Reply to New psychiatrist recommending Lamictal for 9 year old

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[quote=Anonymous]Have you tried a non-stimulant ADHD med?  I would be concerned that stimulants are making anxiety worse not better. Also, like any kind of scientific experiment, it can be hard to really understand the effect of a medication when you are changing 2 meds at once.  I would want to make sure i had exhausted adhd med options before starting on mood stabilizers like lamictal, depakote or tegretol, which are generally prescribed for bipolar or seizure.  Or maybe your pdoc thinks the ADHD is misdiagnosed as bipolar?  That does sometimes happen but 4th grade seems young to jump to that diagnosis if you have not extensively tried ADHD meds.

have you ever had a speech/language evaluation?  kids with ADHD sometimes have problems with pragmatic communication.  My DC had speech/language therapy for a couple years to help him with what people expect in terms of oral communication and how to talk and communicate.  Especially where one aspect of the ADHD is slow processing, participating in group conversations and responding quickly and on topic can be difficult.  My DC still gets frustrated in conversation with us because he is still processing but the conversation has already moved on and by the time he has formulated a response it is too late.  Having more insight and understnding into his language deficits as an aspect of ADHD lets us give more time for response and guide him in Q/A or negotiation in a way that is less adversarial.  [/quote]

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