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ADHD
- The Treatment Options
Ritalin
has been shown through the years to be very effective in the
treatment of Attention Deficit Disorder symptoms. Although it
has potential side-effects which many families would like to
avoid, we have seen it help a lot of people. More recently,
other interventions such as EEG biofeedback training have shown
themselves to be very useful in treatment as well. A great deal
of energy and money has also been invested into the development
of non-prescription treatments for ADD ADHD.
Consumers
must be aware that there are several alleged remedies for Attention
Deficit Disorder which have never even attempted to clinically
verify claims or quantify results. There are also many remedies
which may be helpful to a small percentage of children or adults
with Attention Deficit Disorder, but perhaps only 10% to 30%
of those who try it.
For
example, we have seen some children make remarkable changes
by avoiding sodas, or certain foods, or certain chemicals. However,
these cases are the exception, not the rule. It works for some,
but not for most. The diet that we recommend is helpful in about
25% of the cases of those who try it. Again, the exception,
not the rule, but good enough to give it a try. Compare this
with the significant improvements from ATTEND at 70%, or EEG
Biofeedback at 70% to 75%, or Stimulant Medication at 70% to
75%, and you will see the difference.
There
are many products on the market today, many which are marketed
with slick tapes or other emotional hype, making claims that
are just not realistic. Remember, just because a product works
for one child, or even some children, doesn't mean that it will
work for all children, or even most children. The point is that
nothing works for everyone. Attention Deficit Disorder is too
broad of a spectrum of problems, behavior, and potential causes,
to have any one treatment work for everyone. Any treatment that
can top Ritalin's supposed 75% "response with improvement"
rate can and will be "king of the hill" in treatment.
I
predict that the new ATTEND product may come close to this rate,
but it will take the continued use of the product for two to
four months to get there. Ritalin's great advantage is that
it works (or doesn't) within 20 minutes if the optimum dose
is used.
The
nutraceutical ATTEND is equal to, or better than, the use of
pemoline (Cylert) in terms of performance of product and the
length of time it takes before it really works well. In terms
of being healthy, ATTEND is much healthier for a person than
is pemoline. We recommend that you do not use Cylert as a treatment
for ADHD. Physicians or parents interested in trying pemoline
in the treatment of Attention Deficit Disorder should consider
a clinical trial of ATTEND first.
Also,
for those who are presently taking Ritalin or other stimulants,
but wish that they really didn't have to, it might be appropriate
to try the ATTEND in addition to the other medication for three
or four months. Ask you doctor about it. Then evaluate how the
child does without medications, or with a smaller dose of the
medication (always consult your physician). We have seen many
ATTEND consumers cut their doses of Ritalin by half or more
and still maintain high levels of performance. We believe that
the greatest impact from the ATTEND is after two to four months
of use, but benefit will be apparent within one to two months.
You can learn more about ATTEND, and how it compares to Ritalin,
or to EEG Biofeedback training, at the ADHD Information Library.
Douglas
Cowan, Psy.D., is a family therapist who has been working with
ADHD children and their families since 1986. He is the clinical
director of the ADHD Information Library's family of seven web
sites, including http://www.newideas.net,
helping over 350,000 parents and teachers learn more about ADHD
each year. Dr. Cowan also serves on the Medical Advisory Board
of VAXA International of Tampa, FL., is President of the Board
of Directors for KAXL 88.3 FM in central California, and is
President of NewIdeas.net Incorporated.
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