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Top Emotion Regulation Difficulties for Youth with ADHD

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Is your child’s irritability a normal, age-appropriate reaction or an indication of emotion regulation difficulties (ERD)? It’s difficult to tell, leaving many caregivers feeling anxious and uncertain about their child’s diagnosis.A further complication: youth with ADHD are at higher risk for developing mood disorders, such as disruptive mood dysregulation disorder (DMDD) or oppositional defiant disorder.During a recent ADDitude webinar on irritability, we asked nearly 1,000 attendees, “What is the most challenging aspect of emotion regulation for your child or patient?” Here are the answers they gave:Comments and questions submitted during the webinar, titled “Emotion Regulation Difficulties in Youth: ADHD Irritability vs.

DMDD vs. Bipolar Disorder” provided deeper insight into how ERD impacts youth with ADHD.“My child screams and breaks down over issues with friends.”“My son is verbally aggressive and used to destroy doors and walls.

It is truly hard for me to cope with his crisis.”“My 11-year-old son’s physical and verbal aggression seems to be reserved for home.

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The American Academy of Pediatrics (AAP) recommends treating ADHD in children and adolescents with FDA-approved medications, plus parent training in behavior modification and behavioral classroom interventions. Likewise, research confirms that “stimulant medications are most effective, and combined medication and psychosocial treatment is the most beneficial treatment option for most adult patients with ADHD.” Still, many individuals seek to augment their ADHD treatment plans with natural therapies ranging from nutrition and vitamins and herbs and fish oil.“Parents and adults see me either because the ADHD medication isn’t doing the job, or they want more improvement and can’t increase the dosage without increasing side effects,” says Richard Brown, M.D., associate clinical professor of psychiatry at Columbia University College of Physicians and Surgeons, and co-author of the recent book How to Use Herbs, Nutrients, and Yoga in Mental Health Care.Here are 10 of the most popular natural ADHD remedies — including foods, ADHD supplements, and herbs — and research findings for each suggesting whether adding them to your treatment plan might unlock better focus, attention, and motivation.Keep in mind that all ADHD treatment decisions should be made in consultation and coordination with a licensed medical provider.Poor nutrition can cause a child or adult with ADHD to become distracted, impulsive, and restless.
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