L.S. asks from Palmetto, FL on November 24, 2009
Seeking Advice on When to Test/treat for ADHD
I am a mom of two beautiful girls (5 and 8), I work fulltime as well as go to school full time. My husband works fulltime as well. It seems that the jump into kindergarten has not been so easy for my 5 year old. I have received multiple notes from her teacher reporting: lack of attention/focus, too talkative, disruptive in class, walking around class during class, mean to other children at times (verbally), trouble following directions and following through, etc. After talking to her and doing my homework on her list of problems----it dawned on me---could she have ADHD? Needless to say my husband and I have tried everything for discipline from time-outs to explaining the rules to her, etc. My worries are that she would need some medical help in her behavior and I miss it or that I jump to quickly in allowing her to be tested and medicated. I have concerns on medicating a 5 year old but I feel as though I am running out of options and I don't want her to be a guinea pig....
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C.P. answers from Chicago on November 24, 2009
I was that child in school and no one pointed anything out until I was in 7th grade. I went to the doctor and was tested and put on medication. I became a different kid. I did well in school, had an easier time making friends and was just a happier person. I wish someone would have said somthing sooner.
If you truly think she may be ADD or ADHD, have her tested. If she does not have it then she lost 1/2 day of school if she does then you can start helping right away before she really has a chance to fall behind in school.
There are a lot of differnt methods of treatment, some don't even require medication.
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D.P. answers from Miami on November 25, 2009
Dear L.,
Call pediatrics.com for any medical questions regarding children; a dr. will answer you, and WebMD.com for any mecical question regarding adults.
Best of luck,
D. P.
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A.A. answers from Boca Raton on November 25, 2009
Oh Sweetie... this might sound harsh... but I just have to say it, for the kids sake. Too many parents put their kids on meds when they cant get the response they want from the kids. All 5 year olds are active and they need you. they have an attention span of about 15 minutes, and that is normal !!! If you and your husband are both working full time, and you are taking a full load of classes, then you are both overloaded and are not spending the time with the children that they really need. She may not have ADHD... she may just need attention from mom and dad. Not just a spare hello during dinner. A child that small needs each of you to play with her a minimum of 2 hours a day. She will not be able to develope coping skills and caring skills, or the ability to pay attention to adults outside of home, if the adults at home leave her to her own devices while they are busy with other things. Her big sister cant teach her if the big sister doesnt have those skills either. I am a single mom, and I am in college full time. I purposefully drop my kid at daycare early so I can do my homework at school. when daycare ends at six pm... it is my time to be his mom and there is nothing in my way. I play... i watch cartoons... i color... i build lego blocks and whatever else he needs of me. We cook together and do laundry and dishes together, so that he is not left to his own devices, but receiving my attention even during my chores. Your girls need you to be there every day... not just in your spare time. If you, as the mom, don't have two hours a day to spend playing with your kid... then dad needs to get on the floor and play with her that much more. You have children to raise.... they are more important than anything else. You will never be able to replace this time you are missing with them. work is important so you have money to care for them, but could you go it on one income for a while for the sake of the child? She is acting up in school because she WILL get attention for it.... she is begging for attention ... not medication. Please dont think I am trying to hurt your feelings, but I was from a home where my mom did nothing for me. She never had time to teach me anything. not to cook or clean either. I was lost when I grew up. I was a bad kid all through high school. My life changed when I got out of the house and went to live elsewhere. I went to college and made all A's and made something of myself. I did not have ADHD, I was suffering for attention from a mom who claims she did her very best. She could have done better, she just didnt want to play with me. She didnt want to waste her time playing with dolls and coloring. I can only imagine what a different person I would be if my mom would have sat on the floor at my level and really got to know me and my needs and play with me. Today... I think I am smothering my son because of her.... but when he gets older I wont have a chance... so I am going for it now. Nothing is more important that the children.
