I have many parents ask me right away – “How long until we see some improvement?” or “What should I look for?” In my experience, this is very unpredictable. Some of the patients who I see who I think will do really well, take much longer to show improvements and others who have more difficulty make progress more quickly. But it also sometimes happens in the opposite way.

Sometimes the children who have the most difficulty have the furthest to go – so improvement may seem to come more quickly. Sometimes its easier to see even the littlest thing – like they were able to feed themselves an entire meal instead of throwing their food or spoon – are much more obvious. In other situations, especially with my patients who have more of the ADHD/ADD type symptoms we need to look more closely at what they are doing and how they are doing it. I especially see progress first in these patients during homework time. That is when I hear that they are sticking with their homework longer or getting it done faster or even just that they can sit at their desk for 20 minutes at a time when before it was more like 5 minutes before they were up and running around or asking questions.