#developmental-coordination-disorder

#developmental-coordination-disorder

Having ADHD affects executive functioning skills, those mental processes headquartered in the prefrontal cortex that are responsible for planning, prioritizing, regulating attention, managing time, and sustaining effort. In a fast-paced environment, demands on such skills can expose areas of vulnerability.

Polyvagal theory, introduced in 1994 by psychologist Stephen Porges, highlights the role of the autonomic nervous system in regulating our health and behavior. Our lived experience of engaging with the world is impacted by external environmental cues, internal physical sensations, and relational experiences (e.g., an impression of connection, safety, and trust between individuals). Neuroception is our body's unconscious surveillance system that shifts us into one of three autonomic states needed to respond to a situation: rest-and-digest (social and safe), fight-or-flight (mobilization), or shutdown/collapse (immobilization).

When a child is labeled "oppositional," adults often assume the problem is the child. In my experience as a child psychiatrist, the truth is often much more complicated. Both families sought out these schools, believing they were giving their children the best education possible. Instead, the schools failed their children, labeling them "oppositional" and "defiant" rather than addressing the root causes of their behavior.

The findings of a study conducted on a sample of 2.7 million people in Sweden over a 35 year period, and published this Thursday in the medical journal BMJ, suggest that the male to female ratio of Autism Spectrum Disorder (ASD) has decreased over time. In early childhood, before the age of 10, the male to female ratio is 3:1 (the most widely accepted ratio a few years ago was 4:1).

Are we overmedicating our children? My answer is yes. But not for the reason most people assume. The overmedication of children is not a story about reckless doctors or careless parents. It is not an argument against psychiatric medication. I prescribe medications to children and adolescents regularly, and I have seen them reduce suffering and save lives. The real problem lies elsewhere: