DOI: 10.36347/sjams.2020.v08i09.015

Pages: 2052-2057

Attention Deficit Hyperactivity Disorder (ADHD) is a common neuro-psychiatric disorder. Its symptomatology includes inattention, easy distractibility, hyperactivity, and impulsivity. Ideal approach to ADHD management comprises a combination of pharmacological and behavioral interventions. Pharmacological interventions include use of Stimulants like methylphenidate (MPH), dextroamphetamine or Nonstimulants. Pemoline, Atomoxetine, Clonidine, Guanfacine, Modafinil are other pharmacological agents used in ADHD. Newer drugs include Reboxetine and Venlafaxine. Theophylline and antidepressants like tricyclic antidepressants, desipramine and imipramine are also being tried. Apart from medications, there are many Non-Pharmacological methods which include Behavioural Therapy, Psycho-education, Exercise and Diet therapy. Behavioural interventions consist of techniques like Environmental modification, Parent training intervention, Cognitive Behaviour therapy and Cognitive training. Psycho-education includes Education of parents and family members about ADHD, Group education and direct clinical consultation. Diet management, Exercise, Omega fatty acid and nutritional supplements or Neurofeedback are being tried in the management of ADHD. External Trigeminal Nerve Stimulation (ETNS) is a new medical device to treat children with ADHD. ETNS generates low-level electrical stimulation and sends signals to areas of the brain related to attention, emotion and behaviour. The New Forest Parenting Package (NFPP) is a type of psychosocial intervention in the management of ADHD among children. It combines behavioural intervention with parent- child interaction. Alternative therapy in management of ADHD includes Electroencephalography, Biofeedback Training, Megavitamin Therapy, Herbal Treatments, Body and Craniosacral Manipulation, Sensory Integrative Training and Specific Supplements. Overall the use of integrative treatment model rather a single treatment modality is recommended........