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stimulant medication

What should come first to treat ADHD in children, behavior therapy or stimulant medication?

October 7, 2020 by Dr. David Rabiner

Stim­u­lant med­ica­tion treat­ment and behav­ior ther­a­py are cur­rent­ly the two child ADHD treat­ments with the strongest research sup­port. How­ev­er, when par­ents begin treat­ment for their child, or when pro­fes­sion­als are ini­ti­at­ing treat­ment with a new client, there is no research to guide the deci­sion of which approach to begin with.

Is it bet­ter to start with med­ica­tion treat­ment and add behav­ior ther­a­py if need­ed? Or, should behav­ior ther­a­py come first with med­ica­tion added if the child’s response is not suf­fi­cient? Or, is it always prefer­able to begin with com­bined treat­ment? [Read more…] about What should come first to treat ADHD in chil­dren, behav­ior ther­a­py or stim­u­lant medication?

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Filed Under: Attention & ADD/ADHD, Brain/ Mental Health, Education & Lifelong Learning Tagged With: AD/HD-treatments, behavior, behavior-therapy, classroom behavior, medication-treatment, stimulant medication

Will digital therapeutics complement or replace stimulant medications to address inattention and “silent” cognitive issues?

January 29, 2020 by SharpBrains

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Akili Inter­ac­tive: Dig­i­tal pedi­atric ADHD ther­a­peu­tic per­forms well with or with­out accom­pa­ny­ing stim­u­lant ther­a­py (Mobi­Health News):

“Dig­i­tal ther­a­peu­tic com­pa­ny Akili Inter­ac­tive has announced the first results of an open-label, mul­ti­site pedi­atric ADHD tri­al pro­vid­ing some patients with the company’s video game-like treat­ment along­side a stim­u­lant medication.

Accord­ing to the com­pa­ny, both those who received the AKL-T01 ther­a­py with (n = 130) or with­out (n = 76) accom­pa­ny­ing stim­u­lant med­ica­tion saw sig­nif­i­cant improve­ments one month after [Read more…] about Will dig­i­tal ther­a­peu­tics com­ple­ment or replace stim­u­lant med­ica­tions to address inat­ten­tion and “silent” cog­ni­tive issues?

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Filed Under: Attention & ADD/ADHD, Brain/ Mental Health, Technology & Innovation Tagged With: adhd, ADHD trial, ADHD-medication, Akili Interactive, AKL-T01, cognitive, cognitive issues, digital therapeutic, FDA clearance, non-invasive neurotechnologies, non-invasive neurotechnology, stimulant medication, video game-like treatment

Study: Having ADHD costs $1.1 million in lower lifetime earnings, even when “treated”

January 14, 2020 by Dr. David Rabiner

 Rel­a­tive­ly few stud­ies have exam­ined the impact of child­hood ADHD on long-term finan­cial out­comes, even though becom­ing self-sup­port­ing and attain­ing finan­cial inde­pen­dence is an impor­tant devel­op­men­tal task.

An espe­cial­ly com­pre­hen­sive look at this issue is pro­vid­ed in a study by Pel­ham et al pub­lished recent­ly in the Jour­nal of Con­sult­ing and Clin­i­cal Psy­chol­o­gy.

The Study:

Par­tic­i­pants were 364 adults who were diag­nosed with ADHD in child­hood along with 264 demo­graph­i­cal­ly matched con­trols. [Read more…] about Study: Hav­ing ADHD costs $1.1 mil­lion in low­er life­time earn­ings, even when “treat­ed”

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Filed Under: Attention & ADD/ADHD, Brain/ Mental Health, Education & Lifelong Learning Tagged With: adhd, ADHD-diagnosis, adults, children, Clinical Psychology, educational attainment, financial status, lifetime earnings, stimulant medication

Initial study finds promise and limitations in using virtual reality (VR) to treat ADHD

May 9, 2018 by Dr. David Rabiner

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Giv­en the lim­i­ta­tions of exist­ing evi­dence-based ADHD treat­ments, i.e., stim­u­lant med­ica­tion and behav­ior ther­a­py — research on nov­el inter­ven­tion approach­es con­tin­ues to be important.

Cog­ni­tive train­ing is one such approach that has been sug­gest­ed as a poten­tial adjunct or even replace­ment for med­ica­tion treat­ment. While cog­ni­tive train­ing takes dif­fer­ent forms, e.g., com­put­er­ized atten­tion train­ing, work­ing mem­o­ry train­ing, the basic idea is that by repeat­ed­ly prac­tic­ing cog­ni­tive tasks relat­ed to atten­tion, one’s abil­i­ty to focus and attend will improve. In oth­er words, [Read more…] about Ini­tial study finds promise and lim­i­ta­tions in using vir­tu­al real­i­ty (VR) to treat ADHD

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Filed Under: Attention & ADD/ADHD, Brain/ Mental Health, Education & Lifelong Learning, Technology & Innovation Tagged With: AD/HD-treatments, adhd, anxiety, attention-training, behavior-therapy, Cognitive-Training, medication, methylphenidate, Neurofeedback, psychiatric disorders, Psychotherapy, stimulant medication, treatments, virtual-reality, working-memory-training

Study: Cognitive Behavioral Therapy (CBT) + Medication outperforms CBT alone to treat ADHD symptoms among adults. At the same time…

January 10, 2017 by Dr. David Rabiner

adult_adhdAlthough med­ica­tion is the pri­ma­ry treat­ment for adults with ADHD, and has good empir­i­cal sup­port, many adults would rather not take it. For these adults with ADHD, it would be help­ful to know whether med­ica­tion is like­ly to pro­vide sig­nif­i­cant ben­e­fits above and beyond those they would gain from well-con­duct­ed ther­a­py, or whether they are like­ly to derive rough­ly equiv­a­lent ben­e­fits from ther­a­py alone. [Read more…] about Study: Cog­ni­tive Behav­ioral Ther­a­py (CBT) + Med­ica­tion out­per­forms CBT alone to treat ADHD symp­toms among adults. At the same time…

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Filed Under: Attention & ADD/ADHD Tagged With: adhd, ADHD-Treatment, adults, alternative ADHD treatments, anxiety, behavioral skills, CBT, cognitive-behavioral-therapy, cognitive-skills, depression, efficacy, medical treatment, medication, non-medical treatment, stimulant medication

ADHD & the brain: Does ADHD treatment improve long-term academic, social and behavioral outcomes?

March 3, 2015 by Dr. David Rabiner

brain-profile.

The ADHD challenge

The core symp­toms of ADHD fre­quent­ly cause sig­nif­i­cant impair­ment in aca­d­e­m­ic, social and behav­ioral func­tion­ing that adverse­ly impact indi­vid­u­als’ qual­i­ty of life. These symp­toms often per­sist into adult­hood, poten­tial­ly com­pro­mis­ing an indi­vid­u­al’s func­tion­ing over many years. Under­stand­ing how ADHD impacts long-term func­tion­ing, and whether adverse long-term affects are dimin­ished with treat­ment, is [Read more…] about ADHD & the brain: Does ADHD treat­ment improve long-term aca­d­e­m­ic, social and behav­ioral outcomes?

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Filed Under: Attention & ADD/ADHD, Education & Lifelong Learning Tagged With: adhd, ADHD-Treatment, attention deficit hyperactivity disorder, brain, driving, drug treatment, non-pharmacological treatment, obesity, self-esteem, social functioning, stimulant medication

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