Does my child need ADHD medication?

One of the questions I am often asked in practice is "does my child really need ADHD medication?" The answer depends on the child. Typically, when there is clear functional impairment in two or more settings (i.e., school and home life) medication, in conjunction with behavioral therapy, is indicated. ADHD medications go through extensive testing before they are put on the market, and anything that is prescribed as treatment is considered to be safe for long-term use. There are a variety of medications available for ADHD, including stimulant and non-stimulant medications.

The good news is that many children with ADHD can grow out of the most bothersome hyperactive and impulsive traits. Many children are able to stop medications, as they transition into late adolescence and early adulthood. However, some children may require life-long treatment. There is no "cure" for ADHD at this time and research has validated the long-term benefits of continued medication for individuals with functional impairment. We know that unmedicated individuals are at a higher risk for relational problems, substance abuse, incarceration, other mental illnesses. Parents often feel guilty about medicating children and that is understandable. It is rational to feel that medicating a child long-term could cause harm. However, the scientific data does not support this belief. In fact, withholding treatment when clinically indicated will certainly cause more harm.

For more information on ADHD medications, check out the American Academy of Child and Adolescent Psychiatry ADHD Parent Medication Guide:

https://www.aacap.org/App_Themes/AACAP/docs/resource_centers/resources/med_guides/ADHD_Medication_Guide-web.pdf