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FDA clears Trigeminal nerve stimulation (TNS) as ADHD treatment

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Although stim­u­lant med­ica­tions are gen­er­al­ly con­sid­ered to be a safe and effec­tive treat­ment for ADHD, not all chil­dren ben­e­fit from this approach. Many par­ents are reluc­tant to begin their child on med­ica­tion and some chil­dren expe­ri­ence unac­cept­able side affects.

For these rea­sons, devel­op­ing safe and effec­tive alter­na­tive treat­ments for ADHD remains a pri­or­i­ty. Trigem­i­nal nerve stim­u­la­tion (TNS) is an alter­na­tive approach that was recent­ly test­ed in a dou­ble-blind, sham-con­trolled study. Read the rest of this entry »

Consistent use of ADHD medication may stunt growth by 2 inches, large study finds

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The Mul­ti­modal Treat­ment Study of ADHD (MTA Study) is the largest ADHD treat­ment study ever con­duct­ed — near­ly 600 7–9‑year-old chil­dren with ADHD were ran­dom­ly assigned to one of four inter­ven­tions:

1) Care­ful­ly mon­i­tored med­ica­tion treat­ment;

2) Inten­sive behav­ior ther­a­py;

3) Med­ica­tion Treat­ment com­bined with Behav­ior Ther­a­py; or

4) Com­mu­ni­ty Care (par­ents obtained what­ev­er treat­ment they desired).

After 14 months, results indi­cat­ed that Read the rest of this entry »

Studies reinforce the critical importance of ADHD treatment monitoring

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As the new school year approach­es, let me high­light the essen­tial val­ue of ADHD treat­ment mon­i­tor­ing. Even when a child’s treat­ment has been going well, response to treat­ment can change over time. This is true for med­ica­tion treat­ment, or any oth­er treat­ment a child is receiv­ing. By reg­u­lar­ly mon­i­tor­ing how a child is doing at school, par­ents and pro­fes­sion­als are alert­ed Read the rest of this entry »

5 Must-Read Articles, and an Online Course, to Help Children with ADHD

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– Dr. David Rabin­er, Research Pro­fes­sor in the Depart­ment of Psy­chol­o­gy and Neu­ro­science at Duke Uni­ver­sity and founder of the Atten­tion Research Update.

Giv­en the ongo­ing changes and con­tro­ver­sies sur­round­ing ADHD diag­no­sis and treat­ment, let us high­light 5 key arti­cles writ­ten by Duke Uni­ver­si­ty’s Dr. David Rabin­er to sum­ma­rize recent sci­en­tif­ic find­ings and their impli­ca­tions, plus a very rel­e­vant online course to help par­ents and pro­fes­sion­als help chil­dren with ADHD.

1. Study finds large gaps between research and prac­tice in ADHD diag­no­sis and treat­ment

  • Key insight: Evi­dence-based guide­lines from the Amer­i­can Acad­e­my of Pedi­atrics on the eval­u­a­tion and treat­ment of ADHD are fre­quent­ly not fol­lowed. Many chil­dren are diag­nosed with ADHD in the absence of clear­ly meet­ing DSM diag­nos­tic cri­te­ria, and behav­ioral treat­ment is rarely rec­om­mend­ed.
  • Key data point: Pedi­a­tri­cians pre­scribed ADHD med­ica­tion to rough­ly 93% of youth diag­nosed with ADHD. Doc­u­men­ta­tion that behav­ioral treat­ment was rec­om­mend­ed, how­ev­er, was present in only 13% of the charts.

Read the rest of this entry »

Study: Rates of ADHD diagnosis and medication treatment continue to increase substantially

Begin­ning in about 1990, sub­stan­tial increas­es in the rates of ADHD diag­no­sis and med­ical treat­ment were found in sev­er­al nation­al­ly rep­re­sen­ta­tive sam­ples of US physi­cian office vis­its. For exam­ple, between 1995–96 and 2007-08, the num­ber of office vis­its at which an ADHD diag­no­sis was made increased by over 400% in adults — from 3.1 per 1000 vis­its to 14.5 per 1000 vis­its. And, the per­cent of adult office vis­its includ­ing both ADHD diag­no­sis and med­ica­tion increased from 1.9 to 11.4 per 1000 vis­its.

Among chil­dren aged 5 to 18, between 1991–92 and 2008-09, rates of ADHD diag­no­sis increased near­ly 4‑fold among boys — from 39.5 to 144.6 per 1000 — and near­ly 6‑fold for girls — from 12.3 and 68.5 per 1000 vis­its. Dur­ing this time, the rate of vis­its that also involved med­ica­tion treat­ment increased by sim­i­lar rates. Read the rest of this entry »

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