Summer Vacation and ADHD Medications?

End of the school year brings a common question from parents:
“Does my child need to take ADHD medications since he/she is out of school?”
The answer to this question is not a simple yes or no!

While the school year does take summer vacation, ADHD does not.
• ADHD symptoms are not limited to the inability to pay attention and perform well on school tasks. Other symptoms include impulsivity, difficulty controlling emotions, disorganization, difficulty falling and staying asleep, and difficulty with functioning well without a structured routine.
• For teenagers who are driving or caring for others as part of a summer job (lifeguard, babysitter, camp counselor, etc.) I strongly recommend continuing ADHD medications over the summer, as inattention and impulsivity may result in serious injury to themselves or others.
• Many ADHD symptoms also may make summer family life and vacations more difficult and stressful for an ADHD child and their family.
• A child’s social skills off medications can be 2-3 years younger than actual age, possibly making positive interactions with their peers at summer camp more difficult.

There is a very small group of ADHD patients that a summer medication vacation or decrease in medication dose may be medically needed:
• Those who have significant weight loss issues on medication.
• If there are questions as to whether medication is needed, summer time is a good time for a short trial off medication.

I encourage families to have a discussion with their child’s ADHD physician each spring about your summer plans. A plan for summer time ADHD management can be customized for your child, with the goal of the most enjoyable and safe summer possible!

– Dr. Emily Thompson

Nutrition Prescription for ADHD

By:  Rhya Pachin, MS, RDN, LDN, CLT

Why has ADHD become an increasingly common disorder? There is evidence that diagnosis of the disorder has improved over the last 10-20 years. However, many patients and parents still wonder: “Is there anything I can do to improve my/my child’s ADHD symptoms in addition to medicine?” The answer is yes! Medication is considered the first line of treatment therapy for ADHD, but it is also true that lifestyle and diet modifications can make a significant impact on behavior and brain health.

There are several common nutrients involved with several brain imbalances such as Alzheimer’s, anxiety, depression, ADHD, and autism. Aim to incorporate the following key nutrients into at least 1-2 meals per day.

Magnesium, zinc, iron, and selenium are minerals which are crucial to the synthesis and mobilization of certain neurotransmitters that trigger emotional and behavior responses. A whole-foods diet with an emphasis on colorful vegetables can usually meet the body’s mineral requirements, but picky eaters may benefit from a multivitamin. Buy organic produce as your budget allows; use the Dirty Dozen/Clean Fifteen to guide you in buying organic where it matters most.

B-vitamins, especially B6, are similarly involved in facilitating brain signaling. Sources of B6 include: fish, garbanzo beans, sunflower seeds, pistachios, poultry, whole potatoes, and non-citrus fruits (bananas, prunes). A nutritious diet can easily provide more than enough B6, so supplementation isn’t usually necessary except in the case of long-term prescription drug use.

Omega-3 fatty acids are well researched in terms of their association with neurological development and function. This makes sense as the brain is composed of 70% fat! Avocado, olives, salmon, grass-fed beef and pastured, free-range eggs are excellent sources of healthy fats. However, Omega 3 fats can be harder for some, especially children, to obtain through diet, so a supplement may be required. Ask for a brand recommendation, as Omega 3 oils are commonly contaminated.

A close connection has also been discovered between gut and brain function, called the ‘gut-brain axis.’ Essentially, a gut flora imbalance caused by stress, excess sugar, and/or antibiotic use may negatively impact brain health. Cultured foods such as kombucha, raw sauerkraut, and yogurt support healthy bacterial growth and diversity, but in some cases, a probiotic supplement may be beneficial.

Heavy metal exposure is strongly associated with lower IQ, reduced cognitive development, and neurological impairment. Therefore, testing for toxic levels of mercury, lead, cadmium, and arsenic may be beneficial in some cases where heavy metal exposure is suspected.

In summary, the ideal diet for brain health is whole-foods based, and high in antioxidants from colorful plant foods. Minimize your toxin load from additives, pesticides, trans fats (hydrogenated oils), and preservatives. Evaluate for common deficiencies like magnesium, B6, zinc, tyrosine, selenium, and iron. Ask about a probiotic if you have signs of gut imbalance. If these ideas aren’t enough to improve mood and focus, consider food and chemical sensitivity testing for a more personalized diet.

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