ADHD

Question
Posted by: Pat | 2012/07/16

Q.

5 Year old recently assessed ADHD

Dear Doctor Delia,

I have a 5 year old that has always been “ on the go”  since walking (more like running) and I thought she would grow out of it. This year, she started in Grade 00 and the teacher suggested I have her assessed by an Educational Psychologist because she has a bad concentration problem, is behind with certain motor skills, is sometimes aggressive, defiant towards adults and can’ t sit still and the list goes on and on. The ET told me that she has ALL the signs of ADHD and advised me to go read up more about it. I have an appointment with a Neurologist late next month to discuss treatment and possible medication (which I am totally horrified about) My question to you is, should I wait to see what she says or start consulting with an OT because that was one of the suggestions amongst play therapy and speech therapy. I’ m still very new at this and the more I read about it, the more it describes my little girl to the T, it’ s quite scary and depressing and I feel like my “ world is tumbling down”  on us. All I want to do is help her, but if you mention it to some people, they look at you like you crazy when you say she " may"  go on medication.

Thanks for your help,
Best Regards,
Pat

Expert's Reply

A.

ADHD Expert

Dear Pat,

Firstly, for your daughter's and your own sanity, ignore the funny looks people may give you - if they are not in the same situation they cannot possibly understand the difficulties your daughter is experiencing, or the difficulty you face in choosing the best treatment for her.

If the poor motor skills are contributing to her being unable to correctly hold her pencil, results in early fatigue or hinders her ability to sit upright, then I would suggest beginning OT. However, consider this one carefully as children with ADHD may have the ability to do all these things but don't due to the difficulty with remaining in one position for any length of time, and with concentrating only writing neatly (as an example).

The aggression and defiance may be her way of managing her own frustrations at constantly being told to sit still, don't do that, stop fidgeting etc, when to her mind, she is doing nothing wrong.

When meeting with the neurologist, bring a list of questions and concerns you have regarding medication (a written list so you won't forget anything) and inform the neurologist that you are considering medication as an option; if you inform him/her that you are seriously considering it or anti it, s/he may be selective in the information given. This is never done intentionally, but due to human nature we tend to offer information based on the information we are provided.

There is a mom who regularly contributes on this forum and sings the praises of medication due to the phenomenal results her son has had and how how much better he feels on it. The key to remember is that any medication should always provide more positive than negative side effects; when the balance shifts the other way it is time to reconsider the options.

Depending on the neurologist, s/he may also offer some advice on more natural alternatives such as Omegas etc, depending on the severity of your daughter's ADHD. Some doctors prefer not to prescribe medications before the age of 7 years.

Keep an open mind and do what you feel is best for your daughter in the long term.

Kind regards,
Delia

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3
user comments

C.

Posted by: Pat | 2012/07/23

Thanks for all the info, really appreciate it.

Regards,
Pat

Reply to Pat
Posted by: DEBBIE | 2012/07/20

My son is now 7 and a half and was diagnosed with adhd a year ago, we first started off on ritalin (which i was totally against) and then he was movd over to Concerta, i can honestly say its the best thing i ever could have done for him and myself, i had also heard horror stories and was advised by certain people not to put him on medication, but now i will advise any parent that its not bad at all and would recommend if your child needs meds to give it to them. my son also sees a speech therapist and all that.

Reply to DEBBIE
Posted by: ADD/ADHD Expert | 2012/07/17

Dear Pat,

Firstly, for your daughter's and your own sanity, ignore the funny looks people may give you - if they are not in the same situation they cannot possibly understand the difficulties your daughter is experiencing, or the difficulty you face in choosing the best treatment for her.

If the poor motor skills are contributing to her being unable to correctly hold her pencil, results in early fatigue or hinders her ability to sit upright, then I would suggest beginning OT. However, consider this one carefully as children with ADHD may have the ability to do all these things but don't due to the difficulty with remaining in one position for any length of time, and with concentrating only writing neatly (as an example).

The aggression and defiance may be her way of managing her own frustrations at constantly being told to sit still, don't do that, stop fidgeting etc, when to her mind, she is doing nothing wrong.

When meeting with the neurologist, bring a list of questions and concerns you have regarding medication (a written list so you won't forget anything) and inform the neurologist that you are considering medication as an option; if you inform him/her that you are seriously considering it or anti it, s/he may be selective in the information given. This is never done intentionally, but due to human nature we tend to offer information based on the information we are provided.

There is a mom who regularly contributes on this forum and sings the praises of medication due to the phenomenal results her son has had and how how much better he feels on it. The key to remember is that any medication should always provide more positive than negative side effects; when the balance shifts the other way it is time to reconsider the options.

Depending on the neurologist, s/he may also offer some advice on more natural alternatives such as Omegas etc, depending on the severity of your daughter's ADHD. Some doctors prefer not to prescribe medications before the age of 7 years.

Keep an open mind and do what you feel is best for your daughter in the long term.

Kind regards,
Delia

Reply to ADD/ADHD Expert

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