Problems & Disorders


Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder (ADD/ADHD) 

Children with ADHD show inattention, distractibility, hyperactivity, and impulsivity more frequently and severely than children of the same age or developmental level. ADHD occurs in 3-5% of school age children and can run in families. A child with ADHD may also have other psychiatric disorders such as conduct disorder, anxiety, depression, bipolar disorder or learning disabilities. Without proper treatment, the child will have difficulty paying attention in class, not complete schoolwork and thus get low grades. Teachers and families who do not recognize this problem may label the child as “lazy”. The symptoms of ADHD in childhood can continue into adulthood, especially if left untreated, and can causes significant problems in holding steady jobs and maintaining healthy relationships. 


Depression often comes with a profound sadness about oneself and life. Basic functions (sleep, attention, appetite, energy) can be so impaired that daily life activities become painful to tolerate. Like adults, children and teenagers can have depression. About 5 percent of children and adolescents suffer from depression, but the behavior of depressed children and teenagers may differ from the behavior of depressed adults. The child and teenager may complain of boredom, become very irritable or complain of frequent headaches and stomachaches. Depressed adolescents may abuse alcohol or other drugs to cope with their feelings. The good news is that depression can be successfully treated.

Bipolar Disorder

Bipolar Disorder (also known as Manic-Depressive Illness) consists of fluctuations between high, low, or irritable moods. Some people may have mostly depression and others a combination of manic and depressive symptoms. Manic symptoms include severe mood swings, unrealistically or grandiose self-esteem, excessive energy leading to little sleep, and rapid speech and movement. Bipolar Disorder can begin in childhood and during the teenage years, although it is usually diagnosed in adult life. The diagnosis of Bipolar Disorder in children and teens is complex and involves careful observation over an extended period of time.


Anxiety disorders are common and often accompany depression in adults. It manifests itself as repeated worries and concerns about the future. If untreated, anxiety disorders can lead to, or worsen existing depression. Children and teenagers often express anxiety through physical complaints such as headaches and stomach upset, become irritable and have tantrums, or become “clingy” or refuse to go to school. Forms of anxiety include phobias, separation anxiety, social phobia, and post traumatic stress disorder (PTSD).


Psychosis describes strange thinking, feelings, perceptions and unusual behavior. Psychosis can develop for many reasons – for example, drug abuse, severe depression, bipolar or anxiety disorders and schizophrenia. Psychosis is more common in adults. Children may experience visual and auditory hallucinations, although this is more likely due to their imagination, immature cognitive development, anxiety or depression rather than a serious psychotic episode. Most of the time, psychotic symptoms resolve; a more serious illness of chronic and persistent psychosis is schizophrenia, which is very rare in children.

Obsessive Compulsive Disorder (OCD)

OCD is characterized by recurrent, intense obsessions and/or compulsions that cause severe distress and interfere with daily functioning. Obsessive-Compulsive Disorder (OCD) usually begins in adolescence or young adulthood and has been estimated to occur in 1 of 200 children and adolescents. Obsessions are recurrent and persistent thoughts, impulses or images that are unwanted and cause significant anxiety. Frequently, they are unrealistic or irrational. Compulsions are repetitive behaviors or rituals (like hand washing, hoarding, keeping things in order, checking something over and over) or mental acts (like counting or repeating words silently). Obsessions or compulsions in children can cause significant stress or interfere with the child's normal routine, schoolwork, social activities and relationships.

Thuy D. Rotunda, M.D.
1100 Quail Street
Suite 100A
Newport Beach, CA 92660
Tel: (949) 608-9659
Fax: (949) 608-9659
Thuy Rotunda, MD
Thuy D. Rotunda, M.D.
Newport Beach Psychiatrist
Newport Beach Psychiatrist
Newport Beach