Advice Column: Stimulants and Growth Concerns
Question:
Our son, a student-athlete, was diagnosed with ADHD. We’ve worked hard to help him develop coping strategies, but we’re now at a point where we’re considering medication. Our biggest concern is the potential impact of stimulant medication on his growth. He’s in a critical stage of development, and we don’t want to do anything that might hinder his height or athletic potential. At the same time, we worry that without treatment, his focus and academic struggles will affect his confidence and opportunities in both school and sports. How can we make the best decision for him?
Answer:
Your concerns are valid, and you’re taking a thoughtful approach. Here are four considerations from Kentlands Psychotherapy’s own Dr. Brent Donmoyer, PMHNP:
- Prioritize Nutrition—Stimulant medication can suppress appetite, particularly at lunchtime. Many kids skip breakfast or don’t eat enough during the school day, which affects their growth. It is crucial to ensure your son receives high-quality nutrition and sufficient calories. A healthy breakfast is vital, and if he eats lightly throughout the day, an after-school “mini meal” rich in protein, healthy fats, and complex carbs can help compensate for any lost intake.
- The Self-Esteem Factor – While concerns about growth are understandable, ADHD medication can dramatically improve focus, organization, and emotional regulation. Many kids experience a boost in confidence, enhancing their academic and athletic performance. Staying engaged, following instructions, and processing feedback can positively impact his sports performance, potentially outweighing any temporary growth effects.
- Consider Non-Stimulant Options – If growth remains a top concern, non-stimulant ADHD medications, such as atomoxetine or guanfacine, may be a good first step. These can provide symptom relief without affecting appetite or height.
- Monitor and Adjust as Needed – If you choose a stimulant, your doctor can track his growth and adjust as needed. Research suggests that delays are minor, and most kids reach their expected adult height.
By balancing nutrition, treatment options, and overall well-being, you can make the best choice for your son’s success in school and sports.
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