CAM (complementary and alternative medicine) therapies are considered and/or tried in over half of patients with ADHD. Many times, these modalities are used covertly and it is important for the treating physician to inquire about CAM to encourage open communication and review risks vs. benefits of such an approach. CAM treatment modalities incorporating vision training, special diets and megavitamin therapy, herbal and mineral supplements, EEG biofeedback, and applied kinesiology have all been advocated. The benefits of these approaches, however, have not been confirmed in double-blind controlled research studies. Families should be aware that such programs might require a long-term financial commitment that may not have insurance reimbursement as an option. Recent research on the benefits of specific polyunsaturated fatty acid (EPA and DHA) supplementation has demonstrated a therapeutic benefit in several well-designed studies. Further research in this area will hopefully shed light on how these supplements work.
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