Posts for tag: adhd

By Royal Oak Pediatric Associates
May 06, 2020
Category: Children's Health
Tags: adhd  
ADHDParents want the best for their child, which is why check-ups and appointments with their pediatricians are so important. Yet your pediatrician isn’t just available for when your child is sick or has physical ailments. They can also help with mental and behavioral conditions, including the diagnosis and treatment of ADHD. If your child struggles with focus, impulsivity, attention, or hyperactivity, schedule them for an evaluation. It’s also important to note that children must be at least four years old for a diagnosis.
The Three Facets of ADHD
There are three parts to pediatric ADHD: impulsivity, inattention, and hyperactivity. Each of them is signs and are necessary for a diagnosis. Here is some information about each of them.
Inattention: your child spends a lot of time daydreaming or not paying attention, struggles to listen, is easily distracted, makes careless mistakes, rarely finishes tasks, and is disorganized to the point of losing or forgetting important things. 
It’s important to understand that children with ADHD can pay attention, it’s just harder with topics that don’t interest them. They can tune out when tasks get repetitive. Working with them to organize their schoolwork and tasks is essential. Try to provide them with a quiet and calm environment to work in.
Impulsivity: your child can’t wait or acts without thinking, interrupts others, and has problems taking turns.
Children with ADHD have trouble with self-control, which leads to the impulsive characteristics mentioned above. They have a harder time censoring themselves. This results in them invading people's personal space or asking overly personal questions. Impulsivity problems also lead to moodiness and overreactions. 
Hyperactivity: your child seems to constantly be moving, without being able to sit still without squirming. They also talk too much and loudly, often playing in areas that aren’t permitted. 
It’s normal for younger children to have high energy levels. It’s only when your child seems to be constantly moving that it could be an issue with hyperactivity. When they do sit still, they are still moving. They may tap their fingers, shake their legs, or move their feet. 
Diagnosing ADHD
A diagnosis won’t happen right away. There are many steps in the process before an accurate understanding is available. Your pediatrician will most likely want statements from not just you and your child, but other caregivers and teachers. 

At the appointment with your child’s pediatrician, they’ll want you and others to fill out a questionnaire about your child’s behavior. Symptoms need to be present in multiple settings, like at home and school and cause issues at both. 
The criteria change depending on your child’s age, so it isn’t one-size-fits-all. Your pediatrician will work with you to get an accurate picture of your child’s situation. 
April 14, 2020
Category: Pediatrics
Tags: adhd  

Attention deficit hyperactivity disorder (ADHD) is a behavioral disorder that is one of the most common disorders in children. This disorder affects around 8.4% of children, and although it tends to affect boys two or three times as frequently as girls, it can affect every age and socio-economic background. Dr. Anita B. Henley of Royal Oak Pediatricsis a board-certified pediatrician located in Marion and Abingdon, VA, that specializes in behavioral health and managing ADHD in children.

Cognitive Behavioral Therapy for ADHD

Cognitive Behavioral Therapy (CBT) is a form of psychotherapeutic intervention that can help you and your child understand harmful thoughts, feelings, and behaviors, and be able to positively change them. It is usually a short-term form of therapy that focuses on one or more specific issues.

CBT is based on the understanding that emotions and thoughts play a significant role in the way people behave. For this reason, the goal of this behavioral health therapy is to help children with ADHD learn to develop skills to help them interpret and positively deal with their environment.

How is CBT Used to Treat ADHD?

For ADHD sufferers, the primary aim of CBT is to help them overcome negative emotions and behaviors, replacing them with positive coping strategies. During each CBT session, the therapist will help your child to understand how their feelings, thoughts, and behaviors are all interconnected. CBT for young children is largely done using positive reinforcement such as praise. For older children and adults, the therapist will also teach the patient techniques they can use to change the way they think and respond to different situations. CBT is particularly useful for people who are unable to take medication, or for whom medication alone is not enough.

Why is CBT so Effective for ADHD?

CBT is effective because it can help ADHD sufferers improve their concentration, attentiveness, and organization. One of the main benefits of CBT is that it works on a very practical level. It can help parents, teachers, and sufferers of ADHD learn and practice new skills and apply them to improve ADHD behaviors and situations. CBT sessions usually take 12 weeks, though some families may continue for several months.

If you live in Marion or Abingdon, VA, and you’re looking for a behavioral health expert to help you and your family live well with ADHA, contact Royal Oak Pediatrics :

  • Marion - (276) 783-8183
  • Abingdon - (276) 525-4603
By Royal Oak Pediatric Associate
January 02, 2018
Category: Children's Health
Tags: adhd  

ADHD is becoming a fairly common condition in young children and adolescents. According to the Centers for Disease Control and adhdPrevention (CDC), over six million children between the ages of 4 to 17 have been diagnosed, and the rates continue to rise. Treatment for ADHD varies from child to child, but a combination of therapy and medication is commonly used to help manage the condition. If your child is exhibiting symptoms of ADHD or having behavioral problems at home or at school, the first step is to schedule an appointment with a pediatrician for an evaluation. The pediatricians at Royal Oak Pediatric Associates in Marion, VA, Dr. Anita Henley, Dr. Leesa Lawrence, and Dr. Tara Etter recommend that you have your child evaluated as soon as possible in order to get an accurate diagnosis and appropriate treatment.

