Essentially, if the pediatrician is not being thorough enough for diagnosis and/or not recommending therapy, you should keep exploring your options.
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Even though it may be hard to identify the factor(s) at play, there is an upside. In most of these cases, the brain can be helped to catch up!
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… Thus many children receive the ADHD label rather haphazardly. But diagnosing any child with any disorder should be more than a few simple questions. Many factors shape who we are, so these factors need to be taken into account.