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Dr. Marni Alexandra Silverstein, MD is a pediatrician in Keene, NH specializing in general pediatrics and general practice. She graduated from University of Massachusetts Medical School, Worcester, MA in 2001 and has 25 years of experience. Dr. Marni Alexandra Silverstein, MD is affiliated with Cheshire Medical Center and Dartmouth Health.
Attention Deficit Disorder (ADD/ADHD)
Attention Deficit Hyperactivity Disorder, or ADHD, is one of the most common disorders diagnosed in children. Nine percent of children in the USA have been diagnosed with ADHD. Symptoms, which include hyperactivity and difficulty maintaining focus or paying attention, can last into adulthood for some patients. Boys are four times as likely to be diagnosed as girls, although experts don't know why this is.
There are three main types of ADHD:
When diagnosing ADHD, it is important to rule out other issues that may be causing the symptoms. Seizure disorders, hearing loss, anxiety, and domestic problems are some examples of problems that can cause behaviors similar to those seen with ADHD.
Treatment can include stimulant medications, behavioral therapy to teach patients ways to navigate their world and control symptoms better, and accommodations at school or work. A structured environment (with lots of organization and well-defined rules) seems to help most kids with ADHD function at their best.
ADHD is mainly thought of as a disorder that affects children, but symptoms can last into adulthood for a third to half of those diagnosed. In adults, ADHD has similar symptoms as when it is seen in children: impulsive behavior, difficulty maintaining focus, being easily distracted, or a tendency to fidget. These symptoms can cause problems in a patient's careers and relationships. Additionally, adults with ADHD are at increased risk for substance abuse. Medications can be an important part of treatment for adults, as well as stress reduction techniques and organization skills training. Specialized ADHD coaches can help adults with ADHD manage their symptoms and succeed in all areas of their life.
Dr. Marni Alexandra Silverstein, MD graduated from University of Massachusetts Medical School, Worcester, MA in 2001. She completed residency at Dartmouth Hitchcock Medical Center, Lebanon, NH. She is certified by the Board certification: Pediatrics and has a state license in New Hampshire.
Medical School: University of Massachusetts Medical School, Worcester, MA (2001)
Residency: Dartmouth Hitchcock Medical Center, Lebanon, NH (2004)
Board Certification: Board certification: Pediatrics
Licensed In: New Hampshire
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My goal is to partner with patients, their families, and their communities to help kids thrive. Whether at a well visit or addressing mental and physical health challenges, it’s important to me to listen to patients and their families. I do my best to thoughtfully explain what I think is going on, discuss treatment options. I fully engage with families for their input and questions. I came to pediatrics through a love of science, and a love of kids and of taking care of people. I appreciate the opportunity to create relationships over time, and it is a privilege to support families as kids grow up. I am committed to long-term continuity. There are babies I cared for when I first came to Cheshire who have graduated high school, and I have former patients who are now parents in my practice. I value being there for patients and their families, both when they are doing well and when there are health concerns. Patients and families have said they appreciate the time I spend with them, that I’m caring and thorough, and have a deep medical knowledge. For the best outcomes, it is critical to me that a family feels heard, and that they understand and feel confident in the plan we make together.
