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Recently, a parent came to me, conflicted over whether to follow her pediatrician's recommendation of placing her young son on medication. His difficult behaviors had escalated in recent years and after trying behavioral strategies and food elimination diets, there simply hadn't been much progress in his maintaining himself. His behavior at school was deteriorating to the point where the teachers were concerned about his progress academically, psychologically and socially. When the medication suggestion came up, Jane (not her real name) was distraught.

"Drugs scare me", she said. "I guess it's an option I need to think about, but I'm not happy about it".

No parent loves the idea of using medications for children who are exhibiting behavioral problems and I believe that other strategies should be explored first, before reaching for the prescription pad. But for many, all the best parenting strategies, counseling sessions, elimination diets, exercise, etc. just may not be enough to help a child manage his/her behaviors- behaviors that can be dangerous to himself or others; behaviors that are unfortunately, out of his control, and that make him feel badly about himself. This poor self-regulation can cause him to be excluded socially, resulting in repeated reprimands, punishments, teasing and taunts till his self-esteem is totally shot.

We as Americans come from a mind set that if we'd just try HARDER, we can achieve anything. If we try harder, we can get into the top ranked university in the country. If we exert more effort, we can be the winning football team in the district. If we really wanted to, we can climb to the top of the socioeconomic ladder. If we put more effort into ourselves and into our children, we will embrace that American Dream of happiness, fortune and good health. Let's not kid ourselves.

All the hard work in the world will not, with few exceptions, change a child's neurology or biochemistry. Asking a child with, say attention deficit disorder, to try harder and concentrate, veritably backfires. Studies show that the part of the brain involved in executive functioning actually shuts down when forced to work harder than one is capable of doing.

The child with bipolar or other psychiatric conditions often simply can't "turn off her feelings". The autistic child who is overwhelmed by the onslaught of stimuli can't always find ways to self-calm and self-regulate his behaviors.

Under these conditions, it's important for parents to begin working through

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