The July issue of Scientific American features an article about cognitive therapy as an alternative to ADHD drugs. The work proceeds from the assumption that cognitive deficits in general, and working memory deficits in particular, are among the defining features in ADHD, and yet are only marginally addressed with stimulant medication. According to Rosemary Tannock of the Department of Psychiatry at the University of Toronto, the effect of stimulants on working memory is positive but small. Working memory deficits are thought to underlie a number of disorders beyond ADHD, and that argues for a direct approach to training working memory.
In a recent paper in the Journal of the American Academy of Child and Adolescent Psychiatry, Torkel Klingberg of the Karolinska Institute in Sweden reports that some 12 out of 20 ADHD children could no longer be diagnosed as ADHD after a mere five-week training program. Moreover, a follow-up to the $6M Multi-site study of ADHD found that after two years the behavioral treatment arm was functioning better than the medication-only arm, a reversal from the findings after only one year. Moreover, only 8% of the children in the behavioral arm added medications in the second year. Most of them continued to rely totally on the benefit they had derived from the behavioral treatment and the acquired parenting skills. Continue reading “More on ADHD”