• teen-adhd-depression-drug

    Happiness depends more on the inward disposition of mind than on outward circumstances.

    - Benjamin Franklin

  • ADHD, Depression and Substance Abuse in a Teenager

    “In these stories, the identities and locations have been changed to ensure client confidentiality.”

    A 16-year old boy was referred for treatment because of his increasing difficulty functioning.  His presenting problems included speech and language problems, learning disabilities, poor impulse control and substance abuse. He also suffered from rapid changes in his mood, and at times appeared to gaze off into space and “zone out.”

    It was unclear which aspects of his problems were due to psychiatric illness and which were related to possible subtle underlying neurologic problems caused by his substance abuse.  Using the BioPsychoSocial Model of diagnostic evaluation and treatment, the evaluation was positive for signs and symptoms of Attention Deficit Hyperactivity Disorder and Depression, as well as a Temporal Lobe Syndrome resulting from the substance abuse.  In addition, neuropsychological testing indicated cognitive limitations that had not been previously identified.

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      The recommendations for stimulant medication to treat the ADHD, along with anti-seizure medication to treat the temporal lobe syndrome, made a significant difference with this young man.  He was placed on Adderall for the ADHD, had partial improvement, and then Cymbalta was added to his treatment regimen to address his depression. Lamictal was then added which effectively treated his temporal lobe symptoms. He spent three weeks in intensive daily psychotherapy to address his behavioral problems and was then placed in a vocational training program that addressed both his cognitive limitations and his psychiatric problems while teaching him tangible job skills.

      Currently, his mood is improved, behavioral problems are greatly reduced and he is able to focus on his vocational training.

      Our offices are conveniently accessible from the following communities:

      Maryland (MD):
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      Washington DC:
      Crestwood 20011- North Capitol Hill 20002 - Cathedral Heights 20016 - American University Park 20016 - Columbia Heights 20010 - Mount Pleasant 20010 - Downtown 20036 - Dupont Circle 20009 - Logan Circle 20005- Adams Morgan 20009 - Chevy Chase 20015 - Georgetown 20007 - Cleveland Park 20008 - Foggy Bottom 20037 - Rock Creek Park - Woodley Park 20008 - Tenleytown 20016

      Northern Virginia:
      McLean 22101- McLean 22102 - McLean 22106 - Great Falls 22066 - Arlington 22201 - Arlington 22202 - Arlington 22203 - Arlington 22205 - Falls Church 22041 - Vienna 22181 - Alexandria 22314