The Virginian-Pilot
                             THE VIRGINIAN-PILOT 
              Copyright (c) 1996, Landmark Communications, Inc.

DATE: Friday, August 23, 1996               TAG: 9608230372
SECTION: FRONT                   PAGE: A18  EDITION: FINAL 
TYPE: Letter 
                                            LENGTH:   29 lines

TEAM APPROACH TO TREATING ADD CHILD

The article ``Alternatives to Ritalin: Are they safe? Are they affordable? Are they effective?'' (Daily Break, Aug. 15) listed sensory-integration therapy as a ``common alternative treatment for attention-deficit disorder.'' This is an incorrect statement. Sensory integration is a theory based on the principles of normal development and neural function. It provides a framework and treatment approach for assessing children who are exhibiting difficulty in social interaction, emotional behavior and motor development.

Sensory-integration therapy is not and has never been a replacement or alternative to treatments for attention-deficit disorder. Some children who have ADD may also exhibit difficulties in sensory integration. As your article correctly states, there are many conditions that cause the symptoms found in attention-deficit disorder.

Pediatric occupational therapists can be an important part of a comprehensive evaluation-and-treatment plan for children experiencing difficulties with life skills. Therapists trained to administer the sensory-integration and Praxis tests can determine if a sensory-processing disorder is present. A team approach is the most-effective way to best meet the child's needs.

TRACY MILLER

Virginia Beach, Aug. 14, 1996

Editor's note: Tracy Miller is a registered occupational therapist. by CNB