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Posts for tag: ADHD

By Farnoush Jamali
May 04, 2020
Category: Children's Health
Tags: ADHD  
ADHDParents want the best for their child, which is why check-ups and appointments with their pediatricians are so important. Yet your pediatrician isn’t just available for when your child is sick or has physical ailments. They can also help with mental and behavioral conditions, including the diagnosis and treatment of ADHD. If your child struggles with focus, impulsivity, attention, or hyperactivity, schedule them for an evaluation. It’s also important to note that children must be at least four years old for a diagnosis.
 
The Three Facets of ADHD
There are three parts to pediatric ADHD: impulsivity, inattention, and hyperactivity. Each of them is signs and are necessary for a diagnosis. Here is some information about each of them.
 
Inattention: your child spends a lot of time daydreaming or not paying attention, struggles to listen, is easily distracted, makes careless mistakes, rarely finishes tasks, and is disorganized to the point of losing or forgetting important things. 
 
It’s important to understand that children with ADHD can pay attention, it’s just harder with topics that don’t interest them. They can tune out when tasks get repetitive. Working with them to organize their schoolwork and tasks is essential. Try to provide them with a quiet and calm environment to work in.
 
Impulsivity: your child can’t wait or acts without thinking, interrupts others, and has problems taking turns.
 
Children with ADHD have trouble with self-control, which leads to the impulsive characteristics mentioned above. They have a harder time censoring themselves. This results in them invading people's personal space or asking overly personal questions. Impulsivity problems also lead to moodiness and overreactions. 
 
Hyperactivity: your child seems to constantly be moving, without being able to sit still without squirming. They also talk too much and loudly, often playing in areas that aren’t permitted. 
 
It’s normal for younger children to have high energy levels. It’s only when your child seems to be constantly moving that it could be an issue with hyperactivity. When they do sit still, they are still moving. They may tap their fingers, shake their legs, or move their feet. 
 
Diagnosing ADHD
A diagnosis won’t happen right away. There are many steps in the process before an accurate understanding is available. Your pediatrician will most likely want statements from not just you and your child, but other caregivers and teachers. 

At the appointment with your child’s pediatrician, they’ll want you and others to fill out a questionnaire about your child’s behavior. Symptoms need to be present in multiple settings, like at home and school and cause issues at both. 
 
The criteria change depending on your child’s age, so it isn’t one-size-fits-all. Your pediatrician will work with you to get an accurate picture of your child’s situation. 
By Prime Pediatrics
March 26, 2019
Tags: ADHD  

You've about Attention Deficit Hyperactivity Disorder, or ADHD. You wonder if your child is showing signs of this brain-based disorder. Is he just bratty and disruptive, or is something amiss? At Prime Pediatrics in Gaithersburg, your children's doctor, Dr. Farnoush Jamali, helps families decipher the complexities of an ADHD diagnosis, getting children the help they need to function at their very best.

Child Who Can Not Pay AttentionWhat is ADHD and its symptoms?

ADHD is a developmental and behavioral disorder based in the brain. In other words, children, teens, and adults with this condition have brain functions and structures different from individuals who do not. In fact, a test called a functional MRI can help a physician make a definitive diagnosis of Attention Deficit Hyperactivity Disorder, reports Healthline.

Typically, children's doctors, such as Dr. Farnoush Jamali, refer children for additional evaluation (beyond a routine physical examination) when they show symptoms such as:

  • Extreme restlessness (cannot sit still)
  • Inability to finish homework or chores
  • Very limited attention span
  • Impulsiveness at school and at home
  • Does not listen well to conversations or directions
  • Forgetful and distracted
  • Constantly talking

Most children show symptoms by age 6 reports the National Institute for Mental Health. Signs must be severe and persistent to confirm a diagnosis, and parental input is key to proper evaluation.

Also, parents should not feel concerned that ADHD is their (or their child's) fault. This disorder, while seemingly has a hereditary component, does not come from poor parenting skills, a sugary diet, or other environmental factors, says the National Institute for Mental Health.

Getting treatment

It begins with an appointment at Prime Pediatrics in Gaithersburg where your children's doctor will discuss his or her symptoms. Dr. Jamali may refer your youngster to a specialist in ADHD, such as a psychiatrist or neuropsychologist, who may order specialized tests.

Frequently, a care plan includes behavior modifications and changes to the child's education program. Social skills groups help kids interact with with others without interrupting or fidgeting. Medications such as Adderall, a stimulant, normalize behaviors, making them easier to manage.

