Because there is little evidence specific to the management of ADHD in FASD, the approach to intervention is mostly extrapolated from the ADHD literature. Multimodal therapy is the recommended treatment for ADHD in all age groups. This could include pharmacologic and behavioral interventions. The Multi-modal Treatment Study of Children with Attention-Deficit/Hyperactivity Disorder demonstrated that pharmacologic management was superior to an intensive behavioral intervention at a 14-months follow-up. Compared with pharmacologic management alone, combined pharmacologic and intensive behavioral interventions did not significantly improve core ADHD symptoms, but treatment outcomes were achieved with a significantly lower dose of medication in the combined treatment group than in the pharmacologic management group.41 The management plan should also take into consideration the comorbidities of ADHD and FASD.3,6
