How to treat a child with ADHD who is aggressive, runs around in class, and has outbursts?

Patient's question:

A 15-year-old and 9-month-old boy was diagnosed with attention deficit hyperactivity disorder (ADHD) in October 2017. The child often runs around during tutoring sessions and returns to his seat by himself. He has difficulty getting along with classmates and frequently hits them, showing a bad temper. He previously took Adderall 25mg, one pill every morning, for more than six months. However, the medication caused poor appetite in the child, and his condition remained unstable, leading to discontinuation. I want to ask if these behaviors are all caused by ADHD or if there might be other psychological issues involved?

Doctor's answer:

The child's condition is caused by ADHD. When giving medication to the child, it must be taken after meals to avoid irritating the stomach. If the effect is not good, it is best to have a re-examination in the neurology department. If the child is now 18 years old, it may be due to the turbulent period of adolescence. Parents need to show care and love from all aspects, making the child feel warm. It is absolutely necessary to avoid scolding and criticizing as methods of teaching. In addition to symptomatic treatment, the patient's dietary condition and mental state are also particularly important. The patient must maintain a light diet while keeping a cheerful and optimistic mindset to avoid unnecessary negative impacts on the recovery of ADHD.

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