Dr John Flett Paediatrician

Dr John Flett Paediatrician 25+ years as a specialist paediatrician. Special Interest in ADHD, autism, learning & school difficulties, anxiety & mood.

Developmental care & general paediatrics. Info here is for patients of Dr Flett only.

“Could Low Iron Be Making Your Child’s ADHD Worse? The Truth Every Parent Should Hear”Iron isn’t just about strong blood...
12/09/2025

“Could Low Iron Be Making Your Child’s ADHD Worse? The Truth Every Parent Should Hear”
Iron isn’t just about strong blood — it’s about a strong brain. In my practice, I’ve seen children with ADHD whose attention, mood, and learning improved dramatically once a hidden iron deficiency was corrected.
Here’s the catch: giving iron “just in case” can be dangerous. Too little iron can affect focus and behaviour, but too much can damage the heart, liver, and even the brain. And here’s the provocative part — I’ve seen children put on unnecessary iron (or the wrong dose) because their blood tests were misread. That can mask the real problem… and create new ones.
Why Iron Matters for ADHD:
Essential for making dopamine & norepinephrine — brain chemicals for focus & emotional control

Helps build myelin — the “insulation” that speeds up thinking

Influences how ADHD medication works in the body

What the Research Says:
Children with ADHD are more likely to have low ferritin (stored iron)

Low iron is linked to worse inattention

In children with ADHD and low iron, safe supplementation can help — but only with proper monitoring

The Rule in My Clinic:
✅ Test first
✅ Interpret in context (not just by the number)
✅ Treat only if needed — and track progress closely
What You Can Do Now:
Focus on iron-rich foods: lean meat, fish, beans, lentils, fortified cereals

Pair with vitamin C for better absorption

Avoid blockers like dairy or tea with iron-rich meals

Never start iron without a blood test & professional advice

💡 Bottom line: Iron can be a missing piece in your child’s ADHD care — but it’s a precision tool, not a blanket fix. Guessing is risky. Testing is essential.
📞 Contact Dr John Flett for expert ADHD assessment and personalised guidance:
Phone: 031 1000 474
Email: support@drjohnflett.com
Websites: courses.drflett.com | guidelittleminds.com | drflett.com

Uncover the Truth Behind “Brain Boosters”: Lion’s Mane & Your Child’s ADHD 🧠Lion’s Mane mushrooms are everywhere right n...
11/09/2025

Uncover the Truth Behind “Brain Boosters”: Lion’s Mane & Your Child’s ADHD 🧠
Lion’s Mane mushrooms are everywhere right now — sold as natural focus and memory boosters. But here’s what parents need to know before giving them to a child with ADHD.
What the evidence really says
• Research is early and small — and entirely in adults. There are no studies showing benefits for children’s brains.
• Claims about sharper focus or better school performance in kids aren’t backed by clinical trials.
• Supplements vary wildly in strength; one bottle may be potent, the next almost inactive.
Hidden risks to consider
• Possible blood-thinning effects — risky if a child uses aspirin, anticoagulants, has a bleeding disorder, or is having surgery.
• Mushrooms can absorb heavy metals like lead, arsenic, and cadmium — without strict testing, contamination is a serious risk.
• Tummy upset (nausea, cramps, diarrhoea) can occur.
Bottom line
Lion’s Mane is interesting science for adults — not a proven ADHD treatment for children. Giving it to a child could expose them to unnecessary health risks while delaying proven, effective ADHD interventions.
A quick safety checklist for parents (use today)
Talk to a paediatrician before starting any supplement.

Make one change at a time and monitor for bruising, bleeding, or gut symptoms.

Stop immediately before any surgery or dental work unless your doctor says otherwise.

