The impulsivity component of the disorder can have serious consequences in adulthood, he said. The hyperactivity component typically seen in children, however, often changes into inner restlessness, resulting in fidgeting, excessive talking, and self-selection of an active job.
“You have to set expectations,” he said, emphasizing that most younger people today will be quick to search online. “Direct them to sites that are balanced and have good information,” he urged.
While noting that pharmacotherapy is considered a first-line treatment option and more effective than behavioral treatment alone, Dr. Wilens warned against agents that have yet to gain a Food and Drug Administration indication for adult ADHD. Studies are continuing to investigate nicotinic agents, modafinil, and fish oils, he said, but most published trials so far have been negative. “I want you to focus on what's approved in adolescents and adults,” he said.
Dr. Wilens receives or has received research support, served as a consultant, and/or served on speakers bureaus for several companies that make drugs used to treat ADHD.
'Fifty percent of the kids who have ADHD and are smoking will go on to substance abuse.'
Source DR. WILENS