Although these children externally may appear very hyperaroused, they are underaroused. And therefore, the use of psychostimulants in the central nervous system actually results in an increased arousal and increased ability to focus and persist. Many doctors agree that the effectiveness of psychostimulants adds to evidence that ADHD is a neurological disorder, not a problem caused by poor schooling or parenting. Antidepressants, prescribed less often, are typically used for ADHD children who do not respond to stimulants or have adverse reactions to them. Ritalin has generated a great deal of media attention as sales have more than doubled since 1990.
Critics say it is prescribed too casually.
A second opinion may be helpful if you are in doubt. Take your child to the treating physician at least every three months in the first year of psychostimulant treatment. There is no single dosage that works for all children, so adjustments in the dosage sometimes must be made. The doctor should check for changes in blood pressure, height, weight and potential side effects. Report changes in your child's behavior as accurately as possible.