What would be your approach to managing social anxiety in teenage patients with ADHD, doing well in regards to academic functioning with their stimulant medications?  

Good question! So when the potential for comorbid diagnoses is raised, I take a step back.  1. Some kids with ADHD become (appropriately) self-conscious and behaviorally inhibited in the academic environment due to their off task behaviors, reduced academic performance and challenges with bas...

Social anxiety could be a component of the ADHD spectrum and could improve through a proper treatment course that would include medications, psychoeducation, and behavioral management. If hyperarousal is a component, low-dose PRN propranolol is usually very helpful in bringing the control back inter...

I have had remarkable success with Buspirone.  I’ve seen NO side effects (which of course are pretty common both with SSRIs and with beta blockers). The toughest thing is getting it in three times a day (which I think is more effective than twice a day.   i start with 5mg TID and g...

Psycho education and engagement in “a little anxiety focuses the mind and too much anxiety destroys the mind” along with “the cure to unhealthy anxiety involves exposure to moderate to mid intensity stress with response prevention “.   I also stress that adhd is not an a...