Functional Outcomes Must Become Central in ADHD and Autism Management
Functional Outcomes Must Become Central in ADHD and Autism Management Moving beyond symptom reduction towards meaningful developmental progress One of the most important directions for the future of ADHD and autism management is a fundamental change in how treatment success is defined. Traditionally, clinical research and treatment monitoring have placed considerable emphasis on symptom scores: how much hyperactivity has reduced, whether inattention has improved, how frequently repetitive behaviours occur, or whether disruptive behaviour has become less prominent. Although these measures are clinically useful, symptom reduction is not synonymous with developmental progress, and behavioural improvement does not automatically translate into functional independence. A child may demonstrate fewer ADHD symptoms during a clinical assessment but continue to struggle with completing schoolwork, following multistep instructions, organizing daily activities and maintaining relationships. Similar...