So, its been like…FOREVER! since I posted on here, but I couldn’t resist this update. If you’ve read much on here, you know Little Man has had some behavior issues and has been seeing a counselor for over a year now. He started Kindergarten this fall and after two trips to the principal’s office in two weeks, we had a meeting with his teachers and started some behavior modifications (mainly keeping him on the outskirts of large groups so he wasn’t over-stimulated, front of the line at lunch, giving him errands to run when he was done with his assignment, etc.) and they worked pretty good, but if he didn’t get to go outside for recess due to weather…watch out folks, here he comes again! So, after much discussion, filling out lots of questionaires, etc. he was officially diagnosed ADHD and meds were recommended.
First off, let me say, I’m not a big fan of meds, especially stimulants (which all ADHD meds are) but both his doctors felt that he would greatly benefit and combined with the behavior modifications might allow him to have a much happier school experience. So, we opted to try the meds and see what happened. And this is where the fun begins….
A couple hours after the first dose he had some temper issues, almost a manic type reaction, but it faded within about 20 minutes and OMG talk about a different child! He is totally NOT a zombie. His personality is definitely intact, as is his extremely active little body and brain, however, HE’S ABLE TO CONTROL IT!!!!!
We’ve been on meds for only a few days now but the changes are obvious to those that know him. First off, the boy talks even more now than he did before, BUT his talking is detailed, on-topic, descriptive conversations, not the disjointed, almost rambling talking from before the meds. During church Sunday he talked way more during the sermon than normal, but he WHISPERED! the entire time! Typically the boy is incapable of controlling himself enough to remember to whisper or to control the hyper-activity long enough to care about whispering. He is noticing details about his world that he’s never been able to focus on in the past long enough to notice. It’s amazing to me the difference in him in just a few days.
Now, he’s still having a little bit of a temper issue after the first (and larger) morning dose, but its fading and the Dr. says to give him til the end of the week to see if it goes away completely after his body adjusts. If not, we’ll reduce the morning dose. However, other than that 20-minute time frame, his temper has improved greatly. I think partially due to the fact that he can concentrate and control it, but also because he’s not so frustrated anymore. I mean, given the conversations I’ve had with him since the meds started, I can only imagine how frustrating its been to not be able to focus long enough to talk coherently and to be so over-stimulated that things like knick-knacks that grandma’s had for years didn’t even register in his brain.
Anyhoo, the first night he didn’t go to sleep until 11:00 and I thought we were in serious trouble if he couldn’t sleep, but now he’s back to sleeping at around 8:30, YAY! We are concerned about and keeping track of his growth because he’s small to begin with (25the – 50th percentile in weight, 10th – 25th percentile in height) and that is a big concern because the meds can suppress the appetite enough to stunt growth if its not monitored carefully.
I guess I’m cautiously optimistic. I still don’t like the idea of medicating him long term, I know that he probably won’t “settle” into his long-term behavior until he’s been on the meds for another week or so and I still reserve the right to change my opinion after more observation, but so far, I’m happy with the results and glad we made the choice we did. I think the tipping point for me was when the doctor posed this question. “If he were diabetic and diet and excercise weren’t controlling the disease, would you refuse to give him insulin because you didn’t want him medicated?” I’m still concerned about long-term side effects and hope that as he matures he’ll be able to learn to deal with the disorder without meds, but, for now, I’m happy to see him so happy!
Oh, and PS, his sister likes him better this way too. Maybe the sibling rivalry will mellow out a bit. She’s been so patient through all this, but lets face it, she’s a few short months from teenager-dom, she’s got her own hormone problems to sort out!!