[Dr. Nika]

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In their Treatment Guidelines for Attention Deficit Hyperactivity Disorder (1), the American Academy of Pediatrics clearly states that a care plan for children with this condition should include psychological interventions along with any prescribed medication. For some children with mild to moderate symptoms psychological intervention may prove sufficient to improve or alleviate symptoms. Also, some research studies indicate that the use of psychological-behavioral interventions along with medication may reduce the dose of medication necessary for effective treatment.


Data from a major national study conducted by NIMH known as the Mutlimodial Treatment Study of ADHD (MTA) shows that 33% of children with ADHD were "normalized" [exhibited test scores within the normal range for ADHD and ODD (oppositional defiant disorder)] as a result of receiving psychological treatment only without any medication while 68% were normalized as a result of medication combined with psychological treatment as compared to only 56% of those treated with medication only.

Thus, roughly one third of children diagnosed with ADHD may achieve normal behavior from a comprehensive program consisting of treatment strategies similar to those used in Total Focus. Also, there is about a 20% increase in the number of children normalized by combining medication with psychological treatment. Finally, after 2 years 97% of those in the psychological treatment only group remained normalized as compared to only 66% for the medication only group.