Clinicians who are comfortable are encouraged to initiate a trial of a stimulant medication. Commonly, one of the methylphenidate preparations, or mixed salt amphetamine preparations are chosen first. Both a personal and family history of cardiac disease should be ascertained prior to initiation. Those patients with positive cardiac history may be screened with EKG. All should be given contact information for psychiatric emergency services 734-936-5900 in the event of suicidal feelings.
Suggested Additional Test/Management Prior to Specialty Visit
Patients are asked to bring along results of neuropsychological testing, school reports and other testing results, or reports from other treating clinicians if they have them. Additionally, patients who have failed 2 independent trials of medication within primary/specialty care, may be referred to child psychiatry clinic.