In my 27 years in the private practice of psychiatry, I have certainly seen my share of changes in the field over that time. There is a distinct increase in the percentage of male patients I see in my practice now compared to when I started. The amount of ADHD I treat in both children and adults has also grown over the years for a variety of reasons. However, the biggest surprise to me has little to do with the type of patient I meet with or the actual diagnosis being treated. Instead, it has to do with the tremendous importance pets have on the lives of my patients. [Read More]

As August comes around, our thoughts tend to turn away from summer fun and drift more toward the start of yet another school year. I certainly remember the days when the school year basically went from Labor Day to Memorial Day and that schedule still exists in certain parts of the country. However, more and more schools are beginning earlier and earlier in August. This gives students a better chance to complete a semester before the winter break and not have to return for a short time period before taking finals. Also, with all of the days the kids have off for everything from teacher workdays to holidays to mid-winter breaks, it's no wonder why classes begin earlier to factor in those off days. These "Back to School" days can be very trying for students, parents, and even teachers. [Read More]

Many parents look forward to the day when the school year is over, they can spend more time with their children and the challenges revolving around school take a respite for two to three months. Or, so it seems. It is tough getting up, and it is even tougher getting a child up and ready to take to school. But the structure of the school day would typically keep the kids on task and, barring some unforeseen circumstances, keep them out of contact for several hours. For many parents, the real fun only begins when the kids come home from school. [Read More]

Summertime is upon us. With it comes a variety of questions about how patients should take their medications during these months. Some patients ask about the necessity of taking ADHD medications when school is not in session. They wonder if it is alright to take time off from their medicine. I remind them that ADHD is a 24/7 condition. Just because school is out for the summer doesn't mean your ADHD will take the time off as well. Others ask about trying to taper down medications--often anti-depressants--during the summer. This is a strategy I am more willing to consider. For some, stress is lessened during the summer. The combination of less-structured time and longer days is more likely to make people feel good enough that they want to see how they might do off their medications. [Read More]