Carlat - Integrative Approach to Assessing ADHD

Using Vitamins, specific diets, and herbal remedies, IM focuses on supporting the innate healing powers of the body.

IM is not without its disadvantages. Firstly, and chiefly, the evidence base for efficacy is deficient by the standards of conventional medicine. In part, this is due to a lack of financial incentive. Most natural remedies cannot be patented, and therefore it is rare for companies to invest the many millions of dollars required for large-scale clinical trials, as the resulting products would be unlikely to yield a good return on investment. Secondly, the IM approach typically demands more of the patient and can also take more of the practitioner’s time.

Nonetheless, many patients and their parents are seeking alternatives to conventional psychiatry. In a recent The Carlat Child Psychiatry Report article, integrativepsychiatrist Scott Shannon, MD, assistant clinical professor of psychiatry at the University of Colorado Medical School, gives the following snapshot of his approach to assessment of ADHD:

Assessment 
ADHD assessment in integrative practice is a bit more time-consuming and may take 60–90 minutes. Like traditional evaluations, it is based primarily on a comprehensive interview, and includes results from ADHD symptom scales (Dr. Shannon prefers the Vanderbilt over the Connors scale, as the former is broader in scope). His assessment protocol includes the following elements:

To read about Dr. Shannon’s IM treatment approach to ADHD in The Carlat Child Psychiatry Reportclick here. Not a subscriber? Join here.

Author
Joshua Feder, M.D. Dr. Feder's Blog

You Might Also Enjoy...

Reimagining ADHD with Ned Hallowell

While medication is the mainstay of treating symptoms in ADHD, Edward Hallowell, MD, shares a positive, relationship-based approach to ADHD with practical strategies to help children and adolescents manage ADHD.

Air Quality and Mental Health

Air pollution, including particulate matter from forest fires, is a leading cause of health problems. It is also linked to psychiatric problems in children and adolescents. We take a closer look at the evidence and clinical implications in this episode.

Addressing Systemic Inequity

We hope this trio of 60-second psych podcasts is a start at addressing the impact of systemic inequity: How to Address Implicit Bias Promoting Assertiveness in Adolescents Preventing Trauma With Racial Socialization