The ADHDology Six Step Treating Approach for Children and Teens

From the book Treating ADHD/ADD in Children and Adolescents: Solutions for Parents and Clinician by Dr. Gene Carroccia, published by Charles C Thomas Publishing, LTD.

The most comprehensive and effective treatment for ADHD involves a long-term management perspective that utilizes a number of approaches and interventions.

  1. Evaluate ADHD and Other Possible Conditions
    • Clarify if true ADHD exists. Consider obtaining a brief ADHD evaluation or more comprehensive neurodevelopmental assessment.
    • Explore if other possible medical, sleep, sensory processing, fetal substance exposure, neurodevelopmental, psychological, trauma, and substance use conditions exist.  Coexisting conditions frequently occur with ADHD, but many conditions can appear as ADHD-like when true ADHD does not exist.
    • If other conditions are suspected or detected, obtain additional evaluations and treatment from appropriate providers.


  1. Learn About and Accept ADHD
    • Obtain accurate information about ADHD.
    • Understand grieving issues to move towards acceptance.


  1. Address and Manage ADHD at Home
    • Learn and use effective behavior management perspectives and methods, and maximize parental effectiveness at home.
    • Utilize additional services and management approaches to address home ADHD challenges.
    • Address sleep problems.


  1. Address and Manage ADHD School Issues
    • Address homework and school behavioral problems through the use of the notebook systems.
    • Obtain 504 Plans or Individual Education Plans (IEP) at school.
    • Utilize additional ways to address and manage school issues.


  1. Consider Medication Treatment for ADHD
    • Understand the basics about ADHD medications and how the prescribing process works.
    • Utilize the right medication at the right dose.
    • Be aware of the clock when using stimulants.


  1. Consider Utilizing Additional and Alternative ADHD Approaches and Treatments
    a. Utilize additional approaches.

    • ADHD dietary approaches.
      • Eat healthier and better-quality foods.
      • Utilize a higher protein, lower simple carbohydrates, and low sugar diet.
      • Eliminate foods and drinks with artificial colors, additives, sweeteners, and preservatives.
      • Explore and eliminate foods children and teens may be sensitive or allergic to in diet.
      • Consider fish oil supplements.
      • Increase the amount of sleep.
      • Increase physical activity.
      • Utilize green time.
      • Limit screen time and video games.

b. Utilize alternative treatments.

        • Identify and correct mineral and vitamin deficiencies (zinc, magnesium, iron, B & D vitamins).
        • William J. Walsh’s Biochemical Imbalances Approach and Advanced Nutrient Therapy.