Updated Guidelines For ADHD Treatment And Diagnosis
Emerging evidence makes it possible to diagnose and manage ADHD in children from ages 4 to 18 (the previous AAP guidelines, from 2000 and 2001, covered children ages 6 to 12). The new guidelines describe the special considerations involved in ADHD treatment and diagnosis of preschool children and adolescents. They also include interventions to help children with hyperactive/impulsive behaviors that do not meet the full diagnostic criteria for ADHD.
ADHD treatment at a young age is important, because when we can identify them earlier and provide appropriate treatment, we can increase their chances of succeeding in school,” said lead author Mark Wolraich. “Because of greater awareness about ADHD and better ways of ADHD treatment and diagnosis, more children are being helped.”
ADHD is the most common neurobehavioral disorder in children, occurring in about 8 percent of children and youth.
According to the AAP guidelines, in preschool children (ages 4 and 5) with ADHD, doctors should first try behavioral interventions, such as group or individual parent training in behavior management techniques. Methylphenidate may be considered for preschool children with moderate to severe symptoms who do not see significant improvement after behavior therapy, starting with a lower dose. For elementary school children and adolescents, the AAP recommends both FDA-approved medications and behavior therapy.
In addition to the formal recommendations for assessment, diagnosis and ADHD treatment, the guidelines provide a single algorithm to guide the clinical process.
“Because ADHD is a chronic condition, it requires a team approach, including the patients, their parents, the pediatrician, therapists, and teachers,” Dr. Wolraich said.
In addition to the formal recommendations for assessment, diagnosis and treatment of ADHD, the guidelines provide a single algorithm to guide the clinical process. The AAP is also releasing a newly revised and updated ADHD Toolkit to assist health care providers diagnose and treat ADHD in their patients.
Reference for: Updated Guidelines For ADHD Treatment And Diagnosis
41233 
