with untreated adult ADHD raise your risk of these mental health problems as well as antisocial personality disorder. Better impulse control - another benefit of ADHD treatment - can also contribute to your health and well-being by making you less likely to engage in risky behavior, such as reckless driving and substance abuse.

Support groups are great for helping parents of children with ADHD to connect with others who may share similar experiences, concerns, and successes. Support groups typically meet regularly so relationships and support networks can be built. Knowing you're not alone in dealing with ADHD can be a huge relief. Support groups can also be a great resource for specialist recommendations and practical strategies, especially if you are a parent of a child newly diagnosed with ADHD.

I think another social factor that, in part, may be driving the epidemic of A.D.H.D. has gone unnoticed: the increasingly stark contrast between the regimented and demanding school environment and the highly stimulating digital world, where young people spend their time outside school. Digital life, with its vivid gaming and exciting social media, is a world of immediate gratification where practically any desire or fantasy can be realized in the blink of an eye. By comparison, school would seem even duller to a novelty-seeking kid living in the early 21st century than in previous decades, and the comparatively boring school environment might accentuate students' inattentive behavior, making their teachers more likely to see it and driving up the number of diagnoses.

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When it comes to treating attention-deficit hyperactivity disorder (ADHD) a lot of kids are getting the meds they needbut they may be missing out on other treatments. Despite clinical guidelines that urge that behavioral therapy always be used alongside medication, less than half of the children with ADHD received therapy as part of treatment in 2009 and 2010, according to the first nationally representative study of ADHD treatment in U.S. children.

Each person considering medication treatment for ADHD should first have a careful, comprehensive assessment to clarify the diagnosis, identify other medical, psychological or learning problems that may be present with ADHD, and learn about ADHD. After the diagnosis has been made, a treatment plan should be developed in consultation with the physician or other medical professional. In this planning session, the patient, family and medical professional can work together to consider the various options for treatment. If medication is going to be used, the medical professional will prescribe a specific medication.

What are the implications of this new research for how we think about and treat kids with A.D.H.D.? Of course, I am not suggesting that we take our kids out of school and head for the savanna. Nor am I saying we that should not use stimulant medications like Adderall and Ritalin, which are safe and effective and very helpful to many kids with A.D.H.D.

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Are your child's tonsils causing him problems when sleeping? This is a question which is rarely asked when looking at the ADHD treatment options. The reason is that if a child has sleep problems and is found to be snoring quite a lot and has a disturbed sleep pattern, the cause may be enlarged tonsils which should be removed.

In 2001, the American Academy of Pediatrics (AAP) published clinical practice guidelines for the treatment of school-aged children with ADHD. The AAP recommended the following: (1) primary care clinicians should establish a treatment program that recognizes ADHD as a chronic condition; (2) appropriate target outcomes designed in collaboration with the clinician, parents, child and school personnel should guide management; (3) stimulant medication and/or behavior therapy as appropriate should be used in the treatment; (4) if a child has not met the targeted outcomes, clinicians should evaluate the original diagnosis, use all appropriate treatments and consider co-existing conditions; and (5) periodic, systematic follow-up for the child should be done with monitoring directed to target outcomes and adverse effects. Information for monitoring should be gathered from parents, teachers and the child.

Diet continues to show links to ADHD, including chemical food additives, wheat, refined sugar, food allergies and artificial sweeteners While researchers may not know why more and more kids are being diagnosed with ADHD, reviewing charts about the American diet gives us some insight. Grain consumption is way up, as is sugar, salt, processed foods and GMOs, while the consumption of fresh fruits, vegetables and healthy meats are down.

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When adults are diagnosed with attention deficit and hyperactivity disorder (ADHD) , they often respond with a feeling of relief rather than dismay. Many have struggled with symptoms since childhood, and receiving a diagnosis tends to place their life experiences in perspective: So thats why I had such a hard time concentrating in school. And, even better, now they can get treatment.

AD/HD have been shown to affect all aspects of a person's daily functioning including job and academic performance, social/romantic relationships, and self-esteem. AD/HD even affects sleep with many individuals reporting difficulty falling asleep, sleeping through the night, waking-up the next morning or remaining alert throughout the day. Research (including hundreds of studies) and clinical experience have shown that stimulant medications are the most effective first-line treatment for reducing the core symptoms of AD/HD. Medications combined with other therapies can significantly affect overall functioning and improve quality of life for those suffering from the disorder.

The program can be used instead of medication for children with mild to moderate symptoms or as adjunctive therapy for those taking stimulant medication. The program not only provides parent education and behavior modification but provides psychological interventions that (1) teach coping skills, (2) improve motivation and self-esteem and (3) may address mild to moderate manifestations of possible comorbidity including anxiety, depression and ODD.

