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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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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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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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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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