Wednesday, April 15, 2009

ADHD Medications and Alternatives


As many people know, I have an ADHD son. Way back when he was diagnosed, it was something we didn’t quickly decide. There are alternatives to medications, such as The Feingold Program, and depending on each family and their lifestyle, it is a personal decision. For us, medication worked the best, however I am very open minded that each child is different and if this is something you are contemplating, take your time to do your research. My son is older now and doesn’t take the medication any longer, so in our case, he did grow out of it. By his first year of college, he discovered he was able to continue his studies without medication. He will be finishing his 4 year degree next year and continuing to medical school. I say this as a proud mother, but also to let you know that whatever your decision is right for your family, they can be success.




Making the decision can be tough… Consider this expert advice when determining whether ADHD medication or an alternative treatment is right for your child.



After a child is diagnosed with attention deficit disorder (ADD ADHD), one of the most difficult decisions for a parent to make is whether to start him or her on medication. I’ve been there myself. Two of my three children have ADHD, and, although my wife and I eventually decided to try medication — which, by the way, has helped both of them immensely without any side effects — arriving at that decision took careful reflection.


When it was suggested that my kids try medication, I had my concerns. I know that ADHD drugs are safe and effective, but I worried that perhaps, for some unknown reason, they might harm my children’s health. Although stimulant medications have been with us for more than 60 years, I wondered if some new side effect might emerge.


I countered those concerns by worrying about the potential “side effects” of not taking the medication: namely, my children struggling to stay focused and getting frustrated when they couldn’t. After envisioning that scenario, the decision became far less difficult.


Take your time


Each parent — and child — comes to the question of medication with different assumptions. My strong advice is to take your time, honor your feelings, and find a doctor who will remain patient, a professional who will provide information — not hurried commands — as you wrestle with your decision.


From a medical standpoint, the decision is obvious. Medication is by far the most proven, safe, and effective treatment for ADHD. Careful, controlled studies have established that a trial of medication makes sense once the diagnosis is made. Remember that a trial of medication is just that — a trial. Unlike surgery, it can be undone. If the medication doesn’t work or if it produces side effects, the physician can reduce the dosage or discontinue it. No harm done. But unless your child tries the medication, you will never know if it can benefit him or her as it has other children and adults.


Do some fact-finding


From a personal, parental standpoint, though, the decision is anything but easy. It takes time and requires talking with your doctor and other experts. You might want to research the medication online and find out what the latest studies conclude about it. Get all the facts, and make a scientific, rather than a superstitious, decision. But I urge you never to start your child on medication until you’re comfortable doing so. Don’t feel that you’re trying your doctor’s patience or that your questions are foolish. Nothing done out of love for your child is foolish.
However, I also urge you not to reject medication out of hand. Many parents have heard so many bad things about ADHD drugs that they’re willing to travel to Tibet to find an alternative treatment before giving medication a try. It’s very important to do your homework and separate the facts from the myths before dismissing the treatment.


Honor your feelings


When I give lectures, people often ask me if I “believe in” medication for children and adults with ADHD. My reply is that medication isn’t a religious principle; it’s a medical treatment. My feelings about ADHD medications are similar to those about medications in general: They’re great when they’re used properly, and they’re dangerous when they’re not.
Sometimes it takes months or even years before parents decide to put their child on medication. Every parent has his or her own timetable. Stick with yours.

Thursday, April 2, 2009

Sue Scheff: Teenage Depression


Source: USA Today


Experts: Doctors should screen teens for depression.


If you have teens or tweens, government-appointed experts have a message: U.S. adolescents should be routinely screened for major depression by their primary care doctors. The benefits of screening kids 12 to 18 years old outweigh any risks if doctors can assure an accurate diagnosis, treatment and follow-up care, says the independent U.S. Preventive Services Task Force.
It’s a change from the group’s 2002 report concluding there wasn’t enough evidence to support or oppose screening for teens. The task force, though, says there’s still insufficient proof about the benefits and harms of screening children 7 to 11 years old.


Depression strikes about 1 out of 20 teens, and it’s been linked to lower grades, more physical illness and drug use, as well as early pregnancy.


Questionnaires can accurately identify teens prone to depression, plus there’s new evidence that therapy and/or some antidepressants can benefit them, the expert panel says in a report in today’s Pediatrics . But careful monitoring is vital since there’s “convincing evidence” that antidepressants can increase suicidal behavior in teens, the report says.


Accompanying the task force advisory in Pediatrics is a research review saying there have been few studies on the accuracy of depression screening tests, but the tests “have performed fairly well” among adolescents. Treatment can knock down symptoms of depression, say the reviewers from Kaiser Permanente and the Oregon Evidence-Based Practice Center in Portland, Ore.


In a “show me the money” volley back, pediatricians also weigh in on the topic in today’s issue of their journal. Insurance plans and managed care companies that stiff or under-pay pediatricians for mental health services throw up barriers to mental health care in doctors’ offices, says the American Academy of Pediatrics. Kids’ doctors should be compensated for screenings, as well as consults with mental health specialists and parents, AAP recommends.