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So I had a patient a week or 2 ago who I diagnosed with ADHD and started on a stimulant medication. While going over the medication I gave my usual spiel about not taking the medication during periods when he was off work for periods when he did not need medication to complete important tasks. When I brought this up, he said that his child had also recently been started on stimulants for ADHD but that the child psychiatrist had told him that they needed to take the medication consistently and that the child should not take drug holidays. Both in med school and residency I have worked with quite a few child psychiatrists from different programs and I have never heard anyone emphasized the importance of taking a stimulant every single day like with other medications.
There is anyone know where this idea has come from or is there any data on this? I did some preliminary searches but was unable to find anything and the few attendings I asked had not heard this either. I would be particularly interested if any of the child psychiatrists have heard of this or make this recommendation, but any insight is appreciated.
There is anyone know where this idea has come from or is there any data on this? I did some preliminary searches but was unable to find anything and the few attendings I asked had not heard this either. I would be particularly interested if any of the child psychiatrists have heard of this or make this recommendation, but any insight is appreciated.