ADHD : Beyond the pills
- Dr. Nimmy N John
- 10 hours ago
- 2 min read
Attention-Deficit Hyperactivity Disorder (ADHD) is one of the most commonly diagnosed neurodevelopmental disorders, particularly in children, though it often continues into adulthood. It affects how the brain works—especially with attention, self-control, memory, and organization. While medication is often used as part of treatment, there's growing awareness of the benefits of non-pharmacological approaches.
The core symptoms of ADHD include:
Inattention (e.g., difficulty focusing or staying organized)
● Difficulty sustaining attention in tasks or play
● Frequently making careless mistakes
● Appearing not to listen, even when spoken to directly
● Forgetfulness in daily activities
● Easily distracted by external stimuli
2. Hyperactivity (e.g., excessive movement or talking)
● Fidgeting or squirming in seat
● Inability to stay seated in situations where it's expected
● Talking excessively
● Running or climbing in inappropriate settings (more common in children)
3. Impulsivity (e.g., acting without thinking)
● Difficulty waiting turns
● Interrupting others
● Blurting out answers before a question is finished
● Acting without thinking of consequences
How can we manage ADHD without medications ?
Behavioral Therapy: Behavioral therapy helps individuals develop strategies to manage symptoms and improve functioning.
● For Children: Focuses on positive reinforcement, structured routines, and clear consequences.
● For Adults: May include cognitive-behavioral techniques to address procrastination, time management, and organization.
Family Therapy: Parents of children with ADHD can benefit greatly from structured training to understand the condition and respond effectively.
● Learn techniques for discipline, communication, and routine-setting.
● Promote more positive parent-child relationships.
Educational Interventions: For students with ADHD, the right support at school can make a huge difference.
● IEPs -Individualized Education Plans may provide accommodations like extended time or reduced distractions.
● Teachers can implement visual schedules, chunk tasks, and allow movement breaks.
4. Cognitive Behavioral Therapy (CBT): CBT helps individuals change unhelpful thought patterns and behaviors. In ADHD, it's particularly useful for:
● Reducing procrastination
● Managing emotional dysregulation
● Building problem-solving skills
● Coping with comorbid issues like anxiety or depression.
Exercise and Physical Activity: Regular physical activity has been shown to boost executive functioning and reduce ADHD symptoms.
● Activities like swimming, martial arts, or team sports help with focus and impulse control.
● Exercise also improves sleep, mood, and self-esteem
6. Diet and Nutrition: While no specific diet "cures" ADHD, certain nutritional strategies may help:
● Limit sugar and processed foods that can exacerbate hyperactivity
● Ensure adequate omega-3 fatty acids, zinc, and iron
● Stay hydrated and eat balanced meals to maintain energy levels and concentration
ADHD is a complex, lifelong condition — but with the right combination of strategies, those affected can thrive in all areas of life. While medication is effective for many, non-pharmacological treatments offer sustainable, holistic support that empowers individuals and families alike. ADHD Awareness Month is observed every October and is dedicated to raising awareness, understanding, and support for individuals with Attention-Deficit/Hyperactivity Disorder.
References:

Centers for Disease Control and Prevention (CDC). (Updated 2022). ADHD: Symptoms and Diagnosis.
National Institute of Mental Health (NIMH). (2022). Attention-Deficit/Hyperactivity Disorder
Barkley, R. A. (2015). Attention-Deficit Hyperactivity Disorder: A Handbook for Diagnosis and Treatment (4th ed.).
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