natural treatment options for add and adhd

Natural Treatment Options for Your Child with ADD/ADHDVivian F. DeNise,DO Integrative PediatricianPatients Medical

Patients Medical

A holistic medical centerFull-service

www.patientsmedical.com

Patients Medical

Discover health, rediscover vitalityFocus on the root cause Integrate modern medicine, holistic

practices, and natural supplements


Patients Medical

Our goal Promote healing and prevent disease


Patients Medical

Physicians collaborate to approach each patient holistically.


Patients Medical

Result: Gain health and nutritional wisdom

that can be applied for years to come.


Patients Medical

Founder, Dr. Warren Levinbegan practicing his ground-breaking

holistic protocols in 1974.


Patients Medical

Conditions Treated Chronic Fatigue Syndrome Multiple Sclerosis Osteoarthritis (OA) Rheumatoid Arthritis (RA) Diabetes Heart disease Crohn’s disease, IBS, IBD Alzheimer’s disease Lyme disease Thyroid disease Auto-immune diseases Many other secondary medical conditions


Patients Medical

Staff Medical Doctors

▪ Internal Medicine▪ Family Practice▪ Gynecology▪ Osteopathy

Nutrition Kinesiology Cranio-Sacral Therapy Maya Abdominal Therapy and Reflexology Oriental Medicine and Acupuncture Homeopathy


Patients Medical

Integrative Medicine


Patients Medical

Introducing our speakers:

Vivian DeNise, DOIntegrative Pediatrics


Patients Medical

Completed her medical degree at New York College of Osteopathic Medicine

Residency in Pediatrics Certifications in Integrative

Medicine with the American Academy of Anti-Aging Medicine (A4M)


Patients Medical

Specialties include Behavioral Concerns Hormonal Imbalances Nutritional Imbalances Gastro-Intestinal Problems Detoxification And many more!


Patients Medical

ADD and ADHD Allergies Anxiety Asperger’s Syndrome Asthma Autism Celiac Disease Chronic fatigue Chronic pain Depression Fibromyalgia Headache & migraine Immune dysfunction Irritable Bowel Syndrome Stress disorders Weight gain Weight loss


Natural Treatment Options for Your Child with ADD/ADHD

What Is ADHD?

Attention deficit hyperactivity disorder, is a variable neurobehavioral condition

generally characterized by inattentiveness and/or hyperactivity

and impulsivity.


Symptoms

DSM-IV Criteria for ADHD

Either A or B:Six or more of the following symptoms of inattention have been present for at least 6 months to a point that is inappropriate for developmental level:


Symptoms

Inattention Often does not give close attention to details or makes careless

mistakes in schoolwork, work, or other activities. Often has trouble keeping attention on tasks or play activities. Often does not seem to listen when spoken to directly. Often does not follow through on instructions and fails to finish

schoolwork, chores, or duties in the workplace (not due to oppositional behavior or failure to understand instructions).

Often has trouble organizing activities. Often avoids, dislikes, or doesn't want to do things that take a lot

of mental effort for a long period of time (such as schoolwork or homework).

Often loses things needed for tasks and activities (e.g. toys, school assignments, pencils, books, or tools).

Is often easily distracted. Is often forgetful in daily activities.


Symptoms

Six or more of the following symptoms of hyperactivity-impulsivity have been present for at least 6 months to an extent that is disruptive and inappropriate for developmental level:


Symptoms

Hyperactivity Often fidgets with hands or feet or squirms in

seat when sitting still is expected. Often gets up from seat when remaining in seat

is expected. Often excessively runs about or climbs when

and where it is not appropriate (adolescents or adults may feel very restless).

Often has trouble playing or doing leisure activities quietly.

Is often "on the go" or often acts as if "driven by a motor".

Often talks excessively. www.patientsmedical.com

Symptoms

ImpulsivityOften blurts out answers before questions have

been finished. Often has trouble waiting one's turn. Often interrupts or intrudes on others (e.g.,

butts into conversations or games).


