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Ask the Mental Health Expert Archives 2001-2004

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Week of January 28, 2002

    Question: Recently a local judge saw a case where a 16-year-old charged with several serious offenses also happened to have ADHD. The judge determined that the youth was incompetent to stand trial because of his mental illness (ADHD being the only diagnosis). I have the opportunity in 2 weeks to talk with this judge in his chambers regarding ADHD. What advice can you give me regarding my approach? Is there any case law supporting or refuting the judge's position?    Dr. Pies' Answer

    Question: I have a 17-year-old daughter who has been diagnosed with several disorders. First, when she was 10, she was diagnosed with ADD and ODD. Now, 7 years later, she has been diagnosed with bipolar disorder. I'm confused about all of this. I was once told that children are often diagnosed with ADHD and ODD but are really bipolar. Can they have both? I'm very worried for her. Next year she will be attending college and I'm not sure she will be able to handle it.    Dr. Pies' Answer

    Question: What validated outcome measures, in the form of scales, would you recommend to diagnose GAD in 12- to 18-year-olds? I would like to do a case series and would prefer shorter forms to use on a routine basis, and perhaps self administered forms for older adolescents.    Dr. Pies' Answer