Lily Hechtman, MD, FRCP, Child, Adolescent, Adult Psychiatrist; Director, Attention deficit hyperactivity disorder (ADHD) Psychiatric Clinic, Child Psychiatry Department

Child and Adolescent Psychiatry
Fun fact about me 

I love to travel to exotic locations, go to the theatre, listen to music, and I like art. I also love playing golf with my grandson.

I love working with children and their families because 
It's very rewarding to be able to intervene at a critical point in the child's development and change the trajectory of their lives for the better by doing so.

Hospital information

Awards and distinctions 
  • Children and Adults with Attention Deficit Disorder “CHADD” Hall of Fame;
  • American Academy of Child and Adolescent Psychiatry Elaine Schlosser Lewis Award for research on Attention Deficit Disorder;
  • American Academy of Child and Adolescent Psychiatry Pilot Award for Attention Deficit Diso;
  • Canadian Academy of Child and Adolescent Psychiatry Paul D. Steinhauer Advocacy Award in testament for work as an exceptional advocate for children, adolescents, and their families at the regional, national and international level;
  • Canadian Academy of Child and Adolescent Psychiatry Honorary Member Awa;
  • Canadian Academy of Child and Adolescent Psychiatry Dalhousie Award for best presentation by a full member on “Recent follow-up findings of the Multisite multimodal treatment study of children with ADHD (MTA)”;
  • American Academy of Child and Adolescent Psychiatry; invited to provide article for special 50th Anniversary Edition of Journal in recognition of position in the field;
  • Transcontinental Research Award of Excellence from the Montreal Children’s Hospital Foundation.
Academic appointments 

Professor of Psychiatry and of Pediatrics, Faculty of Medicine, McGill University

Other appointments 

PEDIATRICS Planning committee for hospital ADHD clinic: a) General committee, b) Screening triage subcommittee, c) Treatment subcommittee, d) Assessment subcommittee, e) Review committee for reappointment of head of adolescent medicine;

CHILD PSYCHIATRY: a) CAPs preparation for ADHD Psychiatry team, b) CAP’s Child Psychiatry Committee, c) Child Psychiatry Management Committee, d) Coordinator, Staff Psychiatrist Journal Club

Community Involvement 
  • Canadian ADHD/ADD Resource Alliance (CADDRA);
  • World Anti-Doping Association (WADA);
  • Canadian Academy of Child and Adolescent Psychiatry;
  • Providing training to community physicians and pediatricians in Attention-Deficit/Hyperactivity Disorder;
  • Reviewer of grants for multiple institutions;
  • On the editorial board and reviewer for many peer-reviewed journals.

Education

University 

B.Sc., Physiology and Psychology, McGill University

Medical Degree 

McGill University

Residency 

Child Psychiatry, Montreal Children's Hospital, McGill University; Adult Psychiatry, Albert Einstein College of Medicine, New York

Research

Research interests 

Today, effective medication treatments relieve many symptoms of attention deficit hyperactivity disorder (ADHD). Yet medication alone does not resolve the social, academic and emotional challenges that children with ADHD cope with daily and often carry into adulthood.

I have been involved in a joint study with the Université de Montréal to help children with ADHD who fall between the cracks in the transition from elementary school to high school. The program involves parental training as well as mentoring for the children.  I have also developed and am piloting a group cognitive behaviour therapy program that focuses on these areas with adolescents and adults with ADHD.

In terms of academic, social and emotional functioning, two large-scale studies in which I participated clearly showed the benefit of combining medication with psychosocial treatment for children with ADHD, as opposed to either treatment alone. However, these benefits do not last without ongoing treatment and follow-up. Another of my current studies aims to determine the optimal follow-up needed to maintain treatment gains. 

Research foci 
  • Multimodal treatment in ADHD;
  • Cognitive behavior therapy for adolescents and adults with ADHD;
  • Optimal follow-up program for children with ADHD;
  • Long-term (adolescent and adult) outcome in ADHD;
  • Factors which affect long-term outcome in ADHD.
Keywords 

Attention deficit hyperactivity disorder (ADHD)

Selected publications 

Hechtman, L. T. (2017). Attention deficit hyperactivity disorder: Adult outcome and its predictors. Oxford, New York: Oxford University Press.

Greenhill, L., & Hechtman, L. (Fall 2017). Attention Deficit Hyperactivity Disorder. In B. J. Sadock, V. A. Sadock & P. Ruiz (Eds.). Kaplan and Sadock’s Comprehensive Textbook of Psychiatry (Vol. 2, 10th ed.), Baltimore: Lippincott, Williams and Wilkins.

Hechtman, L., Swanson, J. M., Sibley, M., Stehli, A., Owens, E. B., Mitchell, J. T., Arnold, L. E., Molina, B. S. G., Hinshaw, S. P., Jensen, P. S., Abikoff, H., Algorta, G. P., Howard, A., Hoza, B., Etcovitch, J., Houssais, S., Lakes, K. D., Nichols, J. Q. (2016). Functional adult outcomes 16 years after childhood diagnosis of Attention-Deficit/Hyperactivity Disorder: MTA results. Journal of the American Academy of Child and Adolescent Psychiatry, 55 (11), 945–952. doi: 10.1016/j.jaac.2016.07.774

Cherkasova, M. V., French, L. R., Syer, C., Cousins, L., Galina, H., Ahmadi-Kashani, Y., Hechtman, L. (2016). Efficacy of Cognitive Behavioural Therapy with and without Medication for Adults with ADHD: A Randomized Clinical Trial. Journal of Attention Disorders. doi: 10.1177/1087054716671197

Klil-Drori, S., & Hechtman, L. (2016). Potential Social and Neurocognitive Benefits of Aerobic Exercise as Adjunct Treatment for Patients with ADHD. Journal of Attention Disorders, published online before print June 10, 2016. doi: 10.1177/1087054716652617