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Areas › Focus, starting, and ADHD › Treatment and medication
The conversation about medication often gets set up as a risky drug against a safe natural alternative, and that is not the choice anyone is actually facing. Untreated ADHD carries its own documented costs, in accidents, in school, in work and in relationships, and those belong on the page alongside appetite and sleep. Put both columns down honestly and you can make a decision you will still stand behind in a year, whichever way it goes.
This explains how treatments work. Never start, stop or change a medication because of something you read here.
He who cures me when I am ill (Quran 26:80). Seeking treatment is put in the mouth of a prophet, so taking medicine is not a failure of trust.
الشعراء
وَإِذَا مَرِضۡتُ فَهُوَ يَشۡفِينِ
He who cures me when I am ill
Qur’an 26:80read it in the library
Translation: M.A.S. Abdel Haleem, The Qur'an, Oxford University Press, 2004.
A Cochrane review examined amphetamines for adults with ADHD, looking at how well they work and how safe they are, and at how dose, drug and release formulation affect both. Reviewing benefit and harm together is the standard way this is done in medicine, and it is a fair model for a family conversation. The review also records real uncertainty in places, which is worth knowing before anyone tells you the answer is obvious either way.
Castells X, Castells X, Ramos-Quiroga JA, Bosch R, Nogueira M, Casas M. (2011). Amphetamines for Attention Deficit Hyperactivity Disorder (ADHD) in adults.. The Cochrane database of systematic reviews doi
Strength of evidence: one line of research. A single study, or a theoretical account.
A choice made by looking at one column only is not really a choice, because the cost of the other option never got counted.
People who are sleeping properly, eating properly and moving a bit tend to want each other more. The unglamorous parts of life management run closer to the bedroom than either of you might expect.
If mindfulness is going to help with ADHD, the version with a chance is small and spread out. A few seconds of noticing, several times a day, rather than one long sitting you come to dread.
Before anything else, the people around the child need to understand what ADHD actually is. Everything else works better once that has happened.