Get expert, child-centred help
Dr John Flett offers comprehensive ADHD evaluations, customised treatment plans, medication monitoring, and guidance on safe, evidence-based care.
Contact Dr John Flett
Phone: 031 1000 474
Email: support@drjohnflett.com
Web: courses.drflett.com | guidelittleminds.com | drflett.com
Subscribe to the newsletter at drflett.com for ongoing insights.
Keywords/Hashtags: ADHD awareness, child ADHD, Dr Flett, parenting ADHD, ADHD support

ADHD isn’t just about focus—it’s about self-regulation. The same brain areas that manage attention also manage emotions....
10/09/2025

ADHD isn’t just about focus—it’s about self-regulation. The same brain areas that manage attention also manage emotions. When those systems work differently, emotions:
Hit harder 💢

Last longer ⏳

Override logic in the moment 🧠➡️❤️

What This Looks Like:
Meltdowns over tiny changes in plans

Reliving an insult or mistake for hours (or days)

Mood rollercoasters that leave everyone exhausted

Feeling crushed by even gentle criticism

It’s not being “too sensitive.” It’s brain wiring.
Why This Matters:
Research shows emotional regulation problems in ADHD can cause more life difficulties than attention issues alone—impacting confidence, relationships, and mental health.
Support That Helps:
✅ Name the feeling (“I’m frustrated the plan changed.”)
✅ Build pause points before reacting
✅ Use calming tools—timers, music, fidgets
✅ Consider therapy (CBT or DBT skills)
✅ Optimise ADHD treatment to improve regulation
When we understand ADHD through this lens, we stop blaming the child for “overreacting” and start helping them build lifelong emotional skills.
📞 Need guidance?
Dr John Flett – Paediatric ADHD Specialist
📍 8 Village Road, Kloof, Durban
📱 031 1000 474
✉️ support@drjohnflett.com
🌐 drflett.com | courses.drflett.com | guidelittleminds.com

RSV Protection for Newborns: What Every Pregnant Mum Should KnowIf your due date falls in RSV season, there’s now a way ...
09/09/2025

RSV Protection for Newborns: What Every Pregnant Mum Should Know
If your due date falls in RSV season, there’s now a way to protect your newborn from severe lung infections before they even arrive.
Pfizer’s Abrysvo is a single-dose vaccine given between 32–36 weeks of pregnancy. It works by helping your body make protective antibodies that pass through the placenta to your baby — giving them ready-made immunity from day one.
Fast Facts:
Why timing matters: Maximises your baby’s protection and avoids early labour risk.

How long it lasts: 5–6 months after birth — the most vulnerable period.

Effectiveness: Reduces severe RSV by ~82% in the first 3 months, ~69% up to 6 months.

Side effects: Usually mild — injection site soreness, headache, nausea. Severe reactions are rare.

Possible risks: Slight increase in low birth weight/jaundice (no long-term effects). Small preterm birth signal in trials, not seen in later studies.

Cost in SA: Around R3 700–R3 800 (private sector). Medical aid coverage varies.

If you don’t take it: Your baby can still get nirsevimab after birth for similar short-term protection.
Other key pregnancy vaccines:
Tdap (Whooping Cough): 27–36 weeks — every pregnancy.

Flu vaccine: Any trimester during flu season.

COVID-19 booster: Any stage for added safety.

💬 Talk to your healthcare provider about whether the RSV vaccine is right for you, especially if you have allergies, pregnancy complications, or have recently had other vaccines.
📞 Contact Dr John Flett for expert advice:
Tel: 031 1000 474 | Email: support@drjohnflett.com
Web: drflett.com | guidelittleminds.com | courses.drflett.com

When Struggles Overlap: Autism, ADHD & Learning DifferencesBy Dr John Flett — Paediatrician & Neurodevelopmental Special...
08/09/2025

When Struggles Overlap: Autism, ADHD & Learning Differences
By Dr John Flett — Paediatrician & Neurodevelopmental Specialist
If your child has ADHD, autism, or a specific learning disability (like dyslexia, dyscalculia, or dysgraphia), you might be wondering:
“Could there be more than one thing going on?”
The answer is often yes — and recognising this overlap can be life-changing.
🔹 The ADHD Bridge
30–50% of children with autism also have ADHD.

