{"id":989,"date":"2024-08-02T18:37:40","date_gmt":"2024-08-02T22:37:40","guid":{"rendered":"https:\/\/www.accessmhct.com\/youth\/?page_id=989"},"modified":"2025-08-05T10:58:37","modified_gmt":"2025-08-05T14:58:37","slug":"attention-deficit-hyperactivity-disorder-adhd","status":"publish","type":"page","link":"https:\/\/www.accessmhct.com\/youth\/resources-2\/provider-toolkit\/attention-deficit-hyperactivity-disorder-adhd\/","title":{"rendered":"Attention-Deficit\/Hyperactivity Disorder (ADHD)"},"content":{"rendered":"\n<p>Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by persistent difficulties with <strong>inattention, hyperactivity &amp; impulsivity<\/strong> that is out of proportion to developmental expectations, and to the extent that it interferes with functioning or development.<\/p>\n\n\n\n<p>It is one of the most common neurobehavioral disorders of childhood and can profoundly affect children\u2019s social interactions and well-being as well as lifelong academic &amp; professional achievement.<\/p>\n\n\n\n<p>National survey data from 2016 reveal that 6.1 million (9.4%) of 2- to 17-year-old US children received an ADHD diagnosis during childhood, and 8.4% currently have ADHD. Prevalence estimates from community-based samples are somewhat higher, ranging from 8.7% to 15.5%. Most children with ADHD (67%) had at least 1 other comorbidity, and 18% had 3 or more comorbidities, such as mental health disorders and\/or learning disorders. These comorbidities increase the complexity of the diagnostic and treatment processes.<\/p>\n\n\n\n<p>This number includes:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>388,000 children aged 2\u20135 years<\/li>\n\n\n\n<li>2.4 million children aged 6\u201311 years<\/li>\n\n\n\n<li>3.3 million children aged 12\u201317 years<\/li>\n\n\n\n<li>boys are more likely to be diagnosed with ADHD than girls (12.9% compared to 5.6%)<\/li>\n\n\n\n<li>prevalence equal but diagnosed less frequently in non-white populations<\/li>\n<\/ul>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>The majority of care for children and adolescents with ADHD is provided by the child\u2019s PCP, particularly when the ADHD is uncomplicated in nature. In addition, families typically have a high degree of confidence and trust in pediatricians\u2019 ability to provide this professional care. Because of the high prevalence of ADHD in children and adolescents, it is essential that PCPs, particularly pediatricians, be able to diagnose, treat, and coordinate this care or identify an appropriate clinician who can provide this needed care. <\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-left\">ADHD Resources<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Guidelines for Diagnosis and Screening<\/h3>\n\n\n\n<div class=\"wp-block-esab-accordion accordion-d218a9da\" data-mode=\"global\"><div class=\"esab__container\">\n<div class=\"wp-block-esab-accordion-child\"><div class=\"esab__head\" role=\"button\" aria-expanded=\"false\"><div class=\"esab__heading_txt\"><p class=\"esab__heading_tag\">Guidelines for Diagnosis<\/p><\/div><div class=\"esab__icon\"><div class=\"esab__collapse\"> <svg version=\"1.2\" viewBox=\"0 0 24 24\" width=\"24\" height=\"24\"><path fill-rule=\"evenodd\" d=\"m3.5 20.5c-4.7-4.7-4.7-12.3 0-17 4.7-4.7 12.3-4.7 17 0 4.6 4.7 4.6 12.3 0 17-4.7 4.6-12.3 4.6-17 0zm0.9-0.9c4.2 4.2 11 4.2 15.2 0 4.2-4.2 4.2-11 0-15.2-4.2-4.3-11-4.3-15.2 0-4.3 4.2-4.3 11 0 15.2z\"><\/path><path d=\"m11.4 15.9v-3.3h-3.3c-0.3 0-0.6-0.3-0.6-0.6 0-0.4 0.3-0.6 0.6-0.6h3.3v-3.3c0-0.3 0.3-0.6 0.6-0.6 0.3 0 0.6 0.3 0.6 0.6v3.3h3.3c0.3 0 0.6 0.2 0.6 0.6q0 0.2-0.2 0.4-0.2 0.2-0.4 0.2h-3.3v3.3q0 0.2-0.2 0.4-0.2 0.2-0.4 0.2c-0.4 0-0.6-0.3-0.6-0.6z\"><\/path><\/svg> <\/div><div class=\"esab__expand\"> <svg version=\"1.2\" viewBox=\"0 0 24 24\" width=\"24\" height=\"24\"><path fill-rule=\"evenodd\" d=\"m12 24c-6.6 0-12-5.4-12-12 0-6.6 5.4-12 12-12 6.6 0 12 5.4 12 12 0 6.6-5.4 12-12 12zm10.6-12c0-5.9-4.7-10.6-10.6-10.6-5.9 0-10.6 4.7-10.6 10.6 0 5.9 4.7 10.6 10.6 10.6 5.9 0 10.6-4.7 10.6-10.6z\"><\/path><path d=\"m5.6 11.3h12.8v1.4h-12.8z\"><\/path><\/svg> <\/div><\/div><\/div><div class=\"esab__body\">\n<p>Deciding if a child has ADHD is a process with several steps.&nbsp; Many symptoms may be nonspecific, may have many causes, psychiatric, medical and\/or environmental.&nbsp; There is no single test to diagnose ADHD, and many other problems, like sleep disorders, anxiety, depression, and certain types of learning disabilities, can have similar symptoms.<\/p>\n\n\n\n<p>The American Academy of Pediatrics (AAP) recommends that healthcare providers ask parents, teachers, and other adults who care for the child about the child\u2019s behavior in different settings, like at home, school, or with peers.&nbsp;<\/p>\n\n\n\n<p>The healthcare provider should also determine whether the child has another condition that can either explain the symptoms better, or that occurs at the same time as ADHD.<\/p>\n\n\n\n<p>People with ADHD show a persistent pattern of&nbsp;inattention&nbsp;and\/or&nbsp;hyperactivity and impulsivity however may present differently over the time.