NICE guidelines note that the treatment plan must be adapted to the symptoms being experienced, their impact on their daily lives and the age of the child. In most cases for school age children a group-based parent training or education programme should be used first and following this a combination of psychological therapy and medication.
Medication – drug treatment should be held for those with severe symptoms, severe levels of impairment, who have refused all other approaches or have not responded to previous non-drug interventions. Methylphenidate, atomoxetine and dexamfetamine are recommended as medications for ADHD.
Individualised Cognitive Behavioural Therapy (CBT) – this is likely to be offered to older adolescents. CBT is a therapy which assumes that a person’s mood is related to their patterns of thought. These thoughts then continue to affect a person’s mood, behaviour and physical state. CBT aims to stop the negative cycles of thought which cause you to feel low, therefore improving mood and leading to more positive behaviours.