11-Year-Old Girl with ADHD and Anxiety

HELP FOR 11-YEAR-OLD GIRL: Dr. Quinn Answers a Mother’s Questions

Dear Dr. Quinn:
This combination of coexisting conditions can sometimes be difficult to treat as stimulants often make the anxiety worse.

You may need to treat the anxiety first with a drug like Celexa or Effexor (both are SSRI antidepressants). Then you need to add a low dose of stimulant to treat the focusing, attention, and ODD problems.

We did find success with Effexor 150mg once a day. She is still having focusing problems and she has some authority problems. (She was also diagnosed with a smidge of ODD).

You have yet to treat your daughter’s ADHD and ODD. Ask your physician about a low dose of stimulant. Starting low and gradually increasing the dose usually allows for improvement of symptoms without side effects or making other symptoms worse.

She is being home-schooled this year since her school district would …

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