E.’s distress and frustration with school and with his brother continue and erupt in intense tantrums, which in turn, stress P.
We decide, on the advice of E.’s physician, to try him on desiprimine. It is a class of older tri-cyclic anti-depressant that in children like E. can help executive function.
Within a few short weeks, (without knowing about the medication) the school is reporting a significant improvement in E.’s ability to access the curriculum. He is slightly less volatile at home.