When ADHD Medications Are Not Working for Your Child

When ADHD Medications Are Not Working for Your Child ADHD Treatment Print When ADHD Medications Are Not Working for Your Child By Vincent Iannelli, MD facebook Vincent Iannelli, MD, is a board-certified pediatrician and fellow of the American Academy of Pediatrics. Dr. Iannelli has cared for children for more than 20 years. Learn about our editorial policy Vincent Iannelli, MD Medically reviewed by a board-certified physician Updated on February 05, 2020 ADHD Overview Symptoms Causes Diagnosis Treatment Living With In Children PhotoAlto/Antoine Arraou - Brand X Pictures/Getty Images Medications for treating symptoms of attention deficit hyperactivity disorder (ADHD) can be very effective for children, making it easier for them to pay attention in school, maintain friendships, and basically navigate life.?? But sometimes, its hard to determine the right medicine and the right dosage, with the best results and the fewest side effects. With some careful adjusting, however, its almost always possible to find a medication and a dosage that works. How Stimulants Treat ADHD The most commonly prescribed ADHD medicines are Adderall (amphetamine and dextroamphetamine); Ritalin (methylphenidate  ); Focalin (dexmethylphenidate); and Concerta (methylphenidate extended-release tablets). All of these drugs are stimulants, which are thought to work by increasing levels of a neurotransmitter in the brain called dopamine. This chemical is associated with motivation and attention, among other things. For many people with ADHD, stimulant medications both boost concentration and the ability to focus while at the same time curbing hyperactive and impulsive behaviors. For the most part, ADHD drugs work.  According to the ADHD treatment guidelines of the American Academy of Pediatrics (AAP),  most children will respond to one of the stimulants.?? When a medication doesnt work or causes intolerable side effects, the options are usually to adjust the dose, either up or down, or switch to another medication. For example, if Adderall isnt relieving a childs symptoms or is making them cry a lot, then lowering their dosage or having them  try one of the other stimulant medications may solve the problem. Other ADHD Medications to Try A non-stimulant medication called Strattera  (atomoxetine)  is sometimes a good option for a child who isnt tolerating a stimulant. Some doctors also prescribe Strattera along with a stimulant, making it possible to lower the dose of the stimulant drug enough that it no longer causes side effects. Other alternative medications used to treat ADHD include the medications Catapres (clonidine) and Tenex (guanfacine). These can be effective for impulsivity, hyperactivity, and sleep disturbances. Is It Treatment Failure or a Misdiagnosis? Sometimes if a child doesnt respond to two or three different stimulant medications and continues to do poorly, it may be that the ADHD diagnosis is wrong and that something else is causing the symptoms the child is experiencing. In this case, the AAP advises pediatricians to evaluate the childs diagnosis again and also have the child tested for a coexisting condition such as depression, bipolar disorder, or  a learning disability or behavioral problem. A Word From Verywell If you have a child with ADHD, putting various medications and dosages to the test to find what will work for him can be frustrating for you both. Dont hesitate to ask your pediatrician any questions you might have about effectiveness and timing (sometimes adjusting when the doses are taken can make a big difference). Let the doctor know about any side effects you believe are associated with your childs treatment. Dont be afraid to push for changes. There are many options available.

