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September 3, 2025 • 16 mins

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What do parents wish *all* clinicians knew about raising kids with ADHD? How can we ask more effective questions to learn about how ADHD symptoms are affecting a child's life at home and at school? We answer these questions and more in Part 3 of Child Mental Health talks w/ Parents about ADHD with Ashley and Lauren!

00:00 Advice for Parents and Clinicians

01:12 Advice for Clinicians from Ashley

05:17 The Importance of Community and Support

05:17 Navigating ADHD as a Parent

08:58 Advice for Parents and Clinicians

10:10 Encouragement for Parents to Seek Diagnosis and Treatment

10:10 The Role of Medication in ADHD Treatment

13:08 Conclusion and Final Thoughts



Check out our website PsychEd4Peds.com for more resources.
Follow us on Instagram @psyched4peds

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Transcript

Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Dr. Elise Fallucco (00:00):
Welcome back to Child Mental Health for
Pediatric Clinicians, thepodcast formerly known as
Psyched for peds.
I'm your host, Dr.
Elise Fallucco, childpsychiatrist, and mom.
I am so excited about today'sepisode, which is part three in
our series of child mentalhealth talks with parents, where
we go behind the scenes andreally learn more about what

(00:23):
it's like to be a parent and toraise kids with.
A DHD, and in this episode,parents, Ashley and Lauren talk
to us about what they wish thatall clinicians knew, and in fact
that all parents knew aboutraising kids with a DHD.
And through this conversationwe're gonna learn what we as

(00:43):
clinicians can do to better beable to untangle A DHD in
families.
Also, we're gonna be able tolearn about what it is like from
their perspective to come andsee us and talk about A DHD.
Finally, we'll close with somepractical tips about things that
we can do that can help allpatients and families with A
DHD.

(01:03):
So without further ado, let'scontinue the conversation with
Ashley and Lauren.
So what do each of you wish thateverybody knew about A DHD?

Ashley (01:12):
I think for clinicians, I would say, I just hope that
you can ask the questions to getat the root of all these things,
because a lot of times,pediatricians or other doctors
hand over to parents this paperassessment, but there's so much
more to these than what's inthose questions, and you don't

(01:35):
really get at.
What those things are, unlessyou're asking really varied in
diverse questions about homelife and school life and really
trying to build out this pictureof the kids.
So communication with theparents, communication with the
kids.
And then I think alsocommunication with each other to
the extent that that's possible.
Because sometimes the differentdoctors are also not talking to

(01:59):
one another.
So there isn't this whole ofcare approach where they know
what the pediatrician is doingwith the child or the
psychiatrist doesn't know whatthey're doing with the child.
I guess better comms all around.

Dr. Elise Fallucco (02:11):
Let me, you said a lot of really good
things.
Let me just summarize those tomake sure I understand them.
One of the things you talkedabout in, in your advice for
clinicians would be, don't justrely on paper assessments.
Yes.
By which, I think you'rereferring to the Vanderbilt or
the Connors or whichever, parentreport, teacher report,
potentially self-report ratingtools.
Make sure in your clinicalinterview.

(02:33):
You're asking more about what isyour home life like, what is
school life like?
And you guys even gave somegreat clues about ask about how
hard is it for people to followtwo or three step commands?
What is the morning routine likeif you ask your child to go
brush her teeth and or, do alarger task, clean up your room,
how hard is that?

Ashley (02:53):
Yeah, exactly.
And I think sometimes even whatyou just said about asking
questions about what's your homelife like?
That's such a big and broadquestion, and I think a lot of
people might just answer itlike, oh, our home life is
great, and so to the extent thata clinician can really dig in
with specific examples where theparent might be able to more
directly relate to that exampleand then say, oh yeah, that's

(03:16):
something I see in my home.
So as many vignettes that theprovider might be able to give
to help a parent understandthat, okay, this resonates with
me, and that's what we'redealing with here.

Lauren (03:27):
I also think it's important because parents don't
always recognize theaccommodations that they
naturally just put in for theirchildren because maybe they only
have one child who has a DHD andthey don't see that what a
typical child's behavior is.
And so they are constantlyscaffolding and supporting their
child at home, and they're notaware that, oh, their child is

(03:49):
functioning at this levelbecause they're given support
that they might need in otherscenarios.

Dr. Elise Fallucco (03:56):
You bring up an excellent clinical point.
We really need to keep in mindthat kids may be doing well
because of parents scaffolding,so it may be helpful to ask
parents, do you feel like youhave to work hard for things to
go well for your child?
In other words, do you have todo more preparation or put in a
lot of effort to support thatchild?

