Evidence Based Treatments for ADHD

Summary

In this ADHD treatment video, Dr. Donnelly Snipes reviews evidence-based practices, emphasizing the importance of sleep, nutrition, and exercise. She discusses the role of neurotransmitters in ADHD and various pharmacological interventions, including stimulants and non-stimulants. Dr. Snipes also highlights non-pharmacological approaches like neurofeedback, mindfulness, and cognitive-behavioral therapy, stressing the need for individualized treatment plans to manage ADHD symptoms effectively.

The video is abnormal, and we are working hard to fix it.
Please replace the link and try again.

Q & A

What are evidence-based practices for ADHD?

Evidence-based practices for ADHD are interventions that have been researched and shown to be effective. They are derived from meta-analyses or systematic reviews with significant sample sizes, rather than just one or two studies.

How does sleep affect ADHD symptoms?

Sleep is crucial for ADHD as it helps regulate circadian rhythms and address obstructive sleep apnea. Poor sleep can worsen ADHD symptoms such as impulsivity, attention, memory, and organization.

What role does nutrition play in managing ADHD?

Nutrition can be important for ADHD. Some research suggests that people with ADHD often have low levels of iron, zinc, magnesium, and vitamin D. However, supplementation is only effective if there is a deficiency, which should be identified through blood tests.

What is the significance of an anti-inflammatory diet for ADHD?

An anti-inflammatory diet can be helpful for ADHD as it has been associated with reduced inflammation, which may improve neurocognitive symptoms. This diet typically involves low intake of processed sugars, trans fats, processed meats, and red meat.

How might exercise impact ADHD symptoms?

Moderate to intense aerobic exercise has been found to reduce ADHD symptoms, possibly by releasing endorphins and increasing dopamine and norepinephrine levels, which are associated with pleasure and motivation.

What is the current status of rTMS in treating ADHD?

Repetitive transcranial magnetic stimulation (rTMS) is currently under investigation for ADHD treatment but is not yet considered an evidence-based practice due to limited studies and small participant numbers.

Why is pharmacological intervention not suitable for all individuals with ADHD?

Pharmacological interventions are not suitable for all individuals with ADHD because approximately 20% cannot tolerate the medication, and an additional percentage do not respond well or achieve full symptom remission from it.

What are some non-stimulant medications used for ADHD?

Non-stimulant medications for ADHD include atomoxetine (brand name Strattera), clonidine, and others that are still being explored. These are often used by individuals who cannot tolerate stimulants due to health conditions or other reasons.

How does neurofeedback help with ADHD symptoms?

Neurofeedback has been found to be helpful for inattentiveness and moderately helpful for impulsivity. It involves monitoring brain waves to provide feedback on neuronal activity, which can be done in a doctor's office or with at-home devices.

What is the role of mindfulness interventions in managing ADHD?

Mindfulness interventions can improve ADHD symptoms by training individuals to be more aware and attentive to their actions and environment. This can help with executive function and emotional regulation.

How can organizational skills help individuals with ADHD?

Organizational skills can lead to moderate improvements in ADHD symptoms by helping individuals manage tasks, follow through on responsibilities, and maintain order, which can reduce frustration and improve focus.

What is the effectiveness of essential oils in treating ADHD symptoms?

Essential oils such as bergamot, lavender, and lemon have been noted to boost dopamine levels throughout the body, which may indirectly boost norepinephrine. However, it's unclear if these levels increase in the brain, and more research is needed.

Why is relational parent training effective for preschool children with ADHD?

Relational parent training can reduce parent-reported ADHD symptoms, which can lead to reduced family discord and tension, creating a more supportive environment for the child.

Why did social skills training not demonstrate notable improvements for ADHD?

Social skills training did not show significant improvements in ADHD symptoms because it is challenging for individuals with ADHD to manage certain social symptoms, and teaching social skills requires extensive practice and training.