My Successful Friend Idiom Story for ESL Students

Here is a story about a successful friend who has had a fantastic career. Try reading the story one time to  understand the gist  without using the idiom definitions. On your second reading, use the definitions to help you understand the text while learning new idioms. Finally, youll find idiom definitions and a short quiz on some of the expressions at the end of the story.  Ã‚   My Successful Friend My friend Doug has really done well for himself in life. Im very proud of him and all of his achievements! We get together every year or so for a two or three-day hike in Oregon. Its a great time to reflect on how life is going, talk about old times and have new adventures. Let me tell you a little bit about Doug. It was clear from the beginning that he was going places. He did very well in school, and everyone knew he was a smart cookie. Not only were his grades good, but he was also an outstanding athlete, as well as keeping his nose clean. Some accused him of being squeaky clean, but that didnt bother him. He wasnt going to let anyone rain on his parade!   After he graduated from college, he decided to go to New York. As the song goes: If you can make it there, you can make it anywhere! Back in those days, New York was a hotbed of innovation. Doug was a product design specialist and had some great designs on tap. Unfortunately, he didnt immediately succeed. Things werent easy in the beginning, and it took him a while to learn the ins and outs of the Big Apple. In any case, it soon became clear to him that he needed to make some brownie points with his director. He decided he would volunteer to create a presentation for a new product at the companys yearly dog and pony show.   The boss wasnt so sure, but the decision about who would make the presentation wasnt carved in stone. In the end, the manager decided that Doug would do a good job. Doug gladly accepted the challenge and decided to make quite an impression. He wasnt exactly going to reinvent the wheel, but he knew he could improve on past presentations. He felt that giving a great presentation would improve his standing in the company. The day of the presentation arrived, and, no surprise, Doug did an outstanding job. His presentation was informative, and he didnt blow any smoke. Where there were problems, he pointed them out and made suggestions as to how to improve the situation. Long story short, because of his excellent presentation the director realized that he was a genuine article. Doug started taking more and more responsibility at the company. Within three years, he had sealed the deal on the development of two of his best ideas. As they say, the rest is history.   Idioms Used in the Story be on a roll to have one success after another has a string of successes  Big Apple New York New Yorkblow smoke to fake or provide false information in order to gain somethingbrownie points extra goodwill  carved in stone not changeable  dog and pony show a presentation during which a companys best products are showngenuine article real true not fakego places to become successfulhotbed of something an area that is famous for a certain type of industry or successins and outs the details and inside information about a place or situation  keep ones nose clean to not make any illegal or unethical mistakeson tap readyrain on someones parade to criticize the success of someonereinvent the wheel to remake or invent something that already exists  seal the deal to make an agreement sign a contractsmart cookie very intelligent personsqueaky clean without fault not having problems or mistakes Quiz I think were ___________. All of our products are selling very well.This bag looks like its ______________. It doesnt look fake.We ________________ with our partners and start the project in May.The contract isnt ________________. We can still negotiate the details.Work with Anna and shell show you the ____________ of the company.I dont want to _________ your _________, but there are still a few problems.I think shell ______________. Shes very intelligent AND competitive.  I wouldnt believe that. Hes known for ______________.   Quiz Answers on a rollgenuine article  sealed the dealcarved in stoneins and outsrain on your paradego placesblowing smoke

Critical Analysis of Film - 785 Words

Give a critical analysis of the Western Holly Wood film High Noon. This essay will focus on the current representation of women and men in the classical Holly Wood western film High Noon, focusing on the gender roles of each character and the stereotypical roles that are given. High Noon is a 1952 Western film directed by Fred Zinnemann, one which broke genre rules of masculine ideals and popular themes of cowboys and indians (Johans;1994). The male protagonist Marshal Kane (Gary Cooper ) starts out as the typical unambiguous, uncomplicated hero of a cowboy. He was represented and given the typical role of the handsome, older man who likes to be in charge however, unlike most cowboy films he turns in his badge to become a shopkeeper†¦show more content†¦She has saved her husband’s life, rather than him saving hers, which is a change in the stereotypical gender roles of a cowboy movie. Bibliography (1) High Noon (1952), Film, Directed by Fred Zinnemann, USA; Stanley Kramer Productions Masculinity amp; the 1950’s – JOHANS Transformations in American Popular Political Culture during the Cold War – COSTELLO References Johans B, (1994). McCarthyism, Masculinity amp; The 1950s Western Johans B, (1994). McCarthyism, Masculinity amp; The 1950s Western Costello Matthew. (2003) ‘Transformations in American Popular Political Culture During the Cold War’, Rewriting High Noon, Vol. 33.1 (2),Show MoreRelatedCritical Analysis On Spanish Horror Films1852 Words   |  8 Pages12-11-14 FEA 460 Spanish Cinema Final Paper Critical Analysis on Spanish Horror Films From the late 1960’s to the early 1970’s Spain rose as one of the leading countries to dominate the horror film genre. Struggling under a brutal and confining dictatorship for much of the 20th century, the horror genre of Spanish cinema took awhile to come together. 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Safeguarding the welfare of children Free Essays

