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<blockquote data-quote="smallworld" data-source="post: 119808" data-attributes="member: 2423"><p>Elise, congrats on the new baby!</p><p> </p><p>Are you working with a child psychiatrist on Joseph's medications? If not, I'd strongly recommend finding one to help you figure out the best medication combo for Joseph.</p><p> </p><p>Any stimulant like Vyvanse can cause side effects of anxiety, Obsessive Compulsive Disorder (OCD) and withdrawal, particularly if the dose is too high. I'm wondering why Joseph's doctor upped the Vyvanse if it was wearing off at 4 pm. It is general practice not to up the dose but rather to add a short-acting booster dose at 4 pm to allow the child to do homework and other activities at home. From what you describe, I'm guessing his Vyvanse dose is too high.</p><p> </p><p>With Joseph's history of aggression and destructiveness, I agree with the need for a re-evaluation. You might be looking at more than ADHD. As LDM suggested, you should consider a multidisciplinary team or neuropsychologist, generally found at children's or university teaching hospitals.</p><p> </p><p>In terms of tomorrow's meeting, you can simply tell the teacher and counselor that you're there to listen and bring their concerns back to Joseph's doctor so he can make appropriate treatment decisions. You can describe what you're seeing at home, but you don't need to get defensive, confrontational or commit to any new treatment. Does Joseph have an IEP by any chance? Maybe it's time to consider one if it's not already in place.</p><p> </p><p>Good luck tomorrow.</p></blockquote><p></p>
[QUOTE="smallworld, post: 119808, member: 2423"] Elise, congrats on the new baby! Are you working with a child psychiatrist on Joseph's medications? If not, I'd strongly recommend finding one to help you figure out the best medication combo for Joseph. Any stimulant like Vyvanse can cause side effects of anxiety, Obsessive Compulsive Disorder (OCD) and withdrawal, particularly if the dose is too high. I'm wondering why Joseph's doctor upped the Vyvanse if it was wearing off at 4 pm. It is general practice not to up the dose but rather to add a short-acting booster dose at 4 pm to allow the child to do homework and other activities at home. From what you describe, I'm guessing his Vyvanse dose is too high. With Joseph's history of aggression and destructiveness, I agree with the need for a re-evaluation. You might be looking at more than ADHD. As LDM suggested, you should consider a multidisciplinary team or neuropsychologist, generally found at children's or university teaching hospitals. In terms of tomorrow's meeting, you can simply tell the teacher and counselor that you're there to listen and bring their concerns back to Joseph's doctor so he can make appropriate treatment decisions. You can describe what you're seeing at home, but you don't need to get defensive, confrontational or commit to any new treatment. Does Joseph have an IEP by any chance? Maybe it's time to consider one if it's not already in place. Good luck tomorrow. [/QUOTE]
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