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<blockquote data-quote="smallworld" data-source="post: 171212" data-attributes="member: 2423"><p>Thank you all for your thoughtful replies. And thanks, Sheila, for posting that interesting article and the link that explains EFD in detail.</p><p> </p><p>I had a long talk with our pediatrician this morning. He is an amazing diagnostician, thoughtful clinician and the father of two anxious children. Although he will prescribe medications for ADHD, he refers out for anything neurological and psychological beyond that. But he has been by our side through everything that has gone on with my kids and has a good sense of what should and shouldn't be happen. He told me that in his 20 years of practice, he has found that stimulants have invariably done very little to address EFD symptoms. He said he would not want to see M put on a stimulant. He would prefer we focus on school strategies to address M's EFD difficulties (you're right on the money, MWM). </p><p> </p><p>In a similar vein, my mommy gut has been telling me that this neuropsychologist is all wet and that anxiety is driving this train. Like Heather's Wynter, this child was born anxious (and anxiety runs strong through our family tree). I personally believe M is distactible and having trouble with schoolwork because she's anxious and mood dysregulated. That's what we need to continue to work on rather than adding a stimulant.</p><p> </p><p>One further thought: M's older brother J's diagnosis at her age was ADHD/EFD and anxiety. While he did OK with stims for 1.5 years, he gradually became more mood labile and we realized we were addressing the wrong issue. J's psychiatrist at the day treatment program he attended last winter told us that J followed a common path toward a mood disorder diagnosis: anxiety at an early age, ADHD-like symptoms in elementary school and mood disorder blossoming at pubertal onset. I am ever mindful of the role genetics plays, and I don't want us to be chasing the wrong disorder with M. That is not to say that she will develop a mood disorder, but we need to have our eyes wide open about the possibility.</p><p> </p><p>Thanks again for sharing your thoughts.</p></blockquote><p></p>
[QUOTE="smallworld, post: 171212, member: 2423"] Thank you all for your thoughtful replies. And thanks, Sheila, for posting that interesting article and the link that explains EFD in detail. I had a long talk with our pediatrician this morning. He is an amazing diagnostician, thoughtful clinician and the father of two anxious children. Although he will prescribe medications for ADHD, he refers out for anything neurological and psychological beyond that. But he has been by our side through everything that has gone on with my kids and has a good sense of what should and shouldn't be happen. He told me that in his 20 years of practice, he has found that stimulants have invariably done very little to address EFD symptoms. He said he would not want to see M put on a stimulant. He would prefer we focus on school strategies to address M's EFD difficulties (you're right on the money, MWM). In a similar vein, my mommy gut has been telling me that this neuropsychologist is all wet and that anxiety is driving this train. Like Heather's Wynter, this child was born anxious (and anxiety runs strong through our family tree). I personally believe M is distactible and having trouble with schoolwork because she's anxious and mood dysregulated. That's what we need to continue to work on rather than adding a stimulant. One further thought: M's older brother J's diagnosis at her age was ADHD/EFD and anxiety. While he did OK with stims for 1.5 years, he gradually became more mood labile and we realized we were addressing the wrong issue. J's psychiatrist at the day treatment program he attended last winter told us that J followed a common path toward a mood disorder diagnosis: anxiety at an early age, ADHD-like symptoms in elementary school and mood disorder blossoming at pubertal onset. I am ever mindful of the role genetics plays, and I don't want us to be chasing the wrong disorder with M. That is not to say that she will develop a mood disorder, but we need to have our eyes wide open about the possibility. Thanks again for sharing your thoughts. [/QUOTE]
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