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NCCIH Clinical Digest

for health professionals

Complementary and Integrative Approaches for ADHD

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June 2015

3 girls

Surveys estimate that as many as 9 percent of American children and 4 percent of adults have attention-deficit/hyperactivity disorder (ADHD). Although stimulant medications have been shown to be helpful for at least 70 percent of children with ADHD, many adults and children use complementary health approaches such as omega-3 fatty acids, melatonin, herbs and other dietary supplements, special diets, neurofeedback, and several mind and body practices, including acupuncture and meditation to control ADHD symptoms. Many of these complementary health approaches have been studied for ADHD, but none has been conclusively shown to be more effective than conventional therapies.

This issue of the digest provides information on what the science says about some of these complementary approaches for ADHD.

For more information on ADHD, visit the National Institute of Mental Health (NIMH) Web site.

Modality and Summary of Current Evidence

Omega-3 Fatty Acids

a Natural Product

Current evidence is inconclusive on whether omega-3 fatty acids could provide any benefit for the symptoms of ADHD in children and adolescents. Some randomized controlled trials have conferred modest benefits in treating ADHD; however, omega-3 fatty acids are less efficacious than traditional stimulant medications for ADHD symptoms.

Read more about the evidence base of omega-3 fatty acids for ADHD

Melatonin

a Natural Product

There is limited evidence from rigorous clinical trials on melatonin for sleep disorders among young people with ADHD. A 2011 literature review suggested a beneficial effect on sleep disorders (when administered for 4 weeks), with minimal side effects, in healthy children as well as youth with ADHD, autism, and several other populations. There is insufficient data to make conclusions about the safety and effectiveness of long-term melatonin use, although one 2009 study evaluated the efficacy and safety of long-term (mean time up to 3.7 years) treatment of melatonin for children with ADHD and insomnia, and no serious adverse events were reported.

Read more about the evidence base of melatonin for ADHD

Carnitine

a Natural Product

There is insufficient evidence to suggest that carnitine confers more benefits than placebo for treatment of ADHD.

Read more about the evidence base of carnitine for ADHD

Pycnogenol (French Maritime Pine Bark)

a Natural Product

There is insufficient evidence on the efficacy and safety of pycnogenol for the treatment of ADHD.

Read more about the evidence base of pycnogenol for ADHD

Ginkgo Biloba

a Natural Product

There is insufficient evidence to support the use of ginkgo biloba for ADHD symptoms. In a single study comparing ginkgo biloba with methyphenidate, ginkgo biloba was less effective than the conventional pharmacologic treatment.

Read more about the evidence base of ginkgo biloba for ADHD

St. John's Wort

a Natural Product

Although frequently used to treat ADHD, current evidence suggests that St. John’s wort is no better than placebo for this condition.

Read more about the evidence base of St. John’s wort for ADHD

Acupuncture

a Mind and Body Approach

There is insufficient evidence to draw any conclusions about the efficacy or safety of acupuncture for ADHD in children and adolescents.

Read more about the evidence base of acupuncture for ADHD

Meditation Therapies and Yoga

a Mind and Body Approach

There is not enough evidence to draw firm conclusions about the efficacy of meditation for ADHD. However, short-term aerobic exercise, including yoga, has shown beneficial effects on core symptoms of ADHD such as attention, hyperactivity, and impulsivity.

Read more about the evidence base of meditation therapies and yoga for ADHD

Neurofeedback

a Mind and Body Approach

Some research has suggested that neurofeedback, a technique in which people are trained to alter their brain wave patterns, may improve ADHD symptoms, but several small studies that compared the active intervention with a sham procedure did not find differences between the two treatments.

Read more about the evidence base of neurofeedback for ADHD

Scientific Literature

NCCIH Clinical Digest is a service of the National Center for Complementary and Integrative Health, NIH, DHHS. NCCIH Clinical Digest, a monthly e-newsletter, offers evidence-based information on complementary health approaches, including scientific literature searches, summaries of NCCIH-funded research, fact sheets for patients, and more.

The National Center for Complementary and Integrative Health is dedicated to exploring complementary health products and practices in the context of rigorous science, training complementary health researchers, and disseminating authoritative information to the public and professionals. For additional information, call NCCIH's Clearinghouse toll-free at 1-888-644-6226, or visit the NCCIH Web site at nccih.nih.gov. NCCIH is 1 of 27 institutes and centers at the National Institutes of Health, the Federal focal point for medical research in the United States.

Copyright

Content is in the public domain and may be reprinted, except if marked as copyrighted (©). Please credit the National Center for Complementary and Integrative Health as the source. All copyrighted material is the property of its respective owners and may not be reprinted without their permission.

This page last modified November 19, 2015