L.S. asks from Cheyenne, WY on September 19, 2006
ADD, Behavioral Problems-I Think There's Something More.
My son is 6 years old, and just started 1st grade. When he was born in December 1999, he showed all of the signs of being premature. He was very small, had jaundice, and needed oxygen and a feeding tube. I had a very hard pregnancy and was on bed rest for 5 months to keep him. He continued to have problems with food allergies and developmental delays until he was about 3. Since then, he seems to be back on the average side of the growth curve, and can eat pretty much anything. A little over a year ago, right before he started Kindergarten (sp?) his Preschool teacher mentioned talking to his Dr about ADD. She thought he was showing some signs. I talked to her, we started him on Adderall, and we had a much better year last year, but definitely not one without behavior problems. We didn't give him the Adderall over the summer vacation, because I don't want him to develop a tolerance to it. Since we started school again this year, we have been having a lot of problems with his behavior at school. He "doesn't listen" to what the teacher tells him to do, takes forever to put his things away, is easily distracted, hits & pushes other children, etc. He won't talk out loud in class when the teacher calls on him, but gets into trouble for talking non-stop to the kid next to him, no matter who it is. (He's always been shy, and his major problems when he was younger was a speech delay.) A couple of the newer things he's doing- He rapidly blinks one eye, has trouble putting his thoughts into a sentence in less than 10 minutes, and does "the potty dance" when he doesn't need to go to the bathroom. I talked to his doctor about it, and she said she thinks the "tics" are just a place for him to expend nervous energy, and upped his medication. That's helped a tiny bit with his talking at school, but hasn't done anything for the movements that worry me. Just looking for any ideas. If you've read through this entire explanation, I REALLY appreciate it. Thanks!
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S.H. answers from Omaha on September 25, 2006
My 17 yr old son has ADHD, and for several years we went thru the medication guessing game!! From adjusting dosages and trying new meds, the "tics" never went away. He suffered facial and other muscle tics. It was actually a reaction to the stimulants that they put in Ritalin, Adderall and Concentra. For several years we did not have him on any meds,and tried other methods. There is a book "How to help my ADHD Child" by John Taylor, he is pyschologist and a parent of 3 ADHD children. This book is wonderful!! Reading the book made me think "When did you meet my kid?" Very parent friendly reading!! I also recently put my son on the medication Strattera, which is stimulant free. It has been working pretty well aside from some headaches he occasionally has(that is a side effect some times)They are not severe headaches so he has been able to live with it. Good luck, I know it can be very frustrating at times!!
S. answers from Salt Lake City on September 20, 2006
I saw this story on Good Things Utah this morning and thought it might help. You might want to see if there is a pediatrician who specializes in behavioral disorders as they would be more helpful than a regular ped who treats everything with a blanket medication.
Call 1-888-ASK-ADHD or visit www.adhd.org.
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S.G. answers from Omaha on September 20, 2006
I would defenitly get a second dr involved. I feel to many teacher's see a child and say ADD. I don't know much about it, but I would take your child to get a second opinion. Good luck
F.H. answers from Portland on September 20, 2006
First and foremost, medical doctors (even pediatricians) are not licensed psychologists or psychiatrists and cannot diagnose a mental disorder. There are four general categories for tic disorders and they include Tourette's Disorder, Chronic Motor or Vocal Tic Disorder, Transient Tic Disorder, and Tic Disorder Not Otherwise Specified. Tics are not normally part of an ADD diagnosis. Seek the help of a certified psychologist or psychiatrist. Your school should have a school psychologist you can consult with to get a better idea.
K.V. answers from Portland on September 20, 2006
you might be interested in talking to someone at 888-ask-adhd about the tics. so many of the behavior problems you are talking about were what my son showed as well. however, adderall has worked wonders for him. he declares himself a "school geek" now because he loves it so much. i'm sure you've heard that premature babies are more likely to have adhd than full term babies. i don't know what the rational behind it is but i've been told that by doctors and a psychologist who helped diagnose my son. also, the tics could be a slight form of tourrets(?)syndrome. not all kids twitch and curse out of control. my neighbor's son raises his eyebrows and drops his jaw at the same time and only about once every 30 minutes and he was diagnosed with tourrets. good luck.
J.S. answers from Grand Rapids on September 21, 2006
L.,
Has anyone ever suggested he should be evaluated for Sensory issues? I am by no means suggesting this is what he has but some sensory issues mimick ADD/ADHD which causes for misdiagnosis. It may be worth considering. Get your hands on a copy of The Out of Sync Child and skim it to see if anything rings true to what your son is experiencing. In particular read information on the "sensory seeker."
L.J. answers from Sioux Falls on September 20, 2006
I am ADHD myself along with most of my family and have been on Adderall for quite some time now. My 4 year old- who was 2 months premature- is presenting symptoms of ADHD now. i have decided not to medicate him until the ADHD interferes with has school work and/or social interactions. It does sound, with the information you have provided, that your son is having difficulty in daily life. With the research I have personally done Adderall is usually not the first choice for small children, especially boys. All stimulants will slightly inhibit growth; however some kids use so many calories daily having excess energy its a mute point. With myself, my son, and 3 of my 6 brothers the first step for us was always making sure we were not nutritionally deficient in any vitamins, minerals, enzymes, etc. Second was learning behavior modification: self-soothing techniques for when your son becomes over stimulated and frustrated, and techniques for you to help him listen and retain information. Third, find a physical outlet or two for him. Gymnastics works for my son, martial arts for one brother, lacrosse and football for another, while hot yoga works for me. Another one of my brothers has a very difficult time expressing himself and uses art as on outlet (he's not very talented, but who cares if it makes him easier to deal with.) Another thought is he might be brilliant yet have multiple severe learning disabilities, this my situation. These are just a few suggestions for ADHD. If you do suspect it is something other than ADHD my advice is to have him evaluated by a child psychiatrist, ask around and check references to find someone deciant. I hope some of this helps you and your son, I remember how difficult it is acting and thinking different than the other kids. Good luck!
T.K. answers from Sacramento on May 27, 2007
several people mentioned nutrition.I would diffinately try nutrition and nutritional supplements 1st.I have 3 special needs children. I have put all 3 of them on reliv a patented food supplement made to give our bodies optimal nutrition. My son is bipolar and odd I have been able to take him off his tenex and zoloft and my daughter has been having alot less outburst both at home and school.My other daughter is calmer.I have a friend who has a son with aspergers who put her son on reliv and he also is having amazing results and fewer outbursts......T.
J.K. answers from Portland on April 21, 2007
i'm having some behavior problems with my son also, and my sister suggested i go see a child psychiatrist. she takes her children (her two boys have adhd and one is autistic and the other one also is bi-polar). she says its done miracles, because they can help with the behavior much more than a doctor can. a doctor can pretty much only administer drugs. i would suggest looking into that, as he seems to have much more than just attention problems. good luck!
W.J. answers from Eugene on September 19, 2006
I would definitely get him checked out by a more qualified doctor. Tics like that can be what your doctor is saying but can be so much more. Tourette's syndrome has tics and sometimes seizures can look like tics when they are localized. I would highly suggest getting him in to see a pediatric neurologist.
W. Jones
Breastfeeding Educator
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