Treatment for Childhood ADHD
Professional & Caring Treatment for Children with ADHD
Newport Beach | Orange County CA
Kids Can Experience Better Focus, Self Control & Success
What is ADHD?
Attention-Deficit/Hyperactivity Disorder, more commonly known as ADHD, is one of the most common mental health issues for kids and teens (Froehlich, Lanphear, Epstein, Barbaresi, Katusic, & Kahn, 2007; DSM-5).
We first notice signs of ADHD when children begin school, although the symptoms tend to be present as early as two or three years of age (DSM-5).
ADHD starts with differences in functioning in the brain. Research has identified possible neurological explanations for symptoms of ADHD (see Rubia, Smith, Brammer, Toone, & Taylor, 2005; Yu-Feng, 2007), but the field is continuing to learn more each year.
ADHD includes consistent inattention and/or hyperactivity-impulsivity that prevents children from everyday functioning, such as academic performance, making friends, etc. Although people commonly refer to ADHD as one disorder, three subtypes of ADHD have been identified.
So, what can we do to help?
The first step in treating ADHD involves accurate assessment of symptoms and diagnosis. Many other disorders can manifest in similar ways, and the treatment is different for each disorder.
Part of the treatment plan may also involve having your child meet with your primary care provider (PCP), psychiatrist, or other prescribers to consult regarding the use of medication.
Although medication can be an effective way to moderate hyperactive behaviors (Nair, Ehimare, Beitman, Nair, & Lavin, 2006), precautions must be taken before a giving children stimulant medication long-term (Greenhill, Pliszka, & Dulcan, 2002). Stimulants also tend to be overprescribed in the United States (Jensen, Kettle, Roper, Sloan, Dulcan, Hoven, & Payne, 1999). We will work as a team to determine the most effective strategy for treatment before moving forward with medication.
The three main subtypes of ADHD include:
Predominantly inattentive presentation
Difficulty maintaining attention or focus to one task
Often makes careless mistakes
Difficulty organizing or keeping track of schedule
Frequently loses things
Easily distracted
Predominantly hyperactive/impulsive presentation
Constant squirming, fidgeting, bouncing
Difficulty being quiet or waiting
Interrupts others frequently
Agitated, unable to sit still
Combined presentation
A combination of inattentive and hyperactive/impulsive symptoms
Typically the most severe type
Many of these symptoms are common in normal children. The term “disorder” is used very intentionally, as it represents the effects of these symptoms on the child’s development. In determining a diagnosis, the severity and duration of the symptoms must be assessed. Additionally, these symptoms must be present in multiple settings – not just at school.
ADHD is one of the most common mental health problems in children
Here are a few examples of other issues that look like ADHD:
Depression
Inability to focus or concentrate
Irritability and aggression
Anxiety
Difficulty staying on task
Fidgeting and squirming
Learning Disability
Inability to follow instruction
Difficulty staying on task
Conduct Disorder / Oppositional Defiant Disorder
Refusal to comply with instruction
Agitation / irritability
Of course, ADHD can also be present with other disorders such as depression and anxiety. Difficulty focusing or sitting still would make most of us feel depressed, angry or anxious.
Accurate diagnosis might also include specific testing for ADHD using neuropsychological tests. If you would like to learn more about testing for ADHD, check out the page on Diagnostic Assessment under ADHD.
Once we have a clear diagnosis, I design a treatment plan to help manage symptoms and improve functioning in the affected areas (e.g. school).
Treatment objectives for ADHD might include:
Improving organizational skills
Down-regulating or calming the body
Developing insight regarding attention difficulties
Increased awareness for instruction from adults
Learning to express frustrations or needs in a healthy way
Interested? Let’s connect!
If you or your child are interested in therapy services, contact me as soon as possible. I would love to hear from you and answer any questions you may have about my practice.
It is never too late for your child to receive treatment. I believe I can help make a difference in your child’s life.
Together, we can help them reach their potential.
Dr. Montgomery holds dual certifications in Clinical Psychology (California Board of Psychology PSY28475) and Family Therapy (California Board of Behavioral Sciences MFT49608). He has dedicated his professional and academic activities to understanding and addressing psychological, behavioral and interpersonal health in children, adolescents, and families.
Education:
Psy.D. Clinical Psychology
M.A. Clinical Psychology
M.S. Counseling Psychology
B.A. Psychology