30–40% of children with learning disabilities also have ADHD.

ADHD alone can impact reading, maths, and writing — even without a formal learning disability.

🔹 Why It Matters
When overlaps are missed, children may be labelled “lazy” or “naughty” — or quietly fall behind, especially girls who mask their struggles. This affects schoolwork, friendships, and self-esteem.
🔹 Signs to Watch For
Slow reading, messy handwriting, or difficulty recalling maths facts

Avoiding group play or struggling with social cues

Meltdowns over small changes or “switching off” when overwhelmed

💡 Supporting Your Child
Get a full assessment to see the whole picture

Build routines and structure at home

Ask schools for individualised support — extra time, quiet spaces, and breaking work into smaller steps

Focus on their strengths, not just their struggles

Early recognition isn’t just about better grades — it protects your child’s confidence, mental health, and joy in learning.
📞 Contact Dr John Flett for expert ADHD, autism, and learning disability assessments and guidance:
Phone: 031 1000 474
Email: support@drjohnflett.com
Web: courses.drflett.com | guidelittleminds.com | drflett.com

ADHD and the Soundtrack to Focus 🎧Why the right background sound can unlock learningEver noticed your child doing homewo...
05/09/2025

ADHD and the Soundtrack to Focus 🎧
Why the right background sound can unlock learning
Ever noticed your child doing homework better with headphones on? Or found you can mark papers in a bustling staffroom but not in a silent office?
For many ADHD brains, the right background sound isn’t a distraction — it’s the spark that switches focus on. Without it, getting started can feel impossible. With it, the brain finds its rhythm.
Here’s why:
ADHD isn’t just about paying attention — it’s about regulating alertness. In silence, the ADHD brain can “under-arouse” and drift. The right sound raises focus into the sweet spot between sleepy and overstimulated.
Quick Sound Guide:
🎯 Reading & Writing → Quiet, instrumental, familiar tunes (lo-fi, soft classical). Avoid lyrics.
🎯 Repetitive Work / Chores → Steady, rhythmic, moderate-tempo beats.
🎯 Short Bursts of Focus → Strong, predictable beat at a moderate volume.
Try This Experiment:
Pick a task (maths, reading, organising).

Test 3 settings: silence, low-tempo instrumental, upbeat instrumental.

Compare focus, mood, and results.

When children find their personal “focus soundtrack,” they:
✅ Concentrate longer
✅ Feel less frustrated
✅ Build confidence
✅ Transition more smoothly between activities
For some kids, the right background sound is the difference between “I can’t start” and “I’m in the zone.”
📍 Contact Dr John Flett
8 Village Road, Kloof, Durban
📞 031 1000 474
💻 Zoom consultations available
🌐 drflett.com | courses.drflett.com | guidelittleminds.com

🧠 “Will My Child Need ADHD Medication Forever?” Here’s What Every Parent Should KnowIt’s the question that weighs on eve...
04/09/2025

🧠 “Will My Child Need ADHD Medication Forever?” Here’s What Every Parent Should Know

It’s the question that weighs on every parent’s heart:
👉 “If we start ADHD medication now… will they have to take it for life?”

The honest answer? Not necessarily. ADHD is a lifelong condition—but medication doesn’t have to be. With the right support, many children reduce or even stop medication as they grow.

🔍 What Affects How Long Medication Is Needed?
✅ Severity of ADHD – Milder cases often need short-term support. Severe combined-type ADHD may need longer-term treatment, especially during school years.
✅ Age of Starting – Early diagnosis and support, especially before puberty, can reduce the need for meds later. Early use may even support brain development in attention and self-control.
✅ Holistic Support – Structure, therapy, good sleep, nutrition, and school support often mean lower doses—or none at all over time.
✅ Other Conditions – If ADHD overlaps with autism, anxiety, or learning challenges, medication might be needed longer. That doesn’t mean forever—just a more personalised plan.
✅ Support at Home & School – With the right parenting strategies and teacher support, children can build skills that reduce reliance on medication.

