Roughly 90% of children with ADHD will not outgrow the disorder by adulthood, according to a new study that also found that ADHD “waxes and wanes” for many individuals as they age.
About 30% of participants experienced full remission at some point in the study, but the majority experienced a recurrence of ADHD after initial remission. Only about 10% of participants demonstrated stable ADHD persistence across study time points. Overall, about 63% of participants had fluctuating periods of remission and recurrence, which may have been impacted by treatment status at the time.
The authors say that the findings support a more informed perspective on ADHD, especially its tendency to fluctuate in appearance. Clinicians, the authors suggest, can communicate to families that most adolescents and experience at least intermittent relief from their ADHD symptoms that may be modulated by treatment and personal or life circumstances.The findings also underscore the importance of continued periodic screening for recurrent symptoms and impairments in patients even after successful treatment.Sibley, M., Arnold, L, Swanson, J. et.al. . Variable patterns of remission from ADHD in the multimodal treatment study of ADHD. The American Journal of Psychiatry.Barkley, R. A., Fischer, M., Smallish, L.
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