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Attention-deficit/hyperactivity disorder (ADHD) is the most common neurobehavioral disorder of childhood and can profoundly affect the academic achievement, well-being, and social interactions of children; the American Academy of Pediatrics first published clinical recommendations for the diagnosis and evaluation of ADHD in children in 2000; recommendations for treatment followed in 2001.

There is more than a 50 year history of use with stimulants, and their actions and side effects are well-known. In fact, until 2002, stimulants were the only FDA-approved treatment for ADHD. As proven in a groundbreaking clinical trial called the Multi-Modal Treatment Study of Children with ADHD (MTA study), stimulants are the most effective treatment for ADHD as long as doses are monitored and adjusted specifically for each child.

While behavioral interventions can be very helpful, medication therapy is almost always recommended for kids who are diagnosed with ADHD. Medication therapy (sometimes referred to as pharmacotherapy) includes more than simple medication management; patients and their families should feel that their doctor is really listening to them in order to best understand and manage their concerns (and not simply refilling prescriptions), even though your appointment time with the doctor may be limited.

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To prepare for each appointment, write down your questions ahead of time and leave space under each one to fill in the answers.

ADHD becomes perceptible at the early school-age, but it may stick with adulthood. Attention Deficit Hyperactivity Disorder - ADHD is often succeeded to the successor. The child that gets affected by Attention Deficit Hyperactivity Disorder needs to have support and love, in order to attain their full potential. They should be provided with such guidance, love and understandings from parents, teachers, and guidance counselors and also through some public awareness programs.

Common psychostimulant medications used in the treatment of ADHD include methylphenidate (Ritalin, Concerta, Metadate, Focalin); mixed salts of a single-entity amphetamine product (Adderall, Adderall XR); and dextroamphetamine (Dexedrine, Dextrostat). Methylphenidate, amphetamine and mixed salts of amphetamine are now available as both short- and long- acting preparations. Short-acting preparations generally last about 4 hours; long-acting preparations are more variable in durationwith some preparations lasting 6-8 hours and newer preparations lasting 10-12 hours. Of course, there can be wide individual variation that cannot be predicted and will only become evident once the medication is tried.

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To prepare for each appointment, write down your questions ahead of time and leave space under each one to fill in the answers.

ADHD becomes perceptible at the early school-age, but it may stick with adulthood. Attention Deficit Hyperactivity Disorder - ADHD is often succeeded to the successor. The child that gets affected by Attention Deficit Hyperactivity Disorder needs to have support and love, in order to attain their full potential. They should be provided with such guidance, love and understandings from parents, teachers, and guidance counselors and also through some public awareness programs.

Common psychostimulant medications used in the treatment of ADHD include methylphenidate (Ritalin, Concerta, Metadate, Focalin); mixed salts of a single-entity amphetamine product (Adderall, Adderall XR); and dextroamphetamine (Dexedrine, Dextrostat). Methylphenidate, amphetamine and mixed salts of amphetamine are now available as both short- and long- acting preparations. Short-acting preparations generally last about 4 hours; long-acting preparations are more variable in durationwith some preparations lasting 6-8 hours and newer preparations lasting 10-12 hours. Of course, there can be wide individual variation that cannot be predicted and will only become evident once the medication is tried.

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We know a lot more today about how to help children with ADHD thrive at home, at school, and socially with friends.

Group therapy: Our approach to treatment at MeadowWood is heavily group-focused as we have learned that this type of intervention greatly helps out patients understand that they are not alone in the challenges that they face. This knowledge in and of itself assists patients in heightening their sense of self-worth as they come to understand that they do not need to feel isolated in their struggles. Engaging in groups also encourages patients to find healing in the act of expressing themselves, enhancing self-reliance that works to build their self-esteem. These group therapy sessions cover a vast array of topics, tailored to address issues that are specific to the patients participating in each group.

A. Not necessarily. These medications can be stopped at any time. However, ADHD is a chronic condition. Its severity and developmental course are quite variable in duration and severity. Up to 60 percent of children with ADHD continue to exhibit problematic symptoms into adolescence and adulthood. For these individuals, continuing effective treatment modalities, including medication, can be helpful.

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We know a lot more today about how to help children with ADHD thrive at home, at school, and socially with friends.

Group therapy: Our approach to treatment at MeadowWood is heavily group-focused as we have learned that this type of intervention greatly helps out patients understand that they are not alone in the challenges that they face. This knowledge in and of itself assists patients in heightening their sense of self-worth as they come to understand that they do not need to feel isolated in their struggles. Engaging in groups also encourages patients to find healing in the act of expressing themselves, enhancing self-reliance that works to build their self-esteem. These group therapy sessions cover a vast array of topics, tailored to address issues that are specific to the patients participating in each group.

A. Not necessarily. These medications can be stopped at any time. However, ADHD is a chronic condition. Its severity and developmental course are quite variable in duration and severity. Up to 60 percent of children with ADHD continue to exhibit problematic symptoms into adolescence and adulthood. For these individuals, continuing effective treatment modalities, including medication, can be helpful.