The “ten myths” of pediatric ADHD treatment

ADHD is one of the most common psychological behavior disorders in childhood, the prevalence rate has reached 3-6%, and there is a gradually increasing trend, seriously affecting the life and learning of children, the family, school and society have caused adverse effects, has caused widespread concern in the community, the current hospital and treatment of ADHD children are also more and more. But we found that there are still many people for the treatment of ADHD there are still many misconceptions, these misconceptions mainly include: 1, do not need to carry out treatment Many people believe that the symptoms of ADHD children will gradually disappear when they grow up, will also be naturally cured, so as long as the usual tight grasp can be, simply do not need to receive any treatment. In fact, ADHD is a disease, the child is unable to control their own behavior, the result affects their lives and learning, will have a negative impact on the family, school, and will also bring social instability when they grow up. Therefore, experts at home and abroad now agree that children with ADHD should be diagnosed and treated early to prevent further aggravation of the condition. Recent studies have found that more than half of children with ADHD grow up and although hyperactivity disappears, other symptoms, such as impulsivity and inattention, still exist and still affect their learning, work and life, and do not heal naturally, which should be taken seriously. The treatment of ADHD requires the participation and cooperation of parents, teachers, doctors and the whole society in order to achieve good results. Some people think that the treatment of ADHD is only the doctor’s business, the doctor prescribes any medicine, let the child take any medicine, and has little to do with other people. In fact, the treatment of ADHD requires the participation of all parties, including teachers and parents, who play a greater role in the treatment of ADHD because teachers, parents and children spend the longest time together in a day, and they can improve the child’s behavior and enhance the effectiveness of treatment through teaching by example and psychological behavior therapy. If only the doctor prescribes medication, the child takes medication, then the effect of treatment can only be limited and short-lived. The treatment of ADHD emphasizes comprehensive treatment, based on psycho-behavioral therapy, with the addition of medication when necessary. Generally for children with mild disease, psychological behavior therapy can achieve good results, but for children with moderate to severe disease, it is necessary to add medication to achieve significant results. Some people feel that psycho-behavioral treatment takes longer and the effect is not as fast as medication, so it is sufficient to use medication alone. Although medication is more effective, medication alone has a therapeutic effect only when medication is taken, and the symptoms may reappear when medication is not taken, which is short-lived and does not solve the underlying problem. Therefore, the combination of medication and psychological behavior therapy is advocated in order to consolidate and strengthen the efficacy and achieve satisfactory results. 4, refuse drug treatment Some people listen to the rumors of society, mistakenly believe that the adverse effects of drug treatment, and therefore firmly opposed to drug treatment. In fact, any kind of drugs have their adverse reactions, the most important drug for the treatment of ADHD is psychostimulants, compared with other drugs, the adverse reactions of psychostimulants are still relatively small. After more than half a century of clinical application at home and abroad, it was found that ADHD medication has no significant impact on the child’s growth and development and intelligence. If the child’s condition is heavy, and other treatment methods are not good, then still refuse drug treatment, the condition will further aggravate, affecting the child’s learning and life, and even affect the future life, then it will be too late to regret. 5, do not need long-term medication Some people believe that children with ADHD do not need long-term medication, as long as the temporary medication can be; some are eating and stopping; some parents usually do not let their children take medication, only in the examination when the children take medication. Because ADHD is a chronic disease with a long course, and medication does not cure the disease, it takes a longer time to take medication. If the medication is taken for a short time or irregularly, it will affect the effectiveness of the medication. The duration of medication is usually measured in years and can be several years, and some children may even need to take medication when they become adults. At present, most of the domestic use of Monday to Friday medication, weekend and holidays to stop the method, but in recent years, foreign scholars proposed that there should not be this drug “holiday” phenomenon. Because the symptoms of ADHD are always present, this method of taking medication may have some improvement on learning, but not on other aspects of function, which are also very important for children. 6, short-acting drugs are better than long-acting drugs Many ADHD parents like their children to take drugs with a short duration of action, such as Ritalin with an action time of only 3-4 hours, and take the drug once a day in the morning and not at other times. It is thought that this solves the learning problem and reduces the side effects, which is the “best of both worlds”, but it is not. It is now believed that ADHD symptoms are not only present in the morning, but also in the afternoon and evening, and even at night. If you only take short-acting drugs in the morning, the symptoms in the morning may improve, but the symptoms in the afternoon and evening will not improve, so that many children can not listen in the afternoon classes, do not do well in the evening homework, efficiency is very poor, often dragging very late, to the child’s learning and health are not conducive, parents are also very stressful. In recent years, experts agree that the ideal treatment should be to control the symptoms throughout the day, so that short-acting drugs need to be taken more than 2-3 times a day to have a better effect. However, if long-acting drugs are used, you only need to take the drug once a day to achieve the purpose of controlling the symptoms throughout the day. Some people think that ADHD children taking medication is to take “smart drugs”, after taking medication can improve their academic performance, in fact, this is also wrong. This is because the academic performance is related to many factors, especially the child’s intellectual factors, interest and teacher education methods. Because medication can improve attention and self-control, reduce hyperactivity, improve impulsivity and cognitive function, etc., children with ADHD may have increased grades after taking medication, but this is not the reason for increasing IQ. If the intelligence is poor, or if other factors affecting learning exist, even if the medication is taken, the academic performance may not necessarily improve. You should not take the improvement of your child’s academic performance after taking the drug as the only criterion to evaluate the effect of the drug. 8, the drug will make the child dumb Some people will take drugs to reduce the child’s hyperactivity, people have become quiet, that is to become “dumb”, is obviously wrong. However, some parents in order to one-sided pursuit of drug effects, so that the child takes too large a dose of drugs, or the dose increases too quickly, indeed, some children may appear wooden phenomenon, but this is not caused by adverse drug reactions, drugs do not affect the normal function of the brain, the child did not become “stupid”. As long as the dosage of the drug is reduced or the rate of increase is slowed down, this phenomenon will not occur. So far, no ADHD children have been found to take psychostimulants caused by the “dumb” or mental retardation reports. 9, the drug will make the child not grow taller scholars have reported that ADHD children taking psychostimulants have inhibitory effects on growth, but this effect is dose-related, mainly in children taking amphetamines, mostly in the first year of taking the drug, may be due to the child’s appetite significantly decreased after taking the drug, reduced food intake, weight loss caused by. However, the child’s height rebounded when the drug was discontinued, so even long-term use of the drug did not affect the child’s final height. There have been no further reports of similar effects, and experts now believe that medications for ADHD have no significant effect on the final height of children. 10, drug treatment can become addicted The so-called “drug addiction” refers to long-term use of a drug, such as euphoria, emotional high and other abnormal feelings, so that gradually formed a strong dependence on the drug, can not extricate themselves. If the medication is stopped, it will produce a rebound phenomenon after withdrawal, and the condition may be significantly aggravated. The medication for ADHD mainly targets the symptoms of ADHD, and after taking the medication the child will focus, reduce hyperactivity, and improve impulsivity, but will never produce abnormal feelings such as euphoria and emotional highs, and the dose used is small, so even if the medication is taken for a long time, it will not become addictive.