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ADHD / ADD Medications

January 18th Inservice
by

Dana Reddick

on 18 January 2013

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Transcript of ADHD / ADD Medications

ADHD / ADD Diagnosis and Medications Observation Assessment Family Physician / Pediatrician vs. Mental Health Professional Referral Stimulants vs. Non-stimulants Medications Most commonly seen:

Decreased appetite
Stomach pains
Headaches
Dry mouth
Difficulty sleeping
Tics
Increased heart rate and BP Side Effects What Medication Can...
and Can't Do 1. Is medicine alone enough?
2. Have other possible diagnoses been ruled out?
3. Is there a significant medical history?
4. Could the child benefit from counseling / therapy as well?
5. Could the family benefit from counseling / therapy? Stimulants: Non-Stimulants Amphetamine Stimulants Methylphenidate Stimulants Adderall, Dexadrine, Vyvanse Focalin, Concerta, Methylin, Ritalin, Daytrana Straterra Intuniv 1. Autism / Asperger’s Syndrome
2. Hearing and Vision Impairments
3. Hypothyroidism
4. Iron Deficiency Anemia
5. Lead Toxicity
6. Mild Mental Retardation
7. Nutritional Deficiencies / Food Allergies
8. Seizure Disorders
9. Sensory Disorders
10. Sleep Disorders CNS Stimulants increase levels of certain chemicals in the brain, such as dopamine and norepinephrine, which help transmit signals between nerves. *70% of children correctly diagnosed with ADHD / ADD will respond to stimulant medication.

*One stimulant medication is not necessarily better than another. It depends upon the response of the child, and everyone responds differently.

*The possibility of drug dependency is debatable. *Weigh the Pros and Cons* *Takes longer to take effect than the stimulants do (6 weeks)

*Have to start gradually

*Helps with anxiety issues as well as ADHD / ADD

*It works for 24 hours Wellbutrin *Help treat depression as well as ADHD / ADD

*May increase the risk of seizures *Increases the firing of neurons in an area of the brain that helps people to control their own behavior

*Works for 24 hours (long-acting)

*Rarely, it can cause low blood pressure and heart rhythm changes It Can:
Decrease Activity Level
Remain seated longer
Reduce fidgeting
Increase Ability to Sustain Focus
Work with greater accuracy
Improve ability to maintain attention
Increase ability to listen to others
Less distractability
Improve ability to learn (more available)
More capable of enduring boredom
Decrease Impulsitivity
Follow rules better
More likely to think before acting
Decrease Reactivity
Reduce aggression
Less emotional lability (moodiness)
It Can't:
Teach Good Behavior
Remove old behaviors and patterns
Teach reflective thinking
Teach Skills
Teach old school work
Teach social skills
Teach what to focus on
Teach what is important
Motivate for Action
Make them try new skills
Do things they'd rather avoid
Teach How to Deal with Feelings
Know how to control anger
Be able to cope with frustration
Feel automatically happy
Reevaluate Follow-up
Full transcript