When assessing a school-age child with suspected ADHD who also has sleep problems and oppositional behaviors, which approach provides the most comprehensive management?

When assessing a school-age child with suspected ADHD who also has sleep problems and oppositional behaviors, which approach provides the most comprehensive management?

• A. Start stimulant medication immediately without a diagnostic assessment.
• B. Use multi-source data, apply DSM-5 criteria, rule out sleep disorders and metabolic issues, implement behavioral interventions and school accommodations, and consider stimulant or nonstimulant medication with pediatrician oversight.
• C. Rely solely on classroom observations to diagnose ADHD.
• D. Order brain imaging to confirm ADHD.

Answer: (B)