September 22, 2023

Before Your First ADHD Clinic Visit

18 minutes

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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