(04:23):
and another part of what youwere saying, Ashley, is that
it's so important for us asclinicians to make sure that we
are working in partnership withall the other clinicians who are
also taking care of our patientsor these children.
And this is a hidden signal toall of my child psychiatry
friends.
I know in our field there's beena lot of barriers to being able

(04:45):
to share records with referringproviders due to concerns about
the sensitivity of the nature ofthe things we discuss often in
our office.
And so what I would juststrongly encourage all of us to
ask parents permission to beable to share basic information
like what meds they're on andwhat their leading diagnoses are
with referring positions.

(05:05):
And just get in the routinehabit of sharing this
information.
'Cause it can only help the kid.
Yeah.
Shifting to you, Lauren, what doyou wish that everybody knew
about A DHD?

Lauren (05:17):
Number one, for parents, I really would want everyone to
know that you're not alone innavigating all of this.
That is by and large, that is ahuge feeling that I had, that
felt overwhelming.
And.
More and more that I talk toother parents, they are just
like, how do I do this?

(05:38):
What do I do?
They feel like, oh, I have toreinvent the wheel.
I have to figure this all out onmy own.
And that's really not the case.
And that's why we started thismental health and neurodiversity
PTA committee, was to leteverybody know you're not alone.
You don't have to do it all byyourself.
And a lot of times there is thatone parent that's the caregiver
and the leader in all of thesethings, and they're having to

(06:00):
educate their spouse or theirpartner.
And that can be overwhelming.
And so I would say number one,takeaway.
You're not alone.
Find yourself a community,whether it is in person or
online.
There are so many resources.
We actually can provide you witha link to our resources.
And I think your podcast is onour list actually.

(06:23):
What?
So there are podcasts, there arebooks, all kinds of things.
So find yourself a communitybecause that has been one of
the, saving graces in navigatingthis whole neurodiversity thing
for us.

Dr. Elise Fallucco (06:38):
we would love to share those resources
with our listeners, and we'll behappy to put that on our website
at psyched P-S-Y-C-H-E-D, thenumber four peds.com.

Lauren (06:49):
The other thing is that A DHD I guess like autism is
also a spectrum.
It looks different in every kid.
So you might have a kid that,shows up with the stereotypical,
things that you think of with ADHD or you might have somebody
who is internalizing a lot andis what you're seeing is
anxiety.

(07:10):
One of the first things I didwas to listen to podcasts like
yours and read books andarticles and just educate
yourself on what it can looklike.
Those are my big takeaways.

Dr. Elise Fallucco (07:21):
Excellent.
That you're not alone.
Find a community of people whoare going through it with you.
'cause it can be really intenseand overwhelming.
And then your other point wasreally great about how A DHD
looks differently in every kid.
There's a lot of heterogeneity,and for some people, their A DHD
symptoms may not be captured aswell by some of the Vanderbilt

(07:42):
or Connor's forms, and it maytake more of a clinical
interview to get at thedifferent symptoms and to learn
what the parents are reallyseeing at home.

Lauren (07:51):
-Yes.

Dr. Elise Fallucco (07:52):
It's so helpful to hear your perspective
about what it's like to go see aclinician about your child's A
DHD.
And I have to tell you, as aclinician, for us, A DHD
sometimes feels like bread andbutter, like something that we
deal with very often and thatwe're very comfortable with.
And it's a really helpfulreminder that the families that

(08:12):
we're taking care of this is farfrom bread and butter or
ordinary, and this is somethingthat's really impacting their
lives.
And so one of the things we asclinicians can do is to remind
parents that they're not alone,that there's a lot of resources,
available in this journey.
And to be able to shareresources with parents about

(08:32):
books or about local supportgroups or about national
organizations like Chad,C-H-A-D-D, that offer support
for families and people with ADHD, So Ashley, you talked about
advice for clinicians, but whatadvice would you have for other

(08:55):
parents who are raising kidswith A-D-H-D-I?

Ashley (08:58):
For parents, I would say I wish that they knew diagnosing
neurodivergent kids is ajourney.
It's not a quick thing thathappens with a diagnosis because
there are so many differentsymptoms, so many comorbid
situations, right?

(09:19):
And you're just constantlytrying to figure out all these
pieces of the puzzle.
Just be patient.
Give yourself grace as younavigate it, hang in there.
And I think the other thing Iwould say for parents is just
really advocate for your kids.
Because a lot of timesnavigating this journey will be

(09:40):
dissected into different pathswhere.
You may be talking to yourpediatrician on one path, and
then you might be talking to atherapist on another path.
And then you might be talking toa psychiatrist on a third path,
and then the administrators atschool, which is the fourth
path.
And they may not all talk to oneanother or have the whole
picture.
And so it's your job to reallydo the research, talk to other

(10:02):
parents who might be goingthrough this, talk to your kids
and then use all of thatknowledge to be the advocate for
your children.
So the other thing I would sayto parents is don't be afraid.
What I mean by that is don't beafraid to chase a diagnosis if
you think something may bedifferent about your kid.

