It seems sound to recommend that Adam stop taking Concerta, because it might aggravate underlying bipolar symptoms.

Strattera not stimulating, but it can have side effects, like prolonged erections, and it is also a fairly new drug. It should be prescribed with caution. It is still uncertain whether Adam's conduct disorders are due to his unstable home environment, and not due to any biological factors. Prescribing Strattera seems like a normal course of therapeutic action, but should not be regarded as a panacea.

Question

If you were the clinician, counselor, or therapist, what would be the primary issue you would want to address?

To be diagnosed with ADHD, the individual should exhibit the symptoms in two environments, and Adam's behavior seems to primarily assert itself in the home. With support, he seems functional in school, and he is substantially less functional at home than at school or with his peers....
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