To get the context of this article, I suggest you read about Biederman first:
http://1boringoldman.com/index.php/2...enny%E2%80%A6/
Claudia M. Gold, M.D., talks about three-year-old Anna who was the victim of trauma before being adopted. Anna's adoptive parents came to see Dr. Gold because of Anna's almost daily severe explosive tantrums.
Dr. Gold was aware of the work of psychiatrist Bruce Perry. His model of intervention is based on knowledge of brain development and is termed the
Neurosequential Model of Therapeutics.
How Dr. Gold helped Anna's adoptive parents to reach her is compelling. Gold concludes by stating:
Yet it is just the discipline of infant mental health, as exemplified by the work of Dr. Perry and others I have been exposed to over the past year in the Infant -Parent Mental Health Post-Graduate Certificate Program, that offers the answer to the second question: what is an alternative path to that offered by Biederman and colleagues? That same morning of the blog reading and this visit, I had been communicating with colleagues about developing a new program that integrates care among obstetricians, pediatricians and psychiatrists to address perinatal emotional complications. It has been well established that explosive behavior problems in children are often associated with postpartum depression. It is this kind of preventive work that offers a meaningful alternative approach.
Now that it has, I believe, been clearly established that this explosion of bipolar disorder diagnoses and antipsychotic use in young children was the wrong path, we need to move on. We need to fully invest in making the changes necessary to out health care system to enable us to go down a different path towards meaningful help for these struggling families and children. http://www.psychologytoday.com/blog/...young-children