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- Feb 17, 2008
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OK...Here are the details: His official diagnoses (yes, plural) are mild ADHD - nonspecific (he said that basically means it's only a small part of things and that there are multiple other issues), ODD (oppositional defiance disorder) - moderate, learning disabled (which we already knew-for math, reading, writing), Emotional Impairment - mild, Sensory Integration Dysfunction (which we already knew and is why we go to occupational therapy), and Adjustment Disorder w/Anxiety.
He said if Tyler were an adult, he'd give him Celexa (an anti-depressant) but that there are too many studies about anti-depressants in kids and increased suicidal thoughts. Now it's recommended that drs. don't give them to kids under 18. So he gave us Risperdal. It's an anti-psychotic drug, and he said of course Tyler isn't psychotic, but that in low doses it's been found to reduce anxiety and aggression.
He said the diagnoses will likely change as Tyler grows and his brain matures, and he had to decide what were the most serious issues at this time. He said the aggression and the inability to focus were the 2 biggest issues in his opinion. He wants to only treat one area at a time to see what's left after eliminating some of the issues. It's his thought that it's possible that Tyler's inability to focus could be related to extreme anxiety and that if we eliminate that anxiety, he might be able to focus better, but there's no way of knowing until we start working on each thing. He'll re-evaluate in the fall (with many med-checks in between now and then) to see if he needs to add a med to help him focus.
I think that's about all!I'm giving him his first pill tonight at bedtime. YIPPEE! Oh....one more thing....he said unlike anti-depressants or other meds that can take weeks to take effect, he said with this drug, we'll see results in a few days to a week! I'm about to cry with relief. Yes, I know it might not work for him, but it's such a huge step in the right direction.
These are manageable disorders!
This is great news! Now that you know your challenges you can meet and greet them.
I work with kids with these exact issues and I watch the professionals work with them on a daily basis. The progress is slow. Remember this is not a quick fix, it is your life and you will learn the tricks as you learn about him. Just when you know what you are doing, he'll develop and you change again.
Here are the keys, Holly.
This is the secret to behavioral therapy:
- Be Flexible!
- Keep both of you on an exact schedule. (When he goes to Dad's give them a printed time schedule - include when to eat, when to potty, when to take the pill, the same exact everything every day.)
- Stay as organized as you ever thought you could be.
- Learn as he learns. He will change throughout this process, so you change with him.
Organization, organization, organization. This is the key to keeping kids on an easier path for them (and for you.)
Keep a daily schedule journal of details to draw from for his schedule. You'll start finding patterns that work and don't work. USE THIS.
Post the time schedule on the fridge for Tyler. Let him mark, check, stamper, or sticker each item on the schedule to make him responsible for his own behavior.
This will all work in conjunction with the meds and you are so on your way to helping him deal with the daily challenges that he experiences.
Deep breathing every night before bed. Practice in the quiet times and it will come back to help you when he is frustrated.