~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ This message is from PedTalk! To reply to the group, use "" ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ TANCRED AGIUS wrote: > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > This message is from PedTalk! To reply to the group, use "" > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > A 3 year 8 month old child was referred by the educational psychologist > who thought he was suffering from 'hyperactivity' and required drug > therapy. Objectively child fulfilled criteria for diagnosis of ADDH. He > had been adopted at age 2 years 6 months from an orphanage in Eastern > Europe. Has shown tremendous progress since adoption. Developmental age > around three years. > > Is drug treatment indicated and what would be the drug of choice? > Thank you. > > Tancred Agius MD MRCP(UK) > Hi, You might also consider evaluation for CAPD (Central Auditory Processing Disorder) and SID (Sensory Integration Disorder). These are common, particularly in EE adoptees, and the symptoms seem to overlap with ADHD. Kevin Kramer, MD, FAAP