(10:23):
I think with the mental healthstigma that has been around for
a number of years, there aresome parents who don't want to
hear that there's somethingdifferent about their kids, or
they also have an inkling thatsomething is there, but they're
like, oh, I'll check it outlater.
So for example, I have a friendwho.
Has a DHD herself.

(10:43):
Her one child was recentlydiagnosed and she sees a little
bit of her, a little bit of aDHD in her second child.
But she said, oh, she gets goodgrade grades at school and she
has no problems.
And I looked at her and I said,why wouldn't you get your child
tested if you know that you haveit, your other child has it and

(11:05):
it runs in families, it'shereditary and you know that
kids can mask it in school.
Just go ahead and get thetesting now.
And then she looked at me andshe's yeah, you're right.
Why am I waiting for two moreyears?
Which is a totally arbitrarything to do.
So don't be afraid to chase thatkind of information down and the
diagnoses down, but also don'tbe afraid to try medicine.

(11:28):
I think that is very scary forparents and it was also scary
for me and my husband.
We were hesitant to start ourkids on medicine, especially at
such a young age.
But it has made such adifference in how our kids can
function and live their livesand be happy.
And the way somebody describedit to me was, if you have

(11:52):
another medical problem, if youhave a problem with your heart,
you are going to take medicinefor your heart.
If you have diabetes, you aregoing to take medicine to treat
that diabetes.
It's the same thing withneurodivergent issues and A DHD.
There is something in yourbrain, chemicals are off.
Take the medicine to help withthat.

(12:12):
And the worst case scenario isyou try medicine.
And if you don't like it, if youfeel awful about it, if your kid
turns into something you knowthat is not reflective of who
your child is, you can stop it.
You can put your kid on amedicine for a week and then
take them off.
So give it a chance if you thinkit will give your kids a chance

(12:33):
at a better life.

Dr. Elise Fallucco (12:36):
Ooh.
So I love that.

Lauren (12:38):
Yeah.

Dr. Elise Fallucco (12:38):
We've,

Lauren (12:39):
We've struggled with my daughter also.
she won't take medicines.
she was like hiding hermedication.
I found them in a game.
I was on vacation.
I had brought the game with meand my friend who's a
pediatrician was like, why isthere a Zoloft in?
And I was like, oh yeah, and soI keep finding them random
places, like in a drawer or likeMonopoly with a bunch of Zoloft

(13:00):
Monopoly would make me wannatake Zoloft.
I don't like Monopoly.
Yeah.

Dr. Elise Fallucco (13:04):
That, that's an indication of health.
Okay.
Let's do our wrap up.
Thank you both for sharing yourpersonal experiences as parents,
taking care of four kids with aDHD between the two of you and
all of the ups and downs of thejourney of getting,
understanding what's going onwith your kids.
Getting a diagnosis and thengoing through the process of

(13:25):
trying to figure out how toholistically treat them.
How to support them in schooland home, at home socially, and
how to help them shine and nothave to feel like they need to
mask their symptoms or to besomebody who they're not.
So thank you both so much.

Ashley (13:41):
Thanks for having us.

Lauren (13:42):
Yeah, we really appreciate it.
It's been fun.

Dr. Elise Fallucco (13:45):
And to summarize some of the tips for
pediatric clinicians, numberone, interprofessional
collaboration is key.
While our schedules are beyondbusy, we need to try to make
time to reach out to thepediatric clinicians who are
part of the team that's caringfor our patients and try to
coordinate care.
And at a very minimum, seekparental permission to be able

(14:06):
to share our notes or even alist of diagnoses and meds with
the other clinicians taking careof our patients.
The other thing that I took awayfrom this podcast was it's so
helpful to be reminded thatparents and families are
navigating a really challengingand sometimes overwhelming road.
And that part of our job, orpart of our opportunity is to be

(14:26):
able to remind parents that theyare not alone and to encourage
them to reach out and find acommunity of other parents.
Maybe they don't have a coolneuro diversity support group at
their local elementary school,but there are other resources
like the National Group, Chad,C-H-A-D-D, or books or podcasts
or various websites.
Sites that can help them asthey're navigating this journey.

(14:49):
As I mentioned before, we'llhave a brief list of A DHD
books, websites, and resourcesfor families on our website,
psyched for peds.com.
And for listeners who've alreadysigned up to be a friend and
colleague of the podcast on ourwebsite, we'll go ahead and
email you these resources as apart of our regular newsletter.

(15:11):
Finally, I just wanna say.
Huge thank you to Ashley andLauren for sharing their
insider's view of the joys andchallenges of raising kids with
A DHD, and thanks so much to ourlisteners.
Look forward to seeing you nexttime.
I.
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