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Re: Attention Deficit Disorder

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In a message dated 97-11-25 14:25:21 EST,  writes:

> > 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?
>
I'd have a hard time justifying drug therapy for ADHD in a 3 year old.  Some
hyperactivity at that age is normal, isn't it?  Are the usual criteria valid
at that age?  How about a trial of behavior modification?

Moshe Adler, MD