The prognosis and treatment responses for children with ADHD and FASD differ to those of children with ADHD alone. Children with FASD often present with early onset ADHD with predominant inattentive symptoms.6 They are at high risk of secondary disabilities, which can be ameliorated by early diagnosis of FASD and management of its symptoms, especially if diagnosis is before the age of six years. The reason for the improved prognosis is unclear because there are few specific interventions for children with FASD, but it may relate to improved understanding and appropriate expectations of the children by their caregivers and teachers.20
