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The treatment of ADHD in children, including four-year-olds, requires careful consideration and should always be supervised by a qualified healthcare professional, typically a pediatrician or child psychiatrist.

For young children with severe ADHD, behavioral interventions and parent training are often the first-line approaches. However, in some cases where ADHD symptoms significantly impact the child's daily life and other interventions are insufficient, medication may be considered.

The most commonly prescribed medications for ADHD in young children are stimulant medications. These medications include methylphenidate-based drugs (e.g., Ritalin, Concerta, Daytrana) and amphetamine-based drugs (e.g., Adderall, Vyvanse). These stimulants work by increasing the levels of certain neurotransmitters in the brain, helping to improve attention and focus.

It is crucial to understand that starting medication in young children is a complex decision that requires careful evaluation of the child's specific situation and a comprehensive assessment of their medical history. Treatment decisions should involve discussions with parents, teachers, and qualified healthcare professionals who have experience in treating ADHD in young children.

Additionally, the dosage and response to medication can vary significantly from one child to another, so close monitoring by the healthcare professional is essential to ensure the best outcome and to manage any potential side effects.

Remember, it is crucial to seek advice from a healthcare professional who specializes in child psychiatry or pediatric medicine to determine the most appropriate course of action for a four-year-old with severe ADHD. They can provide personalized guidance and create a treatment plan tailored to the child's needs.

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