Why checking in with the doctor is important for kids with attention deficit hyperactivity disorder (ADHD)

An ADHD diagnosis for a child can mark a huge turning point in a family. But it’s only the beginning of your child’s journey in managing their condition. You and your child will need to work with your child's doctor to find the right mix of medication and behavior-management therapy. It’s a process that can take some time. You’ll need to attend follow-up appointments with your child’s doctor for best results. With the right medication and dosage, children with ADHD can thrive at school and at home.

“For children who are helped by these drugs, it often takes time to hone in on the medication and dose that can make a positive difference,” says Nicole Beurkens, Ph.D., founder and director of Horizons Developmental Resource Center in Caledonia, Michigan. And if the prescribed medication isn’t working or the symptoms are getting worse? “They need to be seen in order to safely discontinue the medication and find other solutions.”

As your family goes through this process, it’s helpful to remember that you are not alone. About 6.1 million children in the United States have ADHD, according to the Centers for Disease Control and Prevention (CDC). About two-thirds of children ages 6 to 17 with ADHD take medication for it. Experts recommend that children under age 6 try behavioral therapy before starting medication.

Like most medications, stimulants can cause side effects. This is another reason not to miss follow-up doctor visits. Side effects include trouble sleeping, loss of appetite, weight loss, and social withdrawal, according to the American Academy of Pediatrics. Most of these side effects are mild and tend to fade. Some children have more serious or long-lasting side effects than others.

If your child has side effects, their doctor can help by changing the dosage of the medication. They might recommend a different time to take the drug or trying a new treatment altogether.

Of course, medication isn’t the only treatment option for kids with ADHD. According to the CDC, children ages 6 to 18 often receive behavior-management training. This can give children with ADHD more structure and positive reinforcement. Behavior management is another topic you’ll explore with your child's doctor at later visits.

One thing that helps many kids is behavioral classroom management. Teachers help children manage their ADHD in behavioral classroom management. They use reward systems or daily report cards to give kids feedback. The system encourages positive behavior, according to the CDC. An added benefit is that teachers can work alongside doctors to help a child with ADHD. Teachers watch the child’s behavior in class (and rate it on a scale) and look for any side effects.

Strategies like these often work best when they’re used alongside medication. About 1 in 3 children who received treatment for ADHD took medication and participated in behavioral training, according to the CDC.

Even when your child seems to be doing well, it’s still important to schedule those follow-up visits. Their doctor will continue to watch them for changes in their appetite, weight, blood pressure, and more, says Dr. Beurkens. There’s a lot to gain from the doctor observing your child over time. The American Academy of Pediatrics recommends appointments every three to six months.

Ultimately, if you and a doctor have determined that medication should be part of your child’s treatment, it’s important to follow every aspect of that plan — especially follow-up care, says Dr. Beurkens. Follow-up visits are important for children prescribed ADHD medication. These visits ensure the medication is effective in relieving your child’s symptoms.

“Parents need to do their part by attending scheduled appointments and communicating with health care professionals about the improvements and concerns they’re seeing with their child,” says Dr. Beurkens. “It’s a collaborative effort between the family and the prescriber.”