ADHD Treatment and Care

Integrating Medical Therapies and Lifestyle Strategies for Better Living.

ADHD Treatment and Care

Integrating Medical Therapies and Lifestyle Strategies for Better Living.

Effective ADHD care at LIV Hospital: medication, behavioral therapy, and executive function support to help children thrive.

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Attention-Deficit/Hyperactivity Disorder: Treatment And Care

Treating Attention-Deficit/Hyperactivity Disorder (ADHD) is complex because it is not a condition you “cure” like an infection. Instead, it is a neurodevelopmental difference that requires management. The most effective approach, supported by global research, is “multimodal treatment.” This means combining medical management to balance brain chemistry with behavioral therapy to teach life skills.

At LIV Hospital, our Child and Adolescent Psychiatry Department rejects the “one-size-fits-all” model. A child who is daydreaming and inattentive needs a different strategy than a child who is impulsive and hyperactive. Our goal is not just symptom reduction, but functional success, helping your child thrive socially, academically, and emotionally by removing the neurological barriers standing in their way.

Medical Treatment Options

Medication is often the first line of defense for moderate to severe ADHD because it is the most effective way to reduce core symptoms. At LIV Hospital, we use a careful titration process to find the lowest effective dose.

Stimulant Medications: These are the gold standard among ADHD treatment options. Drugs like Methylphenidate and Amphetamine salts increase dopamine and norepinephrine levels in the brain. This improves communication between nerves, boosting focus and impulse control. They come in short-acting (4 hours) and long-acting (8-12 hours) formulas to cover the school day.
Non-Stimulant Medications: For children who experience side effects like anxiety or appetite loss from stimulants, we use non-stimulants like Atomoxetine or Guanfacine. These take longer to work (weeks instead of hours) but provide steady, 24-hour symptom coverage, which helps with morning routines and bedtime struggles.
Titration Process: Finding the right dose is a precise science. We start low and go slow, monitoring for side effects and adjusting until we find the “sweet spot” of maximum benefit with minimal downsides.

Minimally Invasive Procedures

Note: In the context of ADHD, “minimally invasive” refers to non-pharmacological interventions that do not involve surgery but require professional administration.

LIV Hospital offers advanced therapeutic interventions that work alongside medication.

Neurofeedback (Biofeedback): This is a non-invasive technique where children learn to regulate their brain waves. By playing a video game controlled by their brain activity, they learn to increase “focus” waves and decrease “daydreaming” waves.
Computerized Cognitive Training: We utilize evidence-based software programs designed to stretch working memory and attention span. These programs feel like games but act as exercise for the prefrontal cortex.
Dietary Management: Our nutritionists work with families to implement elimination diets if food sensitivities (like artificial dyes or preservatives) are suspected of worsening behavior.

Surgical Treatments for ADHD

It is important to clarify that there are no surgical treatments for ADHD. ADHD is a disorder of brain chemistry and neural networking, not a physical blockage or tumor that can be removed.

However, we do screen for surgical conditions that mimic ADHD. For example, if a child has enlarged tonsils causing Sleep Apnea, they may act hyperactive due to sleep deprivation. In this specific case, a tonsillectomy performed by our ENT specialists can cure the “ADHD-like” symptoms by restoring sleep quality.

Rehabilitation and Recovery

In ADHD, rehabilitation refers to Executive Function Coaching, which strengthens the brain’s management system. It helps children improve planning, organization, emotional regulation, and daily task management, building confidence, independence, and long-term resilience in their everyday lives.

Organization Coaching: We teach practical systems for organizing backpacks, managing planners, and breaking large homework projects into small, manageable chunks.
Emotional Regulation: Children with ADHD often feel emotions intensely. Therapy helps them recognize the physical signs of anger or excitement and use “cool down” strategies before they act impulsively.
Social Skills Training: Group therapy sessions at LIV Hospital help children practice reading social cues, taking turns, and entering conversations appropriately, preventing social isolation.

What to Expect After Treatment

Starting treatment is a transition period that requires patience and observation.

Immediate Effects: Stimulant medications often work within 30 to 60 minutes. Parents and teachers may notice a dramatic improvement in focus and handwriting on the very first day.
Adjustment Phase: The first few weeks involve monitoring for side effects like trouble sleeping or stomach aches. These usually subside as the body adjusts to the medication.
Behavioral Lag: While focus improves quickly, behavioral habits take longer to change. A child who has spent years being disruptive needs time and positive reinforcement to learn new patterns of behavior.
Consistency is Key: The best results come from consistent medication use combined with a structured home environment.

Long-Term Management and Follow-up

ADHD is a chronic condition that evolves as the child grows. Treatment is not a one-time event but a longitudinal relationship.

Regular Monitoring: Children on medication need check-ups every 3 to 6 months to monitor height, weight, and blood pressure.
Adolescent Transitions: Puberty can change how medications are metabolized. Teens also face new challenges like driving and peer pressure. We adjust treatment plans to address these new risks.
Adult Transition: As teens graduate, we help them transition to adult care, ensuring they can manage their own medication and appointments responsibly.

Why Choose LIV Hospital for ADHD?

We provide a comprehensive, family-centered ecosystem designed to support the whole child.

Multidisciplinary Team: Your child has access to psychiatrists, psychologists, developmental pediatricians, and nutritionists all under one roof.
Safety Monitoring: We perform thorough cardiac screenings (EKG) before starting medication to ensure heart safety, a precaution not always taken in general practice.
Holistic Support: We offer support groups for parents, acknowledging that raising a child with ADHD can be stressful. We treat the family unit, ensuring parents have the tools they need to be effective advocates.

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FREQUENTLY ASKED QUESTIONS

What are the treatment options for ADHD?

The primary treatments are medication (stimulants and non-stimulants) and behavioral therapy. The most effective approach is “multimodal,” combining both. For young children (under 6), parent behavior training is recommended as the first line of treatment before medication is considered.

How long does ADHD treatment take?

ADHD treatment is ongoing. It is a chronic condition, not an acute illness. While some symptoms may improve with brain maturation, many individuals require management through adolescence and into adulthood. Treatment plans are adjusted regularly as academic and social demands change.

Will I need surgery for my condition?

No, there is no surgery for ADHD. It is a neurodevelopmental disorder related to brain chemistry and wiring, not a physical structure that can be operated on. Treatment relies entirely on medication, therapy, and lifestyle modifications to manage symptoms.

What medications are used to treat ADHD?

Common medications include stimulants like Methylphenidate (Ritalin/Concerta) and Amphetamine salts (Adderall/Vyvanse). These increase brain chemical levels to improve focus. Non-stimulants like Atomoxetine (Strattera) or Guanfacine (Intuniv) are used for children who do not respond well to stimulants.

What can I expect during recovery from treatment?

There is no “recovery” in the surgical sense. Instead, expect a period of stabilization. Finding the right medication dose involves trial and error. Once stable, you can expect improved grades, better social interactions, and a happier, more confident child who is better able to control their impulses.

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ADHD Treatment and Care

Integrating Medical Therapies and Lifestyle Strategies for Better Living.