An Uncle's Letter

November 27, 2001

Dear James,

I know that your father and grandmother had spoken to you about taking a medicine called Concerta.  I wanted to write you a short note as you probably heard that it was my idea.  Well, in fact, I think it was.  So, you might want to know how I came up with it.

First, remember that I am a child psychiatrist.  I have been one for over 20 years. This means I see all sorts of kids for different problems or things that get in their way.  I have seen many kids who have trouble with being too active, too impulsive, and trouble concentrating.  They are not “crazy” kids.  They are just kids that have trouble in these areas.  I have seen all sorts of people with this problem including “A and B” high school students, doctors at my hospital, and a number of businessmen.  When I have seen you I have always noticed how smart, funny, and loving you can be, but at the same time I have noticed that you could benefit by being less impulsive (such as when you interrupt or intrude on others or blurt out responses without thinking).

When I see this pattern at work (or even with my friends), I know there is a good chance that a stimulant medication can be helpful.  This kind of medication works by stimulating areas of the brain that slow down activity and impulsivity while increasing concentration.  It does not “drug” people, but helps them be more effective.  It does not mean people are “crazy,” but actually can help them be in better control.  I thought that a medicine like this would help all the good sides of you come into more focus so that others can see you much better.

I suggested to your father that you try Concerta.  It is a medicine that lasts 12 hours.  It is taken in the morning prior to school so you don’t have to take it at school (and no one really needs to know there if you wish).  One begins by taking 18 milligrams, but often doses of 36 or 54 milligrams may be needed.  All the kids to whom I have prescribed it have had no significant side effects.  There are other similar medications (such as Adderall, Ritalin, or Dexedrine) used, but I thought Concerta was a good place to start.

Anyway, those are my quick thoughts.  I am glad to talk to you further.  I had heard that you do not want to take the medication.  I certainly can understand that no one ever really wants to take medication.  However, I would strongly urge you to give it a trial.  Once you have had a trial then you and your father can decide if you want to stay on the medication.  I have seen so many wonderful kids (and adults) benefit from stimulant medication use.  This has nothing to do with being “crazy,” but everything to do with helping you put your best foot forward. 

Love,

Uncle Dan

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