A Promising New Approach to Treating Children With ADHD | NBC Nightly News
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- Опубликовано: 25 апр 2016
- A new ADHD study focuses on treating children with behavioral therapy before medicine, and doctors say it’s an approach that could change the way young children are treated.
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A Promising New Approach toTre ating Children With ADHD | NBC Nightly News
I had adhd in the 80s, my parents just screamed at me till I got better grades. Instead of studying 2 hrs I studied 4. I wish we woulda knew back then.
Wow that sounded horrible
What could your parents do better ! I do praise him and communicate, please help he is very smart
Evidence from extensive research and clinical studies contradicts this claim, showing that behavioral therapies alone are insufficient for addressing the core characteristics of ADHD and do not produce long-lasting improvements in executive function deficits.
Neurological Basis of ADHD
ADHD is a neurodevelopmental disorder with genetic and brain-based differences, particularly in areas related to executive function such as the prefrontal cortex. Behavioral therapies are designed to modify behaviors through external reinforcement but do not address these underlying neurological differences. ADHD's strong biological component, as indicated by genetic markers and brain imaging studies, requires more than just behavioral interventions for effective treatment.
Short-term vs. Long-term Effects
While behavioral therapies like cognitive-behavioral therapy (CBT) can provide short-term improvements in managing specific behaviors and coping strategies, they do not result in lasting changes in core ADHD symptoms such as inattention, impulsivity, and hyperactivity nor do they show long term benefits in many of the cooccuring executive function challenges that are arguably the condition's most impairing aspect. Research consistently shows that these therapies offer limited impact on core symptoms and that their benefits often diminish once the interventions stop.
Research Findings
Multimodal Treatment Study of Children with ADHD (MTA Study): This large and comprehensive study found that medication management was significantly more effective than behavioral therapy alone in reducing core ADHD symptoms. The combination of medication and behavioral therapy showed some additional benefits, but medication alone was the most effective for core symptoms.
Meta-analysis: Published in the "Journal of the American Academy of Child and Adolescent Psychiatry," this study reported that behavioral interventions had small to moderate effects on ADHD symptoms compared to medication, which had large effects. Behavioral therapies were found to be beneficial for managing associated behavioral problems but insufficient for addressing core ADHD symptoms.
Practical Limitations
Behavioral therapies require consistent application of techniques and reinforcement, which can be challenging for individuals with ADHD due to their inherent difficulties with self-regulation and consistency. The practical implementation of these therapies often demands a high level of external structure and support, which may not be sustainabllong term.
Comparison to Sensory Deficits
Just as behavioral therapy cannot alter the physiological aspects of blindness, it cannot change the neurological underpinnings of ADHD. ADHD is characterized by differences in brain structure and function that behavioral interventions alone cannot modify.
Evidence and Supporting Studies
Neurological Evidence: Neuroimaging studies have shown structural and functional differences in the brains of individuals with ADHD, particularly in regions responsible for attention, behavior, and emotion regulation.
Genetic Evidence: Twin studies and genetic research have identified specific genetic variations associated with ADHD, underscoring its strong biological foundation.
Long-term Follow-up Studies: Long-term studies, such as the MTA Study, have demonstrated that while behavioral interventions can provide immediate benefits, their effects on core ADHD symptoms do not persist once the intervention ends. In contrast, medication has shown more sustained benefits in managing these symptoms.
The claim that behavioral therapies before medication lead to better long-term outcomes in children with ADHD is not supported by substantial evidence. Extensive research and clinical studies show that while behavioral therapies can play a supportive role in managing certain aspects of ADHD, they do not address the core neurological deficits underlying the condition. Effective treatment for ADHD typically involves a multimodal approach, including medication, behavioral strategies, coaching, and environmental adjustments, tailored to the individual's unique needs and brain functioning.
