Trenna Sutcliffe, M.D.

Yeah. But still, the percent of kids who are treated with medication depends on the age of the child and the severity of the ADHD. So younger kids in my clinic, I will use behavioral interventions first.

Yeah. But still, the percent of kids who are treated with medication depends on the age of the child and the severity of the ADHD. So younger kids in my clinic, I will use behavioral interventions first.

So I see preschoolers who come to me because they've been asked to leave multiple preschools because they are hyperactive. And in that preschool years, although you could technically make the diagnosis, I share with the family that we're probably going down this path.

So I see preschoolers who come to me because they've been asked to leave multiple preschools because they are hyperactive. And in that preschool years, although you could technically make the diagnosis, I share with the family that we're probably going down this path.

Whatever we're going to call this in the next couple of years, let's start working towards helping your child build skills to regulate, manage their hyperactivity, manage their impulsivity. So we start with first-line treatment for ADHD in kids under six is behavioral parent training. So under six, it's behavioral parent training. We do that first and try to get that to help.

Whatever we're going to call this in the next couple of years, let's start working towards helping your child build skills to regulate, manage their hyperactivity, manage their impulsivity. So we start with first-line treatment for ADHD in kids under six is behavioral parent training. So under six, it's behavioral parent training. We do that first and try to get that to help.

We may or may not need to add a medication. The guideline for six and older, first-line treatment is medication plus medication. behavioral parent training. And so medication makes a big difference. Medication can be very, very helpful. And I read the family where they are at on this journey and their family values and how they're processing the information.

We may or may not need to add a medication. The guideline for six and older, first-line treatment is medication plus medication. behavioral parent training. And so medication makes a big difference. Medication can be very, very helpful. And I read the family where they are at on this journey and their family values and how they're processing the information.

And I listen to their questions and concerns and I build trust. And so some families are ready to start medication right away. Other families have questions. I work at developing a relationship with that family, answering their questions. And most often we do move towards medication because we know it helps. Most of them say, I wish I started sooner.

And I listen to their questions and concerns and I build trust. And so some families are ready to start medication right away. Other families have questions. I work at developing a relationship with that family, answering their questions. And most often we do move towards medication because we know it helps. Most of them say, I wish I started sooner.

Yeah, for sure.

Yeah, for sure.

I love all the points you brought up because it is a risk-benefit ratio that you have to consider. There's risks in everything we do. There's risks in all medications. There's risks in everything. So you have to consider both risks and benefits. When I'm working with a family, I talk to them about the research.

I love all the points you brought up because it is a risk-benefit ratio that you have to consider. There's risks in everything we do. There's risks in all medications. There's risks in everything. So you have to consider both risks and benefits. When I'm working with a family, I talk to them about the research.

And we actually have a lot of research around safety and long-term outcome and the outcome of individuals with ADHD who are left untreated. But actually, more importantly, I get to know their child, though. So this thing, as I get to know them, I share with them the research, the safety research, all sorts of information about the medication.

And we actually have a lot of research around safety and long-term outcome and the outcome of individuals with ADHD who are left untreated. But actually, more importantly, I get to know their child, though. So this thing, as I get to know them, I share with them the research, the safety research, all sorts of information about the medication.

But what's really important, so this is the idea about me going and watching the child in class, me talking to the teachers, getting to know that family more, really understanding. They come to see me for a reason. If things were great, they wouldn't come to see me. They've come to see me for a reason.

But what's really important, so this is the idea about me going and watching the child in class, me talking to the teachers, getting to know that family more, really understanding. They come to see me for a reason. If things were great, they wouldn't come to see me. They've come to see me for a reason.

And even though the school, maybe initially was the school who said, your little guy is way too busy and you need to see a doctor about this. But when I get to know the family, I find out, well, actually, dinner is really stressful and bedtime routine is really stressful. Everyone's in tears in the morning. And so I get to know them.

And even though the school, maybe initially was the school who said, your little guy is way too busy and you need to see a doctor about this. But when I get to know the family, I find out, well, actually, dinner is really stressful and bedtime routine is really stressful. Everyone's in tears in the morning. And so I get to know them.