<\/p>\n\n\n\n<p><strong>DSM 5-TR ADHD Diagnostic Criteria <\/strong><strong><\/strong><\/p>\n\n\n\n<p><a href=\"https:\/\/www.cdc.gov\/adhd\/about\/index.html\">Diagnosis of ADHD DSM 5-TR-CDC<\/a><\/p>\n\n\n\n<p><strong>Inattention: Six or more symptoms of inattention for children up to age 16 years, or five or more for adolescents aged 17 years and older and adults; symptoms of inattention have been <u>present for at least 6 months, and they are inappropriate for developmental level<\/u>:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>often fails to give close attention to details or makes careless mistakes in schoolwork, at work, or with other activities<ul><li>often has trouble holding attention on tasks or play activitiesoften does not seem to listen when spoken to directlyoften does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace (e.g., loses focus, side-tracked)often has trouble organizing tasks and activitiesoften avoids, dislikes, or is reluctant to do tasks that require mental effort over a long period of time (such as schoolwork or homework)often loses things necessary for tasks and activities (e.g. school materials, pencils, books, tools, wallets, keys, paperwork, eyeglasses, mobile telephones)is often easily distracted<\/li><\/ul>\n<ul class=\"wp-block-list\">\n<li>is often forgetful in daily activities<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>hyperactivity and impulsivity: Six or more symptoms of hyperactivity-impulsivity for children up to age 16 years, or five or more for adolescents age 17 years and older and adults; symptoms of hyperactivity-impulsivity have been <u>present for at least 6 months to an extent that is disruptive and inappropriate for the person\u2019s developmental level<\/u>:<\/strong><ul><li>often fidgets with or taps hands or feet, or squirms in seatoften leaves seat in situations when remaining seated is expectedoften runs about or climbs in situations where it is not appropriate (adolescents or adults may be limited to feeling restless)often unable to play or take part in leisure activities quietlyIis often \u201con the go\u201d acting as if \u201cdriven by a motor\u201doften talks excessivelyoften blurts out an answer before a question has been completedoften has trouble waiting their turn<\/li><\/ul>\n<ul class=\"wp-block-list\">\n<li>often interrupts or intrudes on others (e.g., butts into conversations or games)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p>In addition, the following conditions must be met:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>several inattentive or hyperactive-impulsive symptoms were present before age 12 years<\/li>\n\n\n\n<li>several symptoms are present in two or more settings (such as at home, school, or work; with friends or relatives; in other activities)<\/li>\n\n\n\n<li>there is clear evidence that the symptoms interfere with, or reduce the quality of, social, school, or work functioning<\/li>\n\n\n\n<li>the symptoms are not better explained by another mental disorder (such as a mood disorder, anxiety disorder, dissociative disorder, or a personality disorder).&nbsp; The symptoms do not happen only during the course of schizophrenia or another psychotic disorder.<\/li>\n<\/ul>\n\n\n\n<p>Based on the types of symptoms, three kinds (presentations) of ADHD can occur:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><em>DSM F90.2 Combined Presentation<\/em>: if enough symptoms of both criteria inattention and hyperactivity-impulsivity were present for the past 6 months.<\/li>\n\n\n\n<li><em>DSM F90.0 Predominantly Inattentive Presentation<\/em>: if enough symptoms of inattention, but not hyperactivity-impulsivity, were present for the past six months.<\/li>\n\n\n\n<li><em>DSM F90.1 Predominantly Hyperactive-Impulsive Presentation<\/em>: if enough symptoms of hyperactivity-impulsivity, but not inattention, were present for the past six months.<\/li>\n\n\n\n<li><em>DSM F90<\/em>.8 <em>Other Specified Attention-Deficit\/Hyperactivity Disorder<\/em><\/li>\n\n\n\n<li><em>DSM F90<\/em>.9 <em>Unspecified Attention-Deficit\/ Hyperactivity Disorder<\/em><\/li>\n<\/ul>\n\n\n\n<p>Because symptoms can change over time, the presentation may change over time as well (American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 5th edition, Text Revision. Arlington, VA., American Psychiatric Association, 2022.).<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-esab-accordion-child\"><div class=\"esab__head\" role=\"button\" aria-expanded=\"false\"><div class=\"esab__heading_txt\"><p class=\"esab__heading_tag\">Guidelines for Screening and Assessment<\/p><\/div><div class=\"esab__icon\"><div class=\"esab__collapse\"> <svg version=\"1.2\" viewBox=\"0 0 24 24\" width=\"24\" height=\"24\"><path fill-rule=\"evenodd\" d=\"m3.5 20.5c-4.7-4.7-4.7-12.3 0-17 4.7-4.7 12.3-4.7 17 0 4.6 4.7 4.6 12.3 0 17-4.7 4.6-12.3 4.6-17 0zm0.9-0.9c4.2 4.2 11 4.2 15.2 0 4.2-4.2 4.2-11 0-15.2-4.2-4.3-11-4.3-15.2 0-4.3 4.2-4.3 11 0 15.2z\"><\/path><path d=\"m11.4 15.9v-3.3h-3.3c-0.3 0-0.6-0.3-0.6-0.6 0-0.4 0.3-0.6 0.6-0.6h3.3v-3.3c0-0.3 0.3-0.6 0.6-0.6 0.3 0 0.6 0.3 0.6 0.6v3.3h3.3c0.3 0 0.6 0.2 0.6 0.6q0 0.2-0.2 0.4-0.2 0.2-0.4 0.2h-3.3v3.3q0 0.2-0.2 0.4-0.2 0.2-0.4 0.2c-0.4 0-0.6-0.3-0.6-0.6z\"><\/path><\/svg> <\/div><div class=\"esab__expand\"> <svg version=\"1.2\" viewBox=\"0 0 24 24\" width=\"24\" height=\"24\"><path fill-rule=\"evenodd\" d=\"m12 24c-6.6 0-12-5.4-12-12 0-6.6 5.4-12 12-12 6.6 0 12 5.4 12 12 0 6.6-5.4 12-12 12zm10.6-12c0-5.9-4.7-10.6-10.6-10.6-5.9 0-10.6 4.7-10.6 10.6 0 5.9 4.7 10.6 10.6 10.6 5.9 0 10.6-4.7 