Sunday, November 29, 2020

Comments by odd42

Showing 2 of 2 comments.

  • It is an effective palliative though when you cannot effectively alter the environment and the child is otherwise on-track to become, or is already, disordered in the sense that Spitzer delineated so nicely – accounting for subjective distress or negative impact on social or occupational/academic functioning. I am a great fan of making sure that students with these tendencies find their way into professions that are compatible with the way they function, but they still need to navigate the educational and occupational system to get there, and that will sometimes require medication.

  • I think you are setting up a false dichotomy of it being either a parenting problem or a neurological difference of some sort that results in what we commonly refer to as a disease or disorder. As a child psychologist (school and clinical settings) I see both, and a mix of both. Of course behavioral therapy makes sense as a first-line treatment, but once you have good adherence to behavioral supports and strategies, with fidelity across settings, and you still see a child behaving so impulsively and hyperactively that they cannot sustain friendships or learn information effectively, medication is a strong consideration, as it does often yield relief from those symptoms. Sadly, I often see parents who then stop doing the behavioral supports, as they are hoping for a magic pill.