Coming from experience, I did my own inner work (self therapy) for many years. I wasn’t sure I had ADHD until 4 years ago. Before that I learned ways to make myself get things done. Then when I was finally diagnosed at 40 and took meds, it was as if a fog had been lifted. Can I function without meds? Yes. Things take forever though and mostly get half way done. With meds, I’m at 100%. But like this kid, I did inner work first, then took meds. So if you can work on your habits first and create a way that works and then you do the meds, you will be 100,000,000 times better than if you go in thinking meds alone will help. Think of meds like a boat. Your inner work is the main sail to steer the the boat, but a boat without a sail is still gonna go in all directions. You want to create those good habits (a strong sturdy sail) so when you get the power boat(amphetamines) you can handle it. If not, it’s like if you took nothing. You’ll focus but on all the bad stuff you did before. Amphetamine isn’t a cure all, it just helps organize thoughts, you still have to be willing to do the work of putting yourself back on task when a facebook post or a youtube video seems more important than an assignment paper or work.
Both things create success. Without one you won’t succeed at the same degree...
Hope that helps...
Beautifully said!
Totally agree with you. On lisdexamfetamine and it was like the brain fog I had all my life had been lifted . I was proactive instead of taking ages to do anything or even start anything. It truly is a wonder pill once a day. Can I live without it yes. But my life would be far worse
@@starlinadavis2611 thank you!
@@Darth001 yep! Glad you found your boat ❤️
You shouldn't be disciplining a child for actions they can't control. The problem with adhd is that much of their behavior looks like bad behavior. All kids behave poorly from time to time its part of how they learn whats ok and what's not ok. All kids benifit from encouragement when they do good. As parents we need to find the root cause of unwanted behaviors and treat that.
Well said
The root is generational curses.. 😢
Speech therapist, special ed, occupational and others are so important Im tired of some people looking at those fields of study as a waste of money.
I'm from the uk my son has ADHD the eldest of three children. I think i need nanny 911.. unfortunately the stresses he puts on us as parents, the other 2 children too. It's so demanding and disruptive. After fighting with the system and NHS for 5 yeah have diagnosed him with ADHD last September. However even on medication he is extremely difficult. When he stays out at our parents house for a night, It's like someone has taken a giant load of stress off us all. I've read books and tried strategies however to know avail.
I hope I learn to manage my stress levels but more importantly help manage his condition better.
Also, I'm American and not to familiar with how NHS works/operates but get an increased dosage in medication. Something that will need to happen over time. I've been on just about every ADHD med, some work some don't and their are also times when I need to come off on, go on a different because our bodies get used to the meds. Their is more to this than I'm typing hear but, I'd suggest looking into different meds and dosage
@michaelparente2801 Thank you.
We had to take him off meds as it made him become more aggressive. However we haven't had any support in terms of training courses how to manage a 7 year old child's behaviour with ADHD. Hopefully they said they would put us on a training course with different strategies to use etc.
NHS ( national health service ) is funded thru tax payers and governent funding too. It doesn't matter if your employed or not. If you have to attend Hospital you get treatment and you do not pay at all. As it comes out of your national insurance and tax on your salary. Which is alot.
However I heard that you guys need medical insurance but that still doesn't cover the bills and it could be thousands of dollars etc.
@@DA-of9sv the agression is most likely tied to the ADHD. A more broad idea of ADHD is that it's an executive function disorder. This has to do with things like attention, organization, planning, initiating tasks, working memory, impulse control, emotional regulation and more. I can't tell you how understated being able to start a task can be. One piece of advice, help your son learn to express and understand his emotions/feelings while he's young.
I'd suggest you take a look at ADHD Dude, who focuses a lot on children with ADHD and Russell Barkley who gives a really good deep dive into understanding ADHD here on RUclips and a website called ADDitude, which has all a lot of great literature focused on parenting kids with ADHD.
If it make you feel better, my mom had told stories about me as a kid, apparently I had thrown some dinner rolls at a couple of older ladies at a restaurant, that one always makes me laugh , had gotten kicked out of 2 different daycares, I was average at best in grade school and took the 6 year path to get my bachelors degree. Just 2 months ago I graduated with my masters degree and got an awesome job in the space industry with a well known company. Their is light at the end of the tunnel, their will be bumps and it won't be easy but your son Will one day recognize at the effort you put into helping him.
The reason this works better is because parents have to buy in to connecting with their child and changing how they approach the relationship...if they just start on medication, there's less chance that the parents will change their approach. I'm sure there's just as much success to doing both at the same time. (which should always be the case...you shouldn't just put a child on medication and not work to improve your relationship and interactions)
Agreed. My child is 4 and I suspected adhd from the time he was a baby. At 6 months, many people were already making comments. So I just knew I'd have to keep an eye on it. I exhaust myself helping him daily. But it's worth it. We have a great relationship and I hope it stays great as he grows. I want to be the person that has helped him the most and not meds.
