Attention Deficit Hyperactivity Disorder/ADHD Treatment Guidelines

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

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ATTENTION DEFICIT HYPERACTIVE DISORDER (ADHD)

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Dr Vihang N Vahia

Hon . Psychiatrist & Prof of Psychiatry
Dr R.N. Cooper Hospital & Seth G .S.Medical College,Bombay 400 056.

Consultant at:

Breach Candy Hospital.
Gandhi (Bhajekar) Hospital.
Hurkisondas Hospital.
Nanavati Hospital.

Q. What is the treatment of ADHD ?
ADHD is due to an abnormality in the reticular activating system of the brain. Drugs that increase the reticular activating system (RAS) stimulation are used successfully in the treatment of ADHD. The two drugs commonly used are methylphenidate and amphetamine. Methylphenidate is used in the dose of 5-10mg in the morning everyday. (The drug is given even on weekends & during vacations). These drugs have to be taken under a doctor's guidance, as they are habit forming and cause loss of appetite. This treatment is required for many years. However, the disorder attenuates as the child grows older and hence life long medication is not required.

Q. How can I, as a parent, help in the treatment of ADHD ?
Parents can definitely help in the treatment of children with ADHD. They should reward positive behavior of the child and reprimand negative behavior. The reprimand should be proportional to the intensity of the negative behavior and should always be predictable /consistent. It should not remain that the child is scolded sometimes and just let off other times. The parents should use persuasive firmness while dealing with these children.

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