💬 And if your child does need long-term medication? That’s okay, too. Just like glasses or insulin, ADHD meds are tools—not a failure.

🎯 Key Takeaways
• ADHD is lifelong. Medication use doesn’t have to be.
• Early support = better outcomes.
• Holistic support is as important as medication.
• Every child’s journey is unique—and that’s okay.

👩‍⚕️ Need guidance tailored to your child?
📞 Call Dr John Flett on 031 1000 474
📧 Email: support@drjohnflett.com
🌍 Visit: drflett.com | courses.drflett.com | guidelittleminds.com
📬 Sign up for helpful parenting insights at drflett.com



💊 Can ADHD Be Treated Without Medication? What Every Parent Needs to Know“Do we have to medicate?”It’s one of the most c...
03/09/2025

💊 Can ADHD Be Treated Without Medication? What Every Parent Needs to Know
“Do we have to medicate?”
It’s one of the most common—and emotionally loaded—questions I hear from parents. If you’re asking this right now, you’re not alone.
👉 You want what’s best for your child.
👉 You want a solution that feels safe, natural, and effective.
👉 You want answers that make sense—not false promises or internet noise.
So let’s clear it up: Can ADHD be treated without medication?
Short answer: Yes, but it’s complicated.
Long answer: Let’s look at what actually works.

🧠 ADHD is Not Just About Attention
It’s a brain-based condition that affects:
• Focus
• Emotion regulation
• Impulse control
• Motivation
• Task management
These aren’t “bad behaviours”—they’re signs of a brain that needs support to thrive.

✅ What Actually Helps: A Balanced Approach
Strategy
Helpful?
But…
Stimulant meds (Ritalin, Concerta)
🌟🌟🌟🌟🌟
Most effective, but needs careful monitoring
Non-stimulants (e.g. Atomoxetine)
🌟🌟🌟🌟
Slower onset, good for anxiety
Parent behaviour training
🌟🌟🌟🌟
Requires consistency & guidance
School accommodations
🌟🌟🌟🌟
Needs teacher buy-in
Exercise & movement
🌟🌟🌟
Great booster, not a standalone fix
Omega-3s (EPA-heavy)
🌟🌟
Mild benefit as an add-on
Mindfulness / CBT
🌟🌟
Best for older kids with insight
Dietary changes
🌟
Helps a small group—but hard to sustain
Supplements / “natural” pills
🌟
Often expensive, poorly regulated, and unproven

🛑 Here’s the Risk with “Trying Everything Else First”
Waiting months or years while experimenting with diets and pills can:
• Delay real progress
• Crush a child’s self-esteem
• Add stress to family and school life

🔍 Medication Isn’t the Enemy—It’s a Tool
Think of it like glasses for a blurry world. The goal isn’t to rely on it forever—it’s to level the playing field while we build skills, habits, and confidence.

👦 Meet Aiden, Age 9
Tried all the “natural” things. Nothing helped.
One small dose of Concerta later—his teacher said:
“I finally see the child behind the chaos.”
Medication didn’t change who he was. It helped reveal him.

📣 Real ADHD support is never one-size-fits-all.
It’s not meds OR natural strategies.
It’s meds AND education, routines, movement, emotional support.
Let’s do what works—not what feels popular.