That's the spirit. I'm kinda in the same place and I completely agree with your comment! @@InDirectDiana
Finding that behavioral therapy is a nightmare in this country
I have symptoms of ADHD, and one day I decided to try self deliverance in Jesus' name to see if it worked. Yep, it surely did! I yawned about 10 times, and afterward, I was able to work on a project that I struggled with for years! Praise God! The mental health people often have no idea what they're really dealing with, unfortunately.
Yeah you act like we don't already praise good behavior and encourage positive actions and self control. The problem with ADHD is that you praise the good behavior, and they're already 5 steps ahead of you doing something they shouldn't be doing. I've struggled so hard with this 'positive approach' for as long as I can remember, and my kid still suffers. I'm trying medication, even though I hate to do it, and I know it'll take adjustment. But these 'studies' need to stop acting like parents with adhd kids are lazy or doing praise their kids enough.
100% agree
Agree 50000% As a Mom who has ADHD and a son with ADHD, yes behavioral therapy does help, but executive disfunction and dopamine regulation does NOT change from praise. I am praised CONSTANTLY at work because I can outwork anyone and I AM Extremely creative so I always go above and beyond in a noticeable way. While praise does feel great for really any human, it does NOT fix my mess of a brain that physically cannot control myself from getting up out of my chair 500 times a day for no reason at all, or my disorganization to the point of losing everything, or my inability to pay attention to anything anyone is saying to me because my brain is trying to remember the lyrics to some song from a commercial from when I was 12 randomly and without my permission
This footage should be used in documentary films about ADHD
thank you
Beautiful! I have a non medicated daugther with adhd and she is triving! There are only some things we are still working on such as impulsive behavior and learning to self regulate but is been a journey of growth and Is definitely worth trying without the meds. I love her as she is and i am so glad i never wanted to give her pills to change her.
I wish we had it that easy. We tried for 5 years every therapy under the sun and things have gotten so bad. I'm so happy for you but you must remember severity level differs vastly from child to child. Also many kids with ADHD have co existing diagnosis
President Ford was taught by his mother to memorize and read poetry to deal with his anxiety. No drugs, and he became President.
Yeah. Um... "positive parenting" can help a bit but it's the medication that will allow for the real short-term improvements as well as much better long-term outcomes.
I have adhd too because I’m always hyper even when I’m tired
I think here it's important to say: Yes. A combo of medication and therapy works best, BUT not everyone benefits from the "therapy first" approach.
I am an example for that: My ADHD works in a way that makes it very hard for me to learn and apply skills from therapy. I need medication first, to even make it possible for me to learn. If I have to spend all my energy on coping, I have nothing left to for learning.
So in other words he still got medicated 🖊️ 📒
Therapy does work! But it has to be the right one. ADHD needs the right therapy with the right therapist. Someone that knows the disorder and the intervention. Neuropsychological habilitation has been proven effective. It´s suppose to be psycotherapy, and that´s why so many times doesn´t work. And if psycotherapy is needed, it has to be done by an ADHD experienced psycotherapist, and along the neuro intervention. Stimulating executive funtions, atention and memory, while giving the child tools to self regulate emotions and behavior (not control them) is the goal of this tipe of intervention.
I SAY WE AS AMERICAN CITIIZENS,
CHANGE THE FAILED SCHOOL SYSTEM.
EVERYONE IS NOT MEANT TO SIT AT A DESK ALL DAY EVERY DAY!
WE ARE DESIGNED TO BE DIFFERENT BECAUSE WE ARE CAPABLE AND EXPECTED TO DO DIFFERENT AND BE DIFFERENT FROM EACH OTHER.
THERE ARE SECTORS and that should be the starting point of 1st grade.
Imagine your children actully wanting to go to school and not drop out because they are learning a field that they are interested in.
Honestly teachers would love it also..
EVERY ONE IS HAPPIER AND THE ECONOMY IS THRIVING....
