
- Psychiatric Times Vol 24 No 10
- Volume 24
- Issue 10
Methylphenidate to Treat Preschoolers: Have We Gone Too Far?
Response to Dr Wagner's Methylphenidate Treatment of ADHD in Preschoolers".
As I read Dr Wagner's piece,
It might also be worthwhile to consider the possible long-term consequences of treating a child who is that young with an amphetamine. Given the opportunity, perhaps some of these children could learn how to assuage the symptoms of attention-deficit/hyperactivity disorder (ADHD) without medication. Moreover, the tendency to overdiagnose ADHD and to treat "problem" children for ADHD will no doubt lead to dubious prescribing of methylphenidate and similar medications, while ignoring the family and psychosocial issues that often underlie these behaviors. Just a few decades ago, such practices were the stuff of dystopian science fiction novels.
Stephen J. Pittelli, MD San Luis Obispo, Calif
Dr Wagner responds:
The comments by Dr Pittelli call attention to the importance of determining whether a preschooler fulfills the diagnostic criteria for ADHD; if so, clinicians should consider nonmedication treatments. In the Preschool ADHD Treatment Study, the preschoolers who were eligible to enter the medication treatment phase were those who continued to fulfill ADHD severity criteria after 10 weeks of parent training.1
Karen Dineen Wagner, MD, PhD
References:
Reference
1.
Greenhill L, Kollins S, Abikoff H, et al. Efficacy and safety of immediate-release methylphenidate treatment for preschoolers with ADHD.
J Am Acad Child Adolesc Psychiatry.
2006;45:1284-1293.
Articles in this issue
about 18 years ago
Clinical Depression: Complexities of Diagnosis and Managementabout 18 years ago
The Substance Abuse Handbookabout 18 years ago
Placebo Effects on Pharmacotherapy Outcomes in Major Depressionabout 18 years ago
Never-Ending Winter: Chronic Depressionabout 18 years ago
SSRIs and Pregnancy: Putting the Risks Into Perspectiveabout 18 years ago
Can We Predict Response to Antidepressants?about 18 years ago
Not Obsolete: Continuing Roles for TCAs and MAOIsNewsletter
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