For children with diagnosed ADHD, pursue appropriate treatment combining medication and behavioral therapies, as untreated ADHD significantly increases the risk of illicit drug use and addiction in adulthood, while treated children fare better in life outcomes.
Obtain an accurate ADHD diagnosis from a well-qualified psychiatrist who can prescribe a comprehensive treatment plan including appropriate medication, behavioral therapies, nutritional guidelines, and supplementation, updating these as the individual matures.
Do not use stimulant compounds like methylphenidate, Ritalin, Adderall, Vyvanse, Dexedrine, or methamphetamine unless prescribed by a physician specifically for ADHD. Recreational or off-prescription use carries a high risk of addiction and psychotic episodes.
Refrain from using stimulant medications like Adderall or Ritalin recreationally or for performance enhancement without a prescription. This significantly increases the risk of addiction and psychotic episodes due to the rapid and intense dopamine response in individuals without ADHD.
For optimal ADHD treatment, combine drug therapies with behavioral protocols under the guidance of a board-certified psychiatrist. This approach is more effective than either method alone.
Work with a qualified psychiatrist to carefully adjust the dosage, timing, and duration of ADHD medication use over a person’s lifespan. This optimizes the function of neural circuits for focus and reduces hyperactivity/impulsivity.
When starting or adjusting ADHD medication, begin with the lowest possible effective dose and increase only as necessary to achieve benefits. Always carefully monitor for any side effects that might arise.
If considering reducing or stopping ADHD medication, especially if under 25, consult a board-certified psychiatrist to discuss a tapering plan. Abrupt cessation can lead to withdrawal symptoms like lethargy, depressed mood, and difficulty focusing.
Discuss with a psychiatrist the potential benefits of taking ‘drug holidays’ (e.g., weekends off, summer vacations) from ADHD medication. This was an original recommended dosing pattern and may lead to different biological and neuroplastic responses compared to continuous daily use.
If taking ADHD stimulant medications, strictly avoid alcohol and benzodiazepines (unless prescribed by a physician). Combining them is detrimental to brain and body health and can exacerbate negative effects.
If taking guanfacine, strictly avoid alcohol, as it profoundly lowers alcohol tolerance. Even small amounts can lead to serious problems and potentially death.
If taking ADHD medication, actively support cardiovascular health by avoiding smoking/vaping nicotine and engaging in regular exercise. These drugs can increase sympathetic nervous system activity, warranting proactive health measures.
Limit overall alertness and stress levels in the late day and evening, even if needing to focus. This prevents chronic late-day cortisol elevations that can disrupt the endocrine system and contribute to depressive symptoms.
Be aware that drugs or behaviors causing rapid, high peaks in dopamine followed by quick crashes carry a higher risk for addiction and psychotic episodes. Slower, more sustained dopamine increases reduce this risk.
Engage in meditation, yoga nidra, or non-sleep deep rest (NSDR) sessions, even short ones (e.g., 10 minutes). These practices can restore cognitive and physical energy and help explore different brain-body states.
To ensure proper hydration and adequate electrolytes (sodium, magnesium, potassium), dissolve one packet of Element in 16-32 ounces of water first thing in the morning and during physical exercise. These are vital for optimal brain and body function.