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According to a study conducted at State University of New York at Buffalo, “combining behavior modification therapy with medication is the most effective way to improve the behavior of many ADHD children.

However, with the prevalence of the disorder estimated to be at 5.0%, one could make a case for under prescribing.The dosing schedules vary depending on target outcomes, although no consistent controlled studies compare different dosing schedules.For example, if there is a need for relief of symptoms only during school, a 5-day schedule may be sufficient.[See AAP Treatment Guidelines for further discussion of effectiveness].It is important to note that all professional guidelines call for medication to be used AFTER behavioral treatment has been tried first and that when medication is used it should be COMBINED with behavioral treatment.

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