Richard Merkler, MD, FAAP, brings rich experience and expertise to the diagnosis and management of attention-deficit/hyperactivity disorder (ADHD) in children and teens. Through a comprehensive evaluation, a dynamic approach to treatment, and attention to all of the systems impacted by ADHD, Dr. Merkler is able to significantly improve symptoms and quality of life for patients that visit his Midtown West in Manhattan, New York City practice.
ADHD stands for attention-deficit/hyperactivity disorder, which refers to a behavioral disorder characterized by inattention, hyperactivity, and impulsivity. These symptoms make it challenging to follow instructions, participate in a conversation, and start and complete tasks. They can interfere with relationships, school, or success at work.
ADD (attention-deficit disorder) and ADHD (attention-deficit hyperactivity disorder) were once used separately to describe the disorder with and without the hyperactivity component. Recently, the group of disorders was combined into attention-deficit/hyperactivity disorder, or ADHD, and the terms are used interchangeably.
The most common symptoms of ADHD can be associated with inattention, impulsivity, and hyperactivity and include:
When untreated, severe ADHD can result in poor performance at school, alienation from friends and classmates, family problems, and low self-esteem.
In many cases, a primary care doctor or pediatrician first suggests the possibility of ADHD. However, diagnosis and adequate treatment are best provided by an experienced pediatrician, often in conjunction with mental health specialists or therapists.
The most effective treatment for ADHD takes into consideration all aspects of the disorder as well as risks associated with treatment. Treatment generally includes:
It’s also important that treatment and ongoing evaluation take into consideration any coexisting diagnoses and related problems, such as bed-wetting, which is common in children with ADHD. Furthermore, medication can affect sleep and appetite, so careful evaluation of side effects and dose adjustment are required for the best results.
Many parents delay medicating due to a belief that it may harm their child or prevent them from expressing themselves. On the contrary, medication that’s prescribed appropriately for ADHD often allows the child’s personality to come out in the way they intend. It can improve their focus, function, attention, communication, and ability to follow through. The vast majority of parents are pleased to find that medication, when used responsibly and carefully monitored, produces dramatic improvements in their child’s quality of life.
We accept the majority of health insurance plans. Please contact our office if you do not see yours listed or have any other questions.
"My children have been seeing Dr. Merkler for 4 yrs now. He have an easy going attitude, speaks softly, and the office decor makes my kids feel comfortable"
"Warm, caring, patient, calm are all words that describe Dr. Merkler. We love our pediatrician. His gentle manner put me at ease as a new mother"
"Dr. Merkler is the best doctor I have ever encountered in our life. He is accurate, prompt, kind, compassionate and also very thorough"
"I love Dr. Merkler! He's so nice, so attentive, doesn't make you feel like he's rushing through your appointment, and answers questions thoroughly."
"Lovely, soft-spoken pediatrician who takes time to talk to you and your child. Old-fashioned in the best possible sense."
"Dr. Merkler has special qualities - focus combined with caring and amazing communication ability. He is everything a doctor should be!!!"