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A 46-year-old male asked:

My son is 14 and diagnosed with odd and adhd . on concerta. not helping seems to be getting worse. not listening to us at home or at school. help?

4 doctor answers12 doctors weighed in
Dr. Edward Kuhnley
Child Psychiatry 45 years experience
Medication is one: Part of a comprehensive approach to treatment including behavior modification, school accommodations, etc. Consult a behavior specialist. Go to additudemagazine.Com & ross greene, phd for one approach. There are many other approaches & articles on various aspects of adhd & odd. Talk with your prescriber who may wish to consider alternative med: adderall, vyvanse, (lisdexamfetamine) strattera, intuniv.
Dr. Johanna Fricke
Developmental and Behavioral Pediatrics 50 years experience
Additude is a great periodical from CHADD.org
Apr 17, 2013
Dr. Mohammed Younus
Psychiatry 31 years experience
Concerta for ADHD: Remember Concerta treats adhd and not odd especially if adhd is not the cause of odd in your son. Odd is treated with behavior modification training. Please read the following book to help understand the difference and help with odd. 'your defiant child, eight ways to deal' by russell barkley phd.
Dr. Ana Adelstein
Clinical Psychology 27 years experience
Fresh Look, Teamwork: If ur child were diagnosed w/ 2 physical disorders & not getting better despite treatment, u might think 2 get 2nd opinion. I'd recommend that now: find a skilled clinical child & family psychologist able 2re-assess ur child's history of difficulties (& strengths!) in the context of ur family, his school, friends, etc. Consider getting help as a family...As a team! you each affect one another.
Dr. Ana Adelstein
Clinical Psychology 27 years experience
Provided original answer
You're clearly concerned and anxious for helpful guidance. With some careful detective work & family teamwork, it's not impossible for a child/family psychologist to uncover reasons underlying kids'/teens' oppositional &/or defiant behavior. Hope you get to the heart of matters. I'd want to rule out anxieties, fears and obsessions, for example. And among other things, I'd want to understand stressors at home, school, in social circles, etc., as well as communication and relationship skills.
Apr 15, 2013
Dr. Johanna Fricke
Developmental and Behavioral Pediatrics 50 years experience
Pills don't teach skills. Dr. A. speaks the truth. Family -focused therapy & a Section 504 with a behavioral plan at school are warranted.
Apr 17, 2013
Dr. Johanna Fricke
Developmental and Behavioral Pediatrics 50 years experience
Effective management: Of adhd is: medication management, behavioral therapy by a psychologist, & environmental manipulations @ home & school ( a section 504). Tell his doctor which behaviors are worse, in what way & when; if an optimal dose of methylphenidate doesn't work, (s)he'll likely change to the other stimulant, amphetamine, after screening for illegal drugs, & may refer to an adolescent psychiatrist.

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Last updated Jun 12, 2021

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