How should ADHD treatment begin?

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? Does the order in which treatment begins even make a difference?

“You Just Have to Try Harder and Show More Grit!”

How might our actions change if we are open to accepting that certain behaviors displayed by children and adolescents (and adults) are not rooted in laziness or a lack of trying but rather represent an often desperate attempt to avoid failure, humiliation, and emotional exhaustion in what is perceived to be a less than supportive environment?

Stress

Stress is a physical and emotional reaction that people experience as they encounter challenges in life. When you’re under stress, your body reacts by releasing hormones that produce the “fight-or-flight” response. Your heart rate, breathing rate, and blood pressure go up, your muscles tense, and you sweat more. Occasional stress is a normal coping mechanism. However, long-term stress (also called chronic stress) may contribute to or worsen a range of health problems including digestive disorders, headaches, sleep disorders, and other symptoms. Stress may worsen asthma and has been linked to depression, anxiety, and other mental illnesses.

The Over and Under Use of ADHD Medication Treatment

Although medication treatment for ADHD has been shown to significantly reduce core ADHD symptoms in hundreds of studies, important concerns remain about it being prescribed inappropriately to children and teens who do not have ADHD. There is also evidence that many youth with ADHD who could potentially benefit from medication treatment do not receive it, and may realize poorer outcomes in as a result.

What is Telemental Health?

Telemental health is the use of telecommunications or videoconferencing technology to provide mental health services. It is sometimes referred to as telepsychiatry or telepsychology. Research suggests that telemental health services can be effective for many people, including, but not limited to those with attention-deficit/hyperactivity disorder (ADHD), post-traumatic stress disorder (PTSD), depression, and anxiety.

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