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G.W. answers from Jacksonville on November 24, 2009
Hi L... most doctors idea of testing is a simple conversation.. I had a hard time believing someone could have a conversation or 2 or 3 with my child and diagnose add/adhd no matter how much experience or education they have.. because children are different in different enviroments. So I found biofeedback. They do a medical test called an EEG that can diagnose a number of disorders, including ADD/ADHD. They basically hook up a moniter to your childs head and give them multiple activities and see how thier brain reacts to the activities. To the child it seems like a computer game. The feedback they get from the test tells them what level add/adhd the child has and helps them proceed with a plan of action.. the child then comes in for biofeedback which helps the child get control of thier thought process. They give them age appropriate activities while they monitor the brain .. and when the child reaches the level of concentration they need for each activity the computer dings so they know they are on the right track and they earn points each time it dings and earn prizes.. the child thinks they are playing a game but they are really learning to focus. It is an alternative to medication that I would recommend you look into and try before turning to medication. Medication is not a bad option, but if this works and medication is not need its was worth the time invested. I looked up your city on google and there are a quite a few biofeedback doctors near you. See
http://www.google.com/search?hl=en&q=%22biofeedback%2...
This combined with some training they will give you on diet and disapline may be the answer, maybe not but at least look into it. My insurance paid for all of this,except the EEG test that was $400.00 out of pocket and our doctor allowed a payment plan. I hope this helps.. if you have questions that I didnt answer PLEASE dont hestitate to private message me. God Bless!! =))
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K.H. answers from Tampa on November 25, 2009
My niece lived with us through a good bit of her childhood. She was the worst ADHD I've ever had to deal with. She was on Ritilin from the time she was 5 and Lithium from the age of 10. It helped some, but she was still impossible. We did the diet thing....milk, beans, peanuts, red dye #40, and sugar were particularly big triggers for her. In fact, red dye #40 caused a specific type of behavior we didn't see at any other time. She's now 25, still acting out, but in somewhat different ways. She still has no impulse control and does some pretty stupid things that get her in difficulty. She's just missing that mechanism that makes one stop and think a second before doing or saying something.
Her 7 y/o daughter acts just like her. Niece finally relented and had her tested earlier this year....after the past 4 years of dealing with her daughter's horrible behavior. She is now on concerta (?) and another medication for the oppositional defiance. It is helping some. She had done okay in school learning wise, but was a behavior problem....she's now doing quite a bit better now.
I hated having to give niece those meds when she was little, and she hated taking them (hence, her waiting so long to do something about her daughter's problem)
My advice: Go ahead and get her tested. Try the meds if the doc suggests it. Add in some counseling if you can--it helps a little bit, too. And do some research on ADHD and diet....'cuz it really can make some difference.
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S.S. answers from Miami on November 25, 2009
L.,
My son who is 7 was tested at the beginning of the year and was diagnoised with ADHD. I opted not to have him medicated and the doctor agreed and stated that that would be a last resort. As of last week after a year of NeuroFeedBack therapy I am happy to report after a re-evaluation that my son is no longer showing the same signs that he was at the beginning of the year. He is still showing some of the behaviorial issues and the doctor that he is seeing is going to work with me on helping to control those issues which I am greatful for. I didn't like the idea of medicating my son. I want him to learn to deal with things without depending on medication to make things better.
I would suggest asking your pediatrician for a recommendation for a good child psychologist or pyschiatrist. Someone that would specialize in the area of ADD/ADHD that could test your little girl and tell you what is really going on without jumping to conclusions.
I wish you the best of luck.
S.
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C.P. answers from Chicago on November 24, 2009
I was that child in school and no one pointed anything out until I was in 7th grade. I went to the doctor and was tested and put on medication. I became a different kid. I did well in school, had an easier time making friends and was just a happier person. I wish someone would have said somthing sooner.
If you truly think she may be ADD or ADHD, have her tested. If she does not have it then she lost 1/2 day of school if she does then you can start helping right away before she really has a chance to fall behind in school.
There are a lot of differnt methods of treatment, some don't even require medication.
1 mom found this helpful
K.W. answers from Jacksonville on November 25, 2009
Hi L.,
My heart goes out to you. I have a son who'll be 7 in January and is in 1st Grade. He had a really tough time in Kindergarten for the exact same reasons you explained in your note about your daughter. I had him tested for ADHD at Nemours Children's Clinic in Jacksonville his Kindergarten year. It was in October and I it was probably too early for him to be tested since it was his Kindergarten year. It is recommended that children, especially when it's their first year in school, be tested in the spring. However, my son was having a REALLY hard time and we started noticing issues when he was in Pre-K so I had made the appointment. It takes a LONG time to get, probably 3-6 months, so if you're thinking about it make the appointment. You can always cancel if you change your mind.
