Treatment for Pediatric ADHD & Pediatric Mental Health,
including Pediatric Depression, Pediatric Bipolar Disorder
in Ocala,Williston and surrounding areas!

ADHD1

Premier Pediatrics has time for your kids

Treatment designed with YOUR child in mind

Premier Pediatrics offers hope, help and healing for children who deal with ADHD, Depression, Bipolar Disorder, Autism and Oppositional Defiant Disorder (ODD). While the illness may be similar, we understand that every child is different. At Premier Pediatrics, we treat the individual child, not the malady. Personalized care requires a personal focus and personal approach and we provide both. Families throughout Ocala, Dunnellon, Belleview, Citrus Springs, Summerfield and surrounding communities have benefited from the child-focused treatment provided by Premier Pediatrics and we’re confident your child will, too.

Care with Compassion

Welcome to Premier Pediatrics

When you’re a parent, you have an innate understanding of the anxiety other parents feel. Your personal experiences in dealing with your own children enable you to actually feel the hurt and worry in others. When you’re a physician and a parent, that empathy pushes you to a higher level of diligence in treating children. Founder and Chief Medical Director Shahab Eunus is a skilled pediatrician who specializes in general and behavioral pediatrics…and he is the father of a child who has ADHD. When professional training and personal experience combine you end up with a sincere dedication to make a difference in the life of every child you treat. Welcome to Premier Pediatrics.

Child at hospitalADHD

What is ADHD?

ADHD (Attention Deficit Hyperactivity Disorder) is often overlooked or explained away as ‘typical busy behavior’. However, it generally becomes a serious issue when it affects a child’s ability to perform required tasks, specifically in a school setting. ADHD robs children of their ability to focus and pay attention. You’ll often hear that a child can’t seem to stay “on task”.

The Center for Disease Control estimates that 11% of school aged children are diagnosed with ADHD. The National Institute of Mental Health estimates 3-5% of children have ADHD. Some experts believe that figure could be as high as 10%.

There are three subtypes of ADHD.

  • Combined ADHD, which involves symptoms of both inability to pay attention and hyperactivity/impulsivity.
  • Inattentive ADHD (previously called ADD), identified by impaired attention and concentration.
  • Hyperactive-impulsive ADHD, marked by hyperactivity without inattentiveness

What Are the Signs of ADHD?

Children with ADHD display signs of inattention, impulsivity and hyperactivity in definite ways.

These children:

  • Move constantly
  • Squirm and fidget
  • Don’t seem to listen
  • Find it difficult to play quietly
  • Often talk excessively
  • Interrupt and/or intrude on conversations or activities
  • Are easily distracted
  • Have trouble finishing tasks

It’s important to note that about two-thirds of children with ADHD also have other conditions, such as learning disabilities, anxiety, depression, oppositional defiant disorder and conduct disorder. These other conditions can make proper diagnosis of ADHD more difficult. Our ability to provide comprehensive care is one reason so many trust Premier Pediatrics.

What ADHD is not: (Adapted from Getting with the Guideline- Managing Pediatric ADHD in your Primary Care Practice)

  • Not merely a lack of effort, not trying hard enough
  •  Not laziness: most children with ADHD are functioning as well as they can and would rather be functioning well!
  • Not improved by negative, controlling or inconsistent parenting styles

Psychosocial problems at presentation predict ADHD severity, comorbitity and persistence (Blackwell DL. Vital &Health Statistics 2010,series 10 (246) :1-166)

  • Developmentally inappropriate expectations
  • Family discord, divorce
  • Poverty
  • Negative parenting styles
  • Intimate partner violence
  • Parental depression, illness, death
  • Neglect, physical, sexual, emotional abuse

Untreated/undertreated ADHD outcomes:

School /vocational failure

  • Fewer years of education
  • Only 20% complete college
  • More unemployment
  • More often fired
  • More lost work
  • Lower income

Social failure

  • Poor family functioning
  • Deviant peer affiliation
  • More antisocial acts

Accident/Injuries

  • More accidental injuries
  • More ER visits
  • Driving:
    • More moving violations
    • More accidents
    • More physical injuries
    • More license suspensions
    • More license revocations

Substance abuse & sexual risks:

