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[quote=pbraverman]With apologies for repeating myself, this catalog of behaviors is cause for concern.

Reasonable people can disagree, and capable MDs do not necessarily have any special expertise in teenage behavior. In this case I disagree emphatically that this is "typical teen" behavior.

Intuniv (generic: guanfacine) is generally indicated by AD/HD, not anxiety, according to my experience with kids who take it and according to its manufacturer. I am not a therapist or medical doctor and cannot give advice about prescriptions, but if this were my child I would seek a second qualified opinion about whether that medication is 1) indicated and 2) a sufficient intervention in light of the behaviors you list. What you describe does not square with my school-based experience with the common presentations of teenage anxiety.

I urge you to consult a psychologist about a psychological evaluation — specifically a behavioral assessment. I agree with a former poster that a male is desirable. It sounds like you live in DC, where I know fewer therapists, but based on your description I would unhesitatingly recommend Dan Wojnilower in Bethesda. Dan is on Democracy Blvd. near Montgomery Mall: 301 530-5100. I don't doubt that there are many other able therapists; Dan's one of the best of those with whom I've worked in challenging behavioral situations with boys.

There are good signs in your son and that's promising. A good therapist can help you play to those and will have many ideas beyond those that might occur to a parent. But this board is not the place for the advice you need — from me or anybody else. Please ... see a qualified professional.

Best wishes, and good thoughts for your family.
Peter[/quote]

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