Treatment and Medication at School

“What are the different treatments available to children and is medical treatment more effective than behaviour therapy or does a combination of the two work best?”

There are two main treatment options for ADHD: behavioural therapy and medication. Drug treatment is not recommended for pre-school children with ADHD. Rather, the doctor should contact the nursery or pre-school teacher to discuss a care plan and a parent-training/education programme should be offered.

For school-age children, the national guidelines recommend that drug treatment be reserved for:

  • children with severe symptoms and impairment
  • those with moderate levels of impairment who have refused non-drug interventions
  • those whose symptoms have not responded sufficiently to parent-training/education programmes or group psychological treatment.

If a child is prescribed medication as part of their treatment for ADHD there are two classes of medication available: stimulants and non-stimulants. Stimulants include methylphenidate and dexamfetamine based medications which are licensed for children in the UK. Atomoxetine is a non-stimulant and in the UK, is currently licensed in children and for adults, when treatment was initiated in childhood. Different treatments will suit different children and doctors will be able to advise parents and carers on this.

Research has shown that combining behavioural therapy with appropriate medication is one of the most successful ways of treating ADHD.

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