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Re: Attention Deficit Disorder

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> 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

I once had a patient leave my practice because I refused to prescribe
Ritalin to her 3 yo child.
As you well know, we have parents bringing in their child(ren) already
diagnosed with ADHD (by the pre-school teacher, family members,
neighbors, etc.) and demand a prescription for Ritalin.  When you start
talking about "correctly" diagnosing and evaluating their child for ADHD
and other potential problems, they just roll their eyes and get angy.
What are we to do?
Andrew