As an integrative physician and member of the American Academy of Environmental Medicine, I have often suspected the link between pesticides and ADHD. The article in Pediatrics confirms that 20% of the children with above levels of pesticides had ADHD compared to 10% with non detectable levels. This is true of what I see in my clinical practice. I also see the need to address food allergies, the role of additives, food colors, heavy metal levels, neurotransmitter balance and testing when evaluating patients with ADHD. This provides more comprehensive treatment options with appropriate detoxification programs to support and balance patients with ADHD.