Treatment of choice in attention deficit hyperactivity disorder is: March 2011
**Core Concept**
Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by symptoms of inattention, hyperactivity, and impulsivity. The treatment of ADHD typically involves a combination of behavioral therapy and pharmacological interventions.
**Why the Correct Answer is Right**
The first-line pharmacological treatment for ADHD is a central nervous system stimulant, specifically a selective norepinephrine reuptake inhibitor (NRI) or a dopamine reuptake inhibitor (DRI). These medications work by increasing the levels of norepinephrine and dopamine in the brain, which helps to improve attention and reduce impulsivity. **Option C** is the correct answer because it is a well-established and evidence-based treatment for ADHD.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because while antidepressants such as bupropion may have some efficacy in treating ADHD, they are not the first-line treatment and are not as well-established as stimulants.
**Option B:** This option is incorrect because antipsychotics are not typically used as a first-line treatment for ADHD and are associated with a higher risk of side effects.
**Option D:** This option is incorrect because while non-stimulant medications such as atomoxetine may be used as an alternative to stimulants, they are not the treatment of choice for most patients with ADHD.
**Clinical Pearl / High-Yield Fact**
It's essential to remember that the treatment of ADHD should be individualized and tailored to the specific needs of each patient, taking into account their medical history, family history, and response to different medications.
**Correct Answer: C. Methylphenidate**