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Evidence-Based Clinical Practice Guideline for Management of Attention Deficit Hyperactivity Disorder in Saudi Arabia
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Saudi ADHD Society
Evidence-Based Clinical Practice Guideline for Management of Attention Deficit Hyperactivity Disorder in Saudi Arabia
Navigation Menu
Home
About
Contact
Blog
العربية
Acknowledgements
Endorsements
Recommendations
Development
Updates
Publications
Quality Standards
Clinical Algorithm
Clinical Algorithm for ADHD Management
This algorithm describes the recommended steps to take from suspected ADHD, through diagnosis and treatment, for children, young people, and adults with ADHD.
Person with suspected ADHD
Recognition, identification and referral to secondary care
Diagnosing ADHD
Symptoms of hyperactivity/impulsivity and/or inattention should:
•
Meet the criteria in DSM-V or ICD-10 (hyperkinetic disorder).
•
Cause at least moderate impairment.
•
Be pervasive, occurring in 2 or more settings.
Advice after diagnosis
Children under 5 years
•
Offer an ADHD-focused
group parent-training
programme to parents or
carers as first-line
treatment.
•
Do not offer medication
for ADHD for any child
under 5 years without a
second specialist opinion.
Children 5 years and over and
young people
•
Offer group-based education and
information.
•
Offer cognitive behavioural therapy
(CBT).
•
Offer medications if symptoms are
causing persistent significant
impairment.
•
First line therapy: Methylphenidate
•
Second-line therapy:
Lisdexamfetamine or
dexamfetamine (if available)
•
Third-line therapy: Atomoxetine or
guanfacine
Adults
•
Offer medication to adults
with ADHD if their ADHD
symptoms are still
causing a significant
impairment.
•
First line therapy:
Lisdexamfetamine or
methylphenidate
•
Second-line therapy:
Dexamfetamine or
atomoxetine (if available)
•
Consider
non-pharmacological
treatment, a structured
supportive psychological
intervention or CBT.
Review and follow up
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