Parents with less money may also find it hard to afford the right food or not a lot of food which some children end up going to school with no breakfast this may lead to poor diet and health. B. Educated parents. We will write a custom essay sample on Safeguarding the welfare of children or any similar topic only for you Order Now If a child is brought up with well-educated parents this can take over a child’s life this can have a big impact on their social life as the parents may have the child taking a lot of extra lessons for example piano lessons or dance lessons pushing them to be the best they may not realize that the child is emotionally and physically drained but not wanting to disappoint the child carries on. The child may feel left out in the fact that their friends are out enjoying life and having fun and they are missing out on heir childhood. The child may not be as intelligent as their parents and finding it hard or stressful that they are struggling with work because they don’t want to fail their parents. A child with less educated parents may be struggling with school work or home work as their parents can’t help them with studying they may also not care about the child’s education because they may not have been brought up to care by their parents. C. Lone parent. A single working parent has less time for their child especially if they are siblings it ill be hard for them to give equal time to all children. This may affect the child’s behavior as they may see this as an opportunity to take advantage of the situation they may bunk off school or start hanging around with the wrong crowd or Cumming in late. Emotionally this may leave them feeling left out and doing bad things such as thieving thinking this is the only way they can get your attention. They could start to fall behind at school because their parents aren’t involved enough and not giving them the encouragement they need. The child may have also had to grow up quicker asking their own tea maybe dropping off and picking up siblings why the parent is at work meaning they don’t have a social life because their caring for their brothers or sisters. The positive side to a working parent is that the child’s education may be better like being in a private school, also the child more than likely doesn’t go with out when it comes to new things for example clothes, laptop etc. A single parent on benefits may have all the time in the world for their children, giving the child less opportunity to bunk off school or fall behind with work but the child may be less ordinate when it comes to clothes and gadgets which may lead to the child being bullied and not fitting in socially with their peers this may lead to the child falling behind on work as they can’t concentrate feeling like they don’t want to be in school where these bullies are. B) Health A. Over weight. A child over weight through genetics not self-inflicted may struggle with day to day tasks such as struggling to get there selves dressed or even the simple task of going up and down stairs or doing pee at school. This may affect them emotionally because asks are more difficult to do leaving them to feel self-conscious and upset, this may cause bullying affecting their social life as they may find it hard to go swimming or bike riding leaving them with not many friends. Their behavior may be that they are very quiet and sit away from everyone or they may act out and become the bully so they don’t get picked on. Their parents may be supportive or they could be pushy towards the child to lose weight making the child feel like they have no one to turn to. B. Young career. A child looking after a parent may look strong on the outside but may feel very tired ND fragile on the inside struggling to cope but putting the brave face on as they love their parent and feels this is their duty. Their education may be falling behind as they are missing days off school or struggling to focus maybe falling asleep in class. Emotionally they maybe blank on the outside and not letting anyone in , but inside all they want is a brake to be a child with friends, socially they probably don’t have many friends due to the fact that their missing school and when they are at home they can’t go out because their caring for their parent. They may get bullied because they not play out with the other children and they pick up on the fact that the child is different to them affecting the child’s behavior they may act out in frustration to release stress or Just shut themselves off from others. C. A child with disability. A child with a physical disability such as not being able to move will have all the emotion and intellect on how they feel and think but won’t be able to show them physically. They will more than likely be at a special need school which will have group activities and learning methods tailored to their needs but they can’t do every says task such as getting dressed or feeding themselves. This will be emotionally frustrating for the child knowing what they want to do in their head but can’t act it out physically. Socially they may have special groups they can go to but they won’t be able to go out and do every day things like other children. This may leave them to act out by shouting and showing their angry through facial expressions. A child with a mental disability might not understand how to behave if their withdrawn and don’t communicate with family or friends. Or they act out with anger shouting and being hysterical towards others. Intellectually they may struggle to learn anything as they don’t have the ability or find it hard to remember or focus. They will also more than likely go to a special need school which they will have learning tailored to their needs; they will be able to move around and play but may not understand the concept of games and group activities. Socially they may find it hard to play or communicate with others leaving it hard to have many friends. C) Environment. A. Deprived. A deprived area may have fewer amenities such as Just a corner shop. They may not have anything for children to burn some physical energy off for example a park, library or swimming facilities. This will affect the social behavior in this area such as vandalism, graffiti and theft. In deprived areas you may find that are different ethnic and religious families which may mean feuds or language barriers. Not having a library or other amenities may affect their intellect as they don’t have the tools there to help them learn. B. Peer. As a child straight away you find that they make friends and become a group or gang hose friends can be from school or their estate they live on it can also depend on the ethnic origin or religion. Being with certain friends may lead the child to truant or drink and take drugs or it may come from their parents if they have friends round all the time drinking etc. Depending on your family or friends you may fall behind in work if they aren’t committed to the work or committed to helping you with the study. C. Community. If a community doesn’t have the right amenities for example a corner shop they may struggle to get groceries and bits if they can’t afford to travel far, which may affect heir health or diet. Also if the community don’t have a library with the computers or community centre the community would suffer because they wouldn’t have the help to study and better their selves for a Job not many families have internet so these are a great help also this could affect their behavior and their intellect as they have nowhere to go to study or to take themselves away from gang culture etc. Not having a park or a swimming baths may affect their social behavior as there is nowhere for the children to go to hang out and play. How to cite Safeguarding the welfare of children, Papers

