~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ This message is from PedTalk! To reply to the group, use "" ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ It's rare that I will start meds in a child under 5 yo.... my criteria are 1) safety... he's climbing in the stove after he's turned it on, even after mom duct taped it closed, or mom has to barricade all the doors with furnature, because he learned to climb and do the locks, just so she can go to the toilet without him running off down the block. In these kids I insure that other measures... counseling, parenting approp with consistant discipline, etc. are in place. I usu try ritalin first as it has the longest track record in young children, but we often need to move on to clonadine, immipramine or occl poly pharm. If the psychologist sent such a young kid, I assume that the above criteria are probably met. If you don't feel comfortable, consider peds psych or peds neurol consult. I second the consideration of sensory integration disorder. Many of those kids look like and are ADHD, but their symptoms lofelong can be ameliorated by GOOD S.I. therapy when young... the younger, the better. Find a good OT with training and good understanding of S.I. . If there is no one localy, I order SI pamphlets and edfucational tapes from AVANTI educational Programs (303)782-5117 - they may be able to recomend a good OT near you. good luck grace > -----Original Message----- > From: TANCRED AGIUS [SMTP:] > Sent: Tuesday, November 25, 1997 11:38 AM > To: > Subject: Attention Deficit Disorder > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > 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) > > > ---------------------------------------------------------------------- > - > group. > "http://www.pcc.com/lists/"; > "unsubscribe"