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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat A 4 Year Old Having Problem With Tantrums Impulse Controlling And ADHD?

We have a 4 yr old adopted son whose birthmother took drugs and our son tested positive for cocaine at birth. We have problems with tantrums impulse control hitting etc we had him evaluated 3 times but all different opinions most say sensory integration and peditrician thinks with adhd started him last month on methylphenidate 10 mg and saw some change but still won t participate with his teachers or clean up toys and pushing today they upped the medication to 20 mg and it s been horrible w hitting screaming throwing crying they are going to change him back to lower dose but we don t think he has adhd but just very anxious ANC needs the OT and speech therapy how do we know what to do for him when all the doctors have different opinions on his treatment?
Tue, 20 Oct 2015
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Occupational Therapist,  's  Response
I accept that opinions varies between professionals. the drug is not the prime treatment of ADHD or behavior issues, because it has not shown much changes in child functional development, regarding Occupational therapy it will help your child to overcome this problem gradually. pruning of brain neurons happens after 5 years of age so that is the age the children organize their behavior and learn to be socially adaptable, so i would suggest to go for therapy because early intervention gives best result in child development. whatever the diagnosis whether ADHD or Others right therapy does not have any side effects so therapy is my suggestion.

thanks

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How To Treat A 4 Year Old Having Problem With Tantrums Impulse Controlling And ADHD?

I accept that opinions varies between professionals. the drug is not the prime treatment of ADHD or behavior issues, because it has not shown much changes in child functional development, regarding Occupational therapy it will help your child to overcome this problem gradually. pruning of brain neurons happens after 5 years of age so that is the age the children organize their behavior and learn to be socially adaptable, so i would suggest to go for therapy because early intervention gives best result in child development. whatever the diagnosis whether ADHD or Others right therapy does not have any side effects so therapy is my suggestion. thanks