Dr Brendan Belsham

Dr Brendan Belsham Dr Brendan Belsham is a Child and Adolescent Psychiatrist. He has been in private practice in Johannesburg since 2001.

29/05/2019

My top ten tips for managing teenagers with ADHD:

1. Expect ADHD to ๐ฉ๐ž๐ซ๐ฌ๐ข๐ฌ๐ญ into adolescence; it usually does.
2. Respect your teenager's need for (and right to) ๐š๐ฎ๐ญ๐จ๐ง๐จ๐ฆ๐ฒ regarding their treatment; keep the dialogue open.
3. Expect ๐—ฐ๐—ผ-๐—ฒ๐˜…๐—ถ๐˜€๐˜๐—ถ๐—ป๐—ด ๐—”๐——๐—›๐—— in youth presenting with other conditions, especially anxiety, depression and substance abuse.
4. Doctors should have a high index of suspicion for ๐Ÿ๐š๐›๐ซ๐ข๐œ๐š๐ญ๐ข๐จ๐ง ๐จ๐Ÿ ๐ฌ๐ฒ๐ฆ๐ฉ๐ญ๐จ๐ฆ๐ฌ; more and more non-ADHD youth are looking for short-cuts to assist with their studies.
5. Consider the possibility that ADHD may ๐ฉ๐ซ๐ž๐ฌ๐ž๐ง๐ญ ๐Ÿ๐จ๐ซ ๐ญ๐ก๐ž ๐Ÿ๐ข๐ซ๐ฌ๐ญ ๐ญ๐ข๐ฆ๐ž in adolescence, especially in girls.
6. Educate parents and children about the dangers of ๐ฌ๐œ๐ซ๐ž๐ž๐ง ๐š๐๐๐ข๐œ๐ญ๐ข๐จ๐ง; research suggests a bidirectional relationship between ADHD and excessive media use.
7. Piggy-back on the adolescent trait of ๐ซ๐ž๐ฐ๐š๐ซ๐ ๐๐ž๐ฉ๐ž๐ง๐๐ž๐ง๐œ๐ž; use the carrot more that the stick.
8. Educate young people about the value of cardiovascular ๐—ฒ๐˜…๐—ฒ๐—ฟ๐—ฐ๐—ถ๐˜€๐—ฒ, which enhances the brain's executive functions, reduces stress and improves sleep.
9. Emphasise the importance of a good nightโ€™s ๐ฌ๐ฅ๐ž๐ž๐ฉ; 78% of those with ADHD have sleep disturbance, which further compromises academic functioning the next day.
10. Do whatever you can to ๐ซ๐ž๐ญ๐š๐ข๐ง ๐ฒ๐จ๐ฎ๐ซ ๐œ๐จ๐ง๐ง๐ž๐œ๐ญ๐ข๐จ๐ง with your child. Adolescents naturally gravitate away from their parents and towards their peers. If those same parents are constantly reprimanding them, this gap becomes a chasm and the teenager may look for acceptance in the wrong places.

For those who are interested, I will be discussing medications in childhood at the Sierra hotel in Randburg next month.
04/02/2019

For those who are interested, I will be discussing medications in childhood at the Sierra hotel in Randburg next month.

17/09/2018

For those who are interested, I will be part of an ADHD panel discussion on Kyknet (DSTV channel 144) tonight at 10pm

There is much to be said for the idea that higher functioning autistic children are different rather than disordered, an...
22/08/2018

There is much to be said for the idea that higher functioning autistic children are different rather than disordered, and as such deserve to be accommodated within the framework of mainstream education, rather than โ€˜fixedโ€™ or โ€˜normalised.โ€™ After all, it wasnโ€™t too long ago that left-handed children were regarded as disorderedโ€ฆ and look where that got us!
Read more at www.drbelsham.com/blog

I think there is still space available for those who are interested...
21/06/2018

I think there is still space available for those who are interested...

04/03/2018
...and for those with terminal insomnia, I will be on Cape Talk this Monday morning 04:45, on the topic of ADHD and bull...
03/03/2018

...and for those with terminal insomnia, I will be on Cape Talk this Monday morning 04:45, on the topic of ADHD and bullying

Should be an interesting evening, for those who are interested...
01/03/2018

Should be an interesting evening, for those who are interested...

It is well-established that parents of ADHD children are particularly stressed and experience dissatisfaction with their...
15/09/2017

It is well-established that parents of ADHD children are particularly stressed and experience dissatisfaction with their parenting. In clinical practice it is also common for parents to question their role in their childโ€™s symptoms, and to seek out behavioural and other non-pharmacological approaches to treatment. Discover why parenting matters in ADHD, at www.drbelsham.com/803-2

It is well recognised that rates of ADHD diagnosis have been increasing in recent years. For example, 2013 data from the...
16/07/2017

It is well recognised that rates of ADHD diagnosis have been increasing in recent years. For example, 2013 data from the Centre for Disease Control in the United States revealed that 11% of children between the ages of 4 and 17 had received the diagnosis of ADHD compared to 5% in the early 1990โ€™s. Theories abound as to what might underly this trend, including better recognition of the condition and misdiagnosis of other conditions which might present with inattentiveness. But contemporary societal factors have also been implicated, notably the tendency for young children to spend greater amounts of time on electronic devices such as television, tablets and smart phones. Read more at www.drbelsham.com/blog

I think there are still spaces available for those who may be interested in this workshop...
19/06/2017

I think there are still spaces available for those who may be interested in this workshop...

For those who are interested, I will be discussing Autism (and Asperger's Disorder) this coming Saturday morning 9am, on...
22/03/2017

For those who are interested, I will be discussing Autism (and Asperger's Disorder) this coming Saturday morning 9am, on the SABC current affairs show Health Talk (DSTV Channel 404)

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61 Bram Fischer Drive
Randburg
2194

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