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General Parenting
New medication trial for difficult child .. only Concerta
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<blockquote data-quote="Marguerite" data-source="post: 90650" data-attributes="member: 1991"><p>Hi, things still sound messy.</p><p></p><p>Just to make sure we've all got this story straight - he's been like this for pretty much all the time he's been off all medications anyway, hasn't he? So it's not the medications making him aggressive. difficult child 1 was on ritalin and he was less aggressive on it. But he was VERY anxious, always (from well before he was ever on ritalin). Didn't have Concerta in those days.</p><p></p><p>The Concerta should work on Day 1, if it's anything like the sustained-release dex we get. It takes about an hour or two to get "on board" but after that it's as if they're constantly being drip-fed stimulant, until it wears off later in the day. For difficult child 3, the SR dex wears off from about 2.30 pm. But it's gradual, unlike when the kids were on short-acting tablets. Fewer sudden changes in medication level, which is what I felt triggered difficult child 1's rages.</p><p></p><p>The "chatter" - this could be the sensitivity to noise, difficult child 3 and difficult child 1 also complained a lot about the general noise level in a classroom. difficult child 3 still gets easily upset (and aggressive) in an environment where people are talking loudly. He really hates it.</p><p></p><p>Autism vs Asperger's - it really doesn't matter what it's called, it changes nothing. The autism label is more likely to be given if he had a history of language delay, even if his language has caught up now.</p><p></p><p>Childhood bipolar - you're unlikely to get that diagnosis in Australia. I think they're focussing on ADHD because they can't think of what else it could be, they're stumped. So let's pretend it's no big deal, it's just a mother exaggerating. Maybe this course you're currently doing will get a chance to see just how bad this is, and could be a conduit for help. It's appalling, but it's not as if you're been sitting on your hands all this time, you've been trying to get some answers for two years now, at least.</p><p></p><p>He should have seen a child psychiatrist at Mental Health but it's possible he only was seen by a registrar. If the paed gets involved and boots a few rumps, you might get seen by someone with a functioning brain.</p><p></p><p>What you've written here now and in the past is a concern for us all. What happens if you make a list (as you did in the first post, above) and hand it over to the paed when you see him? Or the doctor? "Here, mate - here is a list of what he has done in the last week. NOW tell me it's just ADHD, or bad parenting... we need answers, fast, before we get badly injured."</p><p></p><p>You've probably already done that, but keep doing it. Do it to everyone who sees you or him. Keep it up. Keep the list updated. I really don't know what else you can do, with everything else you're trying.</p><p></p><p>And of course you're depressed. Who wouldn't be? Maybe your psychologist can open doors for you, where nothing else has helped until now.</p><p></p><p>Just keep plugging away, constant dripping wears away a stone, they say. You're really doing everything you can.</p><p></p><p>Marg</p></blockquote><p></p>
[QUOTE="Marguerite, post: 90650, member: 1991"] Hi, things still sound messy. Just to make sure we've all got this story straight - he's been like this for pretty much all the time he's been off all medications anyway, hasn't he? So it's not the medications making him aggressive. difficult child 1 was on ritalin and he was less aggressive on it. But he was VERY anxious, always (from well before he was ever on ritalin). Didn't have Concerta in those days. The Concerta should work on Day 1, if it's anything like the sustained-release dex we get. It takes about an hour or two to get "on board" but after that it's as if they're constantly being drip-fed stimulant, until it wears off later in the day. For difficult child 3, the SR dex wears off from about 2.30 pm. But it's gradual, unlike when the kids were on short-acting tablets. Fewer sudden changes in medication level, which is what I felt triggered difficult child 1's rages. The "chatter" - this could be the sensitivity to noise, difficult child 3 and difficult child 1 also complained a lot about the general noise level in a classroom. difficult child 3 still gets easily upset (and aggressive) in an environment where people are talking loudly. He really hates it. Autism vs Asperger's - it really doesn't matter what it's called, it changes nothing. The autism label is more likely to be given if he had a history of language delay, even if his language has caught up now. Childhood bipolar - you're unlikely to get that diagnosis in Australia. I think they're focussing on ADHD because they can't think of what else it could be, they're stumped. So let's pretend it's no big deal, it's just a mother exaggerating. Maybe this course you're currently doing will get a chance to see just how bad this is, and could be a conduit for help. It's appalling, but it's not as if you're been sitting on your hands all this time, you've been trying to get some answers for two years now, at least. He should have seen a child psychiatrist at Mental Health but it's possible he only was seen by a registrar. If the paed gets involved and boots a few rumps, you might get seen by someone with a functioning brain. What you've written here now and in the past is a concern for us all. What happens if you make a list (as you did in the first post, above) and hand it over to the paed when you see him? Or the doctor? "Here, mate - here is a list of what he has done in the last week. NOW tell me it's just ADHD, or bad parenting... we need answers, fast, before we get badly injured." You've probably already done that, but keep doing it. Do it to everyone who sees you or him. Keep it up. Keep the list updated. I really don't know what else you can do, with everything else you're trying. And of course you're depressed. Who wouldn't be? Maybe your psychologist can open doors for you, where nothing else has helped until now. Just keep plugging away, constant dripping wears away a stone, they say. You're really doing everything you can. Marg [/QUOTE]
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