Dr. Dan Shaprio – Uneven Medication Coverage and ADHD

He is most known for developing the Parent Child Journey and Excursions Programs, which are courses on common topics in developmental and behavioral pediatrics.

The behavior management strategies in the Parent Child Journey and Excursions Program have been used by hundreds, if not thousands, of families throughout Greater Washington and internationally online.

Something about Dr. Shapiro that impresses me is his children’s book, Raph’s Tale. His previous books guide parents and professionals through raising a child with ADHD by weaving important lessons throughout a fun metaphorical story. Raph’s Tale brings this whimsical story and important lessons about developmental differences to children in a beautifully illustrated way.

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ADHD is a common and potentially serious disorder of inconsistent self-control. Although medication is never the whole answer, it is usually an important part of comprehensive care. If side effects are avoidable, stimulant medications are usually effective.

However, with each dose of medication, blood levels rise and fall, in and out of the therapeutic range. A peak is when the medication is at its highest blood level. A trough is when medication is at its lowest blood level. These daily peaks and troughs yield uneven control. Focus and regulation may wax and wane. Ironically, the best treatment we have for ADHD— stimulant medication—is itself an inconsistent performer.

In this presentation, Dr. Shapiro will talk about what “uneven medication” is, how to properly identify it, and trough-filling strategies to help your child manage their symptoms.

Dr. Dan Shapiro is a developmental-behavioral pediatrician and a member of Attention’s editorial advisory board.

He is the creator and director of ParentJourney.com and the author of "Parent Child Journey: An Individualized Approach to Raising Your Challenging Child" and "Parent Child Excursions: ADHD, Anxiety, and Autism".

He is also a Fellow of the American Academy of Pediatrics and a member of the Society for Developmental and Behavioral Pediatrics.

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