The Carlat Psychiatry Podcast Preschoolers and Stimulants: When Is Medication the Right Call for ADHD?
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May 12, 2025 Delve into the complexities of diagnosing ADHD in preschoolers and the quandary of using stimulant medications. Explore the risks associated with medication, including side effects on growth and appetite. Discover the importance of a holistic care approach that encompasses nutrition and support systems. Learn how collaborative efforts between parents, educators, and healthcare providers enhance treatment plans. This episode tackles the critical question of how to balance medical intervention with essential non-pharmacological strategies for young children.
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Stimulants Mask vs. Fix ADHD Behaviors
- Stimulants improve hyperactivity and impulsivity more than inattention in preschoolers with ADHD.
- Medication might mask outward behaviors without addressing underlying cognitive or sensory challenges.
Assessing Beyond Hyperactivity Example
- Joshua Feder shared an example of a hyperactive preschooler needing assessment beyond medication.
- He emphasized evaluating social, psychological, and biological factors affecting behavior.
Monitor Preschool Stimulant Side Effects
- Monitor stimulant use closely through growth charts, vital signs, and symptom tracking.
- Watch for appetite changes, sleep issues, and other side effects in preschoolers.