Expert consensus on the treatment of preschoolers diagnosed with attention deficit hyperactivity disorder (ADHD) is clear: Try behavioral therapies for six months before prescribing medications. However, a new study found this guideline was followed in only 14.1% of U.S. cases involving children ages 3 to 5. “We found that many young children are being prescribed medications very soon after their diagnosis of ADHD is documented,” said study lead author Dr. Yair Bannett, an assistant professor of pediatrics at Stanford Medicine in California. “That’s concerning, because we know starting ADHD treatment with a behavioral approach is beneficial; it has a big positive effect on the child as well as on the family,” he explained. Immediate use of stimulant meds such as Adderall or Ritalin can bring one other downside, since preschoolers’ bodies do not metabolize the drugs as easily as older childrens’ can. That could lead to increased side effects from stimulants — such as aggression or irritability — that can turn parents off from ever opting for the beneficial meds again, the Stanford team said. “We don’t have concerns about the toxicity of the medications for 4- and 5-year-olds, but we do know that there is a high likelihood of treatment failure, because many families decide the side effects outweigh the benefits,” Bannett said in a Stanford news release. His team published its findings Aug.… read on > read on >







