going to improve. Given her poor prior response to medication, the parents and I initially decided to try an herbal approach to treatment. I placed her on St. John’s Wort (a serotonin booster) and had her engage in a daily exercise program. In addition, her parents had to learn to be very firm and prevent her from arguing or opposing them. It took two months for all of the interventions to work together, but they had a significant positive impact on her behavior and academic ability. Mark