Symptoms and Diagnosis

II. Some symptoms that cause impairment were present before age 7 years.

III. Some impairment from the symptoms is present in two or more settings (e.g. at school/work and at home).

IV. There must be clear evidence of clinically significant impairment in social, school, or work functioning.

V. The symptoms do not happen only during the course of a Pervasive Developmental Disorder, Schizophrenia, or other Psychotic Disorder. The symptoms are not better accounted for by another mental disorder (e.g. Mood Disorder, Anxiety Disorder, Dissociative Disorder, or a Personality Disorder).


Types of ADHD

ADHD, Inattentive Subtype: Diagnosis is confirmed if the criteria of Category 1 have applied for six months or longer, but not those of Category 2.

ADHD, Hyperactive-Impulsive Subtype: Diagnosis is confirmed if the criteria of Category 2 have applied for six months or longer, but not those of Category 1.

ADHD, Combined Subtype: Diagnosis is confirmed if the criteria of both Category 1 and Category 2 have applied for six months or longer. This is referred to as Mixed Subtype.

ADHD Not Otherwise Specified: Diagnosis is confirmed in this subtype if children do not meet the certain the classic criteria of the three types, but still have certain qualities and characteristics of ADHD.


Dr. Daniel Amen’s 6 Brain Types of ADD/ADHD

Classic PFC/CB- Dopamine Inattentive PFC/CB- DopamineOver-focused-AC/PFC-Dopamine/

SerotoninLimbic-Limbic/PFC-(NE)/DopamineTemporal Lobe-

TLs/PFC-Dopamine/GabaRing of Fire-Gaba/Dopamine


Criteria Common To All Types

Short attention span for routine tasks

DistractibilityOrganizational

problemsDifficulty with

follow throughPoor internal

supervision www.patientsmedical.com

Over-Focused ADD

Trouble shifting attention, looks like they cannot pay attention

Worrier Tends to hold grudges Gets stuck on thought

patterns or behavior patterns Upset if things don’t go

they’re way Often

argumentative/oppositional


Temporal Lobe ADD

Emotional instabilityMemory problemsPeriodic anxiety Illusions/shadowsFrequent headachesToo sensitive to othersExternal or Internal aggression


Limbic ADD

Sad, moody, irritable

Many negative thoughts

Low motivation/ finds little pleasure

Sleep/appetite problems

Social isolation www.patientsmedical.com

Ring of Fire ADD

Too many thoughtsOften very hyperHyper-verbalOppositionalAggressiveHypersensitive to light, sound, taste,

touchMoodinessCyclical behavioral changes *may be

bipolar equivalent www.patientsmedical.com

Facts

The American Psychiatric Association states in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) that 3%-7% of school-aged children have ADHD. However, studies have estimated higher rates in community samples.


Facts

Recent data from surveys of parents indicate that: Approximately 9.5% or 5.4 million children 4-17 years of

age have ever been diagnosed with ADHD, as of 2007.

The percentage of children with a parent-reported ADHD diagnosis increased by 22% between 2003 and 2007.

Rates of ADHD diagnosis increased an average of 3% per year from 1997 to 2006 and an average of 5.5% per year from 2003 to 2007.

Boys (13.2%) were more likely than girls (5.6%) to have ever been diagnosed with ADHD.


Facts

• Rates of ADHD diagnosis increased at a greater rate among older teens as compared to younger children.

• The highest rates of parent-reported ADHD diagnosis were noted among children covered by Medicaid and multiracial children.

• Prevalence of parent-reported ADHD diagnosis varied substantially by state, from a low of 5.6% in Nevada to a high of 15.6% in North Carolina.


The Effects of AD/HD

Attention Deficit/Hyperactivity is a serious public health problem because of the large estimated prevalence of the disorder, significant impairment in the areas of school performance and socialization, the chronic nature of the disorder.

Using a prevalence rate of 5%, the annual societal ‘‘cost of illness’’ for ADHD is estimated to be between $36 and $52 billion, in 2005 dollars. It is estimated to be between $12,005 and $17,458 annually per individual.