10.6-10.6z\"><\/path><path d=\"m5.6 11.3h12.8v1.4h-12.8z\"><\/path><\/svg> <\/div><\/div><\/div><div class=\"esab__body\">\n<p><strong>ROUTINE PCP VISIT &#8211; GENERAL SCREENING for Behavioral Health Issues<\/strong><\/p>\n\n\n\n<p>General Office Screening &#8211;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>consult ACCESS Mental Health for Youth as needed<\/li>\n\n\n\n<li>screen for Behavioral Health concerns during PCP well check and other appointments<\/li>\n\n\n\n<li>if ADHD suspected, schedule a focused appointment<\/li>\n\n\n\n<li>always screen for safety and assess and follow up immediately with crisis assessment and referral as indicated<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-esab-accordion-child\"><div class=\"esab__head\" role=\"button\" aria-expanded=\"false\"><div class=\"esab__heading_txt\"><p class=\"esab__heading_tag\">ADHD Screening and Rating Scales<\/p><\/div><div class=\"esab__icon\"><div class=\"esab__collapse\"> <svg version=\"1.2\" viewBox=\"0 0 24 24\" width=\"24\" height=\"24\"><path fill-rule=\"evenodd\" d=\"m3.5 20.5c-4.7-4.7-4.7-12.3 0-17 4.7-4.7 12.3-4.7 17 0 4.6 4.7 4.6 12.3 0 17-4.7 4.6-12.3 4.6-17 0zm0.9-0.9c4.2 4.2 11 4.2 15.2 0 4.2-4.2 4.2-11 0-15.2-4.2-4.3-11-4.3-15.2 0-4.3 4.2-4.3 11 0 15.2z\"><\/path><path d=\"m11.4 15.9v-3.3h-3.3c-0.3 0-0.6-0.3-0.6-0.6 0-0.4 0.3-0.6 0.6-0.6h3.3v-3.3c0-0.3 0.3-0.6 0.6-0.6 0.3 0 0.6 0.3 0.6 0.6v3.3h3.3c0.3 0 0.6 0.2 0.6 0.6q0 0.2-0.2 0.4-0.2 0.2-0.4 0.2h-3.3v3.3q0 0.2-0.2 0.4-0.2 0.2-0.4 0.2c-0.4 0-0.6-0.3-0.6-0.6z\"><\/path><\/svg> <\/div><div class=\"esab__expand\"> <svg version=\"1.2\" viewBox=\"0 0 24 24\" width=\"24\" height=\"24\"><path fill-rule=\"evenodd\" d=\"m12 24c-6.6 0-12-5.4-12-12 0-6.6 5.4-12 12-12 6.6 0 12 5.4 12 12 0 6.6-5.4 12-12 12zm10.6-12c0-5.9-4.7-10.6-10.6-10.6-5.9 0-10.6 4.7-10.6 10.6 0 5.9 4.7 10.6 10.6 10.6 5.9 0 10.6-4.7 10.6-10.6z\"><\/path><path d=\"m5.6 11.3h12.8v1.4h-12.8z\"><\/path><\/svg> <\/div><\/div><\/div><div class=\"esab__body\">\n<p><a href=\"https:\/\/nichq.org\/sites\/default\/files\/resource-file\/NICHQ_Vanderbilt_Assessment_Scales.pdf\">NICHQ_Vanderbilt_Assessment_Scales.pdf<\/a><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>for children 6-12 years old<\/li>\n\n\n\n<li>parent form: 55 items; Teacher form: 43 items<\/li>\n\n\n\n<li>10 minutes to complete<\/li>\n\n\n\n<li>parent and teacher complete questionnaire<\/li>\n\n\n\n<li>free<\/li>\n\n\n\n<li>used for information about symptoms and performance in different settings; not intended for diagnosis<\/li>\n<\/ul>\n\n\n\n<p>Swanson, Nolan, and Pelham (SNAP-IV)<\/p>\n\n\n\n<p><a href=\"https:\/\/www.ohsu.edu\/sites\/default\/files\/2022-01\/SNAP_ADHD_Rating_Scale.pdf\">SNAP_ADHD Rating_Scale.pdf )<\/a>&nbsp;&nbsp; 26 item Form<\/p>\n\n\n\n<p><a href=\"https:\/\/www.mcpap.com\/pdf\/SNAPIV.pdf\">SNAP-IV 90<\/a>&nbsp;&nbsp; 90 Item Parent Teacher Rating Scale and instructions.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>for children and adolescents 6-18 years old<\/li>\n\n\n\n<li>free 90 item and 26 item versions<\/li>\n\n\n\n<li>10 minutes to complete<\/li>\n\n\n\n<li>parent and teacher complete questionnaire<\/li>\n\n\n\n<li>contains items pertaining to DSM criteria for ADHD; measures impairment and functioning at home and at school<\/li>\n<\/ul>\n\n\n\n<p><a href=\"https:\/\/www.massgeneral.org\/psychiatry\/treatments-and-services\/pediatric-symptom-checklist#:%7E:text=The%20Pediatric%20Symptom%20Checklist%20%28PSC%29%20is%20a%20brief,meant%20to%20provide%20an%20assessment%20of%20psychosocial%20functioning.\">Pediatric Symptom Checklist (massgeneral.org)<\/a><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>free 35 item and 17 item questionnaire, public domain, parent report and youth self-report versions, available in multiple languages<\/li>\n\n\n\n<li>PSC 17 cut points: 15 total, 7 attention, 7 behavior<\/li>\n<\/ul>\n\n\n\n<p><a href=\"https:\/\/aseba.org\/\">ASEBA &#8211; The Achenbach System Of Empirically Based Assessment<\/a><br>Formerly known as CBCL, 113-item questionnaire, parent report, youth self-report, and teacher report versions generate comprehensive profiles with normed subscales when the instrument is scored; requires data entry for computer scoring or fairly complex hand-scoring. ($ Must be purchased)<\/p>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<p>&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Guidelines for Treatment<\/h3>\n\n\n\n<p>Call Your ACCESS Mental Health for Youth Hub Team for assistance.<\/p>\n\n\n\n<div class=\"wp-block-esab-accordion accordion-fd78574e\" data-mode=\"global\"><div class=\"esab__container\">\n<div class=\"wp-block-esab-accordion-child\"><div class=\"esab__head\" role=\"button\" aria-expanded=\"false\"><div class=\"esab__heading_txt\"><p class=\"esab__heading_tag\">Medication Guidelines<\/p><\/div><div class=\"esab__icon\"><div class=\"esab__collapse\"> <svg version=\"1.2\" viewBox=\"0 0 24 24\" width=\"24\" height=\"24\"><path fill-rule=\"evenodd\" d=\"m3.5 20.5c-4.7-4.7-4.7-12.3 0-17 4.7-4.7 12.3-4.7 17 0 4.6 4.7 4.6 12.3 0 17-4.7 4.6-12.3 4.6-17 0zm0.9-0.9c4.2 4.2 11 4.2 15.2 0 4.2-4.2 4.2-11 0-15.2-4.2-4.3-11-4.3-15.2 0-4.3 4.2-4.3 11 0 15.2z\"><\/path><path d=\"m11.4 15.9v-3.3h-3.3c-0.3 0-0.6-0.3-0.6-0.6 0-0.4 0.3-0.6 0.6-0.6h3.3v-3.3c0-0.3 0.3-0.6 0.6-0.6 0.3 0 0.6 0.3 0.6 0.6v3.3h3.3c0.3 0 0.6 0.2 0.6 0.6q0 0.2-0.2 0.4-0.2 0.2-0.4 0.2h-3.3v3.3q0 0.2-0.2 0.4-0.2 0.2-0.4 0.2c-0.4 0-0.6-0.3-0.6-0.6z\"><\/path><\/svg> <\/div><div class=\"esab__expand\"> <svg version=\"1.2\" viewBox=\"0 0 24 24\" width=\"24\" height=\"24\"><path fill-rule=\"evenodd\" d=\"m12 24c-6.6 0-12-5.4-12-12 0-6.6 5.4-12 12-12 6.6 0 12 5.4 12 12 0 6.6-5.4 12-12 12zm10.6-12c0-5.9-4.7-10.6-10.6-10.6-5.9 0-10.6 4.7-10.6 10.6 0 5.9 4.7 10.6 10.6 10.6 5.9 0 10.6-4.7 10.6-10.6z\"><\/path><path d=\"m5.6 11.3h12.8v1.4h-12.8z\"><\/path><\/svg> <\/div><\/div><\/div><div class=\"esab__body\">\n<ul class=\"wp-block-list\">\n<li><a href=\"http:\/\/www.adhdmedicationguide.com\/\">The ADHD Medication Guide<\/a>.