Thursday, 09 July 2009
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To Medicate or Not to Medicate...
In May, my 8 year old daughter was diagnosed with A.D.D (she is also dyslexic). I have know since she was 4 that she had A.D.D, but getting a teacher to believe you is insane. That is actually how we found out she is dyslexic.
Finally we were able to get all of her teachers on board. They had noticed the problem, and I requested she be evaluated by the staff. We had to fill out a "questionnaire" as well. They were identical scores. Usually parents don't score the children as low as the teachers do. I guess we just want to think the best. A doctors appointment ensued. With more forms and tests.
So, by the middle of May, she was finally on her way to help. The doctor (who is just great) put her on Focalin XR ($154 a month w/o insurance). He said she would lose her appetite at lunch time, she would be more emotional, and to call if we had any problems. She was to take it for 4 weeks and then we would reevaluate her. She had 3 failing grades that came up to 2 Bs and 1 C in 3 weeks time. Something was different though. My dear daughter, who is a momma bird, started to become violent. By the end of the 2nd week on Focalin XR, she had thrown a board across the living room, and shoe at my face, and she was becoming very angry. 3 days into the 3rd week, I got on to her for not brushing her teeth the 6th time I told her. She held her tooth brush up to my eye, and you could tell by the look on her face she wanted to shove it into my eye. That was the last day she took Focalin XR.
The doctor suggested a therapist to make sure she doesn't have any behavioral problems (bipolar). We haven't had a stitch of trouble since she quit the focalin XR in early June. Read the Focalin XR side effects here. After the therapist is done evaluating her, we will be going back to the doctor. Do I try another medicine, or let her suffer through school? The medicine helped her focus dramatically. Her grades skyrocketed in less than a month. I know that it might take some time to find the right medicine, and not every one will affect her that way... but still... it is so scary. I don't want her growing up hating school, and failing because I didn't help her, but I don't want to give her a med that makes her crazy.
What do I do? Should I medicate or not? What would you do?
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Comments (39)
why not homeschool or use caffine. I have a friend that has her son drink coffee 3 times a day during school and he is much better for it. He loves his coffee black and cold. But when I had him as a student in my science classes he was amazing after he drank his "meds".
to medicate if necesarry by the individual.
@alterEGGO@xanga - I am not a "homeschooling" mom. I am actually very much anti homeschool. Personal reasons, before I get haters.I have not been led in that direction. It is not something that would be best for my children.
I have never heard of the caffine trick. Thanks. I'll look into that!
@bravehsgirl@xanga - Well, if you're not willing to homeschool then I think you're going to be stuck medicating in some way. Kids who have attention disorders NEED one-on-one attention and you're not going to find that in a typical school-setting. Have you thought about tutoring to help her out with her grades?
I was diagnosed myself when I was 7, and have been on Concerta since then (currently 14). I reccomend that you try to find the right drug for your daughter. I personally notice a difference in myself when I don't take my medication. I've managed to be an A+ student my whole life. It may be scary, because your first try was so off the mark. But please, for your daughter, try to find the right one. It'll be the best for her in the long run.
As difficult as the trial and error is; I think trying to find the best medication for your child is the key. The coffee trick sounds like something I would be willing to try if I were in the same situation. As a rule I tend to shy away from medications unless absolutely necessary, but in situations such as this; the right medication can make a huge difference for your child. Good luck.
BTW, not everyone was made to homeschool. Recognizing that it would not be in the best interest of your child makes you a wise parent.
@averyswife@xanga - It's not that I am not willing, I myself suffer from bipolar disorder and ADD... so i literally can't help her in an homeschooling enviroment. She is in one on one teaching at school for reading and spelling for an hour and a half. We live in a very small school system with amazing teachers.
As a family of 7 with only one income outside tutoring (sylvan etc.) is WAY too expensive. We did check into that (before we found out she had A.D.D), and left with our jaws on the ground when they showed us the price sheet. Thanks for your comment.
@AmistadBaby@xanga - Thanks so much for your comment. I was really wanting to hear from people who have actually gone or are going through this. It is very reassuring when I hear the success stories.
I did medicate my child for one semester. We used Strattera and it seemed to work really well for him. We tried several different routes before medicating. It was not my first choice but really helped his grades and self confidence. Once school was out for summer we weaned him off it and decided to see if he needed it again during the fall. Between being older and a different school he didn't need it again. He probably could have used it but it wasn't as bad as in the past and he felt like he could handle everything without it.
My brother has ADD and he was medicated. He was fine. He went off of it in his own time, and he's doing fine. He had trouble focusing in school, but he never had any emotional problems. I really don't know what to tell you.
