ADHD Treatment Guide: Cadabams CDC’s Parent-Friendly Roadmap
If you’ve just heard the words “Your child has ADHD”, you’re probably juggling relief (finally, an explanation) with worry (what now?). This ADHD-treatment-guide was written for parents like you—practical, jargon-free, and backed by the latest evidence. By the end, you’ll know exactly what to ask, try, and track—without feeling overwhelmed.
Quick Start: How to Use This ADHD Treatment Guide
Who This Guide Is For
- Parents of children aged 4–17 who have—or might have—ADHD
- Caregivers who want to partner with teachers and doctors effectively
- Anyone who prefers step-by-step action over endless Google searches
3-Step Action Checklist
- Screen: Use free parent & teacher rating scales (links in Section 3).
- Plan: Set 3 measurable goals—one academic, one social, one home routine.
- Act: Book an evaluation at Cadabams CDC within the next 14 days.
Glossary of Key Terms
- Stimulant: Medication that boosts dopamine & norepinephrine to improve focus.
- Non-stimulant: Medication that works differently (slower, longer-lasting).
- 504 Plan: School document that lists classroom accommodations.
Overview of ADHD in Children & Adolescents
Symptoms at Different Ages
| Age Group | Typical Signs |
|---|---|
| Preschoolers (4–5) | Runs/climbs when told not to, extreme tantrums, can’t sit for circle time (ADHD in kids) |
| School-age (6–11) | Loses homework, interrupts, blurts out answers, daydreams (symptoms in children) |
| Adolescents (12–17) | Misses deadlines, risky driving, emotional outbursts, poor sleep (ADHD in teens) |
Co-Existing Conditions to Watch for
- Anxiety – 30–40 % overlap
- Learning disorders – 20–25 %
- ODD – up to 40 % in boys
When to Seek Professional Help
Seek an evaluation if symptoms:
- Persist >6 months in two or more settings
- Cause academic or social impairment
- Start before age 12
Step 1: Comprehensive Evaluation
Clinical Interview Questions We Ask Parents
- “Describe a typical morning before school.”
- “Which behaviors improve on weekends?”
- “Any family history of ADHD or tic disorders?”
Rating Scales for Parents & Teachers
- SNAP-IV (free download)
- Conners 3rd Edition (online, 15 min)
- Vanderbilt (designed for pediatricians)
Medical Tests to Rule Out Mimics
- Vision & hearing screen
- Thyroid panel (TSH, Free T4)
- Sleep study if loud snoring is reported
Step 2: Setting Personalized Treatment Goals
Academic Performance Targets
- Finish 80 % of homework without reminders within 4 weeks
- Raise math grade from C to B by semester end
Social Skills Milestones
- Join one after-school club and attend 3 sessions
- Use “stop–think–act” script before interrupting
Family Routine Adjustments
- 8:30 p.m. lights-out every weekday
- 20-minute “tech-free” playtime after school
Step 3: Evidence-Based Treatment Options
Stimulant ADHD Medication Guide
Methylphenidate class
- Ritalin LA: 8-hour coverage, chewable option
- Concerta: 12-hour, once-daily pill Amphetamine class
- Adderall XR: 10–12 hours, sprinkle on applesauce
- Vyvanse: Pro-drug, smoother onset, 13-hour effect
Non-Stimulant ADHD Medication Guide
- Atomoxetine (Strattera): 24-hour effect; good if tics present
- Guanfacine XR: Helps with hyperactivity & sleep
- Clonidine patch: Reduces impulsivity, bedtime dosing
Behavioral Parent Training Programs
- Triple P – 8-week group sessions (behavioural therapy)
- Incredible Years – video modeling, role-play
School-Based Interventions & 504 Plans
- Preferential seating (educational support)
- Movement breaks every 20 minutes
- 50 % extra time on tests
Cognitive Behavioral Therapy (CBT) for Older Kids
- 12-session modules on thought-stopping & time management
- Digital worksheets sent to parents via app
Digital Therapeutics & ADHD Apps
- Joon: Gamified chore completion
- EndeavorRx: FDA-approved game for 8–12-year-olds
Age-Specific Treatment Recommendations
Preschoolers (4–5 Years): Parent Training First
- No meds unless severe (AAP guidelines)
- Focus on positive reinforcement & predictable routines (parental support)
School-age (6–11 Years): Multimodal Approach
- Stimulant medication + parent training + 504 Plan
- Monitor height & weight every 3 months
Adolescents (12–17 Years): Medication + Coaching
- Long-acting stimulant + CBT
- Add academic coaching for executive skills
Medication Management Toolkit
How to Start, Stop, or Switch Meds Safely
- Weekend start rule: First dose on Saturday morning to watch for side effects
- Cross-tapering: Overlap old & new meds 3–5 days when switching
Monitoring Growth, Sleep & Appetite
- Height/weight: Plot on CDC chart monthly
- Sleep diary: Note bedtime, wake time, night wakings
- Appetite log: Rate 1–5 before & after dinner (nutrition and dietetics)
Managing Common Side Effects
| Side Effect | Quick Fix |
|---|---|
| Loss of appetite | High-protein breakfast before dose |
| Trouble sleeping | Switch to short-acting, earlier last dose |
| Rebound irritability | 3 p.m. low-dose “booster” |
Non-Pharmacological Care Pathways
Daily Routine Charts
- Color-coded magnets for each task
- Checklist laminated on bedroom door
Reward Systems That Work
- Token economy: 5 stars = 30 min gaming (Applied Behaviour Analysis)
- Immediate praise: “I saw you put your shoes away—great job!”
Exercise & Sleep Protocols
- 30 minutes aerobic activity daily (bike, swim) (yoga for ADHD)
- No screens 1 hour before bed; use blackout curtains
Tracking Progress & Follow-Up Schedule
Monthly Symptom Tracker Template
Download our PDF: tick boxes for inattention, hyperactivity, mood. (worksheets for children with ADHD)
Teacher Feedback Forms
Send Google Form every 4 weeks: 5 questions, 2-minute completion. (collaboration with schools)
Red-Flag Indicators for Urgent Review
- Tics lasting >1 week
- Heart rate >110 bpm at rest
- New suicidal comments—call Cadabams CDC same day at our ADHD treatment centre