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Problems Families May Face

Parents need to carefully evaluate treatment choices when their child receives a diagnosis of ADHD. When they pursue treatment for their children, families face high out-of-pocket expenses because treatment for ADHD and other mental illnesses is often not covered by insurance policies. In schools, treatment plans are often poorly integrated. In addition, there are few special education funds directed specifically for ADHD. All of these factors lead to children who do not receive proper and adequate treatment.
 
To overcome these barriers, parents may want to look for school-based programs that have a team approach involving:
 
  • Parents
  • Teachers
  • School psychologists
  • Other mental health specialists
  • Physicians.
 

Prognosis for ADHD

There is no "cure" for ADHD. Children with the disorder seldom outgrow it; however, some may find adaptive ways to accommodate the condition as they mature.
 

Research on ADHD

Brain-imaging research using a technique called magnetic resonance imaging (MRI) has shown that differences exist between the brains of children with and those without ADHD. In addition, there appears to be a link between a person's ability to pay continued attention and the use of glucose (the body's major fuel) in the brain. In adults with ADHD, the brain areas that control attention use less glucose and appear to be less active, suggesting that a lower level of activity in some parts of the brain may cause inattention.
 
Research shows that the disorder tends to run in families, so there are likely to be genetic influences. Children who have ADHD usually have at least one close relative who also has it. At least one-third of all fathers who had the condition in their youth also have children with it. Even more convincing of a possible genetic link is that when one twin of an identical pair has the disorder, the other is likely to have it, too.
 
ADHD research has also shown that the use of stimulants alone is more effective than behavioral therapies in controlling the core symptoms -- inattention, hyperactivity/impulsiveness, and aggression. In other areas of functioning, such as anxiety symptoms, academic performance, and social skills, the combination of stimulant use with intensive behavioral therapies was consistently more effective. Researchers continue to track these children into adolescence to evaluate the long-term outcomes of these treatments, and ongoing reports will be published.
 
Written by/reviewed by:
Last reviewed by: Arthur Schoenstadt, MD
Last updated/reviewed:
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