How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Gina P Your Own Question

Gina P
Gina P, LCSW
Category: Mental Health
Satisfied Customers: 175
Experience:  MSW, LCSW, PIP
19637974
Type Your Mental Health Question Here...
Gina P is online now
A new question is answered every 9 seconds

my three almost four year grandson seems to have some sort

Resolved Question:

my three almost four year grandson seems to have some sort of behavioral issues. he is very defiant and exhibits turrets like symptoms. when he isnt yelling or screaming he is very emotional. (i think emotional because people are always angry with him.) he is very smart and i want the best for him.

we dont want to give the usual ADHD meds if in fact his problem is not that disorder. please help

he has also developed a stuttering that is getting progressively worse.
Submitted: 5 years ago.
Category: Mental Health
Expert:  Gina P replied 5 years ago.
Hi, Do these issues appear with everyone or only with certain people? Are people angry with him because of his behaviors or doe he live in a volatile environement? Do his parents impose discipline for his behaviors and what type of discipline? Is it consistent? Thanks, Gina
Customer: replied 5 years ago.
he seems to have the same issues with everyone but it is more intense with certain people. yes people are angry with him because of his behavior problems.his mother (inconsistantly) tries differant discipline techniques. I find that isolation (time out) works best but not always.
Expert:  Gina P replied 5 years ago.

Hi, thank you for responding. It is pretty difficult to determine what may be the cause. Some children develop behavioral problems due to inconsistency in discipline styles and consequences such as with divorced parents who try different methods. This should be consistent to help him develop knowledge in what consequences he will suffer if his behavioral issues continue. If he is able to control these appropriately, it may simply be behavioral type, attention seeking behaviors. If not, a more thorough evaluation by a child psychiatrist would help to determine what may be going on .

 

Children with 'Tourette's can have co occurring disorders such as ADHD and Tourette's and these can be treated with medications, although may not be necessary. You would see symptoms of the "tics" on an almost daily basis if this is tourette's Syndrome. These symptoms will exacerbate in stressful events or with people he may not know well, or if he is tired or feeling sick. Structuring environment and activities can help relieve some of the unpredictable thought process that causes stress, and should relieve his symptoms somewhat.

 

Children's physical or motor type symptoms of Tourette's can be things such as barking type noises, throat clearing, sniffing, eye twitching, etc. These usually only involve one muscle group, but can become more complicated if not treated.

They also can have the behavioral type symptoms you have mentioned. Most of the time medications are not needed, but a more structured environment, to assist him in learning boundaries. Boundaries provide security and confidence in the child and he can learn to control himself within those confines.

 

Your daughter might want to try making a chart of certain behaviors she wants to improve. Always list the positive such as: "John will pick up his toys daily" rather than "John did not put away his toys." For each day that this is accomplished "John" will place a sticker on the chart. He will not get a sticker for the days this is not accomplished, but nothing will be said about this either. This will avoid reinforcing negative things he may do or not do. After he receives a specific amount of stickers, he receives a special reward. Work towards positive by setting goals a little small and working upward, and by allowing him to do some extra things to earn stickers he may have missed. This reinforces positive behaviors. Put this chart out so he can check his own progress as well. This idea works well with preschoolers, and helps them take responsibility for their behaviors.

 

I agree with you. The ADHD thing is tossed around a lot lately, and children may be medicated when they only need a little more structure. I hope this helps, let me know if you have other questions. Gina

Gina P, LCSW
Category: Mental Health
Satisfied Customers: 175
Experience: MSW, LCSW, PIP
Gina P and 3 other Mental Health Specialists are ready to help you
Customer: replied 5 years ago.
thank you gina. you pretty much confirmed the things i thought. i appreciate your time and input
Expert:  Gina P replied 5 years ago.
You are more than welcome! Please let me know if I can help you further. Gina

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education
 
 
 
Chat Now With A Mental Health Professional
Gina P
Gina P
Psychiatric Supervisor/Therapist
175 Satisfied Customers
MSW, LCSW, PIP