📞 Need guidance from someone who understands both science and your fears?
Contact Dr John Flett—Paediatrician & ADHD Specialist
📍 8 Village Road, Kloof, Durban
🌍 Remote Zoom Consults Available
📞 031 1000 474
📧 support@drjohnflett.com
💻 drflett.com | guidelittleminds.com | courses.drflett.com
🧠 Subscribe for more insights at drflett.com


🌟 “Could It Be ADHD?” How to Find Out—And Why It Matters 🌟If you’ve ever found yourself thinking, “Something doesn’t fee...
02/09/2025

🌟 “Could It Be ADHD?” How to Find Out—And Why It Matters 🌟
If you’ve ever found yourself thinking, “Something doesn’t feel quite right…” — trust that instinct.
Maybe your child is struggling to focus, can’t sit still, or finds it hard to control emotions. A teacher might’ve suggested ADHD. Or maybe you’ve just had that quiet feeling for a while now.
But what next? Where do you turn when ADHD doesn’t show up on a scan or a blood test?
👇 Here’s what every parent needs to know 👇
🧠 ADHD Is Real—but It’s Not Always Obvious
ADHD affects how your child pays attention, manages impulses, and organises their world. But diagnosis isn’t about ticking boxes—it’s about understanding your whole child.
📚 Teachers Can Raise Concerns—but Can’t Diagnose
They see one side of your child’s story. A full picture needs input from home, school, and expert eyes.
👩‍⚕️ The Right Diagnosis Comes From the Right Professional
Look for a developmental paediatrician, child psychiatrist, or clinical psychologist with ADHD expertise—someone who understands comorbidities like anxiety, learning struggles, sensory issues, or autism traits.
🧩 ADHD Rarely Travels Alone
A rushed or partial diagnosis can miss what’s really going on. That’s why a full assessment is vital—one that explores your child’s development, emotions, learning, and behaviour as a whole.
✅ A Proper ADHD Evaluation Includes:
• Parent history
• Teacher feedback
• Behaviour rating scales
• Developmental milestones
• Observations in different settings
• Cognitive/educational testing if needed
⏳ The Sooner, the Better
ADHD doesn’t go away—but early, skilled support changes everything. With the right diagnosis and plan, children build confidence, improve relationships, and thrive.
💬 Dr John Flett Offers:
✔️ Comprehensive ADHD & developmental assessments
✔️ Personalised treatment plans
✔️ Ongoing family and school support
📞 Ready to take the next step?
Phone: 031 1000 474
Email: support@drjohnflett.com
Web: drflett.com | guidelittleminds.com | courses.drflett.com
💌 Subscribe to our newsletter at drflett.com for trusted ADHD insights, tips, and support.
🧠 ADHD awareness starts with asking the right questions—and finding the right help.

🌟 Why Does Every Conversation With My Child Turn Into an Argument? 🌟If you’re parenting a child with ADHD, you might be ...
01/09/2025

🌟 Why Does Every Conversation With My Child Turn Into an Argument? 🌟
If you’re parenting a child with ADHD, you might be nodding your head right now.
Here’s the truth:
❌ It’s not just stubbornness
❌ It’s not bad parenting
✅ And it’s definitely not hopeless
In my latest exclusive video inside the Guide Little Minds group, I unpack:
👉 The real reasons kids with ADHD argue so much
👉 How our natural parenting instincts can (accidentally) fuel the fire
👉 Practical steps you can start using TODAY to ease the daily battles
💡 Once you understand why the arguments happen, you’ll see how to bring calm back into your home — and strengthen your bond with your child.
🎥 Watch the full video here → https://www.facebook.com/groups/guidelittleminds

“Natural” Doesn’t Always Mean Safe — Why Lion’s Mane Mushroom Isn’t the Answer for ADHDParents often ask me: “It’s natur...
29/08/2025

“Natural” Doesn’t Always Mean Safe — Why Lion’s Mane Mushroom Isn’t the Answer for ADHD
Parents often ask me: “It’s natural… so surely it must be safe?”
That belief is powerful — but dangerously misleading.
Here’s the truth: giving lion’s mane mushroom to a child is like handing them an experimental brain drug.
✅ Tested only in animals
✅ A handful of weak, short-term studies in adults
❌ Zero safety research in children
If lion’s mane were submitted as a medicine, it wouldn’t even pass the approval bar for cough syrup in kids.

