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<blockquote data-quote="buddy" data-source="post: 539833" data-attributes="member: 12886"><p>Of course it is a possibility. I'd probably go to a neuropsychologist for a new, unbiased evaluation. Sometimes docs get locked into their initial thought. I have not seen kids with adhd (and I admit I haven't seen all the kids with adhd in the world, lol) who have constant meltdowns like that. It seems like more and if the concerta does not help, it could be not the right adhd medication or that it is not adhd. I have found (along with other parents, but I am not a medication expert so you have to check this yourself) that in terms of the stims, you can see a difference at the right dose pretty quickly. It does not fix everything, but it opens the door to being able to now teach skills and hold their attention long enough to work on things. When was it last increased? I know that is scary but some kids do need more than others. </p><p></p><p>Could he be depressed? That neg. thinking does not sound adhd like...yes, any disability can create self esteem problems but it sounds like you are saying his whole thinking process is dark. If he is super adhd like and depressed and you can see cycles through the day, could it be bipolar? </p><p></p><p>Yeah, seems after this much time, it is time to check into a new doctor. You've given his way a more than fair shot and the longer your son gets entrenched in this kind of thinking the harder it will be to undo, I'd think. At least a second opinion?? A neuropsychological evaluation or a pediatric psychiatrist could be really helpful. Does he have developmental or academic issues that you are concerned about (any other neurological issues?)....</p><p></p><p>I'd try a neuropsychologist if it is within your means, esp if insurance would pay. If not, they surely would cover a pediatric psychiatrist. Maybe call NAMI and see if they have a list of docs they know of in your area. Just a thought. </p><p></p><p>Given you have one son on the spectrum, it could be that your doctor is missing the signs, not familiar with kids who are on the more subtle end of the spectrum. </p><p></p><p>ok, diagnosis aside, what triggers do you notice with the meltdowns?. I can guess one is hearing NO (Ok I am projecting, but lots of us have that one)...how about transitions to less preferred activities, not having things go his way, hunger, activity level, is there any pattern you can see? I have to investigate this and re-evaluate over and over. For my son right now, main triggers are fear/panic/anxiety....feeling left out, hunger, transitions and gross motor activity. Let me tell you, that is most of life. But it DOES help to know and to always have snacks on me, know not to use logic or words when in those warning situations, just to let his brain be calm and quiet (not even the car radio on, can't even use the wind shield wipers unless mandatory) and to make sure he knows the schedule so that he is not left wondering what comes next--or worse he develops a wish list or plan and when I can't come through on his every demand it is not pretty. So when the schedule is said and done, it helps a zillion percent. I can only slightly imagine how to do that with five kids, but if it helped reduce rages, I'd figure a way. </p><p></p><p>For you, none of that may help though. Some kids just need to get through to the other side. What do you do when he is violent? How do you keep the other kids safe? Must be very stressful. I'm so sorry for you (and for him, surely that can't be a fun way to live). </p><p></p><p>HUGS, just really sorry for the situation.</p><p></p><p>I TOTALLY understand the fantasy of running away. Would be lovely some days.</p></blockquote><p></p>
[QUOTE="buddy, post: 539833, member: 12886"] Of course it is a possibility. I'd probably go to a neuropsychologist for a new, unbiased evaluation. Sometimes docs get locked into their initial thought. I have not seen kids with adhd (and I admit I haven't seen all the kids with adhd in the world, lol) who have constant meltdowns like that. It seems like more and if the concerta does not help, it could be not the right adhd medication or that it is not adhd. I have found (along with other parents, but I am not a medication expert so you have to check this yourself) that in terms of the stims, you can see a difference at the right dose pretty quickly. It does not fix everything, but it opens the door to being able to now teach skills and hold their attention long enough to work on things. When was it last increased? I know that is scary but some kids do need more than others. Could he be depressed? That neg. thinking does not sound adhd like...yes, any disability can create self esteem problems but it sounds like you are saying his whole thinking process is dark. If he is super adhd like and depressed and you can see cycles through the day, could it be bipolar? Yeah, seems after this much time, it is time to check into a new doctor. You've given his way a more than fair shot and the longer your son gets entrenched in this kind of thinking the harder it will be to undo, I'd think. At least a second opinion?? A neuropsychological evaluation or a pediatric psychiatrist could be really helpful. Does he have developmental or academic issues that you are concerned about (any other neurological issues?).... I'd try a neuropsychologist if it is within your means, esp if insurance would pay. If not, they surely would cover a pediatric psychiatrist. Maybe call NAMI and see if they have a list of docs they know of in your area. Just a thought. Given you have one son on the spectrum, it could be that your doctor is missing the signs, not familiar with kids who are on the more subtle end of the spectrum. ok, diagnosis aside, what triggers do you notice with the meltdowns?. I can guess one is hearing NO (Ok I am projecting, but lots of us have that one)...how about transitions to less preferred activities, not having things go his way, hunger, activity level, is there any pattern you can see? I have to investigate this and re-evaluate over and over. For my son right now, main triggers are fear/panic/anxiety....feeling left out, hunger, transitions and gross motor activity. Let me tell you, that is most of life. But it DOES help to know and to always have snacks on me, know not to use logic or words when in those warning situations, just to let his brain be calm and quiet (not even the car radio on, can't even use the wind shield wipers unless mandatory) and to make sure he knows the schedule so that he is not left wondering what comes next--or worse he develops a wish list or plan and when I can't come through on his every demand it is not pretty. So when the schedule is said and done, it helps a zillion percent. I can only slightly imagine how to do that with five kids, but if it helped reduce rages, I'd figure a way. For you, none of that may help though. Some kids just need to get through to the other side. What do you do when he is violent? How do you keep the other kids safe? Must be very stressful. I'm so sorry for you (and for him, surely that can't be a fun way to live). HUGS, just really sorry for the situation. I TOTALLY understand the fantasy of running away. Would be lovely some days. [/QUOTE]
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