Jane Eyre Essay Example

Jane Eyre Paper I attend a private outstanding school situated in the countryside with sports fields, tennis courts, swimming pool and many other privileged things. By being given the opportunity to try different sports, subjects and hobbies it gives me a wider experimental range of things I can find I am good at and a wider knowledge of subjects and skills for later on in life, which may contribute to whether or not, I am successful in life. The teachers go that extra mile to make sure work is on time, we understand everything, we are happy. They try their hardest to make each individual perform to the best level they personally can and teach me valuable lessons, which are the key to success. The classes in my school are smaller meaning that the teachers can speak more personally to the class giving each pupil individual attention when needed. The friendly atmosphere, the inviting di cor, and interesting way of teaching makes me want to go to school and learn, if I didnt have these I may not be so eager. Each night I return to a good family. I have healthy food which provides me with a healthy up bringing and environment and may contribute to how long I live, whether I will be prone to heart disease etc. My family support me with my schoolwork, help me with my problems and protect me from my fears. This makes me a well balanced, stable, all round person. They teach me manners and how to treat people with respect thus benefiting me when I leave home and have to cope with the big wide world alone. We will write a custom essay sample on Jane Eyre specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Jane Eyre specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Jane Eyre specifically for you FOR ONLY $16.38 $13.9/page Hire Writer I believe and hope that all these benefits will contribute to my success in life, whether success depends on luck (being in the right place at the right time) or having the qualities I have I am still not sure However other people are not as privileged as me looking at Jane Eyre she Is an orphan, taken in by her now dead uncle and more reluctantly by her unfeeling aunt. She has no blood relatives (apart from her uncle who died when he was younger) alive or if they were alive, not that she knows of. She has never been shown any love or affection and is constantly made to feel like a rejected outsider totally unwanted and disowned for example or aunt reed told her cousin John, I told you not to go no near her; she is not worthy of notice She is often abused violently by her cousin John, my head still ached and bled with the blow and fall I had received: no one had reproved John for wantonly striking me. Even when she is hurt there is no-one to protect her or care for her as there is for me. It says in the text after she has been abused Mrs Reed (her aunt) has no sympathy for her and all she says was, take her away to the red room, and lock her in there. Unlike me she does not have a warm, quilted, comforting bed or even her own room, instead she is made to sleep in a cupboard in the nursery where her cousins play! and now return to the nursery and lie down a little Looking at Billy Casper he doesnt have a posh large house like Jane. He doesnt even have the basics most people take for granted as it says, there were no curtains and Billy and his brother even share the same bed, which is very unhygienic, the text says Jud cough-coughed into his neck proving that they could catch germs very easily off one another. Billy has no home comforts from life, and his house is basically dull the atmosphere is described as gritty texture, the bedroom as gloomy and the temperature cold.

