Summary of Treatment Guidelines for ADHD AAP Treatment Recommendations Nov 2019 First-line Second line Preschool children (4-5 years) Behaviour therapy Methylphenidate Methylphenidate, if no significant improvement and moderate-to- severe functional impairment Elementary school (6–11 years) Behaviour therapy or medication, preferably both . Evidence stimulants > atomoxetine > guanfacine ER > Clonidine ER Summary, NICE Treatment Recommendations 2018 First-line Second line Children under 5 years Discussion Group parent-training program (ADHD-Focused) Medication (Only a specialist can start) Start medications only after seeking advice from ADHD specialist services Children over 5 years Discussion and ADHD-focused Support Medication Support Offer a minimum of 1 or 2 sessions of support, can be group-based education on the causes and impact of ADHD advice on parenting