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Areas › Focus, starting, and ADHD › Treatment and medication
There are only a handful of studies, mostly small, and few of them set mindfulness against another active treatment rather than against not much. That gap matters, because attention training in ADHD has a long history of looking good in the room and not showing up in the week. Try it if you are drawn to it, and keep an honest eye on whether anything outside the practice has actually changed.
This explains how treatments work. Never start, stop or change a medication because of something you read here.
Do not follow blindly what you do not know to be true (Quran 17:36). Being interested in something new sits quite comfortably with waiting to see what it turns out to do.
الإسراء
وَلَا تَقۡفُ مَا لَيۡسَ لَكَ بِهِۦ عِلۡمٌۚ إِنَّ ٱلسَّمۡعَ وَٱلۡبَصَرَ وَٱلۡفُؤَادَ كُلُّ أُوْلَٰٓئِكَ كَانَ عَنۡهُ مَسۡـُٔولࣰ ا
Do not follow blindly what you do not know to be true: ears, eyes, and heart, you will be questioned about all these
Qur’an 17:36read it in the library
Translation: M.A.S. Abdel Haleem, The Qur'an, Oxford University Press, 2004.
A systematic review with meta-analysis and meta-regression found that mindfulness based interventions show promising effects in ADHD, including on things beyond the core symptoms, while noting the trial base is still modest. Promising and modest are both doing real work in that sentence. It is a fair picture of where this sits, which is worth trying and not yet worth claiming much for.
Oliva F, Malandrone F, di Girolamo G, Mirabella S, Colombi N, Carletto S, Ostacoli L. (2021). The efficacy of mindfulness-based interventions in attention-deficit/hyperactivity disorder beyond core symptoms: A systematic review, meta-analysis, and meta-regression.. Journal of affective disorders doi
Strength of evidence: one line of research. A single study, or a theoretical account.
A practice can feel good and still leave the things that were going wrong exactly where they were.
The warning about group social skills work is about loud, disruptive children. A quiet, anxious child who simply has not had much practice with other children is a different case, and a gentle group may be exactly right.
People who use several kinds of help tend to report more benefit than people relying on one. Medication, therapy, coaching, reading, sleep and movement all seem to add something rather than compete.
Untreated ADHD is not free. It turns up in appointments, in repeat trips to A and E, in school reports and in lost work, and the bill lands on the family either way.