Dave is 6-year-old boy who is referred to a neurologist by his pediatrician for further evaluation and treatment of possible attention-deficit/hyperactivity disorder (ADHD). Dave was diagnosed with ADHD by his pediatrician, who prescribed the stimulant, methylphenidate; this improved the boy's daytime alertness and concentration. However, Dave also became more "jittery," anxious, and irritable, and methylphenidate was discontinued. At this time, Dave was referred to a neurologist. Dave arrives at his appointment with his mother and both provide the history. Dave's mom states that her son has always been a restless child.
As far back as she can remember, he has been unable to sit still for more than a few minutes. Sometimes Dave walks away in the middle of a house chore, and worse, he sometimes walks away in the middle of a conversation. This has been a particular problem at school, where his teachers have also noted his restlessness and inability to stay focused on a task for an extended period of time. This has resulted in Dave learning more slowly than other students, and he is falling behind in his class. Teachers at his school are now debating whether Dave should repeat the first grade.Dave's mom adds that he seems anxious and is irritable toward her and his brother. He does not sleep well at night and often thrashes in bed. She often has walked into his room in the morning to find his pillows and sheets disheveled. Dave himself says very little. He says that he tries the best that he can, but he is unable to explain why he is restless and unable to pay attention. He awakens tired and remains so throughout the day. He states that his legs ache after playing at recess. He becomes sad when he is reminded that he may not be able to move to the next grade along with his friends.
Treatment models
When the diagnosis has been made, treatment can then be started. Treatments such as medication help those suffering from the disorder to be able to focus and be less fidgety. Medication is most helpful for school age children who need to sit still and focus on school work. Sufferers are able to concentrate on what is being taught instead of feeling as though they are lost with information. Treatment will also help sufferers to move forward academically, as if they never had the disorder. ADHD sufferers will gain a large amount of memory when they start treatment. As time goes on and they become adults, they will be able to sit through an interview and excel at whatever tasks they take on. To those who do not have the disorder this may seem minimal, but to those who are suffering from the disorder, it means everything. There are many alternative treatments for ADHD. Similar to mainstream medications, alternative treatments are heavily disputed too. Some homeopathic treatments include the Feingold Diet and a Vitamin B6 treatment. Unlike mainstream medicines like Ritalin and Adderall, homeopathic medicines do not have harmful ...