Ep. 224: Should I Medicate My Child? – Part 2 with Lance Steinberg, M.D.

Following up on last week’s episode, we are joined once again by Lance Steinberg, M.D. to further discuss the complex issue of medicating children with conditions like ADHD, anxiety, and depression, and if you missed part 1 of the discussion, be sure to go back and listen to that before diving into part 2!

In this continuation of our discussion, Dr. Steinberg sheds more light on the approach that is required when considering medication, stressing that a thoughtful evaluation is important before immediately jumping to medical solutions.

Dr. Steinberg offers some insights into the FDA-approved medications, why it's important to adhere to age guidelines, and the differences between stimulant options. Dr. Steinberg also explores balancing managing side effects while optimizing benefits, the use of non-stimulant alternatives, and the possibility of off-label treatments for unique situations.

The conversation touches on the variety of medication forms available and why it is necessary to customize treatments to each child's needs, taking into account academic, social, and psychological factors. Dr. Steinberg’s practical advice on starting with low doses, monitoring progress, and adjusting strategies offers a great perspective on this important part of mental health care for youth. 

Show Notes:

[1:20] - Karen stresses that it's important to take a thorough, holistic approach before considering ADHD medication for children.
[2:08] - Dr. Lance Steinberg discusses why understanding FDA age limits and medication safety for ADHD treatment is important.
[5:34] - Stimulant medications are generally highly effective for ADHD.
[8:32] - Dr. Steinberg advises starting ADHD medication at low doses in order to minimize possible side effects.
[11:28] - Regular evaluation is important when managing ADHD treatment via medications.
[13:27] - Non-stimulant and off-label medications can also be effective for ADHD, especially with comorbid conditions.
[16:16] - Dr. Steinberg discusses the effectiveness and side effects of off-label medications like Modafinil for motivation.
[19:03] - Dr. Steinberg talks about structured support for executive functioning.
[21:37] - Intervention requires a holistic approach and involves therapists, coaches, and team communication.
[24:00] - Dr. Steinberg stresses careful medication management for neurodiverse individuals.
[26:04] - He touches upon combining stimulants and non-stimulants for ADHD treatment.
[29:18] - Dr. Steinberg warns about the careful combination of SSRIs and stimulants due to potential electrical abnormalities.

Links and Related Resources:

• Episode 105: Medication Helps But is Not a Magic Potion for ADHD with Syed Naqvi, MD

• Episode 173: Why Treating Symptoms Isn’t Enough for Child Wellbeing with Hokehe Eko, MD MPH FAAP

• Episode 203: ADHD and the Gut-Brain Connection: Exploring Integrative Treatments with Sara Langley, MSN, PMHNP-BC

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Connect with Dr. Lance Steinberg:

• Lance Steinberg, MD's Website

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• Email: [email protected]