Treatment Plan & Prognosis

Treatment Plan

Preschool:

• ADHD-focused parental group training programme

School-age:

• Group-based psychological interventions, including parent and child
• Individualised interventions
• First-line medication: methylphenidate
• Alternative medications: atomoxetine, dexamphetamine, lisdexamfetamine
• Melatonin for insomnia (ages 6-17)
• If medication is not adequate, consider CBT alongside the medication

Adults:

• First-line: lisdexamfetamine, methylphenidate
• Alternatives: atomoxetine, dexamphetamine
• Combined medication and CBT

Medication monitoring:

• Heart rate (six-monthly)
• Blood pressure (six-monthly)
• Weight (less than 10 years of age 3 monthly more than 10 years of age 6 monthly)
• Height (six-monthly)

Prognosis

• Regular exercise and a balanced diet are recommended for the management