Case Study: Adderall vs. Response Cost A six year-old boy in the
T.L.C. program was seen by the consulting psychiatrist who
recommended tapering the child off of his psycho-stimulant
medication (Adderall) due to his small stature, observable tics,
and ongoing difficulties with inattention, impulsivity, and
hyperactivity despite the use of the stimulant medication. Prior
to tapering the medication, observations were made of this
child’s behavior in the school and cottage settings. Frequencies
of off-task, inattentive, and impulsive behaviors were counted
in each setting over the course of one week. After this data was
collected and the child was tapered off the Adderall, a response
cost program was implemented in the school and cottage settings
to specifically target these behaviors. Frequencies of off-task,
inattentive, and impulsive behaviors were again collected in the
cottage and school settings after the implementation of the
response cost program. The average rate of off-task,
inattentive, and impulsive