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AD/HD – When Medication Isn’t the Answer or Isn’t Enough
Karen Sribney, M.Ed., Registered Psychologist
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You or your child has been diagnosed with AD/HD.
You are now faced with the many options available
to deal with the challenges that come with this
diagnosis.
Some people choose to meet with their physician and try medication,
a course of treatment that has been researched for over 60
years. Along with behavioral strategies, this form of treatment is
very effective. In fact, research suggests that these two forms of
treatment together produce the most successful results. Unfortunately,
medical treatment is not successful for everyone. Additionally,
not everyone is comfortable trying medication; some
want to explore other options.
A broad range of AD/HD treatments abound and many families
have turned to Complementary and Alternative Medicine
(CAM) strategies. CAMs have been identified as “a broad domain
of healing resources that encompasses all health system modalities
and practices and their accompanying theories and beliefs, other
than those intrinsic to the politically dominant health system,”
and as “strategies that have not met the standards of clinical effectiveness
either through randomized control, clinical trials or
through the consensus of the biomedical community.” (American
Academy of Pediatrics, 2001). Many CAM strategies, though,
have been proven to be safe and effective alternatives to the use of
medication. But, just like medication, there is usually no single
magic “pill.” We need to be prepared that four or more different
strategies may be needed with a 25 percent benefit from each
approach to reach the desired outcome. It is also important to be
aware that each combination of strategies will be unique to the
individual using them, and different strategies need to be added
at different times into the overall treatment plan. Finally, unlike
the medication treatment option, CAM strategies often take significantly
longer before one sees or experiences their effect. With
these factors in mind, here is a brief review of some of the CAM
strategies available to families who are deciding how to deal with
a new diagnosis of AD/HD:
Nutrition. Dr. E.M. Hallowell has been quoted as saying “The
most potent medication we have is also our most dangerous and
abused drug. It is called food. Consumed properly, food can aid
in the treatment of all diseases and prevent many of them from
developing in the first place.” Dr. Hallowell further notes that
nutrition is the cornerstone of good treatment and can influence
the course of AD/HD treatment.
Vitamins & Supplements. Neurotransmitters are brain chemicals
that serve to tell the brain what to do. Expected levels of neurotransmitters
in the brain have been shown to be unbalanced in
those diagnosed with AD/HD. Therefore, vitamins and supplements
have been proposed as a CAM strategy to make up for any
shortages naturally. The role of supplement use is evolving and
we understand more each day as more valid research is produced.
One supplement that medical science has proven worthwhile, especially
for those diagnosed with AD/HD, is omega-3 fatty acids.
Natural Medicines. Despite frequent reports that this form of
medicine is ‘unproven’ or ‘untested,’ the opposite can also be said
to be true. Natural medicines have a long history of usage and,
due to such a long history, there is a wealth of empirical evidence
that has been collected to support its effectiveness and safety.
Additionally, when we look to physicians in Europe, and even
academic hospitals and universities in North America, we see
that active clinical research is being conducted on these natural
medications.
Exercise – a fit brain. Not only is exercise good for people’s
health in general, it acts like a tonic for the brain, and is especially
good for AD/HD. Exercise sends more blood to the brain, and
along with that comes more oxygen. Exercise is also known to
stimulate the release of nutrients, hormones, chemical precursors
of neurotransmitters, growth factors, and cleansing agents. All of
this works to enhance cognitive function and mental focus. Exercising
your brain helps to keep you young and fit, just as physical
exercise does (i.e., yoga, tai chi, qui gong).
Other Remedies. As noted above, certain CAM strategies may
work for some people while being totally ineffective for others.
These are just a few of the other non-pharmaceutical strategies
that some people have found successful in the treatment of their
AD/HD symptoms: EEG Biofeedback, vision therapy, audio-integration
training, cerebellar stimulation, vestibular stimulation,
massage, acupuncture, cranio-sacral, meditation.
As with any treatment, it is recommended that you seek the
counsel and care of your health care provider before deciding if
CAM strategies are right for you. If you want to learn more about
the various CAM strategies, contact a qualified physician or psychologist
who is knowledgeable in this area and open to having a
discussion of the various treatments and there role in your life.