ADHD Treatment for Children – ADHD Treatment Options | Medication: Adderall, Vyvanse, stimulant or ?

Hey everyone, welcome back to our channel. The go to place for information and strategies on learning disabilities, especially ADHD..


Hey everyone, welcome back to our channel. The go to place for information and strategies
on learning disabilities, especially ADHD. (Start slides)
In this video series, we’re going to share some of the potential treatments specialists
can recommend for your child’s ADHD. That way you know what to expect and how to
go about treating ADHD. Specifically, we’re going to cover exactly
how official and authoritative resources that have actually proven their legitimacy, like:
* the Mayo Clinic * The National Institute of Mental Health
or (NIMH) * The Child Mind Institute
* Children and Adults with Attention-Deficit/Hyperactivity Disorder (CHADD)
* WebMD * and the American Psychiatric Association recommend ADHD treatments for Children and
Adults. — These are the exact same resources, Dan Kramarsky, a school administrator for over 30 years and
the lead instructor for our upcoming course on: how to help parents handle the transition
to middle school, for their kids with ADHD. has used to treat his own ADHD, AND that of
his daughter, who is now a successful university student. We know most parents would be happy knowing
their kids will make it through high-school safely, so take Dan as an example case study
and listen closely. —
This series will cover 4 standard treatments for ADHD in children including: * Medications: like stimulants, other medications,
and how to give medications safely * Behavior therapy: like social skills training
and parent skills training * Counseling: like psychotherapy, family therapy,
and lifestyle / home remedies * and Education Services: like school programs,
individualized education programs (IEPs), and 504 plans — You and your provider should jointly develop
a “treatment plan” that prioritizes and addresses each problem area for your child. These areas can include:
* school challenges * Self-esteem
* anger management issues * co-occurring disorders such as depression
or anxiety * any learning concerns
* and peer and family relationships —
Now, a more comprehensive treatment plan, that really covers all your bases would include
all or some of the following, based on the unique needs of your child: * Learning more about ADHD as a disorder and
its causes * Learning more about diagnosing ADHD and
the potential options for treatment (hopefully we’ve got you covered there)
* Setting up behavioral therapy for your child to help manage his/her behaviors and also
to acquire new skills for handling them autonomously * Understanding the differences between ADHD
medications and prescriptions and how to set up regular monitoring after trying a new medication
* Getting mental health counseling for you, your child, or the whole family to address
things like: relationships, self-esteem, discipline, and other parenting concerns
* Setting up educational program modifications and supports, including 504 Plans, tutoring
and special education programs * And finally, whether you should consider
taking parent training classes or programs from an ADHD coach to address your child’s
behavior both at school and at home. An ADHD coach can also potentially help with
marriage counseling, since we know that, statistically, parents of kids with ADHD are twice as likely
to get a divorce than other parents of neurotypical kids —
If you would want to set up a comprehensive plan like that, sign up for our upcoming course
taught by Dan and other ADHD experts like, psychiatrists, school psychologists, occupational
therapists, physical therapists, and ADHD coaches. It’ll help you:
* set up and execute your child’s personalized treatment plan
* better your relationships both at school and at home
* and handle the entire process of transitioning to middle school. Check out the link to the course in the description
below. —
So, treating ADHD often requires medical, educational, behavioral, and psychological
intervention. This comprehensive approach to treatment is
sometimes called “multimodal” because it incorporates so many different modes of
treatment. HOWEVER, although these treatments can relieve
many of the symptoms of ADHD and even improve physical coordination, they do not cure it. While there is no cure for ADHD, currently
available treatments, can help reduce symptoms and improve functioning. Know that it may take some time to determine
what works best for your child. —
Also, as both a medical and health disclaimer, I am not a doctor and this video does not
provide medical or health advice. It is intended for informational purposes
only. It is not a substitute for professional medical
advice, diagnosis, or treatment. Never ignore professional medical advice in
seeking treatment because of something you have heard on this YouTube channel or from
Smart Course as a whole. If you think you may have a medical emergency,
immediately call your doctor or dial 911. ADHD patients’ symptoms vary significantly
so it is extremely important to speak with your physician or medical professional in
order to come up with a tailored approach that works specifically for you and your child. That being said and all things being clear,
let’s go over some of the best information out there. — First, you’re probably watching this video
