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Turtle Dove & Strong Tree

Monday, January 14, 2019

On 11:46 AM by Jane Rekas in    No comments
Check out this resource from CHADD
Homework Help for ADHD
Download Fact Sheet 

Tuesday, April 7, 2015

On 8:09 AM by Jane Rekas   No comments
How To Talk to Your Kids About ADHD

How do I tell my child about ADD (ADHD)?

 Helping Our Children Grow Their Frustration Tolerance

6 Way to Help Children Cope with Frustration

 The Whole Child - For Parents - Building Inner Controls

Ten Ideas to Increase a Child’s Attention Span and Tolerance for Frustration

Wednesday, February 25, 2015

On 8:16 AM by Jane Rekas in    No comments
The first step to getting appropriate treatment is to visit a doctor or mental health specialist. Certain medications, and some medical conditions such as viruses or a thyroid disorder, can cause the same symptoms as depression. A doctor can rule out these possibilities by doing a physical exam, interview, and lab tests.

In order to accurately diagnosis you or your child's Mood Disorder or ADHD, etc.,  I would like to suggest that you make an appointment with your Primary Care Physician to discuss possible contributing medical conditions, such as:
  • Blood sugar imbalance, hypoglycemia, diabetes
  • Anemia
  • Thyroid imbalance
  • Hypertension
  • Ferritin (Iron stores), B12, B6, folic acid
  • Vitamin D, RBC zinc, copper, and magnesium
  • Neurotoxin exposure (e.g. lead poisoning, mercury other heavy metals)
  • Infections (e.g., encephalitis)
  • Use of medication (bronchodilators, isoniazid, alkathisia from neuroleptics)
  • Medication side effects, interactions
  • Viruses
  • Complete blood count, basic metabolic panel to rule out anemia and to assess general nutritional status
  • Sleep disturbance

When evaluating a child for possible depression, consider:
CBCrule out anemia
Electrolyteselectrolyte abnormalities
Creatinine/BUNrenal dysfunction
LFTsrule out hepatitis and drug effects
TFTsrule out thyroid disease
EKGas a baseline if pharmacotherapy with a tricyclic antidepressant is being considered
EEGrule out seizure disorder

Depression also may occur with other serious medical illnesses such as heart disease, stroke, cancer, HIV/AIDS, diabetes, and Parkinson's disease. People who have depression along with another medical illness tend to have more severe symptoms of both depression and the medical illness, more difficulty adapting to their medical condition, and more medical costs than those who do not have co-existing depression.7 Treating the depression can also help improve the outcome of treating the co-occurring illness.8

On 8:12 AM by Jane Rekas in    No comments
By Jane Rekas, LCSW, Mental Health Specialist

We now know that Depression, Anxiety and ADHD are indeed affecting children in epidemic numbers. Up to 2.5 percent of children suffer from depression and 3 to 5 percent of all children have ADHD (as many as 2 million American children or at least one child in every classroom). Approximately 4 out of 100 teenagers get seriously depressed each year. Anxiety disorders affect one in eight children. Research shows that untreated children with anxiety disorders are at higher risk to perform poorly in school, miss out on important social experiences, and engage in substance abuse. Anxiety disorders also often co-occur with other disorders such as depression, eating disorders, and attention-deficit/hyperactivity disorder (ADHD).

Successful treatment of depression, anxiety or ADHD requires a combination of behavioral and family therapy and proper medication. But you are probably well aware that there has been a backlash against medicating young children – particularly for ADHD with Ritalin.

Parents have every reason to be concerned about misdiagnosis and incorrect medication. However, according to child psychologist Patricia Dalton, while there have been many cases of children who have given medication when they did not need it, the larger concern is actually children with disorders who are not receiving the proper medication (or the proper dose).

The Surgeon General’s Report also indicates “fewer children… are being treated for ADHD than suffer from it.” So many more children are not receiving proper treatment including medication, due in part to parents’ fears.

What is most important is for you to advocate for your child with your physician or psychiatrist. Be sure to have an ongoing dialogue with them about the correct dosage for your child, the correct schedule for giving the medication, proper ongoing monitoring, any needed lab testing, and possible side effects. When you are confident that these questions are being answered, then you can be more comfortable with getting your child the medication they may very well need.


Note: All health and medication matters should ultimately be discussed with your pediatrician or a child psychiatrist. Also, most diagnoses of depression and ADHD do not occur before age 5, however, there are exceptions. A thorough examination to rule out other medical conditions and to confirm a diagnosis is also necessary.

Stimulants / Amphetamines 

Many children and teens with ADHD take a medication called methylphenidate, better known by the brand name Ritalin. But although methylphenidate drugs are the medications that are most frequently prescribed to manage ADHD, lots of children take other medicines to control their ADHD symptoms.

In addition to methylphenidate drugs, doctors often prescribe other types of medication to help people with ADHD. Like Ritalin, amphetamines (such as Adderall) and dexamphetamines (such as Dextrostat or Dexedrine) treat ADHD by stimulating the brain's attention centers.

Non-Stimulants for ADHD and other Disruptive Behavior Disorders

Other types of medications that are prescribed for ADHD are nonstimulating and work differently. These include atomoxetine (like Strattera) and certain antidepressants (such as Wellbutrin). Alpha-2 Agonists are also used: Clonidine or Tenex.
Risperidone – Atypical antipsychotic used in the management of schizophrenia. It has also found use in the treatment of Tourette’s syndrome, bipolar disorder, autism, and aggressive behavior (12).

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