The UK’s National Institute for Health and Clinical Excellent is encouraging docs to prescribe the meds as initial treatment only in children with severe cases of ADHD.

For children with moderate ADHD, doctors should first offer parents and teachers training to help them improve a child’s behavior, according to the guidelines. And doctors should also pursue child therapy and use the drugs as initial treatment for severe cases only. Primary care docs, however, should not make the initial diagnosis or start drug treatment in children or young people with suspected ADHD. Instead, specialists such as psychiatrists.

The ADHD drugs approved in the UK include Ritalin, which is sold by Novartis, Lilly’s Strattera and Johnson & Johnson’s Concerta. Here are the guidelines.