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<blockquote data-quote="Marguerite" data-source="post: 410508" data-attributes="member: 1991"><p>No worries, Malika. It's just that we've been there done that. That's all. </p><p></p><p>On the medication issue, I meant to say that some medications for ADHD can cause rebound. This is like all the day's ADHD stuff that was covered by the medications, has now suddenly all come out in one big dose at the end of the day. difficult child 3's friend with ADHD gets tearful at the end of his day on Concerta. They lowered the dose and eased off the rebound but still had good benefit.</p><p></p><p>difficult child 1 had bad rebound on ritalin - he would get violent unmedicated also. He has refused to try Concerta.</p><p></p><p>When your son refuses his medications, I would try to find out what his reasons are. He needs to understand why he needs it, and not in any negative way, either. Too often these kids are so easily made to feel bad about themselves that they can learn it's easier to just give up and stop trying. We explained to our kids that with ADHD, there is a switch in the brain not working properly, like a light switch with a short circuit. The medications make the switch work effectively. The switch is an on switch, but it goes to a control circuit that helps the brain stop and think before acting. It also helps switch off the distractions to a varying extent. Some people need insulin. Some people need medications for epilepsy. It's just one of those things. And a lot of people need medications for that brain switch. Finding the right medication and right dose takes time. The dose is not dependent on the degree of problem; difficult child 1 takes half the dose his little brother does but has more ADHD problems when unmedicated.</p><p></p><p>difficult child 3 went rather ga-ga on Strattera. Three days, and we had to take him off it because he was violent, incoherent, talking in circles and very, very angry without knowing why. The benefit was minimal after three days. On Concerta he did get some benefit, but there was rebound. We went back to dexamphetamine knowing we'd tried everything. He now takes citaloprim as well, for the anxiety. It makes a big difference to him. Every kid is different but the range of problems can be extreme. And then - you can be doing everything right s far as possible, but you cannot control everything and the school or the neighbourhood will let you down and trigger problems in him. But the more you can fix, the easier it is to identify when there is a problem coming in from somewhere else, so you can go deal with them too.</p><p></p><p>Marg</p></blockquote><p></p>
[QUOTE="Marguerite, post: 410508, member: 1991"] No worries, Malika. It's just that we've been there done that. That's all. On the medication issue, I meant to say that some medications for ADHD can cause rebound. This is like all the day's ADHD stuff that was covered by the medications, has now suddenly all come out in one big dose at the end of the day. difficult child 3's friend with ADHD gets tearful at the end of his day on Concerta. They lowered the dose and eased off the rebound but still had good benefit. difficult child 1 had bad rebound on ritalin - he would get violent unmedicated also. He has refused to try Concerta. When your son refuses his medications, I would try to find out what his reasons are. He needs to understand why he needs it, and not in any negative way, either. Too often these kids are so easily made to feel bad about themselves that they can learn it's easier to just give up and stop trying. We explained to our kids that with ADHD, there is a switch in the brain not working properly, like a light switch with a short circuit. The medications make the switch work effectively. The switch is an on switch, but it goes to a control circuit that helps the brain stop and think before acting. It also helps switch off the distractions to a varying extent. Some people need insulin. Some people need medications for epilepsy. It's just one of those things. And a lot of people need medications for that brain switch. Finding the right medication and right dose takes time. The dose is not dependent on the degree of problem; difficult child 1 takes half the dose his little brother does but has more ADHD problems when unmedicated. difficult child 3 went rather ga-ga on Strattera. Three days, and we had to take him off it because he was violent, incoherent, talking in circles and very, very angry without knowing why. The benefit was minimal after three days. On Concerta he did get some benefit, but there was rebound. We went back to dexamphetamine knowing we'd tried everything. He now takes citaloprim as well, for the anxiety. It makes a big difference to him. Every kid is different but the range of problems can be extreme. And then - you can be doing everything right s far as possible, but you cannot control everything and the school or the neighbourhood will let you down and trigger problems in him. But the more you can fix, the easier it is to identify when there is a problem coming in from somewhere else, so you can go deal with them too. Marg [/QUOTE]
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