Children with ADHD received 20,000 more corrective or negative comments before the age 12 than their typically developing peers. Lowering that is every parent’s responsibility when considering treatment for their child. Medication is more neuroprotective than once thought because it helps kids to survive in the environment most of them are in. School. Treatment should start with education. #learnallyoucanaboutadhd.
I was diagnosed with A.D.D in pre-school, im almost 40, I hate my a.d.d... its not a gift...
I think what they are seeing is "simply" :
Positive reinforcement.
Irrespective of a persons neuro makeup, everyone benfits from positive reinforcement, and most people need very little positive reinforcement.
A.d.d kids receive about 10x more negative comments from external sources, vs their neuro typical peers.
IF the child has developed a negative internal voice, this is only amplified.
"tell your kid they're doing good when they do a good thing"
hello!!! it's not that simple. That's been tried thanks for the advice
This seems like this would be common sense!
It’s not when you learn adhd is one of the most misdiagnosed condition in children
As a 12 year old i have adhd
The most i struggle with is sitting still its like i get and out of breath and i just want live and then i start getting mad when leaving class
I have had abusive parents i dont want to explain but it was really difficult i could never open up cuz i normally just smile i know im not lying
Has anyone actually tried this for a six year old, first grader? What was your experience? And if you did go to meds what meds worked for your child?
Would love to know that as well.
Hi! My son started Vyvanse (a stimulant) in 2023. It has worked tremendously for him in Kindergarten so far. He still has difficult days but with redirection and praise, it’s work. At home is another story though as my son was also diagnosed with ODD (oppositional defiance disorder).
@@ncave14wow my daughter is 6 w combined ADHD….she’s an angel at home but school she’s a menace lol (my menace 😊) however it’s become very difficult for her to focus, she’s picked up terrible behaviors from other kids and I’m so reluctant to try medication but at this point I feel defeated and like there’s no other alternative….
@@EselCheapothat’s familiar to how things started with us… it’s so extremely challenging. without medication, try constant praise every time she does what she’s supposed to do and discipline as soon as redirection is needed, so that she can start to see consequences immediately both good and bad… also 15 minutes of playtime a day where she makes up all the rules might help too. These are things that have worked for me (behavioral wise). My son is almost 6 and can’t even get dressed by himself without having to be told 1000 times. He is so easily distracted both at home and school and that is why, ultimately, we went with medical. It’s blatantly obvious that there’s some things he can’t do on his own right now because of his ADHD. :/
I have an adhd but I don.t know how can concrete at school
Manage behaviour i.e. PARENTING works. Who knew? *eye roll* I have it, my son has it. We don't medicate (I appreciate some might need it) he's doing great I've taught myself coping skills. Every disorder of this type needs behavioural therapy.
Cool.....
Wow, posted 7 years ago. I wonder how Christian is doing today?
Prison
Did he lose a lot of weight on the medication? I’m curious because my son lost weight in a very unhealthy way fast. We had to stop it for that reason.
Medication side effects, lost of appetite
@has4566 I am doing the same because my son loss weight. He wasn’t big from the beginning.
7 year old dont have adhd, they're just being kids, quit medicating kids, actually work with them.
I have ADHD but my parents don't know
Samira Estiban same hear
Samira Estiban tell them they won’t be mad, I know this comment was 2 years ago but my mom just took me to the doctor and I got adhd medicine.
Don't tell them. They'll just medicate you. Don't get on those drugs.
Can this be cured without medcnine
You can't "cure" ADHD it is a life long disability. However you can learn the tools to manage it better.
Not in the US. They sell prescription drugs here. A lot of prescription drugs.
No u can’t cause it’s from Ohio
It’s can’t be cured I know because I am ADHD myself
Executive function training is the closest thing to a "cure" as it strengthens the underlying cognitive deficits present in the brains of those with ADHD. It's definitely a long-term approach, but it's had some amazing results for our students who've really committed to it, whether virtually or in-person.
ADHD doesn’t do that
Drugging our kids.. great stuff...
Only in ohio
A💥D💥H💥D
Shock Treatment is better than drugs for ADHD.
What is shock treatment
As Person with ADHD this Comment makes me mad because Shock Treatment is not good and ADHD-Friendly
What a stupid comment.
Weedborn is full of amazing CBD products. They have been very helpful to me.