<\/li>\n\n\n\n<li><a href=\"https:\/\/www.adhdmedcalc.com\/\">Medical Calculator &#8211; ADHD Medication Calculator (adhdmedcalc.com)<\/a><\/li>\n\n\n\n<li>MCPAP&nbsp; <a href=\"https:\/\/www.mcpap.com\/pdf\/ADHD_GUIDELINES.pdf\">ADHD_GUIDELINES.pdf (mcpap.com)<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/chadd.org\/for-professionals\/overview\/\">Overview for Professionals- CHADD<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.aacap.org\/AACAP\/Families_and_Youth\/Family_Resources\/Parents_Medication_Guides.aspx\">Parents\u2019 Medication Guides (aacap.org)<\/a> Excellent medication guides by diagnoses.&nbsp; Including ADHD as well as a guide addressing ADHD with ASD.<\/li>\n<\/ul>\n\n\n\n<p>Tip: Patient should take on weekends while adjusting dosage and response so family can observe peak effects at home vs if only occurring at school.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-esab-accordion-child\"><div class=\"esab__head\" role=\"button\" aria-expanded=\"false\"><div class=\"esab__heading_txt\"><p class=\"esab__heading_tag\">Side Effects<\/p><\/div><div class=\"esab__icon\"><div class=\"esab__collapse\"> <svg version=\"1.2\" viewBox=\"0 0 24 24\" width=\"24\" height=\"24\"><path fill-rule=\"evenodd\" d=\"m3.5 20.5c-4.7-4.7-4.7-12.3 0-17 4.7-4.7 12.3-4.7 17 0 4.6 4.7 4.6 12.3 0 17-4.7 4.6-12.3 4.6-17 0zm0.9-0.9c4.2 4.2 11 4.2 15.2 0 4.2-4.2 4.2-11 0-15.2-4.2-4.3-11-4.3-15.2 0-4.3 4.2-4.3 11 0 15.2z\"><\/path><path d=\"m11.4 15.9v-3.3h-3.3c-0.3 0-0.6-0.3-0.6-0.6 0-0.4 0.3-0.6 0.6-0.6h3.3v-3.3c0-0.3 0.3-0.6 0.6-0.6 0.3 0 0.6 0.3 0.6 0.6v3.3h3.3c0.3 0 0.6 0.2 0.6 0.6q0 0.2-0.2 0.4-0.2 0.2-0.4 0.2h-3.3v3.3q0 0.2-0.2 0.4-0.2 0.2-0.4 0.2c-0.4 0-0.6-0.3-0.6-0.6z\"><\/path><\/svg> <\/div><div class=\"esab__expand\"> <svg version=\"1.2\" viewBox=\"0 0 24 24\" width=\"24\" height=\"24\"><path fill-rule=\"evenodd\" d=\"m12 24c-6.6 0-12-5.4-12-12 0-6.6 5.4-12 12-12 6.6 0 12 5.4 12 12 0 6.6-5.4 12-12 12zm10.6-12c0-5.9-4.7-10.6-10.6-10.6-5.9 0-10.6 4.7-10.6 10.6 0 5.9 4.7 10.6 10.6 10.6 5.9 0 10.6-4.7 10.6-10.6z\"><\/path><path d=\"m5.6 11.3h12.8v1.4h-12.8z\"><\/path><\/svg> <\/div><\/div><\/div><div class=\"esab__body\">\n<figure class=\"wp-block-table is-style-stripes\"><table class=\"has-fixed-layout\"><thead><tr><th class=\"has-text-align-left\" data-align=\"left\">COMMON<\/th><th class=\"has-text-align-left\" data-align=\"left\">UNCOMMON<\/th><\/tr><\/thead><tbody><tr><td class=\"has-text-align-left\" data-align=\"left\">appetite<\/td><td class=\"has-text-align-left\" data-align=\"left\">tics<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\">sleep disturbance\/insomnia<\/td><td class=\"has-text-align-left\" data-align=\"left\">cardiovascular (tachycardia\/ hypertension)<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\">\u201drebound\u201d irritability<\/td><td class=\"has-text-align-left\" data-align=\"left\">BFRB (body focused repetitive behaviors)<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\">overactive\/jittery<\/td><td class=\"has-text-align-left\" data-align=\"left\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; picking, hairpulling, nail biting, etc.<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\">stomachaches<\/td><td class=\"has-text-align-left\" data-align=\"left\"><\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\">headaches<\/td><td class=\"has-text-align-left\" data-align=\"left\">growth delay (uncommon 0-1cm)<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\">mood dysphoria (or flattening), anxiety<\/td><td class=\"has-text-align-left\" data-align=\"left\"><\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\">social withdrawal<\/td><td class=\"has-text-align-left\" data-align=\"left\"><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>TIP: <\/strong>Note the timing of the adverse reaction (and benefits)<\/p>\n\n\n\n<ul class=\"wp-block-list tips\">\n<li><strong>Adverse effects that occur during onset, peak and \u201coffset\u201d can often be addressed by changing dosing, schedule, or preparation.<\/strong><\/li>\n\n\n\n<li><strong>Adverse effects that occur without regard to timing may require changes in medication type.<\/strong><\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>look for other contributing factors or reassessment of diagnosis (diet, sleep, screen time, allergies)<\/li>\n\n\n\n<li>review compliance, weekends, households<\/li>\n\n\n\n<li><strong>check for other medications<\/strong>, caffeine, nicotine, decongestants, nutritional supplements.