Episode #6 - Sleep and ADHD

Join us as we talk with Dr. Barbara Felt about the management of ADHD in children with sleep disorders,

37:14 – Second-line medications for ADHD

38:08 – How late in the day can stimulant medications be given without risk of sleep disruption?

38:28 – How to approach the evaluation of night terrors in the patient from our case

40:22 – What is a “normal” ferritin in children?

41:15 – What is average ferritin in pre-school children?

41:40 – How do you approach a vague history provided by children regarding RLS symptoms?

43:12 – What dose of iron should be used to treat children with RLS?

44:00 – If treatment of OSA improves ADHD symptoms, is it reasonable to wean stimulant medications?

45:57 – How frequently should one re-evaluate medication doses for children with ADHD?

47:23 – Can ADHD resolve over time? Is ADHD a life-long disease?

50:32 – How commonly do children with ADHD have difficulty falling asleep?

52:15 – Discussion about behavioral insomnia of childhood, limit-setting type and combined type

54:35 – What sort of behavioral treatments are useful for children with insomnia?

56:20 – Are children with ADHD more likely to have circadian rhythm disorders?

59:00 – On the importance of sleep routines for children with ADHD

59:47 – Opportunities for research in the field of ADHD and sleep

1:02:42 – What dose of melatonin should be recommended for children?

1:05:01 – Take-home points from Dr. Felt