BEHAVIORAL MEDICINE/ADHD

* We see a variety of patients with behavioral and psychological issues. The problems are variable and subsequently the diagnosis and the management will depend on each case.

* Sometimes all that is necessary is to answer some questions. Other times counseling/therapy will be what is needed. Medications can also be used at times. We work with a network of counselors, psychologists, and behavioral centers to try to provide the best care for our patients.

* We happen to see a lot of ADHD cases in our clinics, but also see other cases of depression and anxiety. Keep in mind that there are many other related problems that can be seen as well: oppositional behavior, learning disabilities, substance abuse, etc.

ADHD:

The term stands for attention deficit hyperactivity disorder. In its full picture the child is hyper, impulsive, and inattentive. Kids with ADHD are usually talkative, fidgety, and are noted to have poor focus. Some kids have the inattentive type only. Children with ADHD typically get in trouble at school/daycare. Children with ADD (inattentive type) usually don’t get in trouble, but have issues with finishing work. These are generalities however. More specifics can be explained after the history is taken and discussed.

Diagnosis is usually based on:

  1. An extensive history (personal, family, and social)
  2. Forms filled out by parents/grandparents/foster parents/guardians
  3. Forms filled out by school/teachers/counselors
  4. Depending on the history and symptoms, we might sometimes require a psychological evaluation
  5. Sometimes other tests may be required, per patient’s condition

Management:

  1. Adjustments at home and school. Tips will be given. A note to school will be provided. Schools can often provide special programs that fit the patient’s needs once they know the diagnosis (504 program for example).
  2. Behavioral modification/counseling, depending on age and condition/comorbidities, and also on family choices.
  3. Medications: If medications are chosen as an option by the family, we follow our patients regularly and make sure they continue to do well at home and school.
  4. Sometime kids with ADHD have other issues, known as comorbidities (such as learning disabilities, anxiety, or depression). In these situations we treat the comorbidity as well. Sometimes that requires a referral or further testing.
Autism:

see Chronic Conditions >