The following article was contributed by Jeremy Fordham
Oftentimes when a child is diagnosed with ADHD doctors and parents alike are quick to prescribe medication as a treatment. This is largely due to the fact that the effectiveness and safety of these medications are espoused by mental health professionals. Furthermore, medication is an easier and less time-consuming treatment than behavioral therapy or other forms of treatment for ADHD. However, as most parents who are making the treatment decisions for their children have not had the opportunity to attend Ph.D. programs in medicine, they are typically not versed enough in health care to know that there has been controversy about the long-term effects of ADHD medicine.
Most Common ADHD Medication
The most common ADHD medications children are prescribed are stimulant drugs, like Ritalin. Unfortunately, there are many different possible side effects that accompany ADHD stimulant medications, such as appetite suppression and erratic eating patterns, growth suppression, irritability when the medication is wearing off, headaches, stomach aches and facial tics. However for the most part ADHD medications are relatively safe; and if someone taking the drug does experience side effects from it, the dosage can be lowered or they can be prescribed a non-stimulant alternative.
It is generally agreed that ADHD drugs may help control symptoms and behavioral problems of some children with ADHD on a short-term basis. However as Eric J. Marsh and Russell A. Barkley point out in their book “Treatment of Childhood Disorders,” the long-term prognosis of individuals with ADHD who are treating their illness with medication is less clear. Similarly, it is also unknown what effect, if any, taking ADHD medications for extended period of time will have on a person’s health. What is known is that many patients eventually stop taking their medication after months or years of treatment. This could be due to unwanted side effects or the feeling that the medication is no longer helping to improve focus.
Ambiguous Nature of Long-term Effectiveness of ADHD Medication
Despite the seemingly ambiguous nature of the long-term effectiveness of ADHD medication, some mental health professionals argue that, on average, individuals receiving pharmaceutical treatment for ADHD do better than those without it. Yet there is one caveat: not all individuals respond to the ADHD medication that they are prescribed, and those who are good responders early on have a better long-term prognosis than those that have a hard time finding a medication that works for them.
Other mental health professionals question that point of view. A 2009 study showed that although ADHD medications were helping children with ADHD a year after therapy had begun, these same children were no different than the control group after eight years. Thus, the results of this study bring into question whether ADHD medications help on a long-term basis at all.
However one of the alternatives ADHD medication that has been proven to benefit children on a long term basis is behavioral therapy. Likewise, certain lifestyle changes, such as eating a healthy diet low in sugar and processed foods, getting enough sleep and exercising can also have a positive effect on ADHD symptoms.
Clearly it is very big decision to start a pharmaceutical regiment to treat a child’s ADHD. As such it is important for parents to keep in mind that ADHD medication is not a cure for ADHD and it may not even be effective in some individuals, whether they take it on a short- or long-term basis. While ADHD medication does help control ADHD symptoms in some patients and improve disruptive behavior and lack of focus in school, it is certainly not the only treatment option and others, such as behavioral therapy, may be worth exploring.
Bonnie Terry’s Additional Comments on ADHD Medication…
Remember, sometimes children as well as adults that have been diagnosed with ADHD also have other learning issues that can be magnify their ADHD. These are learning problems related to auditory, visual, and tactile/kinesthetic processing. There are 9 different areas of vision, auditory, and tactile/kinesthetic processing that affect learning. Often when you address these processing areas the ADHD isn’t as problematic as it was to begin with. Again, you want to check out all avenues to make learning easier for your child. You don’t want to leave a stone unturned. Your child is priceless. To find out if there are other root causes interfering with your child’s learning, see our Learning Disability Screening Tool or give Bonnie Terry, M. Ed.,BCET a call for a 30 minute complimentary consultation (530) 888-7160.
10 Free Homework Tips
Simply enter your information into the form below: