Attention-deficit/hyperactivity disorder

• Based on strong research evidence, school-age children who present with behavior problems or academic underachievement should receive an evaluation for ADHD. (2)(5) • Based on consensus and strong research evidence, ADHD-specific rating scales may be used to evaluate a child for symptoms of ADHD, but they are not diagnostic of ADHD. (5)(16) • Based on strong research evidence, approximately 67% of patients diagnosed as having ADHD have comorbid mood disorder or learning disorder. (5)(22)(23) • Based on strong research evidence, the primary care clinician should establish a treatment program that recognizes ADHD as a chronic condition that requires ongoing management and monitoring. (17) • Based on strong research evidence, the clinician initially should recommend stimulant medication for the treatment of ADHD, with stimulant drugs from either class (amphetamines, methylphenidate) being equally effective. (17).