The Choice to Medicate for ADHD: A Clinician’s Guide to Navigating Parental Concerns

“Should I medicate my child for ADHD?” Clinicians commonly field this question –– and many more –– after making a positive ADHD diagnosis. To best help and support concerned families, clinicians should study these responses to common questions and attitudes about ADHD medication.

DavidChilders

May 21, 2020 at 8:54 am

I have to strongly disagree with the 1st problem of the “Zombie” effect is a medication trial failure and another medication should be tried. I am board certified in both Neurodevelopmental Pediatrics and Developmental/Behavioral Pediatrics. The stimulants should not be used to manage hyperactivity. They are used to improve attention. The hyperactivity control is a frequent benefit, but not the target. Unfortunately dose increases are frequently related to teacher reports with the ‘focus’ being the child’s hyperkinesis. There is a very narrow therapeutic window between dosing to manage hyperactivity and ‘overdosing’ to a ‘HYPERFOCUS’ effect. The “Zombie” effect should first be considered to be a dose which is too high, not a medication trial failure. A reduction of the dose is the next step. Monitoring attention and hyperactivity with a standardized instrument like a Vanderbilt from home and teacher (and also other outside activity like sports, scouts, church) is very important.