Ronald Reagan Research Paper Example

Ronald Reagan Research Paper Example Ronald Reagan Paper Ronald Reagan Paper Ronald Reagan President Ronald Reagan was one of the greatest presidents to have led this country. Though he Is highly underrated, his actions and accomplishments as president show Americans that no president can compare nor surpass him. He survived an assassination attempt, took a hard line against labor unions, announced a new War on Drugs, and did many more outstanding things for this country which Just goes to show his great leadership as president and courage to carry on despite all odds. The Cold War was a potential nuclear war fought between the Soviet union and the united States. The president, when asked about the Soviet union in interviews would refer to them as the evil empire which would strike fear into the eyes of many Americans. America had not been so afraid of a nuclear war since the Cuban missile crisis in 1962 (Gale, 2006). Reagan responded quickly to the possible spread of communism in Latin America. In the Caribbean island nation of Grenade, Reagan stopped a potential attack of domestic conflict between two protectionism sides by munching an Invasion by U. S. Roofs in late October 1983 to supposedly protect U. S. Medical students and restore order. After U. S. Forces gained control of the country, a new democratic pro-U. S. Government was established. Reagan came under much international crystals for becoming involved In an Internal political struggle without united Nations (UN) support. The Grenade invasion, however, was the first successful military oper ation since before the Vietnam War and helped reestablish confidence in U. S. Military capability (Gale, 2006). Reagan therefore was able to protect Americans from a potential nuclear war against the soviets by invading Grenade. On March 30, 1981 President Ronald Reagan had a scare when an attempt was made at his life. Reagan had Just finished giving a speech to a group of trade unionists at the National Conference of Building and Construction Trades Department, FALL-CIO held in the Washington Hilton Hotel in Washington D. C when John Hinkle Jar. Opened fire on the President Just outside the hotel. President Reagan was hit by one bullet, which punctured his lung. Hinkle was soon apprehended by police and secret service gents where later hey would be ruled not guilty due to an Insanity plea. Hinkle had shot the president due to his obsession with the movie actress Jodie Foster based on Winkles warped view of the movie Taxi Driver, Hinkle hoped to rescue Foster by killing the President. This, Hinkle believed, would guarantee Fosters affection Ronald, pig. L). The attempt on Ronald Reggaes life in 1981 failed to cut short his presidency but led to lasting changes in the way the Secret Service protects presidents, prompted changes in laws on insanity as a criminal defense and advanced the national debate over gun control Ronald pig. After the assassination attempt Reagan made many public appearances to show citizens that the president was making a fast recovery, although the president was still very weakened physically by the shooting. Ronald Reagan was the first conservative U. S. President In more than 50 years. Reggaes philosophy was Government Is not the solution to our problem, government Is the problem. (pig. L). When Reagan became president he Innervate a doodle-gil t Intonation. In order to combat recession, Reagan aggressively UT income taxes from 70% to 28% for the top income tax rate, and from 48% to 34% for the corporate tax rate (pig. ). Ergonomics was introduced in which Reagan based his policies on the theory of supply side economics, which states that tax cuts encourage economic expansion enough to eventually broaden the tax base. In time, the increased revenue from a stronger economy offsets the initial revenue loss from the tax cuts. Reggaes tax cuts worked because tax rates were so high in the early ass that they were in the Prohibitive Range, according to the Loafer Curve Ronald pig. ). Reagan was able to eliminate most of the Nixon-era price controls. Reagan removed controls on oil and gas, cable television and long-distance phone service, as well as interstate bus service and ocean shipping (pig. L). Reagan also expanded Medicare, and increased the payroll tax to insure the financial condition of Social Security. Reagan encouraged the development of private sector initiatives as well as federalism, with the objective of handing over from the federal government some of the obligations believed to be better served by private business or state and local overspent. At the heart of Reggaes foreign policy was the prevention of communist expansion. When Ronald Reagan became president, he had a clear vision of what the nation should be and spelled out the direction he hoped it would take during his time as President. Reagan had a clear social, economic, and foreign policy agenda, and with political guile and personal persuasiveness he was able to achieve many of his goals. Ronald Reagan was a very good President. He believed in America and its citizens. Reagan stood his ground with Russia and demanded the end of the Berlin Wall. He did not cave in to the complaints by citizens that wanted more government assistance to take care of them, and think for them. He had values and lived by them. He loved his wife very much and was a good role model for all. America was strong and stood tall when he was President. In conclusion, President Ronald Reagan was one of the greatest presidents to have led this country. Though he is highly underrated, his actions and accomplishments as president show Americans that no president can compare nor surpass him.

