Attention deficit-hyperactivity disorder (ADHD) is one of the most common neurodevelopmental disorders in children. In this episode, we will discuss ADHD, including the different types, evaluation, management, and follow up.

General definition of ADHD and its types
Preparing for your first visit
Initial evaluation of ADHD vs. med check
Reviewing prior visits


During an initial visit:

Evaluating historical features 

Behaviors at home, behaviors at school
Common misconceptions about ADHD
Surrounding factors and comorbidities/misdiagnosis


Physical Exam

Important features of the exam
Observing the child’s behavior


Role of the Vanderbilt

Scoring a Vanderbilt




Treatment

Medication vs. non-pharmacologic interventions

Overview of different medications

Stimulants
Nonstimulants


Choosing a medication

Family history
Comorbidities




Titrating medications


Follow-up visits

Symptoms to look for



Resources/Links:

Vanderbilt Scoring: https://www.uwmedicine.org/sites/stevie/files/2019-11/sodbp_vanderbilt_scoringinstructions.pdf
Parent Training in Behavior Management for ADHD: https://www.cdc.gov/ncbddd/adhd/behavior-therapy.html

Dosing guidelines when switching from one stimulant to another in the treatment of attention deficit hyperactivity disorder in children and adolescents: https://www.uptodate.com/contents/image?imageKey=PEDS%2F61007

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