118. ADHD: Assessment, Treatment, and Pearls

Dr. Lia Gaggino talks to Dr. Herschel Lessin on how physicians can  juggle their ADHD patients, parents, practice.

 Here are some facts on ADHD (Attention deficit hyperactivity disorder):

-There’s more than one type of ADHD

-ADHD is genetic.

-There is no cure for ADHD, but medication and therapy can control symptoms

-ADHD often persists into adulthood

-People with ADHD may be protected by the Americans with Disabilities Act

 

 “ADHD is a chronic condition of the brain that makes it difficult for children to control their behavior.

According to national data, AKHD affects about 9.4% of U.S. children ages 2-17 including 2.4% of children ages 2-5 and 4%-12% of school-aged children…”  American Academy of Pediatrics ADHD | All AAP | AAP

 

[00:33 -8:20] Opening Segment

  • Dr. Gaggino introduces us to Dr. Herschel Lessin
  • What drives Dr. Lessin’s passion to be a pediatrician?  
  • How his personal experience inspired him to learn more about ADHD
  • If managed properly, ADHD has to potential of being a “Superpower”

[8:21- 16:21]  Current Pharmaceutical Development for ADHD Treatment

  • Issues with current drug availability
  • Potential solutions moving forward
  • Problem Regarding Pediatricians Comfort with Treating ADHD
  • Barriers to Treating ADHD

[16:22 -32:47]  The economics behind drug pricing and formulary change

  • How this affects health care providers and patients
  • Challenges posed by mid-year formulary changes 
  • Disruption to patient treatment plans
  • Difficulty in switching between medications
  • National Shortages of Short Acting Medication

 

 

[32:48 -59:32] Making a List from the ADHD Toolkit

  • Learning How to Code for all Service
  • Documenting Your Thinking 
  • How to Set Up a Practice for ADHD Kid
  •  The importance of documentation and avoiding being audited

[59:33 – 1:07:23]  Closing segment Takeaway

 

 Links to resources mentioned on the show

 AAP

ADHD toolkit –

 

ADHD Clinical Practice Guideline –

 

AAP publication “Congrats You’re Having a Teen!”

 

REACH Institute –

 

Massachusetts General Child and Adolescent Psychopharmacology 2023 course –

 

AACAP – ADHD Facts for Families –

 

NEI Global – neigglobal.com

 

Stephen Stahl’s Prescriber’s Guide –

 

Find the state map for your child psychiatry access program

 

Another episode you may like:

Episode #68

Trouble At School

 

Episode #88

Strategies For Boosting Executive Function

 

Episode 104

Youth Mental Health;

 

Key quotes for Twitter:

“If you wanna do this successfully in the office, you are not the only cog in this wheel”:… Dr. Herschel Lessin on not only the physician needs training in treating ADHD, but the front office needs training on meeting ADHD patients needs.

 

“No one will treat children unless you pay exorbitant amounts out of pocket and next to no one will do that. And so I thought to myself, am I gonna let these people drown or am I gonna try to help them”.. Dr. Herschel Lessin on dealing with the Insurance companies

 

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Dr Lia Gaggino

Dr Lia Gaggino Host of the Pediatric Meltdown Podcast

Dr. Lia Gaggino has worked as a pediatrician for over 30 years on the west side of Michigan. During her career as a primary care physician, she has been privileged to care for children and adolescents, and know that their success is closely tied to mental wellness.

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Dr. Lia Gaggino has worked as a pediatrician for over 30 years on the west side of Michigan. During her career as a primary care physician, she has been privileged to care for children and adolescents, and know that their success is closely tied to mental wellness.

Recent Episodes

  • All Post
  • ADHD
  • Advocacy
  • Aggression and Disruptive Behaviors
  • Anxiety
  • Autism
  • Building Better Workflows
  • Depression
  • Genetics
  • healthcare disparities and inequalities
  • LGBTQIA+
  • Medications
  • Mental Health
  • OCD
  • Other
  • Pain
  • Parent/child
  • Physician Well-Being
  • Schizophrenia
  • Sleep
  • Social Media
  • Substance Abuse
  • Suicide Prevention
  • Trauma

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