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School Refusal
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<blockquote data-quote="smallworld" data-source="post: 19991" data-attributes="member: 2423"><p>Lucy, welcome. I'm glad you decided to come out of lurkdom.</p><p></p><p>Strattera is an antidepressant used to treat ADHD symptoms. Some kids (like mine) have paradoxical reactions to antidepressants that include increased anxiety and depression (somatic complaints, as well as school refusal, are indicative of anxiety and depression). It's difficult to determine whether your son's current issues resulted from the Strattera dose becoming too low, or whether Strattera is the problem. For this reason, I encourage you to seek the help of a good board-certified child psychiatrist who has lots of experience with medication management. If the new dose kicks in and your son's symptoms persist or worsen, I'd be very suspicious it's the Strattera causing the problem. </p><p></p><p>Kids who have school refusal are typically anxious in general and are more fearful prior to going to school than once they are actually at school. It is unlikely anything bad happened at your son's school, although you should check this out with his teacher and the school counselor (bullying does come to mind). Your son definitely could be stressed by the new demands placed on him in middle school, which include many exectutive function challenges he never faced before and may have trouble with as a kid who suffers from ADHD. My son has a long history of school refusal (dating to kindergarten!), and we, too, were told he must go to school every day unless he is truly sick. Getting him to school last year at the height of his depression involved my husband carrying him to the car, some days in his underwear (with a bag of clothes in the car). As we've gotten a better combo of medications working for him this year, his school refusal is subsiding. We also decided he needed a smaller school environment where he gets a lot more individual attention.</p><p></p><p>Again, welcome. I hope you get some answers for your son soon.</p></blockquote><p></p>
[QUOTE="smallworld, post: 19991, member: 2423"] Lucy, welcome. I'm glad you decided to come out of lurkdom. Strattera is an antidepressant used to treat ADHD symptoms. Some kids (like mine) have paradoxical reactions to antidepressants that include increased anxiety and depression (somatic complaints, as well as school refusal, are indicative of anxiety and depression). It's difficult to determine whether your son's current issues resulted from the Strattera dose becoming too low, or whether Strattera is the problem. For this reason, I encourage you to seek the help of a good board-certified child psychiatrist who has lots of experience with medication management. If the new dose kicks in and your son's symptoms persist or worsen, I'd be very suspicious it's the Strattera causing the problem. Kids who have school refusal are typically anxious in general and are more fearful prior to going to school than once they are actually at school. It is unlikely anything bad happened at your son's school, although you should check this out with his teacher and the school counselor (bullying does come to mind). Your son definitely could be stressed by the new demands placed on him in middle school, which include many exectutive function challenges he never faced before and may have trouble with as a kid who suffers from ADHD. My son has a long history of school refusal (dating to kindergarten!), and we, too, were told he must go to school every day unless he is truly sick. Getting him to school last year at the height of his depression involved my husband carrying him to the car, some days in his underwear (with a bag of clothes in the car). As we've gotten a better combo of medications working for him this year, his school refusal is subsiding. We also decided he needed a smaller school environment where he gets a lot more individual attention. Again, welcome. I hope you get some answers for your son soon. [/QUOTE]
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