I do recommend that you take your daughter to a neuro-psychologist for testing. It is much more thorough than testing that would be done in the school system. I was an educator for 15+ years so I was/am very familiar with school testing. I do not believe paper testing alone can properly diagnose a medical issue such as ADD/ADHD, but that's just my humble opinion. Also, when you see a neuro-psychologist you will know the degree of ADHD and he/she will offer suggestions for treatment, not just medication.
I was hesitant about medicating my then 5 year old so we chose not to go the medication route. Instead, we put him on a great vitamin supplement, which helped, and practiced some relaxing techniques so my son would have ideas of how to calm himself when needed. It has been one year since testing and we are about to go through it again to re-evaluate his attention to see if he is about the same or is having more difficulty focusing.
I work from home and have been fortunate enough to be available to volunteer quite a bit at the school. We made it through Kindergarten, with struggles, and started 1st Grade. However, the issues were surfacing again so I opted to go the FL Virtual School route, which is public school but takes place at home. My son is excelling in school and we can more easily deal with attention issues since there are not 18-20 other kids in the classroom. I don't know that we'll always do virtual school but for now that has been a good option for us.
My son is still not medicated. I was concerned that he would not be able to verbally express to me how the medication made him feel. He is better able to express himself verbally about feelings now so I have not ruled out medication, although I'd like to try every other alternative before I resort to medicating my son. For me it's about him being able to cope with what's going on in his head. Children with ADHD cannot shut down their little brains even when they really want to. Sleep becomes an issue and sleep is SO important. Besides sleep, a very structured routine is helpful. As long as my son, and most children with ADHD, know what the plan for the day is going to be and when things happen they do pretty well. It seems to be change that tends to over stimulate. Change as simple as having someone come into the classroom that is not normally there can be enough to set off the inattention, causing the child to become so distracted that he/she can't focus on the tasks at hand.
When you're going through certain things you feel that you are alone and it is pretty overwhelming. You are just one in a million. I know parents who have a much more difficult time than I do. I'm thankful that my son is one of the ADHD children that has a high IQ. Many ADHD children suffer from learning disabilities of varying degrees and sometimes not completing work is simply caused by the inability to focus on a given task for the appropriate amount of time.
Please don't hesitate to contact me if you have any questions. I will be happy to help in any way that I can.
K. Woodlief
www.LiveTotalWellnessToday.com
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B.K. answers from Tallahassee on November 25, 2009
You should check into alternatives too if she has ADHD. First of all, diet plays a HUGE role in behavior, believe it or not. These foods exacerbate ADD and ADHD: White flour, sugar, wheat, dairy products, preservatives, food dyes. Move away from prepackaged foods and make more food from scratch. Read labels.
Also, see if there is a craniosacral therapist in your area. It's similar to massage, but lighter, and works on loosening up tight connective tissue, especially that which may effect the brain and spinal chord. Pressure on her brain for instance may be causing these behaviors.
Third, look into homeopathic medicine. Find a homeopathic doctor. They have remedies with no side effects for all kinds of things including behavior and attention issues.
Good luck.
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M.F. answers from Tallahassee on November 25, 2009
L. - Hi, I have dealt with ADHD/ADD in 2 of my children for over 3 years. They both have different stories to tell.
I honestly believe that what ever is mis-firing in their brains is there from birth. My son has severe ADHD - he was introuble for his behaviors from Pre-K until now (4th grade.) My daughter has ADD - She was the "Tra La La La" girl in Pre-K until 1st grade then she started Concerta and has made honor roll consistantly since, she is BETA Club and does wonderful in school. She had a great teacher in 1st grade and she helped me get my daughter to where she is today.
In a perfect world we would all weigh 125 # and have awsome figures and eat anything we want right? But 1 size does not fit all. I have my son on a restricted sugar diet, fish oil did nothing for him etc. So medication were my option, not a very successful option, but you do what you have to do.
To the people who say "NO SUGAR" on here - my son steals any sugary thing he can get his hands on when he is not at home under supervision! At school he drinks chocolate milk, and eats the same junk all the other kids eat, gets candy from kids, bus drivers, church people. He knows he is not supposed to have it, he knows his sisters will tell on him, he knows I will not be happy with his deception - but he just doesn't care. Sorry I was ranting.
Anyway L. most doctors will not diagnose a young child with behavioral issues with anything! They prefer a non RX approach - sometimes that works - lots of times it doesn't. Just pick your DR VERY carefully.Good luck.
M. F
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