ADD is not only a “minor” disorder

35% never finish high school

43% of untreated boys with ADHD are arrested

Up to 50% of the prison population has ADD/LD

52% of ADD adults abuse substances

75% have interpersonal problems


Co-existing Conditions of AD/HD

Two thirds of children with AD/HD have at least one other coexisting conditions


Disruptive Behavioral Disorders

Oppositional defiant disorder (ODD)-40%

Conduct disorder (CD)-25% of children, 45-50% of adolescents and 20-25% of adults


Mood Disorders

Depression 10-30% of children with

AD/HD 47% of adults with AD/HD

Mania/Bipolar Disorder 20% of individuals with AD/HD

Anxiety 30% of children with AD/HD 25-40% of adults with

AD/HD


Tics and Tourette Syndrome

Only about 7% of those with AD/HD60% of those with Tourette

Syndrome have AD/HD


Learning Disabilities


50% of children with AD/HD have a co-existing learning disorder.

Sleep Disorders


25%-50% of parents of children with AD/HD report that their children suffer from a sleep problem, especially problems with falling asleep and staying asleep. This includes greater activity during sleep restless legs/periodic leg movements

during sleep (PLMS) unstable sleep patterns greater sleepiness than other children

during the daytime

Sleep Disorders cont.


Researchers speculate that AD/HD is associated with hypo-arousal rather than hyper-arousal.

The coping mechanism of hyperactivity may be to counteract the daytime sleepiness.


Treatment by Traditional Medicine

Treatment By Traditional Medicine


Give cautiously to patients with a history of drug dependence or

alcoholism. Chronic abusive use may lead to marked tolerance and

psychological dependence with varying degrees of abnormal behavior.

Careful supervision required during withdrawal from abusive use.

Black Box Warning for Ritalin



High potential for abuse; avoid prolonged use. Misuse of

amphetamine may cause sudden death and serious cardiovascular

adverse events.

Black Box Warning for Adderal



Caution with history of drug dependence or alcoholism. Marked tolerance and

psychological dependence with varying degrees of abnormal behavior may occur with

chronic abusive use. Careful supervision is necessary during withdrawal from abusive use

to avoid severe depression.

Black Box Warning for Concerta

ADHD Medications


Many medications used to treat ADHD aim to restore chemical balance.

Medication Neurotransmitters Affected

Ritalin® Dopamine

Strattera® Norepinephrine

Concerta® Epineprhine

Adderall® PEA

The Integrative Approach


Neurotransmitter ImbalanceVitamin DeficiencyMineral DeficiencyHeavy Metal IntoxicationAllergiesFood additivesThyroid DisordersSleep DisordersPandas Syndrome

The brain is the master controller

of nervous system, using chemicals

called neurotransmitters

to “talk” with itself.


The Brain

The Brain

The brain uses neurotransmitters to maintain focus & concentration


Imbalances in brain

chemistry can lead

to inattentive and hyperactive behaviors.


Neurotransmitters are the chemical messengers of the nervous system

Serotonin

Dopamine

GABA

Glutamate

Epinephrine

Norepinephrine

Histamine

PEA

Types of Neurotransmitters


ExcitatoryGlutamateNeorepinephrineEpinephrineDopamineHistamineAspartic AcidPEA

InhibitoryGABAGlycineSerotoninTaurine

Excitatory

Inhibitory

Epinephrine

Dopamine

Norepinephrine

Glutamate

Taurine

Serotonin

Gaba

Dopamine

Responsible for feelings of pleasure and satisfactionmuscle controlmuscle functionGI issues


Limit video games


Epinephrine

Important for motivation, energy, and mental focus. Also, known as adrenaline.

Primarily made in the adrenal glands.


Glutamate

Necessary for learning and memory

One of the most common neurotransmitters in the brain


Norepinephrine

Important for mental focus, emotional stability and endocrine function.


GABA


The Primary neurotransmitter in the brain necessary to feel calm and relaxed.