&nbsp; (<strong>orange juice &amp; vitamin C decreases amphetamine levels <\/strong>(absorption and excretion)<\/li>\n\n\n\n<li>recreational substances<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-esab-accordion-child\"><div class=\"esab__head\" role=\"button\" aria-expanded=\"false\"><div class=\"esab__heading_txt\"><p class=\"esab__heading_tag\">Sleep Disturbance and ADHD<\/p><\/div><div class=\"esab__icon\"><div class=\"esab__collapse\"> <svg version=\"1.2\" viewBox=\"0 0 24 24\" width=\"24\" height=\"24\"><path fill-rule=\"evenodd\" d=\"m3.5 20.5c-4.7-4.7-4.7-12.3 0-17 4.7-4.7 12.3-4.7 17 0 4.6 4.7 4.6 12.3 0 17-4.7 4.6-12.3 4.6-17 0zm0.9-0.9c4.2 4.2 11 4.2 15.2 0 4.2-4.2 4.2-11 0-15.2-4.2-4.3-11-4.3-15.2 0-4.3 4.2-4.3 11 0 15.2z\"><\/path><path d=\"m11.4 15.9v-3.3h-3.3c-0.3 0-0.6-0.3-0.6-0.6 0-0.4 0.3-0.6 0.6-0.6h3.3v-3.3c0-0.3 0.3-0.6 0.6-0.6 0.3 0 0.6 0.3 0.6 0.6v3.3h3.3c0.3 0 0.6 0.2 0.6 0.6q0 0.2-0.2 0.4-0.2 0.2-0.4 0.2h-3.3v3.3q0 0.2-0.2 0.4-0.2 0.2-0.4 0.2c-0.4 0-0.6-0.3-0.6-0.6z\"><\/path><\/svg> <\/div><div class=\"esab__expand\"> <svg version=\"1.2\" viewBox=\"0 0 24 24\" width=\"24\" height=\"24\"><path fill-rule=\"evenodd\" d=\"m12 24c-6.6 0-12-5.4-12-12 0-6.6 5.4-12 12-12 6.6 0 12 5.4 12 12 0 6.6-5.4 12-12 12zm10.6-12c0-5.9-4.7-10.6-10.6-10.6-5.9 0-10.6 4.7-10.6 10.6 0 5.9 4.7 10.6 10.6 10.6 5.9 0 10.6-4.7 10.6-10.6z\"><\/path><path d=\"m5.6 11.3h12.8v1.4h-12.8z\"><\/path><\/svg> <\/div><\/div><\/div><div class=\"esab__body\">\n<p><strong>MEDICATION MANAGEMENT of ADHD RELATED SLEEP ISSUES:<\/strong><\/p>\n\n\n\n<p><strong>Sleep Disturbance<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Obtain baseline sleep history including environment, evening routines in household, bedtime routines, screen\/media use, caffeine &amp; supplements. Ask how pattern varies day to day and changed over time.<\/li>\n\n\n\n<li><span style=\"color: initial;\">Increased sleep dysfunction in ADHD (5x). <\/span><\/li>\n\n\n\n<li><span style=\"color: initial;\">Ask about sleep behaviors at all visits.<\/span><\/li>\n\n\n\n<li><span style=\"color: initial;\">Is it trouble going to bed, trouble falling asleep once in bed or waking at night? <\/span><\/li>\n\n\n\n<li><span style=\"color: initial;\">Stimulants can also delay sleep onset or sleep onset issues may be due to rebound or even the return of ADHD symptoms when meds have worn off. Some children fall sleep better with some medication still active in their systems.<\/span><\/li>\n\n\n\n<li><span style=\"color: initial;\">If problems since medication started, try different or shorter acting preparation (\u201cchange the dose curve)\u201d. <\/span><\/li>\n\n\n\n<li><span style=\"color: initial;\">If they wake to eat, check for dose related daytime appetite suppression and address.<\/span><\/li>\n\n\n\n<li>Is there an anxiety disorder or depression?<\/li>\n<\/ul>\n\n\n\n<p><strong>As an adjunct, if necessary, to other interventions:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Clonidine<\/strong>\n<ul class=\"wp-block-list\">\n<li><span style=\"font-size: revert; color: initial;\">0.05 mg (1\/2 of 0.1 mg tab) 30 minutes prior to sleep<\/span><\/li>\n\n\n\n<li><span style=\"font-size: revert; color: initial;\">additional side effects include sleep architecture changes such as vivid dreams and reduced REM<\/span><\/li>\n\n\n\n<li>can sometimes exacerbate middle insomnia (if you wake up as or after it is wearing off)<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Melatonin 1 to 6 mg 45-60 minutes before sleep.&nbsp; Dosage is not weight dependent and less is often better.<\/strong>\n<ul class=\"wp-block-list\">\n<li><span style=\"font-size: revert; color: initial;\">decreases sleep latency but doesn\u2019t increase duration<\/span><\/li>\n\n\n\n<li><span style=\"font-size: revert; color: initial;\">dietary supplement; not regulated; use same brand<\/span><\/li>\n\n\n\n<li><span style=\"font-size: revert; color: initial;\">can be used chronically; well tolerated<\/span><\/li>\n\n\n\n<li>may try slow release if there is middle insomnia<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-esab-accordion-child\"><div class=\"esab__head\" role=\"button\" aria-expanded=\"false\"><div class=\"esab__heading_txt\"><p class=\"esab__heading_tag\">Non-pharmacological Treatment<\/p><\/div><div class=\"esab__icon\"><div class=\"esab__collapse\"> <svg version=\"1.2\" viewBox=\"0 0 24 24\" width=\"24\" height=\"24\"><path fill-rule=\"evenodd\" d=\"m3.5 20.5c-4.7-4.7-4.7-12.3 0-17 4.7-4.7 12.3-4.7 17 0 4.6 4.7 4.6 12.3 0 17-4.7 4.6-12.3 4.6-17 0zm0.9-0.9c4.2 4.2 11 4.2 15.2 0 4.2-4.2 4.2-11 0-15.2-4.2-4.3-11-4.3-15.2 0-4.3 4.2-4.3 11 0 15.2z\"><\/path><path d=\"m11.4 15.9v-3.3h-3.3c-0.3 0-0.6-0.3-0.6-0.6 0-0.4 0.3-0.6 0.6-0.6h3.3v-3.3c0-0.3 0.3-0.6 0.6-0.6 0.3 0 0.6 0.3 0.6 0.6v3.3h3.3c0.3 0 0.6 0.2 0.6 0.6q0 0.2-0.2 0.4-0.2 0.2-0.4 0.2h-3.3v3.3q0 0.2-0.2 0.4-0.2 0.2-0.4 0.2c-0.4 0-0.6-0.3-0.6-0.6z\"><\/path><\/svg> <\/div><div class=\"esab__expand\"> <svg version=\"1.2\" viewBox=\"0 0 24 24\" width=\"24\" height=\"24\"><path fill-rule=\"evenodd\" d=\"m12 24c-6.6 0-12-5.4-12-12 0-6.6 5.4-12 12-12 6.6 0 12 5.4 12 12 0 6.6-5.4 12-12 12zm10.6-12c0-5.9-4.7-10.6-10.6-10.6-5.9 0-10.6 4.7-10.6 10.6 0 5.9 4.7 10.6 10.6 10.6 5.9 0 10.6-4.7 10.6-10.6z\"><\/path><path d=\"m5.6 11.3h12.8v1.4h-12.8z\"><\/path><\/svg> <\/div><\/div><\/div><div class=\"esab__body\">\n<ul class=\"wp-block-list\">\n<li>family behavioral management and\/or school academic &amp; classroom behavioral interventions<\/li>\n\n\n\n<li>primary care interventions\n<ul class=\"wp-block-list\">\n<li>provide education about ADHD (see Family Resource Section)<\/li>\n\n\n\n<li>empowering families and providing structure in the home<br><strong>The following are suggestions that may help with your child\u2019s behavior and build skills:<\/strong>\n<ul class=\"wp-block-list\">\n<li><strong><span style=\"text-decoration: underline;\">Create a routine<\/span><\/strong>: Try to follow the same schedule every day, from wake-up time to bedtime.