@bravehsgirl@xanga - I would look into all the options besides medicating. I have heard of people going about it through diet and vitamines. I know there is loads of info out there...it is just hard finding which ones are for real and finding what is right for you and your child. I wish you strength and great success in this adventure you are starting on.
@bravehsgirl@xanga - also another thing... you may want to look into charter schools that don't homeschool. Waldorf is a great one and I know a few kids with adhd that attend with great success.
I always swore I wouldn't go on meds because I kind of felt like that
meant I was failing at being successful...or whatever, it's difficult
to explain how it makes me feel. At my last visit my doctor convinced
me I at least give the meds a try. Now I wish I had done this years
ago. I can concentrate, I'm not up and down all the time, I don't snap
at the drop of a hat. It takes some time to find a good medication (I
was lucky enough to get great results on the first try) but in the end
it will totally be worth it for your daughter. Don't let her suffer
through school, she'll never reach her full potential if you don't give
her the tools to do so. I wouldn't recommend just stuffing her with
pills either though. A combination of medication and counseling (to
help her develop coping techniques) will ultimately benefit her the
most in the long run. Yes it will take some time and you may need to
try a few different medications before you find one that works, but in
the end your daughter will thank you for it. While I always promised
myself that I would never do this, I'm now certain that this is the
best thing I could have ever done for myself.
Did you already rule out dietary issues? I myself am allergic to preservatives and red and yellow dyes not from dandelions or beets or whatever are allowed in my house. High fructose corn syrup is also not let in often (although it sneaks in in ketchup until I can get enough tomatoes from the garden to make my own, and so on). I assume you're already looked at the Feingold diet and all that - a friend of mine swears by it and her oldest is almost 10yo now.
Since homeschooling isn't an option for you... any private/Montessori/Waldorf/Mastery schools or whatever near you that may be a possibility? Might be a different thing to try. Okay, nevermind, you're in a small area. What about bartering with someone for tutoring help if/as needed? Like say Uncle Joe is awesome at math and chemistry and Aunt Rita is good with english and biology and Neighbor Esther is an awesome seamstress - trade firewood, frozen meals, babysitting, etc.
Only you can make that call - but I personally would lean towards medication. If she has been formally diagnosed, it's all "agreed on" that your daughter has ADD... and you've already seen improvement while ON medication ... then it's the side effects that are non-desirable. (Not that I blame ya a jot - just saying.) So why not try a different medication, since you DID see improvement? Can't say it was a bad idea to take her off the first kind, though... wow.
do NOT medicate...if you do that you might as well put the kid in a psyche ward, it's pretty much the same thing,
I have a number of suggestions as a woman with adult ADD (which started when I was about 4 or 5 as well). The caffeine trick is really good. I don't know if you would be able to do it in a normal school setting, but you may as well try. Even if it's just something in the morning, at least she'd be able to focus for a good portion of her classes.
There are many, many other medications to try besides what she was on before. Sometimes with any disorder (ADD, depression, etc.), it's trial and error to find the right dosage and the right medication. But it can be done.
Another option which I'm not sure whether it's available to you or not is to look into alternative schooling. Not homeschooling, but there are a lot of alternative programs geared toward kids with learning disabilities or attention disorders that require extra attention. I used to teach at one in Florida (I taught sophomore-senior English courses), and the classes were very small, comparatively. As a teacher, I had a lot to do to prepare for each class, but within each class, I was able to devote my attention to those who needed it. Also, those schools generally set aside funds to hire more teacher aides to help as well. It's something to look into - either alternative education or maybe even a charter school.
I wish you lots of luck, because I know when it comes to your child, it's a hard decision to make (I am going through something similar - my three year old has just been diagnosed with autism).
I was diagnosed with ADD when I was 6. My Mom did not medicate. We started finding strategies to help me focus on necessary tasks. We did home school, but I don't think that needed as long as you have the cooperation of her teachers. Whether or not you medicate I think it's really important to teach her how to cope with her difficulties. Medication is kind of a band aid fix. It helps for the moment, but doesn't do anything for the future. I do still struggle with paying attention, but I'm a registered nurse and have been successful in the goals I've set for myself. If it was my child, I'd reserve medications for last resort. She is so young and any psychoactive medication you give her will affect her brain development.
I say this as a teacher and person who takes medication myself for various reasons...
In my experince getting the parent to believe you as a teacher is also difficult. Many times I hear "not my child"... So I understand how this must feel.
I think that medication is not for everyone, I have been on many myself, in and out of therapy since the ago of four...
Like someone else said...it is trial and error...
Many times I have seen parents do medication during the school year and then off in the summer...