Glutamine

Glutamate

B6

GABA

Serotonin

Plays an important role in mood, sleep and appetite

Tryptophan 5-HTP B6 Serotonin


Major contributors to neurotransmitter imbalance


High levels of stress

Poor dietary habits

Toxins

Lack of sleep

http://images.google.com/imgres?imgurl=http://www.highland.gov.uk/persintra/health&safety/stress.jpg&imgrefurl=http://www.highland.gov.uk/persintra/health&safety/stress.htm&h=476&w=519&sz=14&tbnid=sR-G28MGjd4J:&tbnh=117&tbnw=128&start=3&prev=/images?q=stress&hl=en&lr=


Chronic stress leads to imbalances in brain chemistry Busy schedules Emotional trauma Personal issues


MSG Symptoms Complex


Symptoms can be:• Numbness• Tingling• Facial pressure or

tightness• Headache• Nausea• Rapid Heartbeat• Drowsiness• Chest pain• Difficulty breathing

What Contains MSG?


Flavorings such as natural chicken flavoring

Stock Seasonings Soy Sauce Broth Cornstarch Pectin Bouillion Barley Malt

Often contains MSG or creates MSG during processing

Glutamate Monopotassium

Glutamate Textured Protein Hydrolyzed protein Yeast Nutrient Calcium Caseinate Gelatin Glutamic Acid

Always contains MSG


Vitamin Deficiency

Vitamin CVitamin B6, B12


Vitamin C

Reduces harmful oxidantsBalances levels of dopamineHelps balance phenylalanine and

tyrosine


Mineral Deficiency

ZincCopper IronMagnesium



Toxins: environmental, occupational, and recreational poisons can disrupt proper communication in the brain

Heavy Metals: Lead and Mercury Sources of Mercury:

Eating fish or shellfish Dental work such as Mercury amalgams Breathing contaminated vapors or skin contact

with: antiseptics, bactericides, batteries, cosmetics, fabric softeners, floor wax and polish, paints, tattoo inks, perfumes, etc.


Major contributors to neurotransmitter imbalance cont.

Poor sleeping habits An inadequate amount of

sleep, or having a poor or irregular sleeping schedule can lead to poor brain function and a lack of concentration.

Exhibited by up to 50% of children in the United States.


Major contributors to neurotransmitter imbalance cont.

Sleep deprivation adds up over time, so an hour less per night is like a full night without sleep by the end of the week. Among other things, sleep deprivation can lead to:

decreased attentiveness decreased short-term memory inconsistent performance delayed response time generally bad tempers, problems in school,

stimulant use, and driving accidents (more than half of "asleep-at-the-wheel" car accidents are caused by teens).

A careful history physical

First and Foremost

Vitamin Deficienci

es

Mineral Deficienci

es

AllergiesHeavy Metals

Thyroid Disorders

Contributing Factors to ADHD

What Can Be Done

Feed Your Brain Lean protein Complex carbohydrates Decrease simple sugars Decrease bad fat not all fat Omega 3 Fatty Acids


What Can Be Done

Lifestyle Changes Head injuries matter Avoid toxic substances Get enough sleep Manage stress Exercise Limit video games


What Can Be Done cont.

Omega 3 Probiotics Vitamin C Vitamin B complex L theanine Phosphatidylserine L-tyrosine Gaba

5 HTP DL phenylalanine SAMe

Supplements that can help

Q and A with the Doctor


Get your child on track with their health!


You opinion is important to us.

Please fill out your pink event evaluation form and return it to us.


Take Advantage of Your Coupon

Get started TODAY by making an appointment with Dr. DeNise.


Give your whole family the gift of health!

Patients Medical’s Team of Holistic Doctors



To get more information or to schedule an appointment,

call 212-679-9667 or email [email protected]

natural treatment options for add and adhd

Health & Medicine

mood disorder

dissociative disorder

otherpsychotic disorder

personality disorder

least6 months

daily activities

holistic medical center

criteria ofboth category