Ryan is a 6-year-old boy with a history of eosinophilic esophagitis (EoE) and poor weight gain referred to developmental-behavioral pediatrics (DBP) for attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD). Ryan’s mother was concerned about Ryan’s defiance and daily emotional outbursts, which could last up to an hour. Ryan’s teachers frequently contacted the family due to disruptive behavior, impulsivity, and sneaking food.Ryan was born prematurely at 28 weeks…
