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

Links:

https://www.uwmedicine.org/sites/stevie/files/2019-11/sodbp_vanderbilt_scoringinstructions.pdf

About the Speaker:

Host: Lauren Ferguson, MD – Lauren Ferguson, MD is an Assistant Professor of Pediatrics at the University of Utah. She graduated from Virginia Tech Carilion School of Medicine and completed her residency and chief year at UVA, with clinical interests in newborn medicine, breastfeeding, mental health, and ADHD management.

Clerkship Ready: Pediatrics is a podcast aimed at medical students doing their clinical clerkship in Pediatrics. The views expressed are the speakers' own and do not constitute medical advice.