ADHD is an acronym for attention deficit hyperactivity disorder.
Between 3 and 5 percent of school-aged children, or about 2 million
children in the United States, have the condition, according to the
National Institute of Mental Health. Boys outnumber girls by at
least a three to one ratio, according to National Mental Health
Association.
There is no cure for ADHD, although children often outgrow it.
When this occurs, the symptoms of ADHD disappear or so minor that
patients no longer require treatment with medications.
Treatments for ADHD are often highly effective when taken as
prescribed by a doctor. Tips to help deal with ADHD on a day-to-day
basis include:
Provide structure. You can help your child to better
cope with ADHD by providing structure to his or her life and making
your expectations clear. Keep goals concrete and simple and try to
avoid complicated instructions. Keeping children on a schedule of
activities, including eating, sleeping, homework and play times,
and encouraging children's efforts and good behavior can also help.
You are urged to communicate with your child to make sure
directions are clearly understood. You may want to ask the child to
repeat your directions back to you to ensure that they fully
understand them. All of these techniques can be improved during
parenting skills training.
Understand ADHD medications. These prescription drugs
are often highly effective in helping to control the behavioral
problems associated with ADHD that hinder day-to-day life. They are
available in tablet, capsule and injection form.
ADHD medications improve symptoms by increasing activity in certain
parts of the brain that are underactive. They appear to function by
boosting and balancing levels of chemicals known as
neurotransmitters. Children with ADHD who take these drugs often
experience dramatically reduced levels of hyperactivity and
impulsivity. This makes it much easier for them to focus on tasks
such as learning or working. These drugs also improve coordination
in some people, making it easier for them to write or engage in
athletic activities.
Individual children may respond differently to the various drugs
used to treat ADHD. Parents are urged to work closely with their
doctor in trying to find the appropriate medication and dosage
level for their child.
Children who take these drugs and find them to be effective may be
asked by a doctor to suspend use of the drugs for a period of time
to see whether or not they are still necessary. This may be planned
around a time such as summer vacation, when a child is more relaxed
and has fewer tasks that need to be completed. In some cases, drugs
are only necessary for a year or two before a change in a child's
symptoms renders them unnecessary.
However, in most cases children will continue to take medications
into adolescence and possibly into adulthood. About 80 percent of
patients take medication into their teen years, and 50 percent of
all patients will continue to need the medication as adults,
according to the National Institute of Mental Health.
Tell a doctor about any medical conditions your child may
have. Many types of ADHD medications may not be appropriate for
all patients. Therefore, it is important to inform the doctor if
your child has a particular medical condition in case an alternate
drug is necessary.
Stimulants are the mainstay of ADHD medication treatment, and up to
90 percent of people who take them report at least some improvement
in symptoms like impulsivity and hyperactivity, according to the
American Psychiatric Association. Stimulants are usually
well-tolerated and are rarely abused. However, people with anxiety
disorders should take these medications cautiously, because they
may aggravate the condition. Usually, a doctor will choose to treat
an anxiety disorder and bring it under control before using
stimulants to treat ADHD.
Stimulants should be used with caution in people who have a history
of seizures, drug and alcohol abuse, kidney disease, high blood
pressure or EEG abnormalities. High blood pressure is also called
hypertension. EEG abnormalities are problems with brain electricity
that indicate the presence of a seizure disorder also know as
epilepsy. People with diabetes may have to alter insulin intake
while using stimulant drugs.
Other conditions of concern that may prohibit the use of stimulants
include cardiovascular disease or other heart problems, liver
disease, motor tics, glaucoma or hyperthyroidism. Glaucoma is a
disease that results in increased pressure in the eye.
Hyperthyroidism is excessive production of hormones in the thyroid
gland. If the child has Tourette's syndrome or family history of
this disease, the doctor may also decide to avoid stimulants.
Antidepressants may also be used to treat ADHD in some patients.
Antidepressants that increase the availability of the
neurotransmitters dopamine and norepinephrine in the body appear to
be effective in treating core symptoms of ADHD. Conditions of
concern for people taking antidepressants to treat ADHD include
blood disorders, glaucoma, hypertension, heart disease, liver or
kidney disease and tachycardia. Tachycardia is a rapid heart rate.
People with a history of eating disorders, such as anorexia nervosa
or bulimia nervosa, may also need to avoid use of
antidepressants.
Alpha-2 adrenergic agonists are sometimes used to treat core ADHD
symptoms, but more often are used to reduce irritability and
aggression and to treat body tics related to ADHD. Conditions of
concern for people taking alpha-2 adrenergic agonists to treat ADHD
include heart disease and other heart problems and liver or kidney
disorders.
Tell the doctor about all other medications. People who
take drugs to treat ADHD should consult their doctors before taking
any additional prescriptions, over-the-counter medications,
nutritional supplements or herbal medications.
Stimulant drugs and alpha-2 adrenergic agonists are often combined
to treat ADHD. There have been a handful of reported deaths in
children who have taken this combination. However, an investigation
by the U.S. Food and Drug Administration found no significant
danger in taking these drugs together.
Caffeine use can decrease the effectiveness of stimulants in
treating ADHD. In addition, use of the antidepressant MAO
inhibitors, or MAOIs, with stimulants can cause severe high blood
pressure, or hypertension. Vitamin C supplements, such as ascorbic
acid, may shorten the duration of the dosage.
Other drugs that may interact poorly with stimulants include
antacids, anticonvulsants, anticoagulants, other antidepressants,
antipsychotics, the heart medication bretylium, the blood pressure
drug guanethidine, and sedatives, such as barbiturates.
Drugs that may interact poorly with antidepressants used to treat
ADHD include antidepressants, blood pressure medications and
sedatives, such as benzodiazepines.