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Treatment of ADHD with Medication: What Parents Should Know

Medication and ADHD: Safe or Not?

Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder associated with difficulties with levels of inattention, disorganization, and/or hyperactivity-impulsivity (APA, 2013). ADHD begins in childhood and causes problems across multiple settings including home and school. The American Academy of Pediatrics notes that parents of children with ADHD often report the following: 

“He seems like he’s always daydreaming. He never answers when I talk to him. I wonder if he hears me.”

“I’ll ask him to go up to his room and get dressed, and ten minutes later I find him playing with his toys with only his shirt on.”

“He can’t remember what he learns because he misses instructions and explanations in school. Even though we work so hard on his schoolwork at night, by the next day he’s forgotten everything.” 

Although children with ADHD suffer significant problems with their behavior, treatment can help reduce problems for them and improve family interactions. Treatment of ADHD often involves behavior therapy and medications. It is very important if you notice signs of ADHD (see criteria provide by Children and Adults with Attention Deficit Hyperactivity Disorder, CHADD) that you consult with a psychologist or your child’s pediatrician to seek referral for psychological testing to obtain a formal diagnosis. 

Medications and ADHD 

According to the National Institute of Mental Health (NIMH), the most common type of medication used for treating ADHD is called a "stimulant." Although it may seem unusual to treat ADHD with a medication considered a stimulant, it actually has a calming effect on children with ADHD. Many types of stimulant medications are available. A few other ADHD medications are non-stimulants and work differently than stimulants. For many children, ADHD medications reduce hyperactivity and impulsivity and improve their ability to focus, work, and learn. Medication also may improve physical coordination. 

Although medications can be helpful, many parents are hesitant to have their child take medications to manage their symptoms. I often talk with parents about ADHD medications and encourage them to talk with their pediatrician or doctor about starting with a small dosage to seek how that helps.  The findings on medication suggest that a one-size-fits-all approach does not apply for all children with ADHD. What works for one child might not work for another.  Sometimes several different medications or dosages must be tried before finding one that works for a particular child. Any child taking medications must be monitored closely and carefully by caregivers and doctors. Under medical supervision, stimulant medications are considered safe. Stimulants do not make children with ADHD feel high, although some kids report feeling slightly different or "funny." Although some parents worry that stimulant medications may lead to substance abuse or dependence, there is little evidence of this. 

Do medications cure ADHD? 

There is not a cure for ADHD. However, medication can help control your child’s symptoms and help them function better at home and school. Additionally, behavioral therapy, counseling, and support groups can help children with ADHD and their families to better cope with everyday problems. Research funded by the NIMH has shown that medication works best when treatment is regularly monitored by the prescribing doctor and the dose is adjusted based on the child's needs. 

Common side effects of stimulant medications 

The following side effects are commonly reported: decreased appetite, sleep problems, anxiety, and irritability (NIMH, 2014).  Most side effects are minor and disappear over time or if the dosage level is lowered. 

  • Decreased appetite. Be sure your child eats healthy meals. If this side effect does not go away, talk to your child's doctor. Also talk to the doctor if you have concerns about your child's growth or weight gain while he or she is taking this medication. 
  • Sleep problems. If a child cannot fall asleep, the doctor may prescribe a lower dose of the medication or a shorter-acting form. The doctor might also suggest giving the medication earlier in the day, or stopping the afternoon or evening dose. Adding a prescription for a low dose of an antidepressant or a blood pressure medication called clonidine sometimes helps with sleep problems. A consistent sleep routine that includes relaxing elements like warm milk, soft music, or quiet activities in dim light, may also help.
  • Less common side effects. A few children develop sudden, repetitive movements or sounds called tics. These tics may or may not be noticeable. Changing the medication dosage may make tics go away. Some children also may have a personality change, such as appearing "flat" or without emotion. Talk with your child's doctor if you see any of these side effects

 

Follow me on Twitter @DrEarlTurner for daily post on psychology, mental health, and parenting. Feel free to join my Facebook group, “Get Psych’d with Dr. T” to discuss today's blog, or to ask further questions about this posting.

Copyright Erlanger A. Turner, Ph.D. 2014 

 

References: 

American Academy of Pediatrics (AAP, 2014). Early Warning Signs of ADHD. Retreived March 2014 from http://www.healthychildren.org/English/health-issues/conditions/adhd/Pages/Early-Warning-Signs-of-ADHD.aspx 

American Psychiatric Association (APA, 2013). Diagnostic and Statistical Manual of Mental Disorders, 5th Edition 

National Institute of Mental Health (NIMH, 2014). Attention Deficit Hyperactivity Disorder. Retrieved March 2014 from  http://www.nimh.nih.gov/health/topics/attention-deficit-hyperactivity-disorder-adhd/index.shtml

 

 

 

 

Erlanger Turner, Ph.D. is an Assistant Professor of Psychology at the University of Houston-Downtown in the Department of Social Sciences and a Clinical Psychologist.

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