Does ADHD Medication Enhance Brain Development? BDNF Effects - Psychiatry

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Is there a concern that ADHD stimulant medications may affect brain development?


Hello, doctor! I previously read an article stating that taking Seroquel increases the production of BDNF (Brain-Derived Neurotrophic Factor) in the brain, stimulating neurotransmission and the growth and differentiation of neurons.
What does this mean? I don't understand, so I would appreciate your explanation.
Thank you, doctor.

Aston, 20~29 year old female. Ask Date: 2021/01/31

Dr. Liao Dinglie reply Psychiatry


Hello, netizen: I reviewed the link you provided.
This article is written by a senior psychiatrist, and the information it contains is accurate.
Many parents and patients are concerned about the potential side effects of medications used to treat Attention Deficit Hyperactivity Disorder (ADHD).
The main purpose of this article is to explain that medication treatment has its scientific basis and is not merely the unfounded labeling of a disease or the erroneous claim of "addiction risk" as propagated by anti-psychiatry advocates.

The medication Strattera (atomoxetine) can stimulate brain growth, allowing ADHD patients to catch up in terms of sustained attention as their brains develop.
This mechanism may involve an increase in Brain-Derived Neurotrophic Factor (BDNF).
BDNF is a molecule that acts in the brain, secreted by the body, and may promote the growth and nourishment of brain cells, preventing neuronal death.
Due to the complexity of brain functions, scientific research sometimes uses "neurons" as experimental subjects.
By introducing BDNF, we can observe the encouraging phenomenon of improved neuronal growth.

In humans, Strattera has also shown an increase in BDNF levels in blood tests, suggesting that part of the drug's effect may be mediated through this "nourishing BDNF for brain cells." Clinically, whether Strattera is necessary for treatment and the appropriate dosage should be determined in consultation with your physician; self-medicating is not advisable! Wishing you health and safety! Dr.
Ding-Lieh Liao

Reply Date: 2021/01/31

More Info


ADHD medications, particularly stimulants like Strattera (atomoxetine) and others, have been a topic of extensive research regarding their effects on brain development. One of the key components discussed in relation to these medications is Brain-Derived Neurotrophic Factor (BDNF). BDNF is a protein that plays a crucial role in the growth, maintenance, and survival of neurons in the brain. It is particularly important for neuroplasticity, which is the brain's ability to adapt and reorganize itself by forming new neural connections throughout life.

When we say that ADHD medications can increase BDNF levels, it suggests that these medications may promote the health and growth of neurons, potentially leading to improved cognitive functions such as attention, learning, and memory. The increase in BDNF can stimulate neurogenesis (the formation of new neurons) and synaptogenesis (the formation of synapses between neurons), which are essential for effective communication within the brain.

The article you referenced discusses how ADHD medications can help children with ADHD catch up in terms of brain development, particularly in areas related to attention and impulse control. This is significant because children with ADHD often experience delays in certain aspects of brain development, which can affect their academic performance and social interactions. By potentially increasing BDNF levels, these medications may help mitigate some of these developmental delays.

However, it is essential to approach this topic with caution. While the increase in BDNF is a positive indicator, the long-term effects of ADHD medications on brain development are still being studied. There are concerns about potential side effects, and the impact of these medications can vary significantly from one individual to another. Some children may respond well to medication, while others may experience adverse effects or may not benefit from them at all.

Moreover, the relationship between BDNF and cognitive function is complex. While higher levels of BDNF are generally associated with better cognitive performance, other factors, such as inflammation and stress, can influence BDNF levels and, consequently, brain function. For instance, chronic stress and inflammation can reduce BDNF levels, potentially leading to cognitive deficits.

In summary, ADHD medications may enhance brain development by increasing BDNF levels, which can support neuronal growth and improve cognitive functions. However, it is crucial to have a comprehensive discussion with a healthcare provider to weigh the benefits and risks of medication, considering the individual needs of the child. Regular monitoring and adjustments to treatment plans are vital to ensure the best outcomes for children with ADHD. Additionally, incorporating behavioral therapies and lifestyle changes, such as exercise and a balanced diet, can further support brain health and development in children with ADHD.

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