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Special Ed 101
7 yr old is wasting 90% of his time in school
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<blockquote data-quote="Martie" data-source="post: 5713" data-attributes="member: 284"><p>Dear LS,</p><p></p><p>Your difficult child is going to continue to have these problems in my opinion, and yes, The WISC is VERY sensitive to attention (there is an attention-concentration factor but really, all of it is sensitive to the effects of attention or lack thereof.)</p><p></p><p>You said that the medications were effective but evenings were horrid. This is fairly common with psychostimulants. The dosage could be adjusted OR perhaps given earlier in the day. I would never say that ADHD children cannot be taught without medications, BUT with the attention span of a gnat, a prior positive response to medications in terms of attention, and the problems you decribe, I would certainly give medications another try-- either a different medication or different dosage could make him available to learn in school. This is a tremendous benefit to any child.</p><p></p><p>Bottom line of 30 years of research is about 2/3 of kids with ADHD are positive responders to stimulant medications. The chief concerns are that they should not be prescribed for children with a history of tics and if a child happens to be an undiagnosed bipolar child, the stimulants usually make the situation much, much worse.</p><p></p><p>I once tested a kid whose father was really opposed to medications. The boy was very bright. The factor score I remember best is off medications he received a mean SS of 3 on attention-concentration. On a low dose of methylphenidate, he got a mean SS of 18 (10 is average.) All other scores went up also, but not to this degree of course bec. psychostimulants have a selective effect on attention-concentration. It doesn't always work this way, but in a bright child, it can.</p><p></p><p>Best to you,</p><p></p><p>Martie</p></blockquote><p></p>
[QUOTE="Martie, post: 5713, member: 284"] Dear LS, Your difficult child is going to continue to have these problems in my opinion, and yes, The WISC is VERY sensitive to attention (there is an attention-concentration factor but really, all of it is sensitive to the effects of attention or lack thereof.) You said that the medications were effective but evenings were horrid. This is fairly common with psychostimulants. The dosage could be adjusted OR perhaps given earlier in the day. I would never say that ADHD children cannot be taught without medications, BUT with the attention span of a gnat, a prior positive response to medications in terms of attention, and the problems you decribe, I would certainly give medications another try-- either a different medication or different dosage could make him available to learn in school. This is a tremendous benefit to any child. Bottom line of 30 years of research is about 2/3 of kids with ADHD are positive responders to stimulant medications. The chief concerns are that they should not be prescribed for children with a history of tics and if a child happens to be an undiagnosed bipolar child, the stimulants usually make the situation much, much worse. I once tested a kid whose father was really opposed to medications. The boy was very bright. The factor score I remember best is off medications he received a mean SS of 3 on attention-concentration. On a low dose of methylphenidate, he got a mean SS of 18 (10 is average.) All other scores went up also, but not to this degree of course bec. psychostimulants have a selective effect on attention-concentration. It doesn't always work this way, but in a bright child, it can. Best to you, Martie [/QUOTE]
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7 yr old is wasting 90% of his time in school
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