Private Practice in Diagnosis and Treatment of ADHD
The AMA actually does not take positions on clinical treatments, but the American Academy of Pediatrics and the American Academy of Child and Adolescent Psychiatry do. They have looked at studies of non-medication treatments, advocate behavioral methodologies for young children prior to meds, but overall the preponderance of studies shows that while other things may help, the biggest difference is made by taking medication. There are thus far no natural supplements or diets that make as much of a difference consistently. They may for some individuals, but in terms of valid Randomized Controlled Double-Blind studies, the gold standard, there are none which support complementary/alternative approaches. one resource that summarizes those is “The Black Book of ADHD” by David Goodman; a concise booklet meant as a pocket reference.
Lifestyle factors play a huge role, and those taking meds need also to get good sleep, exercise regularly, and avoid junk food and artificial stuff; without those factors the meds would not work so well. Mindfulness practice can also help, as can coaching. Those are “behavioral” for adults. Meds are still the foundation; one cannot teach dopamine how to cross the synapse, nor slow down the dopamine transport system which is going too fast in those with ADHD, by any other means.
A list of stimulant drugs to treat ADHD includes:
- Adderall and Adderall XR
- Focalin and Focalin XR
- Metadate CD and Metadate ER
- Methylin and Methylin ER
- Ritalin, Ritalin SR, Ritalin LA
- Quillivant XR
Elavil, Norpramin, Pamelor,Tofranil or other tricyclic antidepressants
Catapres, Duraclon, Nexiclon, Tenex, Wellbutrin
follow up from Momma
more on ritalin, adderall, and all meds
another great post from oren on using meds
As always, it can sometimes require a lot of trial and error to find the right medication, right dose, and right timing for any individual person. We are each unique. And for some people, the meds just aren’t for them. And the meds alone are usually not enough; as Dr. Goodwin says, the purpose of the medications is to help us focus enough to be able to learn and use strategies.