What Parents Need to Know About Stimulant Medications for ADHD

Last week I wrote an article for Forbes explaining some of the most important things to understand about stimulant medications for ADHD. You can read the ​article in full​ where there is a lot more information, or read the summary I’ve posted here.

Graphic of cartoon brain considering whether to take prescription medication.

Stimulant medications are the first line treatment for ADHD.

Stimulant medications are neuroprotective in ADHD

Emerging research evidence suggests that stimulant medications are ​neuroprotective​ in the developing brains of kids and teens with ADHD. That means that taking the medications when needed in childhood actually leads to better brain growth and development.

Stimulant medications work like coffee, but better

Just like caffeine, stimulant medications work on the prefrontal cortex and can help brains with ADHD regulate themselves. This allows people with ADHD to do what can be almost impossible without medication: pay attention to and perform tasks that they find boring.

Stimulants are the first-line treatment for ADHD

When prescribed with skill, individuals with ADHD find stimulants reduce their struggles with impulsivity and attention reduced while enhancing their strengths. While other treatments are valuable, none of them work as well as stimulant medications.

Stimulant medications may prevent mental health problems

Psychiatrist and author William W. Dodson, MD, estimates that by age 12, children with ADHD receive ​20,000 more negative messages​ from parents, teachers, and other adults than their peers without ADHD. People with ADHD often carry a lot of shame, and are more likely to develop anxiety disorders or depression than others. However, when ADHD is treated with stimulant medications, people are less likely to develop mental health disorders like anxiety or depression.

Stimulant medications may prevent addiction

People with ADHD have a higher risk of developing addictions. First, use of addictive substances often begins as a way of self-medicating to manage the unpleasant symptoms of ADHD. Second, addictive substances work on the dopamine reward pathway in the brain, which happens to be more vulnerable in brain with ADHD. However, when used appropriately, stimulant medications meet people’s needs and make them less vulnerable to trying risky substances.

You or your child do not need to take stimulant medications forever

As a pediatrician, I’ve often found that people feel a lot better about trying these medications if they understand that this is not a lifetime commitment. There may be seasons of life when stimulant medications help and other times when they are not needed. The goal is a thriving life with ADHD and to know that the support it out there.

My book Sigh, See, Start is out on audiobook!

Use this book to find confidence and calm as a parent.

It was so amazing when my publisher let me know that they were putting Sigh, See, Start: How To Be the Parent Your Child Needs in a World That Won’t Stop Pushing out as an audiobook! If you prefer to listen to books (as I often do), you can find it wherever books are sold. Here’s the link to amazon/audible:

The Real Reason Teenagers Find Parents Embarrassing May Surprise You

Based on the level of disgust your teenagers express about everything you do as their parent, you might think they simply hate what you do. But that’s only part of it.  There are several reasons teenagers suddenly become severely embarrassed by their parents around age 13. One of the key reasons for teenage embarrassment is both surprising and reassuring to their parents.

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Secure Attachment: How Often Should Parents Attune To Kids’ Emotions?

One of the most powerful myths in parenting started in the 1990s and has been dominant ever since. This myth starts with the truth: that when children form a secure attachment to their parents they have better mental health as adults. But then it goes to far by telling parents to attune to their children’s emotions all the time. Only by staying in sync with their children at all times can parents guarantee their kids’ will turn out okay, says the myth. New research I covered for Forbes finds that this is simply not true. Instead, more parental attunement happens when something is not working in the relationship. Higher parent-child synchrony may reflect interaction problems between parent and child.

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I am Sick and Tired of Living with Long COVID

Today is International Long Covid Awareness Day, which is why I wrote the article “Long Covid is a disabling disease, and it’s not rare” for Psychology Today. There are millions of people like me, living with the shattering symptoms of Long Covid.  Many have been sick and disabled for almost four years now.  For me, it’s been over two years since Long Covid stole my career as a pediatric doctor from me. 

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Should Parents Take Expert Advice or Follow Their Instincts?

As parents, we love our kids and we try so hard to be the best parents we can. We know that the people historically raised kids, often with physical punishment or shaming words, was not good for them. So we look for good, expert parenting advice we can use to give our kids what they need.

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How to Help Kids with the Sunday Scaries and School Dread

Helping kids who worry about the upcoming school week with a simple method.

Key Points:

  1. Kids get the Sunday Scaries when they dread school on Monday.
  2. School dread can prompt anxious or defiant behavior in kids.
  3. Use mindfulness with the Sigh, See, and Start method to explore that dread and help you connect with your child.

The Sunday Scaries

Who has not felt dread before work or school? Our kids feel it before school, and as adults, we can relate because we may feel it before work.

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How Parents Can Keep Kids Talking To Them

Boy and father talking
Kids want to talk with parents, when parents are open in communication.

“I know the day will come when he won’t talk to me anymore.” Parents say this to me in my pediatric office all the time. There is an idea that one day teenagers, particularly boys, won’t want to talk with their parents anymore. But that is simply not true.

Parents can create a family culture of communication so that kids will keep wanting to talk with them as they get older. And that’s not only great news, it’s essential. Because when things get tough for our kids, it’s important that they know they can come to us.

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Parents Can Use The Movie Dune To Help Kids With Fear

When our children are afraid, parents will do whatever they can to help them feel better. If children struggle with fear in an ongoing way, it can create a problem for the whole family. Parents want to both comfort their child and make sure that they gain the skills to manage in the world. But how?

The popular movie Dune holds a surprising answer: the content of the famous Bene Gesserit Litany Against Fear. The litany may be fiction, but it’s packed with solid psychological advice. If parents use Dune, they can engage their child’s imagination and teach them how to overcome fear.

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Why High Achievement Cultures Can Kill Kids’ Love Of Learning


Most parents believe that setting their kids up for a successful life means sending them to a good school. If their student attains academic achievement then they are on their way to a happy life, or so we believe. Then in 2019 the National Academy of Sciences designated kids at high-achieving U.S. high schools as an ‘ at-risk ‘ group for mental health problems.

Now, new research suggests the problem with high-achievement cultures is an international one and is particularly intense around math. The study, published in Frontiers in Psychology, identifies “a complex process in which national culture promoting high math achievement drives down interest in math schoolwork.” And the problem is worse for girls than for boys.

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Research Shows These Parenting Beliefs Help Kids Most

More than anything, parents want to do their best for their kids. But every parent I know lives in the pressures of the ShouldStorm, which bombards them with shoulds. Always telling them what they should and should not be doing to maximize their child’s development. 

Now, new research from the University of Chicago has shed light on a sinister way the ShouldStorm actually drives parents to undermine their child’s development, all while thinking they are helping. It all comes down to what parents are told is good for kids. 

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