  • Earlier cigarette use
  • Lower cigarette quit rate
  • Higher substance abuse rates
  • Earlier sexual activities
  • More teen pregnancy
  • More sexual partners
  • 4x risks of STDs

High comorbidity rates:

  • Oppositional defiant disorder
  • Anxieties (often multiple)
  • Depression,dysthymia
  • Conduct disorder
  • Bipolar disorder
  • Obesity, eating disorders (females)

More legal problems

Higher healthcare costs

Higher risks of early death

  • Fatal accidents
  • Suicide

Adult ADHD family issues

  • Poor family functioning
  • More failed relationships
  • Higher divorce rates

Dispelling the Myths about ADHD

Five young friends running outdoors smilingMYTH: “They just need more discipline.”

Often, parents believe it’s simply a lack of willpower or discipline. The fact is that ADHD is a medical disorder requiring medical attention. Providing clear, consistent expectations and behavioral boundaries help, but they won’t address the genetic or chemical influences. If pushed too hard, a child’s inability to model expected behavior could result in depression.

MYTH: “All fidgety kids have ADHD.”

Sometimes typical kid behavior might look like ADHD symptoms, but fidgeting, lack of organization and the inability to listen or follow instructions aren’t always symptoms of ADHD. Premier Pediatrics looks for MULTIPLE symptoms that affect your child in a variety of social situations, like home or school. We consider the history of the symptoms. In other words, we take the time to make an accurate diagnosis.

MYTH: “ADD and ADHD is the same thing.”

Actually ADD (Attention Deficit Disorder) was the term used to describe a certain type of attention problem, and it was used for years. Today, medical professionals use ADHD (Attention Deficit Hyperactivity Disorder) as the all-encompassing term under which the different subtypes fall.

MYTH: “You can’t diagnose ADHD until they’re at least 6-8 years old.”

New findings make it possible to accurately diagnose ADHD in children as young as 4 years of age. This is a major step towards improved care in that early diagnosis helps kids adapt to therapies that can increase their odds of success at school.

MYTH: “It’s a phase. They’ll outgrow it.”

The latest conventional thinking is that many kids never outgrow ADHD. In fact, about half of kids with ADHD have symptoms as teens and adults. With proper treatment and symptom management, some of these traits can actually be an asset in future careers.

MYTH: “Your kid’s teacher can let you know if they have ADHD.”

No teacher, aide or principal is qualified to diagnose ADHD. While they may be able to point out problems that they’ve witnessed in kids known to have ADHD, this obviously doesn’t qualify as a professional diagnosis.

O.D.D. / ODD

Angry girlWhat is ODD?

ODD (Oppositional Defiant Disorder) is a condition in which a child displays ongoing and inordinate defiant, uncooperative, hostile and/or annoying behavior towards authority figures. This behavior generally disrupts the child’s normal daily activities at both home and school. Many children and teens with ODD also deal with other behavioral problems including ADHD, learning disorders, depression and anxiety.

The exact cause of ODD is unknown. Research indicates that a combination of genetic, biological and environmental factors may contribute to the condition.

What Are the Signs of ODD?

The most common signs of Oppositional Defiant Disorder include:

  • Repeated temper tantrums
  • Excessive arguing with authority figures
  • Consistent active refusal to adhere to rules and requests
  • Deliberate attempts to annoy or upset others /
    being easily annoyed by others
  • Laying blame on others for their own mistakes
  • Frequent outbursts of anger / resentment
  • Seeking revenge / acting spiteful
  • Swearing / using obscene language
  • Saying hateful things when upset

Premier Pediatrics takes the time to conduct a comprehensive evaluation that may include a complete medical history, physical exam and other tests that may expose a medical explanation for the behavior problems. If physical causes aren’t found, psychiatric and/or psychological evaluations may be suggested. Once we evaluate all results we can shape a treatment plan that meets the needs of your child. There is hope and there is help available for you and your child at Premier Pediatrics.

Premier Pediatrics is here to help. Contact Us to schedule an appointment.

Premier Pediatrics: Click here to access the forms you will need when visiting our office

Request an Appointment Moms-to-be: You’re invited to a special get to know your “Baby’s First Doctor” introductory appointment.
CLICK HERE for more information or to request an appointment.

Schedule an appointment with Premier Pediatrics. We have time for your kids.