because you’re wondering, “What is the most effective ADHD treatment?” Well, based on both The Child Mind Institute’s
and the American Psychiatric Association, research shows that a combined approach of
medication AND behavioral therapy is the most effective treatment. For moderate to severe cases of ADHD the first
line of treatment is usually medication. More specifically ADHD medications called
“psychostimulants”, which increase the amount of certain chemicals in the brain,
help children focus, and curb impulsivity and hyperactivity. Behavioral therapies, on the other hand, help
kids rein in impulsive behavior and be better organized. In general, more than one intervention is
needed. By working closely with your health care providers
and school personnel, you will be able to find the treatment options that are most suited
to the unique needs of your child and family. Close cooperation among therapists, doctors,
teachers, and parents is therefore very important. —
In today’s video, we’re just going to cover medications, specifically, stimulant
medications. I know what you’re thinking, isn’t it
unusual to treat ADHD “the hyperactive disorder” with a medication that is considered a stimulant,
aren’t people with ADHD stimulated enough??? Well, not really, stimulants work because
they appear to boost and balance levels of neurotransmitters (which are basically brain
chemicals) mainly dopamine (which you’ve probably heard
of as the “craving neurochemical” that stimulates the pleasure and reward center in our brains. It’s the same brain chemical tech companies
try to stimulate when sending you a red push notification). and norepinephrine, which very simply explained,
makes our body work as efficiently as possible. To remember you can think of norepinephrine
as the chemical released in your brain during a “fight or flight” response because it
causes several changes in our body function including an increase in the amount of oxygen
going to our brains – which helps us think clearer and faster. Something very useful for people with ADHD. Both neurotransmitters play essential roles
in thinking and attention. —
Currently, stimulant drugs or “psychostimulants” are the most commonly prescribed medications
for ADHD. These medications help improve the signs and
symptoms of inattention and hyperactivity — sometimes effectively in a short period
of time. According to the Child Mind Institute, studies
show there’s an over 80% chance that a child with ADHD will respond to stimulant medication
with a significant reduction in symptoms. —
There are two main classes of stimulant medications, both are hard to pronounce: Methylphenidate-based medications, (a mouthful,
I know) which include: Ritalin, Methylin, Concerta, Metadate, Focalin
and the Daytrana Patch which is a long-acting patch that can be worn on the hip. and Dextroamphetamine-based medications like:
Adderall, Vyvanse, Dexedrine, Mydayis Of the children who respond to stimulants,
half will respond equally well to both groups of medications, and the other half will respond
better to one or the other, so it may make sense to try one medication from each group. —
Also, stimulant drugs are available in both short-acting and long-acting forms. There are many different release formulas
for stimulant medications, which make them effective for different periods of time. Immediate-release formulas (or short-acting
stimulant drugs): are effective for about 4 hours
Extended-release formulas (or long-acting stimulant drugs): last as long as 14 hours. Within the extended-release group, medications
vary in the doses they deliver morning and afternoon. Some deliver 50 percent in the first half
of the day and 50 percent in the second; others deliver just 30 percent in the first half
and 70 percent in the second. —
Finding the right dose Since different children metabolize medication
in different ways, the goal is to find the formula that delivers an effective dose over
a desirable period of time for your child. Getting the right dosage for a particular
child takes several weeks of trial. The clinician normally increases the dosage
gradually until it becomes effective. If your child experiences undesirable side
effects, it may mean that the dosage is too high, or the medication isn’t right for
her. It’s important to note that some children
respond differently to the two different stimulants used in these medications—methylphenidate
and dextroamphetamine. Changing from one to the other, or even to
a different release formula of the same basic medicine, can help reduce or eliminate side
effects. Once an effective dosage is established, your
child should be monitored periodically to make sure it’s still meeting her needs as
she grows. — Stimulant medications and certain health risks
You should always ask your doctor about possible side effects of stimulants. Some research indicates that using ADHD stimulant
medications with certain heart problems may be a concern, and the risk of certain psychiatric
symptoms may be increased when using stimulant medications. Heart problems
Stimulant medication may cause an increased blood pressure or heart rate, but the increased
risk of serious adverse effects or sudden death is still unproved. However, the doctor should evaluate your child
for any heart condition or family history of heart disease before prescribing a stimulant
medication and monitor your child during stimulant use. Psychiatric problems. Stimulant medications may rarely increase
