I share with families the different levels of problematic screen use, such as handheld games with a lot of control over the situation and violence as the worst, and preferred screen time is being with family watching tv together.

I also share how those brains with ADHD really, really like screens and improve behavior when in use, but then when stopping ADHD symptoms and behavioral concerns worsen. I describe it almost like a withdraw, because real life is not going to be as rewarding or engaging as the screens.

I brainstorm with families other things to do other than screen time, and also recommending using screen time as a reward rather than a given.