Patient is a 10-year-old female with diagnosed ADHD who was started...

Patient is a 10-year-old female with diagnosed ADHD who was started on Ritalin 5 mg twice a day over 2 months ago. She is still experiencing the triad of symptoms associated with ADHD (impaired attention, impulsivity, and excessive motor activity). Her mother reports that she is now having difficulty in falling asleep since starting the medication. She has been on no other anti-ADHD medications and the mother reports full compliance with medication regimen. What is the appropriate recommendation to make based on this scenario?

A . Recommend psychotherapy in addition to current treatment

B . Switch to low dose Focalin

C . Add Clonidine

D Switch to low-dose Adderall and titrate as appropriate in addition to