Justin is in 3rd grade and has trouble with school routines. It is difficult to get him groomed and dressed in the morning, as well as getting his backpack organized. 

At school, Justin’s teachers note that he is very intelligent, but exhibits difficulties focusing and sitting still in class. Except for some topics of interest such as stars, dinosaurs, or animals—on which he can focus intently—he has trouble maintaining focus on other subjects. He is often restless and fidgets in his seat, with his teachers constantly reminding him to sit still and stay on task. Justin also tends to blurt out answers and interrupt with off-topic commentary. When away from his desk, Justin runs around and exhibits difficulty following instructions. Although Justin realizes that he is misbehaving, he says he can’t “stop” himself.

After school, he has trouble completing his homework in a timely manner. The teacher says it should only take 40 minutes to complete the homework given but it takes 2-3 hours while his mother supervises at the kitchen table. His mother reports that he also has trouble with evening routines and winding down before bedtime.   

When choosing a treatment for children with ADHD, how do you rank the following 4 factors: onset of effect, duration of effect, tolerability, and dosing options? 

What other factors do you consider when determining how to treat ADHD?

Justin is in 3rd grade and has trouble with school routines. It is difficult to get him groomed and dressed in the morning, as well as getting his backpack organized. 



At school, Justin’s teachers note that he is very intelligent, but exhibits difficulties focusing and sitting still in class. Except for some topics of interest such as stars, dinosaurs, or animals—on which he can focus intently—he has trouble maintaining focus on other subjects. He is often restless and fidgets in his seat, with his teachers constantly reminding him to sit still and stay on task. Justin also tends to blurt out answers and interrupt with off-topic commentary. When away from his desk, Justin runs around and exhibits difficulty following instructions. Although Justin realizes that he is misbehaving, he says he can’t “stop” himself.



After school, he has trouble completing his homework in a timely manner. The teacher says it should only take 40 minutes to complete the homework given but it takes 2-3 hours while his mother supervises at the kitchen table. His mother reports that he also has trouble with evening routines and winding down before bedtime.   



When choosing a treatment for children with ADHD, how do you rank the following 4 factors: onset of effect, duration of effect, tolerability, and dosing options? 



What other factors do you consider when determining how to treat ADHD?

Justin is in 3rd grade and has trouble with school routines. It is difficult to get him groomed and dressed in the morning, as well as getting his backpack organized. 



At school, Justin’s teachers note that he is very intelligent, but exhibits difficulties focusing and sitting still in class. Except for some topics of interest such as stars, dinosaurs, or animals—on which he can focus intently—he has trouble maintaining focus on other subjects. He is often restless and fidgets in his seat, with his teachers constantly reminding him to sit still and stay on task. Justin also tends to blurt out answers and interrupt with off-topic commentary. When away from his desk, Justin runs around and exhibits difficulty following instructions. Although Justin realizes that he is misbehaving, he says he can’t “stop” himself.



After school, he has trouble completing his homework in a timely manner. The teacher says it should only take 40 minutes to complete the homework given but it takes 2-3 hours while his mother supervises at the kitchen table. His mother reports that he also has trouble with evening routines and winding down before bedtime.   



When choosing a treatment for children with ADHD, how do you rank the following 4 factors: onset of effect, duration of effect, tolerability, and dosing options? 



What other factors do you consider when determining how to treat ADHD?