the risk for agitation, psychotic or manic symptoms. If your child has sudden new or worsening
behavior or sees or hears things that aren’t real while taking stimulant medication, contact
the doctor immediately. —
Some kids experience other adverse but less severe side effects like: Sleep issues
If medication is interfering with a child’s sleep, it’s because the medication is still
active at bedtime. If he’s taking a short-acting formula, it
may mean that he is taking a second or third dose too late in the day. If he’s taking medication that lasts 12
or 14 hours, it may help to try one that’s not quite as long-acting. Sleep issues caused by the medication tend
to get better over time, so it’s worth giving kids four to six weeks to see if they adjust. Trouble going to sleep may also be caused
by kids being too stimulated at bedtime. —
Eating issues Extended-release medicines, which peak about
four hours after they’re taken, cause some children to lose their appetite at lunchtime. Some kids can compensate for this by eating
a good breakfast before the medication kicks in, and eating well at the end of the day
when the medicine is wearing off, at dinner and again before bedtime. Another option is to switch to the immediate-release
tablets, which will wear off by lunch. —
Growth issues Some kids, particularly boys, grow more slowly
when they’re taking stimulant medication, especially in the first year. But studies show that by the second and third
year they catch up. Also, kids who take weekend breaks and summer
vacations from the medication don’t show the slow-down in growth. —
Nausea and headaches These problems tend to dissipate within a
few weeks of beginning medication, and can be minimized by taking the medication with
food, and in some cases by changing the dosage or schedule. —
Rebound In some cases, after the medication wears
off a child becomes irritable and aggressive. The Child Mind Institute calls this “rebound”
and it means the medication is leaving the body too quickly. One way to avoid rebound, if it’s a problem,
is by adding a smaller dose a half hour before it usually happens, to ease off the medication
more gradually. Sometimes, rebound can be a sign that the
clinician hasn’t got the right dose yet, or that a different medicine should be tried. Lastly, when a child rebounds, it’s important
to consider whether there might be something else going on, like an underlying anxiety
or mood issue that comes into play when she comes off her ADHD medicine. —
Tics Some children who take stimulant medication
develop tics. When that happens, the first thing your doctor
might want to do is try a different stimulant, to see if another medication will work without
the tics. If that doesn’t work, the doctor may try
a non-stimulant medication, which affects the brain in a different way. We’ll cover those later in this video. —
Mood changes When a stimulant dose is too high for a child
he may begin to look sedated or zombie-like, or tearful and irritable. If this happens the dose needs to be reduced. But there is also a small subset of kids with
ADHD who seem to get moody and sad or irritable when they take stimulant medications, even
at the best possible dose. It usually happens right away, as soon as
they start taking the medication, and goes away immediately when they stop taking it. If this happens, your doctor can try switching
to a different stimulant, or a non-stimulant medication. —
Other Non-Stimulant Medications After hearing about all those side-effects,
you’re probably wondering: “Are there non-stimulant medications for ADHD? The answer is yes. Non-stimulant medications are useful for kids
who: * don’t respond to stimulant medications
* can’t take stimulant medications because of health problems
* experience adverse side effects from them * or sometimes in combination with a stimulant
to increase effectiveness —
There are 3 types of medications that aren’t stimulants that can help alleviate symptoms
of ADHD. 1. Atomoxetine (sold as Strattera) is in a class
of drugs called norepinephrine reuptake inhibitors. Like we talked about earlier, norepinephrine
is a natural substance in the brain that is needed to control behavior. 2. Antidepressants such as bupropion (sold as
Wellbutrin SR, Wellbutrin XL, and others) Although not approved by the U.S. Food and
Drug Administration (or FDA) specifically for the treatment of ADHD, some antidepressants
are sometimes used alone or in combination with a stimulant to treat ADHD. Antidepressants may help all of the symptoms
of ADHD and can be prescribed if a patient has bothersome side effects from stimulants. Antidepressants can be helpful in combination
with stimulants if a patient also has another condition, such as an anxiety disorder, depression,
or another mood disorder. Although you should know that both Atomoxetine
and antidepressants work slower than stimulants do and may take several weeks before they
take full effect. 3. Clonidine (sold as Catapres or Nexicon) and
guanfacine (sold as Tenex) are called alpha-adrenergic agonists. (I’m sure at this point you’ve realized
these names are going to be hard to pronounce and remember.) Clonidine and Guanfacine were developed to
lower high blood pressure, but at the doses given to kids for ADHD they rarely affect
blood pressure. Both clonidine and guanfacine come in a 24-hour-release
version (sold as Kapvay or Intuniv), and they are sometimes used to treat tics. Finally, as a potential supplement or diet
