Send us Fan MailJoin us for the latest Mystery Case: A teen with ADHD + EpilepsyWould you prescribe a stimulant?How do you treat ADHD in people who have epilepsy?In this episode, we unpack:• The surprising relationship between ADHD and epilepsy• Why ADHD is easy to miss in kids with epilepsy• Where the concern about stimulants and seizures came from• What newer research tells us about stimulant treatment in kids with epilepsy• How I would approach treatment—and monitoring—in people with epilepsy00:00 Welcome and Mystery Case00:30 ADHD and Epilepsy Link01:30 Bidirectional Risk Explained02:58 Seizure History Details04:00 Treatment Options Debate06:03 Stimulants and Seizure Evidence09:14 Best Answer and Monitoring Plan10:28 Wrap Up and ThanksStudies referenced in the episode:Auvin S et al. Systematic review of the screening, diagnosis, and management of ADHD in children with epilepsy. Consensus paper of the Task Force on Comorbidities of the ILAE Pediatric Commission. Epilepsia. 2018Brikell I et al. Medication treatment for ADHD and the risk of acute seizures in individuals with epilepsy. Epilepsia. 2019Cochrane Database of Systematic Reviews. Stimulant and non-stimulant drug-therapy for people with ADHD and Epilepsy 2022.Kwon CS et al. Psychiatric comorbidities in persons with epilepsy compared with persons without epilepsy. JAMA Neurology. 2025Liu X et al. Stimulant do not increase the risk of seizure-related hospitalization in children with epilepsy. J Child Adol Psychopharm. 2018.Wang S et al. Comorbidity of epilepsy and ADHD: a Systematic review and meta-analysis. J Neurology. 2023 Wiggs KK, Chang Z, Quinn PD, Hur K, Gibbons R, Dunn D, Brikell I, Larsson H, D'Onofrio BM. Attention-deficit/hyperactivity disorder medication and seizures. Neurology. 2018 Check out our website PsychEd4Peds.com for more resources!Follow us on Instagram @psyched4pedsCheck out our NEW CME Audio-based, on-demand CME Course online at:Pediatric Mental Health CME Toolkit - Cracking the ADHD Code: Essentials for Pediatric Clinicians. https://ce.nemours.org/content/podcast-series-cracking-adhd-code-essential-skills-pediatric-clinicians#group-tabs-node-course-default1

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“What did the council decide on item 42?” — answered with the speaker and the moment.

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