behavioral-treatment

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 more…] about FDA clears Trigem­i­nal nerve stim­u­la­tion (TNS) as ADHD treatment

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 more…] about 5 Must-Read Arti­cles, and an Online Course, to Help Chil­dren with ADHD

Study: An innovative telehealth service to provide high quality ADHD treatment

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An unfor­tu­nate real­i­ty is that many chil­dren with ADHD do not have access to high qual­i­ty, evi­dence-based treat­ment for ADHD. This is espe­cial­ly true in rur­al com­mu­ni­ties where chil­dren are gen­er­al­ly treat­ed by pri­ma­ry care providers who may have less ADHD-spe­cif­ic train­ing than child psy­chi­a­trists and where [Read more…] about Study: An inno­v­a­tive tele­health ser­vice to pro­vide high qual­i­ty ADHD treatment

Study: Fewer than 19% of ADHD treatment plans monitor treatment response according to guidelines

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adhd-workingmemoryWhat did they find (at a recent study, pub­lished in the jour­nal Pedi­atrics, sur­vey­ing com­mu­ni­ty-based ADHD diag­noses and treatments)?

  • For around 30 per­cent of chil­dren diag­nosed with ADHD, the evi­dence that DSM cri­te­ria were met was missing.
  • ADHD rat­ing scales were col­lect­ed from par­ents and teach­ers for only 56 per­cent of youth with an ADHD diagnosis.

[Read more…] about Study: Few­er than 19% of ADHD treat­ment plans mon­i­tor treat­ment response accord­ing to guidelines

Study: To help children with ADHD improve academic performance, combine medication AND behavioral treatment

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Students academic performance.

Aca­d­e­m­ic prob­lems are extreme­ly com­mon in chil­dren with ADHD and often the issue that leads to refer­ral for an ADHD eval­u­a­tion. Unfor­tu­nate­ly, the sig­nif­i­cant aca­d­e­m­ic strug­gles that many chil­dren with ADHD expe­ri­ence can under­mine their long-term suc­cess in areas that extend far beyond for­mal schooling.

Giv­en these facts, an impor­tant ques­tion is whether long-term aca­d­e­m­ic func­tion­ing in youth with ADHD improves with treat­ment? Because this is such a fun­da­men­tal­ly impor­tant ques­tion, and [Read more…] about Study: To help chil­dren with ADHD improve aca­d­e­m­ic per­for­mance, com­bine med­ica­tion AND behav­ioral treatment

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

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doctor-office-illustration—

Most chil­dren with ADHD receive their care from com­mu­ni­ty-based pedi­a­tri­cians. Giv­en the large num­ber of school-age chil­dren who require eval­u­a­tion and treat­ment ser­vices for ADHD, and the adverse impact that poor qual­i­ty care can have on chil­dren’s devel­op­ment, it is impor­tant for chil­dren to rou­tine­ly receive care in the com­mu­ni­ty that is con­sis­tent with best-prac­tice guidelines.

The Amer­i­can Acad­e­my of Pedi­atrics has clear­ly rec­og­nized this and pub­lished guide­lines for [Read more…] about Study finds large gaps between research and prac­tice in ADHD diag­no­sis and treatment