64. Mystery Case: 12yo ADHD "acts like she is on speed"
Tue Feb 03 2026
Send us a text
Let's kick off the new year with a NEW Mystery Case! Dr. Elise Fallucco works through the case of a 12-year-old girl with ADHD and a family history of bipolar. After starting a new stimulant medication, the patient exhibits what seems like 'super ADHD.' Could this be a medication side effect, emerging bipolar, or something else? Dr. Fallucco guides you through a detailed differential diagnosis, exploring possible causes and solutions. Tune in to discover effective strategies for managing ADHD medications and ensuring better outcomes for your pediatric patients!
00:00 Introduction and Case Overview
00:15 Initial Diagnosis and Medication
01:33 Evaluating Symptoms and Differential Diagnosis
03:34 Detailed Symptom Analysis
04:37 Ruling out Bipolar in Children and Teens
08:49 Understanding Rebound Hyperactivity
15:40 Managing Rebound and Treatment Adjustments
16:02 Kids at risk for rebound
21:06 Conclusion and Final Thoughts
Check out our website PsychEd4Peds.com for more resources.
Follow us on Instagram @psyched4peds
More
Send us a text Let's kick off the new year with a NEW Mystery Case! Dr. Elise Fallucco works through the case of a 12-year-old girl with ADHD and a family history of bipolar. After starting a new stimulant medication, the patient exhibits what seems like 'super ADHD.' Could this be a medication side effect, emerging bipolar, or something else? Dr. Fallucco guides you through a detailed differential diagnosis, exploring possible causes and solutions. Tune in to discover effective strategies for managing ADHD medications and ensuring better outcomes for your pediatric patients! 00:00 Introduction and Case Overview 00:15 Initial Diagnosis and Medication 01:33 Evaluating Symptoms and Differential Diagnosis 03:34 Detailed Symptom Analysis 04:37 Ruling out Bipolar in Children and Teens 08:49 Understanding Rebound Hyperactivity 15:40 Managing Rebound and Treatment Adjustments 16:02 Kids at risk for rebound 21:06 Conclusion and Final Thoughts Check out our website PsychEd4Peds.com for more resources. Follow us on Instagram @psyched4peds