My son is ADD (inattentive type) and also dyslexic, he is 9. We do not medicate. What worked wonders for us was Neurofeedback Therapy. It GREATLY reduced the anxiety that came along with my son's ADD and helped him focus. The catch is it is pricey. The absolute cheapest I have seen is $50/session and a minimum for 40 sessions are needed and that does not include the initial brain scan and evaluation. Our insurance did not cover it at all so we used our Health Savings Account in full for 2 years to pay for it. I do know of other families that have gotten their insurance to pay for it but it is rare. It's much cheaper for insurance to pay to drug your child than give them permanent solutions they can take with them their entire life.
We also supplement my son with fish oil and a calcium/magnesium supplement. The fish oil helps the brain work optimally, the cal/mag is good for bones (calcium) and mood (magnesium). We also put him on probiotics once per month for a few days to flush his digestive system because seratonin (mood again) is produced in the gut and a clogged up gut cannot produce seratonin effectively.
Lastly, exercise! Exercise releases extra energy, helps them focus and stimulates the productive of positive mood affectors like endorphins and seratonin. Amazing results have been seen simply by having children walk to school or play hard for 30 minutes before school starts and then jump rope throughout the school day. Using a fidget or balance ball (for seat work) is helpful too for some chidlren.
One book I highly recommend is "Healing ADD" by Dr. Amen. He is not at all anti-drug and gives a very good breakdown of the 6 types of ADD and specific treatments paths parents can take.
I do have to add here that we also homeschool. I was spending far too many hours at the school in meetings and my son was spending far too much time in the resource room away from his classmates. If I'm going to work that hard I'm going to give my son, and other children, the best possible environment for their individual learning styles, a loving home. It works for us.
i think you may just have to find the right medication...
Well, none of my children have any issues, and we do homeschool, so I do not want to be too pushy with my opinion, because it is not something I am dealing with, so obviously my thoughts are not as valid as soemone who is going through what you are dealing with. Having said that here is my opinion. I used to teach kids and adults with different types and degrees of learning, attention, behavioral and other issues. Sometimes meds were nessasary, but the ones who made the most progress, that I saw, were always the ones whose parents said NO to medication, and kind of refused to give in to the disability or problem. I had a few parents say things like "Everyone has issues that make it harder to behave. That is no exuse, and we are not going to let it become one." And then make a plan, with the knowlege that only a parent can have on working around the "ADD", "Bipolar", " Anxiety", "Autism Spectrum", or whatever the issues were. It was super hard work, and very time consuming, and even heartbreaking, but I have seen wonderful results over the course of many years. I am thinking of a couple of people in particular who through mind bogglingly hard work and lots of prayer took their kids from not really understandable speaking, tantrums, no focus, etc. to kids who, years later, can sit through church or an academic discussion and focus on at least part of what is being said, and not be disruptive. From kids who were failing even the first couple years of school, to young adults who are able to hold their own in some college course work. So I guess my answer is, there are probably times when no other option, no matter how hard, or how long it is tried, will work and medication is needed, but if you can do it without, do.
And on the schooling issue, I am a homeschooler, and I do think that is a wonderful choice for most kids, but it is not the only choice. I actually know multiple families who homeschool all of their children except the one who has the types of issues you are talking about. They found homeschooling the ones with special needs too disruptive to the home classroom, and they had wonderful support from the Special Ed departments of their school district. Their kids were able to get a lot from the school's program in these cases. They do live in districts that do not push medication though, which might be a different story. I also know people who homeschool kids with these issues and that has also worked out well, and medication was avoided.
Keep trying the different meds... It took trying out 3 of them before we found one that worked for my nephew, and even now we're debating on trying another one. Each child is unique, you can have two kids on the same med, but have to have them on different doses. Or even two siblings on completly different meds. Oh and for the coffee trick... It can't be sugered and creamed to the nines, otherwise it's pointlessl.
Just keep your hopes up, and good luck.
whether you decide to medicate or not is your decision, but don't go halfway. I have this friend, who ended up reproducing, and her kid has ADD. I leave my other opinions about this friend aside but notably she only gives her kid his medication half the time, so he's never been able to adjust to it properly. I think she's probably going to spend the rest of her life paying for her kid's therapy bills because of it. Pick a side medicate or not to medicate don't go in-between
I would teach her how to meditate and possibly enroll her in a Karate or Yoga class to show her how to control and quiet her mind and body. It may sound fu-fu...but it worked for my 8 year old son who has Asperger's Syndrome (he has many traits which are very similar to ADHD). If you're willing to try a drug for a month...why not allow the same time to something a bit different. Not to mention, that this would be a lifelong skill that will serve her forever...who knows how she will function as an adult if all she knows is control through meds.
BTW: You are obviously a fantastic mother who loves her child very much...whatever you decide will be in her best interests and you should hold your head high regardless of anyone else's opinion.
Have a playful day!