Why This Matters
In my own practice, several families have tried lion’s mane for over a year, hoping it would improve ADHD. I’ve seen no meaningful improvements in focus, behaviour, or learning. Science agrees — its “benefits” vanish as soon as use stops.

Real Risks Parents Can’t Ignore
No child safety data – A developing brain is too delicate for guesswork.

Blood-thinning effects – Higher risk of bruising, nosebleeds, and injury.

Unregulated content – Supplements vary wildly in strength and may absorb toxins.

Organ stress – Liver and kidney issues reported in adults; children are more vulnerable.

✅ The Safer, Evidence-Based Path
What does help children with ADHD?
• Proper nutrition (iron, zinc, omega-3s, protein)
• Consistent sleep routines
• Daily movement and exercise
• Parent training & therapy support
• Medication (when needed) — decades of proven safety and effectiveness when monitored

🌱 Lion’s mane may be fascinating in a lab. But in children, it’s an untested, unlicensed product with real risks and no proven benefits. Please don’t gamble with your child’s brain health.
👉 Stick with treatments that are safe, tested, and truly effective. That’s how we help children thrive.

📍 Dr John Flett – Neurodevelopmental Paediatrician
8 Village Road, Kloof, Durban
📞 031 1000 474
📧 support@drjohnflett.com
💻 drflett.com | guidelittleminds.com | courses.drflett.com

Diagnosing ADHD: Why It’s Not as Simple as You ThinkParents often ask me:“Is my child really struggling with ADHD… or ar...
28/08/2025

Diagnosing ADHD: Why It’s Not as Simple as You Think
Parents often ask me:
“Is my child really struggling with ADHD… or are they just being naughty, lazy, or immature?”
Here’s the truth: every ADHD symptom is something you can see with your eyes — fidgeting, forgetfulness, losing focus, blurting things out. But here’s the catch: none of these behaviours are unique to ADHD. Every child daydreams. Every teen misplaces things. The difference? In ADHD, these behaviours are persistent, excessive, and disruptive across different settings.
💡 Why ADHD diagnosis is tricky:
1️⃣ There’s no single “tell-tale” sign.
2️⃣ It’s about patterns, not moments.
3️⃣ Age matters — what’s cute at 4 can be a red flag at 14.
4️⃣ Other conditions (like anxiety or autism) can look very similar.
🚫 Beware the gimmicks.
There’s no brain scan, blood test, or genetic test that can diagnose ADHD. If someone tries to sell you one, run the other way. The gold standard is still careful history, teacher input, and expert clinical observation.
🔎 The real criteria (DSM-5):
• 18 core symptoms (9 inattentive, 9 hyperactive/impulsive)
• Children need 6 in one or both groups; adults only 5
• Symptoms must start before age 12, show up in more than one setting, and cause real disruption in life
👩‍🏫 Why teachers matter: They see your child alongside 30 others. If your child consistently struggles when most don’t, that’s powerful evidence.
✅ Takeaway for parents & teachers:
• Don’t dismiss concerns as “just bad behaviour.”
• Don’t waste money on “miracle” tests.
• Trust patterns. Trust teachers. Trust experienced clinicians.
Early, accurate diagnosis opens the door to support — and a brighter future for your child. 🌈
📞 Contact Dr John Flett: 031 1000 474
📧 support@drjohnflett.com
🌍 drflett.com | guidelittleminds.com | courses.drflett.com

Address

8 Village Road, The Assessment Centre
Kloof
3610

Opening Hours

Monday 08:00 - 16:30
Tuesday 08:00 - 16:30
Wednesday 08:00 - 16:30
Thursday 08:00 - 16:30
Friday 08:00 - 15:30

Telephone

+27311000474

Website

https://drflett.com/, https://courses.drflett.com/

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