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Additional info for Childhood Mental Health Disorders: Evidence Base and Contextual Factors for Psychosocial, Psychopharmacological, and Combined Interventions (American Psychological Association)
2007). 4 centimeter per year or a 20% reduction in growth rate for both height and weight. Acute adverse side effects typically diminish with a reduction in dosage. Growth suppression can be attenuated with twice-daily versus threetimes-a-day dosing and drug holidays during summer and school vacations (Connor, 2005b). , 2002; Palumbo, Spencer, Lynch, Co-Chien, & Faraone, 2004). Findings have been equivocal with respect to risks for substance abuse when stimulant medications are used. Approximately equal numbers of studies show no, heightened, and reduced risk (S.
Collectively, these two disorders are referred to as chronic tic disorder (CTD). Transient tic disorder, characterized by mild tics present for at least 1 month but not more than 12 months, rarely requires pharmacological intervention and is not considered further in this review. In all cases, tic onset must be before age 18. 1% to 1%, rising to 1% to 2% when chronic motor or vocal tic disorder is also included (Scahill, Sukhodolsky, Williams, &Leckman, 2005). Coprolalia, often portrayed as the defining symptom of TD, is, in fact, relatively rare, occurring in fewer than 10% of individuals with this diagnosis (American Psychiatric Association, 2000).
The first, third, and fourth of these limitations also apply to stimulant medications (see discussion in the next section). Given that both stimulant medications and behavioral treatments have limitations, many professionals believe that combined interventions are most effective and should be used routinely. PHARMACOLOGICAL INTERVENTIONS The most widely used interventions for ADHD in the mental health field are pharmacotherapeutic approaches. CNS stimulants have been used for ADHD for more than 50 years, while the other medications described in the following sections are mostly nonapproved for ADHD, are used far less often, and are far less effective.