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just when i thought things couln't get worse
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<blockquote data-quote="Marguerite" data-source="post: 357487" data-attributes="member: 1991"><p>Sorry, but you don't 'wean off' medication that basically works on a daily basis. If it works, it works. If it doesn't, it doesn't. If you cut back below the therapeutic dose, it doesn't work so well or doesn't work at all. If you're worried about addiction or decide it doesn't work, or choose to discontinue it - you just stop it. </p><p></p><p>I don't get the doctor's requirement to 'wean it off'.</p><p></p><p>So of course he's going to go ballistic - if the medications were helping hold him together and keep his impulse control happening, then cutting back on the medications will be not good. It really is like a diabetic being denied insulin - symptoms previously controlled will return with problems just as severe as before. The child cannot control his behaviour as well, without medications. And if he is accustomed to the medications helping him, then even weaning off will be confusing him and causing behavioural problems.</p><p></p><p>Depending on the severity of the problems, I would be keeping him home so the school doesn't suffer, and so he doesn't get punished by the school for his inability to control himself.</p><p></p><p>I would also be getting another opinion, because a doctor who thinks like this I don't feel really understands ADHD or the way the medications work, and that is a big worry.</p><p></p><p>I normally won't be so blunt in expressing my concerns, but I've seen a lot of damage done by people who still have a lot to learn, and for so much of it, we've already been there and learned these same lessons the hard way. I hate to see kids damaged, even short-term, because either a doctor or a school doesn't understand that under these circumstances, the kid really can't help it - and the kid feels like a failure, a loser and dangerous. They are scared of themselves and their own out of control tempers.</p><p></p><p>Marg</p></blockquote><p></p>
[QUOTE="Marguerite, post: 357487, member: 1991"] Sorry, but you don't 'wean off' medication that basically works on a daily basis. If it works, it works. If it doesn't, it doesn't. If you cut back below the therapeutic dose, it doesn't work so well or doesn't work at all. If you're worried about addiction or decide it doesn't work, or choose to discontinue it - you just stop it. I don't get the doctor's requirement to 'wean it off'. So of course he's going to go ballistic - if the medications were helping hold him together and keep his impulse control happening, then cutting back on the medications will be not good. It really is like a diabetic being denied insulin - symptoms previously controlled will return with problems just as severe as before. The child cannot control his behaviour as well, without medications. And if he is accustomed to the medications helping him, then even weaning off will be confusing him and causing behavioural problems. Depending on the severity of the problems, I would be keeping him home so the school doesn't suffer, and so he doesn't get punished by the school for his inability to control himself. I would also be getting another opinion, because a doctor who thinks like this I don't feel really understands ADHD or the way the medications work, and that is a big worry. I normally won't be so blunt in expressing my concerns, but I've seen a lot of damage done by people who still have a lot to learn, and for so much of it, we've already been there and learned these same lessons the hard way. I hate to see kids damaged, even short-term, because either a doctor or a school doesn't understand that under these circumstances, the kid really can't help it - and the kid feels like a failure, a loser and dangerous. They are scared of themselves and their own out of control tempers. Marg [/QUOTE]
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