Our expert says:
I don't know what methods the educational psychologist used, but I'd rather have her properly assessed by a child psychologist ( CLINICAL, not educational ) or child psychiatrist, for a proer diagnosis ; and I'd prefer a form of Cognitive-Behaviour therapy to be used to help her break this stubborn habit of worrying and over-worrying. I'm no sure you prescribed the Tofranil or why, or in what dose --- it is quite often used in children with bed-wetting, as it increases bladder neck tone, so there is experience of children taking it for some time without ill-effects. It might be usefully sedative, too. Kids are funny with sedatives. Some of them get hyperactive when given the sort of emds that sedate and adult --- and then given a stimulant like Ritalin, they calm down
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