Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX
Non-pharmacological interventions effective in managing ADHD symptoms in children include:
- ADHD-focused group parent-training programmes, which provide education on ADHD causes and impact, advice on parenting strategies, and support for managing behaviour. These are recommended as first-line treatment especially for children under 5 years and for school-age children and young people NICE NG87,NICE CKS.
- Individual parent-training programmes for parents and carers when group sessions are not feasible or when family needs are complex NICE NG87,NICE CKS.
- Group-based ADHD-focused support for parents/carers and/or young people, including education about ADHD and advice on parenting strategies, with liaison with schools where appropriate NICE NG87,NICE CKS.
- Cognitive behavioural therapy (CBT) for children and young people who have benefited from medication but still have significant impairment, focusing on social skills, problem-solving, self-control, active listening, and emotional expression NICE NG87,NICE CKS.
- Environmental modifications and behavioural management strategies, including structured routines and clear, consistent rules, to reduce impairment before considering medication NICE NG87,NICE CKS.
- Encouragement of a healthy lifestyle including balanced diet and regular exercise, although elimination diets or supplements are not routinely recommended NICE NG87,NICE CKS.
These interventions aim to improve functional impairment across social, educational, and family domains and are recommended to be delivered by healthcare professionals with expertise in ADHD management NICE NG87,NICE CKS.