The Best Treatments For ADHD Kids, Based on Evidence

This episode breaks down the major misconceptions about ADHD treatment and clarifies what decades of research, major clinical guidelines, and leading experts actually recommend. Ryan and Mike explain why weekly talk therapy is not an evidence-based treatment for ADHD, why parent training and environmental structure are consistently shown to improve outcomes, and how parents can make informed decisions without getting pulled into common myths. Find Mike @ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.grownowadhd.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Find Ryan @ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.adhddude.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ {{chapters}} [00:00:00] Start [00:02:21] What clinical guidelines actually recommend [00:05:27] Dr. Barkley’s research on effective ADHD treatments [00:09:11] Evidence on CBT, DBT, and play therapy [00:19:21] Why office-based therapy doesn’t translate to real-world behavior [00:22:29] Rumination and how talk-heavy approaches can backfire [00:31:19] Treatments with the strongest evidence (medication, parent training)⁠⁠⁠⁠⁠ Citations: 1. AAP Guideline (Parent Training + Medication as First-Line) Wolraich, M. L., et al. (2019). Clinical practice guideline for ADHD in children and adolescents. Pediatrics, 144(4), e20192528. 2. AACAP Treatment Parameter (Medication + Behavioral) Pliszka, S. R., & AACAP Work Group. (2007). Practice parameter for ADHD. JAACAP, 46(7), 894–921. 3. Barkley: ADHD as Performance Disorder Barkley, R. A. (2012). Executive functions. Guilford Press. Barkley, R. A. (2015). ADHD: Handbook for diagnosis and treatment (4th ed.). Guilford Press. 4. CBT Evidence (Adolescents/Adults, Not Young Children) Safren, S. A., et al. (2010). CBT vs relaxation for adults with ADHD. JAMA, 304(8), 875–880. Solanto, M. V. (2011). CBT for adult ADHD. Guilford Press. Langberg, J. M., et al. (2008). Organization skills intervention for adolescents. JCCP, 76(6), 967–982. 5. DBT-Informed (Pilot Trials, Emotion Dysregulation) Murray, D. W., et al. (2022). DBT skills group for adolescents with ADHD. J Attention Disorders, 26(11), 1421–1430. 6. Play Therapy (Insufficient Evidence) Hassan, R. A., & Shaker, N. S. (2014). CBPT for ADHD symptoms. Int J Psychology & Behavioral Sciences, 4(6), 221–229. 7. EF Skills: Experience-Based, Not Language-Based Barkley, R. A. (2012). Executive functions. Guilford Press. 8. Rumination and ADHD Ostojic, D., et al. (2021). Mind wandering and rumination in youth with ADHD. J Abnormal Child Psychology, 49, 1203–1216. Seymour, K. E., et al. (2014). Emotion regulation mediates ADHD-depression relationship. J Abnormal Child Psychology, 42, 611–621. 9. Time Blindness/Temporal Processing Toplak, M. E., & Tannock, R. (2005). Time perception deficits in ADHD. J Abnormal Child Psychology, 33(5), 639–654. Barkley, R. A., et al. (2008). ADHD in adults: What the science says. Guilford Press. 10. Parent Behavior Training (Evidence-Based) Chronis, A. M., et al. (2006). Evidence-based treatments for children with ADHD. Clinical Psychology Review, 26(4), 486–502. Evans, S. W., et al. (2014). Evidence-based treatments for ADHD. JCCAP, 43(4), 527–551. 11. Medication as First-Line Faraone, S. V., et al. (2021). Stimulant effectiveness and safety. World Psychiatry, 20(3), 314–329. Swanson, J. M., et al. (2017). MTA study long-term outcomes. JAACAP, 56(3), 228–240. - - Welcome to the ADHD Parenting Podcast YouTube channel—hosted by Ryan Wexelblatt, LCSW, ADHD-CCSP, founder of ADHD Dude, and Michael McLeod, MA, CCC-SLP, founder of GrowNOW ADHD. If you're parenting a child with ADHD and seeking practical, science-backed strategies, you're in the right place. Ryan is a Licensed Clinical Social Worker, Certified School Social Worker, and ADHD-Certified Clinical Services Provider with over 20 years of experience working with children and adolescents with ADHD. Michael is an ASHA-Certified Speech-Language Pathologist and Executive Function/ADHD Specialist, recognized for developing the evidence-based GrowNOW Model. Together, they provide parents with clear, actionable guidance to help their children build essential skills, improve behavior, and boost confidence. Subscribe for straightforward, effective strategies to support your child's ADHD journey. www.adhddude.com www.grownowadhd.com