However, the use of stimulants alone did not substantially improve his educational and social functioning.
We recommend that the treating physician suggest a comprehensive psychoeducational assessment to determine whether he has learning disabilities.
In addition, his academic productivity and social difficulties should be targeted for interventions; given the demonstrated benefits of these methods in clinical studies, we would recommend behavioral parental training, behavioral classroom management, peer intervention approaches, or a combination of these methods.
Specific, individualized, measurable objectives should be established and progress toward those objectives carefully monitored in collaboration with his family and teachers, as well as counselors, coaches, and other advisors in the community.