<\/li>\n\n\n\n<li><strong><span style=\"text-decoration: underline;\">Get organized<\/span><\/strong>: Encourage your child to put schoolbags, clothing, and toys in the same place every day so that they will be less likely to lose them.<\/li>\n\n\n\n<li><strong><span style=\"text-decoration: underline;\">Manage distractions<\/span><\/strong>: Turn off the TV, limit noise, and provide a clean workspace when your child is doing homework. Some children with ADHD learn well if they are moving or listening to background music. Watch your child and see what works.<\/li>\n\n\n\n<li><strong><span style=\"text-decoration: underline;\">Limit choices<\/span><\/strong>: To help your child not feel overwhelmed or overstimulated, offer choices with only a few options. For example, have them choose between this outfit or that one, this meal or that one, or this toy or that one.<\/li>\n\n\n\n<li><strong><span style=\"text-decoration: underline;\">Be clear and specific when you talk with your child<\/span><\/strong>: Let your child know you are listening by describing what you heard them say. Use clear, brief directions<\/li>\n\n\n\n<li><strong><span style=\"text-decoration: underline;\">Help your child plan<\/span><\/strong>: Break down complicated tasks into simpler, shorter steps. For long tasks, starting early and taking breaks may help limit stress.<\/li>\n\n\n\n<li><strong><span style=\"text-decoration: underline;\">Use goals and praise or other rewards<\/span><\/strong>: Use a chart to list goals and track positive behaviors, then let your child know they have done well by telling them or by rewarding their efforts in other ways. Be sure the goals are realistic\u2014small steps are important!<\/li>\n\n\n\n<li><strong><span style=\"text-decoration: underline;\">Discipline effectively<\/span><\/strong>: Instead of scolding, yelling, or spanking, use effective directions, time-outs or removal of privileges as consequences for inappropriate behavior.<\/li>\n\n\n\n<li><strong><span style=\"text-decoration: underline;\">Create positive opportunities<\/span><\/strong>: Children with ADHD may find certain situations stressful. Finding out and encouraging what your child does well\u2014whether it\u2019s school, sports, art, music, or play\u2014can help create positive experiences.<\/li>\n\n\n\n<li><strong><span style=\"text-decoration: underline;\">Provide a healthy lifestyle<\/span><\/strong>: Think about diet, activity, and sleep<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading toppad\">Additional Provider and Family Resources<\/h3>\n\n\n\n<div class=\"wp-block-esab-accordion accordion-774544fc\" data-mode=\"global\"><div class=\"esab__container\">\n<div class=\"wp-block-esab-accordion-child\"><div class=\"esab__head\" role=\"button\" aria-expanded=\"false\"><div class=\"esab__heading_txt\"><p class=\"esab__heading_tag\">ACCESS Mental Health for Youth Clinical Conversations Trainings<\/p><\/div><div class=\"esab__icon\"><div class=\"esab__collapse\"> <svg version=\"1.2\" viewBox=\"0 0 24 24\" width=\"24\" height=\"24\"><path fill-rule=\"evenodd\" d=\"m3.5 20.5c-4.7-4.7-4.7-12.3 0-17 4.7-4.7 12.3-4.7 17 0 4.6 4.7 4.6 12.3 0 17-4.7 4.6-12.3 4.6-17 0zm0.9-0.9c4.2 4.2 11 4.2 15.2 0 4.2-4.2 4.2-11 0-15.2-4.2-4.3-11-4.3-15.2 0-4.3 4.2-4.3 11 0 15.2z\"><\/path><path d=\"m11.4 15.9v-3.3h-3.3c-0.3 0-0.6-0.3-0.6-0.6 0-0.4 0.3-0.6 0.6-0.6h3.3v-3.3c0-0.3 0.3-0.6 0.6-0.6 0.3 0 0.6 0.3 0.6 0.6v3.3h3.3c0.3 0 0.6 0.2 0.6 0.6q0 0.2-0.2 0.4-0.2 0.2-0.4 0.2h-3.3v3.3q0 0.2-0.2 0.4-0.2 0.2-0.4 0.2c-0.4 0-0.6-0.3-0.6-0.6z\"><\/path><\/svg> <\/div><div class=\"esab__expand\"> <svg version=\"1.2\" viewBox=\"0 0 24 24\" width=\"24\" height=\"24\"><path fill-rule=\"evenodd\" d=\"m12 24c-6.6 0-12-5.4-12-12 0-6.6 5.4-12 12-12 6.6 0 12 5.4 12 12 0 6.6-5.4 12-12 12zm10.6-12c0-5.9-4.7-10.6-10.6-10.6-5.9 0-10.6 4.7-10.6 10.6 0 5.9 4.7 10.6 10.6 10.6 5.9 0 10.6-4.7 10.6-10.6z\"><\/path><path d=\"m5.6 11.3h12.8v1.4h-12.8z\"><\/path><\/svg> <\/div><\/div><\/div><div class=\"esab__body\">\n<p class=\"has-text-align-center\" style=\"font-style:normal;font-weight:600\">Provider Toolkit: <a href=\"https:\/\/www.accessmhct.com\/youth\/resources-2\/provider-toolkit\/attention-deficit-hyperactivity-disorder-adhd\/\" target=\"_blank\" rel=\"noreferrer noopener\">Attention Deficit Hyperactivity Disorder (ADHD)<\/a><\/p>\n\n\n\n<p class=\"has-text-align-center\">A guide specifically designed for pediatric and family care physicians (PCPs) and&nbsp;provides actionable information, algorithms, and insights so that providers and practices can successfully address pediatric mental health and substance use conditions within their practice.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-dots\"\/>\n\n\n\n<ul class=\"wp-block-list\">\n<li>November 11, 2025: &#8220;Medication Management of ADHD in Young Adults&#8221;\n<ul class=\"wp-block-list\">\n<li><em><a href=\"https:\/\/www.accessmhct.com\/youth\/wp-content\/uploads\/sites\/4\/Dr-Miller-Med-Mangament-of-ADHD-in-Young-Adults-11.11.2025-1.