Worried about ADHD? We can help

At Prime Pediatrics, Dr. Jamali and her team in Gaithersburg, MD, want families to feel comfortable discussing every concern about children's health and well-being. That includes behavioral health. If your youngster exhibits signs of ADHD, and you wish an expert opinion, call the office for an appointment. We are open Monday through Friday, from 8 am to 5:30 pm.

Is your child struggling to get a proper education because of a learning disability? If so, contact your Gaithersburg, MD, pediatrician, Individualized Education ProgramDr. Farnoush Jamali at Prime Pediatrics.

IEP in Gaithersburg

Individualized Education Program (IEP) helps children integrate in a school setting by providing them with the right kind of schooling needed.

Starting the IEP

Your pediatrician will begin by providing an initial evaluation. They need to assess how best to approach your child's needs in terms of teachers and other academic providers, like paraprofessional educators. Specialist need to know how to accommodate lectures for your child's learning disability.

More on IEP

Comprehensive and in-depth assessments of disabled students help provide suitable and well-constructed academic goals and objectives for their special needs.

An IEP consists of three aspects:

  • How the student learns
  • Finding academic providers who can provide the student with the proper academic settings.
  • How they demonstrate that learning

Advantages of IEP:

  • IEPs help children succeed in their schoolwork.
  • Successful IEPs help children achieve independence, but special assistance is provided if need be.
  • Aside from the assistance provided, children are free to socialize in normal social circles on campus.
  • IEPs help students enjoy a "normal" school culture with academic success.

More About your Doctor:

Dr. Jamali is a board-certified pediatrician from the American Board of Pediatrics and is a member of American Academy of Pediatrics in the greater Washington D.C. area. She believes in a team approach to children's health and well-being. So Dr. Jamali and her staff will work closely with you to provide the highest level of care.

Need a consultation?

If you need more information about IEPs and how they can help improve the academic lives of your child, don't hesitate to give Prime Pediatrics a call today at (301) 977-2440. The office proudly serves patients in Gaithersburg, MD.

By Prime Pediatrics
November 01, 2017
Category: Children's Health
Tags: ADHD  

You worry about your child's impulsiveness and restless behavior. Her first grade teacher says she cannot sit still for story time, and quiet adhdwork is almost impossible work. You've heard of ADHD (Attention Deficit Hyperactivity Disorder), but that couldn't be the problem, could it? Try not to worry. Instead, call Prime Pediatrics. Your children's doctor in Gaithersburg, MD, Dr. Farnoush Jamali, helps parents and children with not only physical problems, but social, psychological and learning issues as well. She'll partner with you to understand what is happening with your child.

Just what is Attention Deficit Hyperactivity Disorder?

It's a common mental disorder affecting literally millions of children (and adults, too) in the United States and around the world. The Centers for Disease Control and Prevention in Atlanta, GA, states that a full 11 percent of school-aged youngsters have the actual diagnosis. What's unknown is how many more children have the condition and go on without a proper diagnosis and interventions.

Also called ADHD, Attention Deficit Hyperactivity Disorder seems to present around the age of six and is noticed more often in boys than in girls. Symptoms include:

  • Impulsiveness and restlessness
  • Inability to finish a task
  • A very limited attention span
  • Hyperactive behavior that is noticeably different from the child's peers
  • Difficulty sitting still and trouble with concentrating and paying attention

Unfortunately, children with ADHD often have trouble with grades, completing assignments and getting positive behavior reports. However, many ADHD youngsters also can be popular with peers--being the ones who are invited to birthday parties and school functions.

How Dr. Jamali can help

If you and your family are struggling with what seems to be ADHD behaviors, contact Prime Pediatrics. Your children's doctor in Gaithersburg will sit down with you and discuss what has been going on at home and at school. Then, she will take a complete medical history and do a comprehensive medical examination to rule out any physical problems such as vision or hearing deficits. Frankly, most diagnoses of ADHD are anecdotal--that is, they are based on descriptions of behaviors by family, teachers and others directly involved in the child's care, schooling and other activities.

Dr. Jamali may also refer you and your child to a behavioral psychologist or neuropsychologist for intelligence testing and to rule out any learning disabilities such as dyslexia. The findings from these professionals help Dr. Jamali recommend treatments and modifications for a Individualized Education Program (IEP) at school as needed. Treatment options may include:

  • Medications
  • Behavioral therapy
  • Family and individual counseling
  • Classroom modifications

Learn more

If you and your child are struggling because of behaviors you just don't understand, please contact Prime Pediatrics in Gaithersburg, MD for a consultation. Dr. Jamali and her caring staff will help you sort through these issues and create a plan of action. Call (301) 977-2440.