64. Mystery Case: 12yo ADHD "acts like she is on speed" episode artwork

EPISODE · Feb 3, 2026 · 21 MIN

64. Mystery Case: 12yo ADHD "acts like she is on speed"

from Child Mental Health for Pediatric Clinicians · host Elise Fallucco

Send us Fan MailLet'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 Overview00:15 Initial Diagnosis and Medication01:33 Evaluating Symptoms and Differential Diagnosis03:34 Detailed Symptom Analysis04:37 Ruling out Bipolar in Children and Teens08:49 Understanding Rebound Hyperactivity15:40 Managing Rebound and Treatment Adjustments16:02 Kids at risk for rebound21:06 Conclusion and Final Thoughts  Check out our website PsychEd4Peds.com for more resources!Follow us on Instagram @psyched4pedsCheck out our NEW CME Audio-based, on-demand CME Course online at:Pediatric Mental Health CME Toolkit - Cracking the ADHD Code: Essentials for Pediatric Clinicians. https://ce.nemours.org/content/podcast-series-cracking-adhd-code-essential-skills-pediatric-clinicians#group-tabs-node-course-default1

Episode metadata supplied by the publisher feed · Published Feb 3, 2026

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Send us Fan Mail 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 ...

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64. Mystery Case: 12yo ADHD "acts like she is on speed"

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This episode was published on February 3, 2026.

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