Pediatric Behavioral Health Services in Marion, VA

There are many misconceptions and myths about ADHD (Attention-Deficit/Hyperactivity Disorder) and other childhood behavioral health issues. For example, many people assume that all children with ADHD are also hyperactive, but that is not always the case. According to the CDC, there are a few categories of ADHD with specific symptoms:


  • Fidgety, inability to sit still for long periods of time
  • Frequently interrupts conversations, or appears unable to "wait their turn" in conversations or games, etc.
  • Difficulty remaining quiet
  • Constant movement or physical activity like running or jumping at inappropriate moments


  • Easily distracted and forgetful
  • Difficulty paying attention and following through on tasks like schoolwork or chores
  • Appears not to listen
  • Easily loses focus and fails to complete tasks, or makes careless mistakes

The CDC recommends regularly monitoring your child's symptoms and behavior, and to schedule an appointment with a pediatrician if they persist for six months or longer.

Find a Pediatrician in Marion, VA

For more information about treatment options for ADHD and other childhood behavioral health issues, contact Royal Oak Pediatric Associates by calling 276-783-8183 to schedule an appointment with a pediatrician today.

By Royal Oak Pediatric Associate
December 16, 2016
Category: Children's Health
Tags: adhd  

An ADHD diagnosis can be a scary thing to hear for any parent. Luckily, ADHD is a treatable and manageable condition common in adhdschool-aged children. One of the best ways to understand ADHD is to arm yourself with knowledge about what it really is and familiarize yourself with its treatments. Learn more about ADHD with Royal Oak Pediatric Associates in Marion, VA.

What is ADHD? 
ADHD, short for Attention Deficit Hyperactivity Disorder, is most common in children and teens but can continue into the adult years. ADHD causes the sufferer to have trouble focusing, paying attention and sitting still. These behaviors often affect the home and social life and can cause trouble in the classroom as well. 

Does my child have ADHD? 
Diagnosing ADHD in children does not come down to any specific test. Instead, doctors gather information from several sources, including teachers, parents and schools. This is because problems must be present in more then one setting. The American Academy of Pediatrics provides guidelines and clinical practices for diagnosis to help your child’s doctor zero in on the details of the condition. Many times a child will need to have a sleep disorder, learning disability, and a behavioral problem ruled out first.

ADHD Treatment in Marion, VA 
The first line in treating ADHD is cognitive behavioral therapy which helps the child learn to manage their impulses and helps the parents and schools provide an optimal setting for them to learn. If this is unsuccessful, sometimes a doctor will  prescribe medication. These medications are classified as either stimulants or non-stimulants.  Therapy will focus on modifying behaviors and bettering social skills and this has proven effective in treating ADHD. Support groups for parents can be a great source of information and ideas for managing your child’s condition. Since ADHD often affects a child’s learning abilities, special tutors and school programs can help your child stay on track in their education.

For more information on ADHD, please contact Dr. Anita Henley, Becky Ewald, CPNP and Dr. George "Jeff" Jones at Royal Oak Pediatric Associates in Marion, VA. Call (276) 783-8183 to schedule your child’s appointment with their pediatrician today

By Royal Oak Pediatric Associate
September 06, 2016
Category: Children's Health
Tags: Behavioral Health   adhd  

A child’s emotional and behavioral issues are just as important as their physical health.

Certainly kids will be kids; however, when their behavior is affecting school, activities or friendships then it’s time you turned to our behavioral healthMarion, VA pediatricians Dr. Anita Henley and Dr. George Jones for support. Find out more about the behavioral issues you shouldn’t ignore and what we can do.

Does your child…

  • Lose their temper often?
  • Argue with parents, peers or other adults?
  • Blame others for their behavior?
  • Lash out or become angry or vindictive?
  • Disrupt the teacher or classmates?
  • Steal?
  • Defy rules?
  • Lack concentration?

Then you certainly have some behavioral issues on your hands. Fortunately, disruptive behavior disorders are easy for our Marion children’s doctors to identify because of the classic signs of aggression, fighting, tantrums and attention seeking. This group of disorders includes,

  • Oppositional Defiant Disorder (ODD)
  • Conduct Disorders
  • Attention Deficit Hyperactivity Disorder (ADHD)

Of course, children may also be dealing with anxiety, phobias or depression and exhibit some of these same behaviors. When you come in for care we will be able to better assess your little one and determine the root cause of these behaviors.

It’s important to treat your child’s behavioral and emotional issues now so that they don’t affect their social environment or schooling. By nipping it in the bud now you can save your little one from more behavioral troubles in the future.

So, when should you seek treatment?

Most parents don’t want to jump to conclusions and immediately take their child in to see us but you also shouldn’t just struggle through these behavioral issues until you are frustrated and tired. Typically, if these issues are lasting for more than six months without any success then it’s time to seek treatment.

One treatment option that we can recommend includes Cognitive-Behavioral Therapy (CBT), which will help to reduce negative behaviors by teaching your child how to positively interact with family members, authority figures and peers. In some instances, medication may also be needed (as is sometimes the case in children with ADHD).

Royal Oaks Pediatric Associates is here to provide children in the Marion, VA area with the best health care possible. We offer a full range of services so that your child always has the treatments necessary to lead a healthy, happy life.