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Sunday, March 27, 2016

Natural Treatments for ADHD: What Is Worth Trying Before Medication (2016 Update)


There are many good reasons for wanting to try to treat ADHD naturally before starting medication.  Medications can be expensive and can have really difficult side effects in some people.  Plus, many medicines don’t work all day and yet, life doesn’t stop when your medicine stops working, so sometimes you need something to fall back on when your medication is out of your bloodstream.

That being said, not all natural treatments for ADHD are equally likely to be safe or effective.  Natural treatments are often not tightly regulated by the FDA, especially with regard to their effectiveness for ADHD.  The treatments in this article are the ones which are well studied, or which have proven benefits (possibly outside of ADHD), and which have little risk.    

Parent training.  There are many parent training programs out there.  You should look for something specifically designed for ADHD, or if your child also has ODD, for a program that addresses ODD in addition to ADHD.  Parent training will not change your child’s school performance, but it will help you to stop unwanted behaviors and motivate needed behaviors at home. 

CBT in adults.  Cognitive behavioral therapy has been used as a treatment for adult and adolescent ADHD.  A caveat is that you need to find a therapist you work well with.   

Dye free diet.  The only aspect of the Feingold diet for ADHD that has survived the test of multiple independent research studies is dye restriction in preschoolers with symptoms of ADHD.  Since artificial dyes aren’t a necessary part of the human diet, cutting them out poses no hazard. Artificial dyes are found in processed foods, so they are easy to identify and eliminate (just read the label).

Fish oil.    While it sounds like it could be just an old wives tale, a lot of clinical research has been done that demonstrates that omega 3 fatty acids (found abundantly in fish oil) can help with ADHD symptoms.  The details around dosing and what else may be needed are a little loose right now, but fish oil has no dangerous side effects, so it is worth trying.

Healthy diet.  Two studies (one in the US and one in Korea) have shown that a diet that is low in junk food, processed and fried foods, and high in fruits and vegetables, fish, and whole grains is associated with a lower prevalence of ADHD.    This does not mean a healthy diet can necessarily cure or prevent ADHD, but if it doesn’t it’s still a pretty health dietary pattern for other reasons, and worth looking into.

Sleep.  While sleeping will not cure your ADHD, not getting enough sleep will make things worse.   There are several nonmedicinal ways to treat sleep problems, many of which are effective in patients with ADHD.


Exercise.  Exercise not only helps get the wiggles out.  It also directs blood flow to the brain, helping with focus.  And it can be a way to relax that doesn’t involve a screen.   Exercise also helps with excess weight and has few negative side effects, although sedentary adults should consult with a doctor before starting a strenuous program.

There are many other nondrug treatments which have been suggested for ADHD.  The next article in the series examines treatments which may be worth trying if medications have failed.

References:
"ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents." Pediatrics 128.5 (2011): 1007-022. Web.


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