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">view powerpoint<\/a><\/em><\/li>\n\n\n\n<li><em><a href=\"https:\/\/www.accessmhct.com\/youth\/wp-content\/uploads\/sites\/4\/Dr-Miller-Medication-Table-and-Resources-Young-Adult-ADHD.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">view medication table and resource sheet<\/a><\/em><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>January 2, 2025: &#8220;ADHD and Anxiety Differentiating and Comorbidity&#8221;\n<ul class=\"wp-block-list\">\n<li><em><a href=\"https:\/\/vimeo.com\/1043672802\/cbf273662a\" target=\"_blank\" rel=\"noreferrer noopener\">view recording<\/a><\/em><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>May 24, 2022: &#8220;Psychopharmacological Management of ADHD&#8221;\n<ul class=\"wp-block-list\">\n<li><em><a href=\"https:\/\/vimeo.com\/722194349\/f0f1412a6c\" target=\"_blank\" rel=\"noreferrer noopener\">view recording<\/a><\/em><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>January 7, 2021: &#8220;Management of ADHD with Poor Response to Treatment&#8221;\n<ul class=\"wp-block-list\">\n<li><em><a href=\"https:\/\/vimeo.com\/498078223\/579897325a\" target=\"_blank\" rel=\"noreferrer noopener\">view recording<\/a><\/em><\/li>\n\n\n\n<li><a href=\"https:\/\/www.accessmhct.com\/wp-content\/uploads\/sites\/4\/2021\/08\/ADHD-201-January-7-2021-powerpoint.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"><em>ADHD 201 January 7 2021 powerpoint<\/em><\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.accessmhct.com\/youth\/wp-content\/uploads\/sites\/4\/adhd-medication-chart.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"><em>ADHD Medication Chart<\/em><\/a>&nbsp;<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-esab-accordion-child\"><div class=\"esab__head\" role=\"button\" aria-expanded=\"false\"><div class=\"esab__heading_txt\"><p class=\"esab__heading_tag\">Family Resources<\/p><\/div><div class=\"esab__icon\"><div class=\"esab__collapse\"> <svg version=\"1.2\" viewBox=\"0 0 24 24\" width=\"24\" height=\"24\"><path fill-rule=\"evenodd\" d=\"m3.5 20.5c-4.7-4.7-4.7-12.3 0-17 4.7-4.7 12.3-4.7 17 0 4.6 4.7 4.6 12.3 0 17-4.7 4.6-12.3 4.6-17 0zm0.9-0.9c4.2 4.2 11 4.2 15.2 0 4.2-4.2 4.2-11 0-15.2-4.2-4.3-11-4.3-15.2 0-4.3 4.2-4.3 11 0 15.2z\"><\/path><path d=\"m11.4 15.9v-3.3h-3.3c-0.3 0-0.6-0.3-0.6-0.6 0-0.4 0.3-0.6 0.6-0.6h3.3v-3.3c0-0.3 0.3-0.6 0.6-0.6 0.3 0 0.6 0.3 0.6 0.6v3.3h3.3c0.3 0 0.6 0.2 0.6 0.6q0 0.2-0.2 0.4-0.2 0.2-0.4 0.2h-3.3v3.3q0 0.2-0.2 0.4-0.2 0.2-0.4 0.2c-0.4 0-0.6-0.3-0.6-0.6z\"><\/path><\/svg> <\/div><div class=\"esab__expand\"> <svg version=\"1.2\" viewBox=\"0 0 24 24\" width=\"24\" height=\"24\"><path fill-rule=\"evenodd\" d=\"m12 24c-6.6 0-12-5.4-12-12 0-6.6 5.4-12 12-12 6.6 0 12 5.4 12 12 0 6.6-5.4 12-12 12zm10.6-12c0-5.9-4.7-10.6-10.6-10.6-5.9 0-10.6 4.7-10.6 10.6 0 5.9 4.7 10.6 10.6 10.6 5.9 0 10.6-4.7 10.6-10.6z\"><\/path><path d=\"m5.6 11.3h12.8v1.4h-12.8z\"><\/path><\/svg> <\/div><\/div><\/div><div class=\"esab__body\">\n<ul class=\"wp-block-list\">\n<li>AACAP MEDICATION GUIDES: Excellent medication guides by diagnoses.&nbsp; Including ADHD as well as a guide addressing ADHD with ASD. <a href=\"https:\/\/www.aacap.org\/AACAP\/Families_and_Youth\/Family_Resources\/Parents_Medication_Guides.aspx\">Parents\u2019 Medication Guides (aacap.org)<\/a><\/li>\n\n\n\n<li>APA: <a href=\"https:\/\/www.psychiatry.org\/patients-families\/adhd\/what-is-adhd\">Psychiatry.org &#8211; What is ADHD?<\/a><\/li>\n\n\n\n<li>CHADD, <a href=\"https:\/\/chadd.org\/\">CHADD &#8211; Improving the lives of people affected by ADHD<\/a><\/li>\n\n\n\n<li>CDC ADHD Guide <a href=\"https:\/\/www.cdc.gov\/ncbddd\/adhd\/index.html\">https:\/\/www.cdc.gov\/ncbddd\/adhd\/index.html<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.cdc.gov\/ncbddd\/adhd\/index.html\">Learn About Attention-Deficit \/ Hyperactivity Disorder (ADHD) | CDC<\/a><\/li>\n\n\n\n<li>AACAP ADHD RESOURCE CENTER&nbsp;<a href=\"https:\/\/www.aacap.org\/aacap\/Families_and_Youth\/Resource_Centers\/ADHD_Resource_Center\/Home.aspx\">ADHD Resource Center (aacap.org)<\/a><\/li>\n\n\n\n<li>AACAP Facts for Families&nbsp; <a href=\"https:\/\/www.aacap.org\/AACAP\/Families_and_Youth\/Facts_for_Families\/Layout\/FFF_Guide-01.aspx\">Facts For Families (aacap.org)<\/a><\/li>\n\n\n\n<li>ADDitude Magazine <a href=\"http:\/\/www.ADDitudemag.com\">www.ADDitudemag.com<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/directory.additudemag.com\/event\/guide\/non-profit-support-group\">ADDitude _Parent Resource Directory<\/a><\/li>\n\n\n\n<li>NIH ADHD SITE <a href=\"https:\/\/www.nimh.nih.gov\/health\/topics\/attention-deficit-hyperactivity-disorder-adhd\">NIH HEALTH TOPIC &#8211; ADHD<\/a><\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-esab-accordion-child\"><div class=\"esab__head\" role=\"button\" aria-expanded=\"false\"><div class=\"esab__heading_txt\"><p class=\"esab__heading_tag\">Presentations<\/p><\/div><div class=\"esab__icon\"><div class=\"esab__collapse\"> <svg version=\"1.2\" viewBox=\"0 0 24 24\" width=\"24\" height=\"24\"><path fill-rule=\"evenodd\" d=\"m3.5 20.5c-4.7-4.7-4.7-12.3 0-17 4.7-4.7 12.3-4.7 17 0 4.6 4.7 4.6 12.3 0 17-4.7 4.6-12.3 4.6-17 0zm0.9-0.9c4.2 4.2 11 4.2 15.2 0 4.2-4.2 4.2-11 