Misbehavior at School? Don’t Pull Recess and Sports

by Robert Althoff, MD PhD For many child and adolescent psychiatric diagnoses, problem behaviors occur in more than one setting – often home and also at school. Problem behavior, particularly externalizing or disruptive behavior, is a common reason for children to be sent to the principal’s office or the “opportunity room”.  Sometimes these “opportunities” are […]

Sleep Problems in ADHD

QUESTION:  I have been treating a 7 year old boy with ADHD using Concerta 54mg and afternoon methylphenidate.  He developed trouble sleeping which initially responded to clonidine but that seemed to stop working.  I discontinued the methylphenidate in the afternoon, and switched to guanfacine at bedtime but that was of no help.  Last week I had […]