Yoga Teacher Training Course Feb-10-26 Dr. Naina Mehta- Treatment and Management of of ADHD скачать в хорошем качестве

Yoga Teacher Training Course Feb-10-26 Dr. Naina Mehta- Treatment and Management of of ADHD

ADHD Management Session - Detailed Notes- FEB 10-26 Dr. Naina Mehta Behavioral Interventions Parent Management Training:  Uses techniques like Parent-Child Interaction Therapy (PCIT)  Therapist observes parent-child interactions through one-way mirror  Real-time coaching via earpiece to guide parent responses  Teaches appropriate behavior management strategies Social Skills Training:  Primarily for adolescents transitioning to adulthood  Teaches interaction skills: conversation turn-taking, impulse control, maintaining focus  Helps children play cooperatively without conflicts Educational Support:  504 Plans: Accommodations specifically for ADHD  IEP (Individualized Education Plan): For ADHD plus comorbid conditions (learning disabilities, anxiety)  Classroom modifications: front seating, away from distractions, additional teacher attention Medications Stimulants:  Methylphenidates: Ritalin, Concerta  Dextroamphetamines: Adderall, Vyvanse  Work by blocking dopamine/noradrenaline reuptake  Effects within 20-30 minutes; "night and day difference"  Side effects: appetite decrease, blood pressure increase, sleep disruption, possible tic movements  Contraindications: cardiac surgery history, high blood pressure, significant weight loss, severe anxiety Non-Stimulants:  Alpha-2 agonists: Clonidine, Guanfacine  Selective noradrenaline reuptake inhibitors: Strattera, Qelbree  Take 2-6 weeks to show effects  Main side effect: drowsiness  Clonidine may lower blood pressure Treatment Approach by Age Preschool (4-6 years): Behavioral intervention first-line Elementary/Middle School (6-12 years): Medication management first-line, plus behavioral/educational support Adolescence: Requires adolescent consent; medication helps reduce impulsive behaviors and improves driving safety Mind-Body Therapy Benefits Yoga and meditation show:  Improved symptoms on rating scales  Reduced medication dosage  Better focus and reduced anxiety  Increased brain connectivity in frontal regions  Enhanced alpha/theta wave activity  Increased dopamine release Key principle: Always combine medication with behavioral therapy; medication alone is insufficient for long-term behavior change. Can medication affect brain development long-term? Based on the session discussion, medications do not negatively affect brain development or maturation. Dr. Naina specifically addressed this concern: Key Points: No Interference with Brain Maturation: • The medications only replenish neurochemicals (dopamine, noradrenaline) that are deficient • They help the brain use existing neurochemicals more effectively or prevent their reuptake • Unlike hormonal medications (e.g., thyroid), ADHD medications don't create negative feedback loops that stop natural production How They Work: • Stimulants provide extra neurochemicals in the synaptic cleft without affecting the brain's natural production • They don't cause the brain to stop producing these chemicals on its own • The medication is temporary—it enters and leaves the system daily (stimulants) or builds up gradually (non-stimulants) Long-term Outcomes: • One-third of children naturally outgrow ADHD as their brains mature, regardless of medication use • Studies show positive educational outcomes: improved reading scores, decreased school absences, and children are nearly 2 times less likely to repeat a grade Safety Considerations: • Medications are controlled substances due to abuse potential, not developmental concerns • When taken as prescribed by mouth at appropriate doses, there's no addiction risk • Side effects are monitored (appetite, blood pressure, sleep) but don't affect brain development The emphasis is that medication supports functioning during critical developmental years while behavioral therapy works to create lasting behavioral changes