0-15.2-4.2-4.3-11-4.3-15.2 0-4.3 4.2-4.3 11 0 15.2z\"><\/path><path d=\"m11.4 15.9v-3.3h-3.3c-0.3 0-0.6-0.3-0.6-0.6 0-0.4 0.3-0.6 0.6-0.6h3.3v-3.3c0-0.3 0.3-0.6 0.6-0.6 0.3 0 0.6 0.3 0.6 0.6v3.3h3.3c0.3 0 0.6 0.2 0.6 0.6q0 0.2-0.2 0.4-0.2 0.2-0.4 0.2h-3.3v3.3q0 0.2-0.2 0.4-0.2 0.2-0.4 0.2c-0.4 0-0.6-0.3-0.6-0.6z\"><\/path><\/svg> <\/div><div class=\"esab__expand\"> <svg version=\"1.2\" viewBox=\"0 0 24 24\" width=\"24\" height=\"24\"><path fill-rule=\"evenodd\" d=\"m12 24c-6.6 0-12-5.4-12-12 0-6.6 5.4-12 12-12 6.6 0 12 5.4 12 12 0 6.6-5.4 12-12 12zm10.6-12c0-5.9-4.7-10.6-10.6-10.6-5.9 0-10.6 4.7-10.6 10.6 0 5.9 4.7 10.6 10.6 10.6 5.9 0 10.6-4.7 10.6-10.6z\"><\/path><path d=\"m5.6 11.3h12.8v1.4h-12.8z\"><\/path><\/svg> <\/div><\/div><\/div><div class=\"esab__body\">\n<p><a href=\"https:\/\/www.accessmhct.com\/youth\/wp-content\/uploads\/sites\/4\/2025\/01\/CAFP-10.23.2024-BH-Resources.-Final.pdf\"><strong>Behavioral Health Resources for Connecticut Youth &#8211; CAFP October 2024<\/strong><\/a><\/p>\n<\/div><\/div>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by persistent difficulties with inattention, hyperactivity &amp; impulsivity that is out of proportion to developmental expectations, and to the extent that it interferes with functioning or development. It is one of the most common neurobehavioral disorders of childhood and can profoundly affect children\u2019s social interactions [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":1026,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-full.php","meta":{"footnotes":""},"class_list":["post-989","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Attention-Deficit\/Hyperactivity Disorder (ADHD) - ACCESS Mental Health for Youth<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.accessmhct.com\/youth\/resources-2\/provider-toolkit\/attention-deficit-hyperactivity-disorder-adhd\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Attention-Deficit\/Hyperactivity Disorder (ADHD) - ACCESS Mental Health for Youth\" \/>\n<meta property=\"og:description\" content=\"Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by persistent difficulties with inattention, hyperactivity &amp; impulsivity that is out of proportion to developmental expectations, and to the extent that it interferes with functioning or development. It is one of the most common neurobehavioral disorders of childhood and can profoundly affect children\u2019s social interactions [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.accessmhct.com\/youth\/resources-2\/provider-toolkit\/attention-deficit-hyperactivity-disorder-adhd\/\" \/>\n<meta property=\"og:site_name\" content=\"ACCESS Mental Health for Youth\" \/>\n<meta property=\"article:modified_time\" content=\"2025-08-05T14:58:37+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"19 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.accessmhct.com\\\/youth\\\/resources-2\\\/provider-toolkit\\\/attention-deficit-hyperactivity-disorder-adhd\\\/\",\"url\":\"https:\\\/\\\/www.accessmhct.com\\\/youth\\\/resources-2\\\/provider-toolkit\\\/attention-deficit-hyperactivity-disorder-adhd\\\/\",\"name\":\"Attention-Deficit\\\/Hyperactivity Disorder (ADHD) - ACCESS Mental Health for Youth\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.accessmhct.com\\\/youth\\\/#website\"},\"datePublished\":\"2024-08-02T22:37:40+00:00\",\"dateModified\":\"2025-08-05T14:58:37+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.accessmhct.com\\\/youth\\\/resources-2\\\/provider-toolkit\\\/attention-deficit-hyperactivity-disorder-adhd\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.accessmhct.com\\\/youth\\\/resources-2\\\/provider-toolkit\\\/attention-deficit-hyperactivity-disorder-adhd\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.accessmhct.com\\\/youth\\\/resources-2\\\/provider-toolkit\\\/attention-deficit-hyperactivity-disorder-adhd\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.accessmhct.com\\\/youth\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Resources\",\"item\":\"https:\\\/\\\/www.accessmhct.com\\\/youth\\\/resources-2\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Provider Toolkits\",\"item\":\"https:\\\/\\\/www.accessmhct.com\\\/youth\\\/resources-2\\\/provider-toolkit\\\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Attention-Deficit\\\/Hyperactivity Disorder (ADHD)\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.accessmhct.com\\\/youth\\\/#website\",\"url\":\"https:\\\/\\\/www.accessmhct.com\\\/youth\\\/\",\"name\":\"ACCESS Mental Health for Youth\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.accessmhct.com\\\/youth\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Attention-Deficit\/Hyperactivity Disorder (ADHD) - ACCESS Mental Health for Youth","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.accessmhct.com\/youth\/resources-2\/provider-toolkit\/attention-deficit-hyperactivity-disorder-adhd\/","og_locale":"en_US","og_type":"article","og_title":"Attention-Deficit\/Hyperactivity Disorder (ADHD) - ACCESS Mental Health for Youth","og_description":"Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by persistent difficulties with inattention, hyperactivity &amp; impulsivity that is out of proportion to developmental expectations, and to the extent that it interferes with functioning or development. 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