ADHD The Big Decision to Treat
Dec 19, 2011
By Barret Procyshyn, Pharmacist at the Dauphin Clinic Pharmacy
Attention Deficit Hyperactivity Disorder affects 5% to 12% of Canadian children, making it the most commonly diagnosed psychiatric disorder in Canadian Children. If you child does not have ADHD, the chances are one or two of their classmates does. Although ADHD is diagnosed in childhood, it is not just a childrens disease. Research shows symptoms persist in adulthood in almost two thirds of those diagnosed in childhood.
ADHD is a brain condition that makes it difficult for children to control behavior. About three times more boys than girls are diagnosed. The three groups of behavior symptoms in ADHD are inattention, hyperactivity, and impulsivity. Inattention describes excessive daydreaming, not listening, distraction from work or play and organization. Hyperactivity is better described by constant motion or it is as if the person is driven by a constant motor. Impulsivity symptoms include speaking out of turn, not being able to wait for others and acting without thinking first.
Everyones child will have some of these symptoms from time to time. If fact I have these symptoms from time to time! Your child may just be reacting to stress in their life, may be bored or may be going through a difficult stage in life. On the other hand, some parents may not recognize these symptoms and it is the teacher or pediatrician to first bring the matter to light. If your child shows regular symptoms for more than six months, discuss the behaviors with a doctor.
Mental health professionals will all agree it is important to catch ADHD early and treat diagnosed individuals promptly. Treatment may, but does not always involve medication. ADHD patients must be given tools to help them cope with ADHD and medication is just one of those tools.
Stimulant medications are proven to be a safe and effective treatment option. Thus in combination with behavior therapy, they are a first line treatment recommendation for most children. A Stimulant works by altering chemicals in the brain to induce temporary improvements in either mental or physical function. An example would be enhanced alertness. Stimulants help put things into focus for someone with ADHD, but that is it. Contrary to popular belief they do not make a child perform better. These medications do not get an assignment finished in class or homework done in the evenings. That work must still be done by the child with a support system from the parents and teacher. The same is for teens and adults; stimulants are only a tool to enable better performance, they do not do it for you.
The stimulant class contains commonly known drugs like Ritalin, Adderall, Concerta and Biphentin. My advice to parents is to make sure they have an accurate diagnosis before considering medication use. It is important to select a medication which is effective beyond the end of the school day. Optimal treatment will allow the patient to engage in appropriate behavior and interact with others throughout the full day. It used to be common to stop medications during weekends, holidays or the summer months. This is no longer recommended as ADHD is a lifelong condition.
Ultimately, parents must weigh the pros and cons of including medication in the treatment plan for ADHD. The more educated you are about the medication process, the better prepared you will be to make this decision. Also, parents must remember this is not their medication, there child will be taking it. So consider if it is the right thing for your child, not for you.
I have heard the comment teachers promote ADHD medication because they just do not want to deal with a difficult child. This is completely unfair to the teacher, as they are with your children during times where they must apply as much attention and focus as possible. If your childs teacher notices an ongoing problem, you should consult a doctor for further examination. The key with ADHD is to recognize the problem first and then work toward a solution.
The information in this article is intended as a helpful guide only. It is not intended to be used as a substitute for professional advice. If you have any questions about your medications and what is right for you see your doctor, pharmacist or other health care professional.
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As always if you have any questions or concerns about these products, ask your pharmacist.