Agent Nouns

Agent Nouns Agent Nouns Agent Nouns By Mark Nichol Why singer, but actor? Why doctor, but dentist? Why customer, but client? There seems to be no logic to the variation in endings for agent nouns. An agent noun, a word that identifies a person’s occupation or profession, place of origin or residence, or other association, or a device that performs a task, generally signals its function with a suffix. However, various endings are possible, and though the spelling of such words, because of their ubiquity, is often obvious, no set of rules is always reliable. Some people posit that the -er ending is found in words derived from Germanic sources, while the -or ending denotes Latinate words, but that’s not always true. (For example, adapt is from Latin, but its agent noun is adapter, not adaptor.) Alternatively, the -or ending appears in words referring to figures of authority (director, governor, inspector), but employer, manager, and teacher are counterexamples. (Occasionally, an agent noun has more than one spelling, as with adviser and advisor. It’s common practice in such cases to always prefer, for consistency, the first option listed in the dictionary, although in this case, doing so means that a writer will write adviser yet will spell the adjectival form advisory.) Another ending for agent nouns, -ist, might at first seem to consistently correspond to a positive value judgment, in that we associate it with scientist and words for those in scientific specialties (biologist, physicist), as well as powerful people (industrialist, philanthropist), but note the neutral bicyclist and the negative bigamist. Likewise, notice the variable status of people identified by the terms cineast (also spelled cineaste), enthusiast, and pederast, as well as the tongue-in-cheek neologism ecdysiast. Some endings for agent nouns are often associated with pejoratives, though there are exceptions. For example, beggar, burglar, and the archaic pedlar end with -ar, but so do registrar, scholar, and vicar. Bastard, coward, and drunkard, but steward and wizard. Mongrel and wastrel, but colonel and sentinel. Less common endings that might be associated with positive or negative words are -ant (accountant, but vagrant) and -ent (client, as well as agent itself, but indigent). Other rare examples are -aster (poetaster), which originally neutrally denoted partial resemblance but came to be exclusively derogatory; -ista, which is employed in lightheartedly pejorative terms such as fashionista (there’s also barista, borrowed from Italian, which in turn borrowed bar from English); and -nik (beatnik, peacenik), which in Russian or Yiddish is neutral but acquired a negative connotation in American English during the Cold War. As mentioned in the definition of â€Å"agent noun† above, that term also refers to inanimate objects. However, no consistent classification is possible for this subgroup: Why washer and dryer, but refrigerator? As revealed in these examples and the many terms for human agents referred to above agent nouns follow no rules of etymology or connotation. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Grammar category, check our popular posts, or choose a related post below:10 Rules for Writing Numbers and Numerals50 Types of PropagandaShow, Don't Tell