Monique's Blog's on Mental Health Medication

Developmental Disorders and Medication: Supporting the Brain Without Changing the Heart

Written by Monique Cohen, APRN, PMHNP-BC | Sep 9, 2025 9:15:39 PM

Let's start with a deep breath.

Because if you're here reading about developmental disorders and medication, there's a good chance you're feeling overwhelmed, confused, or just plain tired.

Maybe you're a parent, wondering if medication is the right next step for your child.
Maybe you're a young adult figuring out how your brain works, and what it needs to thrive.
Maybe you've known for years that something was different, but only recently found the words for it: autism, ADHD, intellectual disability, learning disorder, communication delay, sensory processing difficulties.

Whatever brought you here, one thing is true:
You're not broken. Your child isn't broken. And medication is not a betrayal of who you are, it's one tool that might help the brain function more peacefully.

Let's talk about what that can look like.

What Are Developmental Disorders?

Developmental disorders are neurologically-based conditions that affect how the brain develops, learns, and interacts with the world. They usually appear in early childhood but can last a lifetime.

Common developmental disorders include:

  • ADHD (Attention-Deficit/Hyperactivity Disorder)
  • Intellectual Disability (ID)
  • Language and Communication Disorders
  • Motor Disorders (like dyspraxia)
  • Learning Disorders (dyslexia, dyscalculia, dysgraphia)

And no two people experience these in the same way. Developmental differences exist across a spectrum, of needs, strengths, and challenges.

Why Is Medication Sometimes Considered?

Here's the thing: medication doesn’t "fix" developmental disorders, because there's nothing wrong with having a brain that works differently.

But when symptoms like inattention, impulsivity, anxiety, aggression, or mood dysregulation interfere with quality of life, medication can help smooth the path.

For example:

  • A child with autism might struggle with rigidity, sleep, or irritability, and a low-dose medication can help make transitions more manageable.
  • A teen with ADHD might feel like their brain is in a blender 24/7, and stimulant meds could help them focus and regulate their emotions.
  • A non-speaking child might have intense frustration leading to meltdowns, and medication could support emotional regulation while speech therapy does its magic.
  • An adult with a developmental delay might experience crippling anxiety that makes social interactions or work feel impossible, and the right med can help them feel safer and calmer.

Medication doesn't replace therapy, skill-building, or love. But it can lower the volume on distress so that growth can actually happen.

How Do I Know If It's Time to Consider Medication?

This is the million-dollar question. And there’s no one-size-fits-all answer. But here are some signs that medication might be worth discussing:

  • The child (or adult) is struggling to function at school, home, or socially despite therapy or accommodations.
  • Big emotions are leading to unsafe behaviors, like aggression, self-harm, or property destruction.
  • Focus or impulse control is so difficult that learning or basic safety becomes a concern.
  • Anxiety or rigidity is making everyday routines feel traumatic.

And here's a big one:
You're doing all the things. You've tried structure, therapy, visual schedules, sensory breaks, and nothing seems to be enough.

You're not failing. You're human. Sometimes brains need biochemical support.

What Types of Medications Are Used for Developmental Disorders?

Depending on symptoms, a Psychiatric Nurse Practitioner or child psychiatrist might suggest different options. Let's break them down without the scary medical jargon.

1. Stimulants (Mostly for ADHD)

Used when focus, impulsivity, and emotional regulation are the biggest hurdles.

Examples:

  • Methylphenidate (Ritalin, Concerta, Focalin)
  • Amphetamine salts (Adderall, Vyvanse)

These help improve executive functioning, which is often impaired in both ADHD and autism. They can help kids and adults slow their thoughts, reduce outbursts, and follow multi-step instructions more easily.

They're fast-acting and adjustable, but not the right fit for everyone.

2. Non-Stimulants

Used when stimulants don’t work well, or anxiety is also a factor.

Examples:

  • Atomoxetine (Strattera)
  • Guanfacine (Intuniv)
  • Clonidine
  • Viloxazine (Qelbree)

These can help with emotional regulation, sleep, anxiety, and impulsivity, and are often better tolerated in kids with sensory sensitivities or developmental delays.

They work more gradually and are often used in combination with therapy or  behavior plans.

3. SSRIs or Anti-Anxiety Meds

For those dealing with overwhelming anxiety, obsessive thinking, or mood instability.

Examples:

  • Sertraline (Zoloft)
  • Fluoxetine (Prozac)
  • Escitalopram (Lexapro)

Used in older kids, teens, and adults who are struggling with social anxiety, transitions, panic, or repetitive thought loops (often common in autism and some learning disorders).

4. Antipsychotics (Low-Dose, Atypical)

Used when there are significant behavior challenges, like aggression, severe irritability, or extreme emotional dysregulation, especially in autism spectrum disorder.

Examples:

  • Risperidone (Risperdal)
  • Aripiprazole (Abilify)

These are FDA-approved for irritability in autism and used very carefully and in low doses. They can help reduce distress and improve quality of life but require close monitoring due to possible side effects like weight gain or sedation.

5. Sleep Medications

Because let's be honest, when sleep goes, everything goes.

Examples:

  • Melatonin (natural and widely used)
  • Trazodone (non-habit forming, used in older kids/teens)
  • Guanfacine (also helpful for ADHD)

Sleep is the foundation. Without it, behavior, mood, and learning all fall apart. Supporting sleep isn't "coddling", it's brain care.

"Will  Medication Change Who They Are?"

This is the fear that keeps so many parents up at night. And it's a valid one.

The goal of medication is not to sedate, erase, or quiet someone into compliance.
The goal is to help them feel less distressed.
To help them participate in their life.
To give their amazing, unique personality room to breathe.

When medication is working well, you should still see them, just with less struggle.

You may hear things like:

"They're laughing more."
"Transitions don't lead to a meltdown every time."
"We're actually enjoying dinner together."
"He's still himself, just calmer."

What About Side Effects?

Yes, they happen. But most are manageable and often temporary.

Common side effects might include:

  • Sleep disruption
  • Headaches or stomachaches
  • Irritability (especially at the end of a stimulant dose)

This is why slow titration and regular check-ins with your provider are essential. You're not locked into anything. The plan can always be adjusted.

Medication Isn't a Quick Fix, It's a Bridge

If your child can’t focus, no amount of "pay attention!" will work.
If their anxiety is through the roof, no amount of deep breaths will feel safe.
If you're too exhausted to keep going, it's not because you're not trying, it's because you need support, too.

Medication is a bridge.
To learning.
To self-regulation.
To connection.
To hope.

And yes, it can also be a bridge to joy, fun, and peace in your home again.

Final Thoughts: You Are Not a Failure

If you're considering medication, it's not because you "gave up."
It's because you've been showing up.
Every day.
Through the chaos, the tears, the appointments, the doubt.

You're here because you care deeply. Because you see the sparkle in your child, or in yourself, and you want that spark to shine without getting constantly buried by struggle.

Developmental differences are not problems to be solved.
They are just different ways of experiencing the world.

And when support, including medication, is used with love, intention, and care?
That difference becomes a strength.

So, take the next step if it feels right. Ask the questions. Find a provider who listens. And know that whatever decision you make, it's okay to need support.

You're not alone in this. And your brain (or your child's brain) is worth supporting, exactly as it is.

With love,
Monique 💛