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General Parenting
Malika...did you go to new psychiatrist today???
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<blockquote data-quote="InsaneCdn" data-source="post: 476044" data-attributes="member: 11791"><p>Interesting, its commonly understood here that Ritalin (and related) doesn't impact executive functions much... it has a huge impact on attention management, IF it works. (for us, it does) SO... not medicating with Ritalin if there isn't an attention issue definitely makes a LOT of sense. Did you see the article over in the news section, about a dopamine-related gene that seems to indicate if a person is receptive to these medications or not? Sure makes sense to me. As you're not going down that road, I won't go into the "long term effects" discussion...! (there is a lot more known than some psychiatrists will tell you... the older standards seem safer than some of the new ones, but the jury is still out on the new ones as there is no long-term use to compare to!)</p><p></p><p>What works for executive functions is accommodations and interventions - not medications. Accommodations include outside help in providing direction, limits, etc. that normally you'd expect a kid "this age" to not need.,.. and interventions, essentially, are behavior management and cognitive work... and the interventions need to be applied to all environments where the issues show up - home, school, etc. Good news is... many of the executive functions are eventually grown out of to some degree (e.g. Janet's Cory...); somehow, about age 25, they catch up with themselves. Not perfectly, but it is amazing.</p><p></p><p>Actual LABEL isn't as important. Its more about knowing what works... </p><p></p><p>To me... your discussion with the psychiatrist today means that YOUR current approach (modifying parenting and trying to get school to modify teaching...) is the RIGHT approach.</p><p></p><p>The big question is how to get SCHOOL on-side with this...</p></blockquote><p></p>
[QUOTE="InsaneCdn, post: 476044, member: 11791"] Interesting, its commonly understood here that Ritalin (and related) doesn't impact executive functions much... it has a huge impact on attention management, IF it works. (for us, it does) SO... not medicating with Ritalin if there isn't an attention issue definitely makes a LOT of sense. Did you see the article over in the news section, about a dopamine-related gene that seems to indicate if a person is receptive to these medications or not? Sure makes sense to me. As you're not going down that road, I won't go into the "long term effects" discussion...! (there is a lot more known than some psychiatrists will tell you... the older standards seem safer than some of the new ones, but the jury is still out on the new ones as there is no long-term use to compare to!) What works for executive functions is accommodations and interventions - not medications. Accommodations include outside help in providing direction, limits, etc. that normally you'd expect a kid "this age" to not need.,.. and interventions, essentially, are behavior management and cognitive work... and the interventions need to be applied to all environments where the issues show up - home, school, etc. Good news is... many of the executive functions are eventually grown out of to some degree (e.g. Janet's Cory...); somehow, about age 25, they catch up with themselves. Not perfectly, but it is amazing. Actual LABEL isn't as important. Its more about knowing what works... To me... your discussion with the psychiatrist today means that YOUR current approach (modifying parenting and trying to get school to modify teaching...) is the RIGHT approach. The big question is how to get SCHOOL on-side with this... [/QUOTE]
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Malika...did you go to new psychiatrist today???
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