Sensory Processing Concerns: What is it and how can a Sensory Diet help? Part 1

Case Presentation 7 year old boy with chief complaint of “frequent meltdowns”. Additional history: daily meltdowns (crying, hitting) with loud sounds or when asked to wear certain clothing; wants to make friends but poor boundaries and accidentally hurts peers at school when he is playing with them; hard time sitting during seat work at school […]

Co-Morbidity Between Intellectual Disability and Psychiatric Symptoms 7/25/23

The presence of Intellectual Disability (ID) increases the risk for co-occurring psychiatric disorders in child, adolescent, adult and geriatric patients. Behavioral and emotional problems are three times more likely to occur in these groups and they are frequently not recognized or appropriately treated. This said, problematic behaviors and emotions in this population may also be […]

ADHD in the Primary Care Setting 3/16/2022

Attention-Deficit Hyperactivity Disorder (ADHD) is a common neurodevelopmental condition that can impact children’s lives in many ways. Unidentified and untreated ADHD can cause difficulties at school, at home and can contribute to anxiety and mood symptoms. In 2019, The American Academy of Pediatrics published updated clinical guidelines for the diagnosis, and management of ADHD, recommended ADHD evaluation […]

Late Onset ADHD  — when might it be for real?? 8/23/2021

Today’s article is a follow up to last week’s newsletter that address the patterns of persistence of ADHD symptomatology through late adolescence and into early adulthood.  The results of that study are strongly suggestive that ongoing monitoring is warranted for many of these individuals throughout their teen years and into their early adult years as […]

Evaluating for & Treating ADHD in Preschool Children 3/18/2021

The diagnosis of Attention Deficit Hyperactivity Disorder (ADHD) is becoming increasingly prevalent, in part because of better assessments, but also in part because of misdiagnosis and jumping too early to diagnose. The effect is that the diagnosis of ADHD is being given at younger and younger ages. This leads to the question of the best […]

Assessment & Treatment of ADHD in Adults 2/19/2021

Attention-deficit/hyperactivity disorder (ADHD) affects about 1/3 of adults who had ADHD in childhood. It can be difficult to diagnose because of the overlap in symptoms of adult ADHD with depression, anxiety and substance abuse, and because of challenges in obtaining observational data beyond the patient’s self-report of symptoms. It is of note that studies of […]