change, omega fatty acids can also be helpful for ADHD, though not as helpful as stimulants
or these other medications. I’ve linked to a Web MD article in the description
below that explains the benefits and dangers of Omega Fatty Acids: https://www.webmd.com/healthy-aging/omega-3-fatty-acids-fact-sheet#1 —
Suicidal Risk Now, although it remains unproved, concerns
have been raised that there may be a slightly increased risk of suicidal thinking in children
and teenagers taking nonstimulant ADHD medication or antidepressants. Contact your child’s doctor if you notice
any signs of suicidal thinking or other signs of depression. —
Giving medications safely It’s very important to make sure your child
takes the right amount of the prescribed medication. Parents may be concerned about stimulants
and the risk of abuse and addiction. Stimulant medications are considered safe
when your child takes the medication as prescribed by the doctor. Your child should see the doctor regularly
to determine if the medication needs to be adjusted. A doctor needs to monitor the dosage of the
stimulant medication closely, both to determine the most effective level of drug and to watch
for any side effects. On the other hand, there’s concern that other
people might misuse or abuse stimulant medication prescribed for children and teenagers with
ADHD. To keep your child’s medications safe and
to make sure your child is getting the right dose at the right time: * Give medications carefully. Children and teens shouldn’t be in charge
of their own ADHD medication without proper supervision. * At home, keep medication locked in a childproof
container. And store medication away from the reach of
children. An overdose of stimulant drugs is serious
and potentially fatal. * Don’t send supplies of medication to school
with your child. Deliver any medication yourself to the school
nurse or health office. —
Should children stop taking ADHD medication during holidays and the summer? Since children with ADHD don’t need to perform
academically during the summer or on extended holidays, parents sometimes seize the opportunity
to take kids off their regular medication regimen, especially if they are experiencing
side effects. Other parents avoid an interruption, fearing
that their children’s behavioral problems will rebound. One reason to stay with treatment year-round
is that ADHD doesn’t only affect a child’s performance in school. During the summer, children still have to
get along with family and friends and function effectively in group activities like sports
and camp. However, if you are concerned that taking
a stimulant medication may be slowing your child’s growth, a summer break can allow
him to catch up. And if you are concerned that he is underweight
due to suppressed appetite, a summer without medication can help him put on some pounds. I’ve linked to another article in the description
below, by the Child Mind Institute, that covers more of the pros and cons of stopping medication
during holidays and over the summer. Otherwise known as “a drug holiday”. https://childmind.org/article/adhd-pros-cons-drug-holiday/ —
Now, you know what to expect from specialists in regards to ADHD treatment with ADHD medications,
but remember that there are many other ways of treating ADHD. To make sure you’re as prepared as you can
be I want you to hit the notification bell below, because in the next video we’ll cover
different behavioral therapies suggested by: * the Mayo Clinic
* The National Institute of Mental Health or (NIMH)
* The Child Mind Institute * Children and Adults with Attention-Deficit/Hyperactivity
Disorder (or CHADD) * WebMD
* and the American Psychiatric Association Again, I am not a doctor so I will not give
you any medical advice, but still, it helps to hear what the experts suggest. — So, again, hit the notification bell and the
subscribe button under this video if you want to be notified when we publish that video. In the meantime, while you wait for that video,
I’ve got some special offers for you. But first, if you liked this video please
don’t forget to like it, and let us know what you liked or what you’d like to see
more of in the comments below. The more people like, subscribe, click the
bell, and comment, the more people will see this kind of content on YouTube, and we know
some people could really use the help. — Now, if you’re looking for extra help, I’d
also really recommend joining our expert-vetted newsletter. It’ll be free until October 3rd, so don’t
wait up. Our resources will help you: * find answers to your basic questions about
ADHD * understand why Middle School is so challenging
for students with ADHD​ * and introduce you to ADHD support groups
and other sites to help you meet your child’s needs at school and at home. Visit the links in the description and on
your screen. — You can also join our own expert-moderated
ADHD Education & Support Group for Parents, where you can get direct help from other parents
with shared experiences. Now while you’re waiting for our next video,
make sure to check out these two videos right here *point left*: We share tons of expert-vetted resources on
parenting and education for differently-abled kids, just like kids with ADHD, so make sure
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thank you for watching and see you next week!

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