ADHD

Question
Posted by: Lisa | 2012/09/10

Q.

ADHD/ODD

My 5 year old son has been diagnosed with ADHD and ODD at age 4. We have been living on a farm since Feb this year which is fantastic for my boys. He has been on medication since and is under Psychiatric supervision every 6 months from now on. He uses Concerta 27mg, Ethipramine and Risperdone. Everyting is fine, except the last view nights he would get up at around 03h00 and fidget around the house. He would roll down all the toiletpaper, play with his bathtoys in the bathroom, nibble on stuff in the fridge or wake up his 2 year old brother to feed him yogurt. Last night my husband had to get up 5 times to slap him on the behind to go to bed. I always give him his night medication (Ethipramine and Risperdone) at 18h00 in the evening which suits me as at 19h45 he is light out. But now with summer almost here, I will give it at 19h00, but think I will rather start tonight already. (Weekends I give it much later, otherwise he passes out while we are at friends and he wants to play).

Last night was the worst with him fidgeting everywhere in the house, it can be that we went out for the whole day yesterday? It was 2 hours’  drive there and back. He was very active over there and had such a nice time playing so much and his behaviour was excellent. I gave him his medication at 18h00 and he slept in the car all the way back. My husband carried him to bed, no problem. But then at 03h00 all this nonsense? We have to work and he is upsetting the whole household doing this.

The other thing he does (although my friends with boys this age says its normal), is that he collect weird stuff around the house like: stones, plastic teaspoons, rope, pieces of plastic, paper etc and will then carry this with him everywhere. These things must go everywhere with us even if we go to friends or the shops. I have to take rubbish out his hands the whole day! He would get stuff from my dustbin as well.

Is this normal? Or just a stage?

I don’ t want to phone his doctor as the doctor charges us so much for just a phone call, advice or email!

Expert's Reply

A.

ADHD Expert

Dear Lisa,

I am not too certain what the psychiatrist means by "complex" and do not wish to make any assumptions.

Are you certain that your son is completely awake during his nightly "fidgeting"? Could it be that he starts out sleep walking, and is then woken up when sent to bed and unable to fall asleep again?

If not, and he is truly waking up full of energy at such an early time, it may be worth while giving him his medication later; if he is able to fall asleep without it, you could wake him up later to take his medication. If he is unable to fall asleep without it, and staying up later in the evening is not an option, a change of medication would be needed.

With regards to him collecting "stuff": this is very typical of his age and the things are viewed as "treasures" by him. Not allowing him to take these to the shops or friends is likely to cause a fight; rather ask him to choose one thing to take with. Safe and unsafe areas to look for things can also be implemented, for example, the garden is safe (if you have a garden area on the farm) while the dustbin is not.

Kind regards,
Delia

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2
user comments

C.

Posted by: Lisa | 2012/09/12

I did send this mail to my son''s Psyciatrist in Stellenboch and he suggested we see someone else as this is getting too complex. Now what????? Is it complex? Do I need to worry?

Reply to Lisa
Posted by: ADD/ADHD Expert | 2012/09/12

Dear Lisa,

I am not too certain what the psychiatrist means by "complex" and do not wish to make any assumptions.

Are you certain that your son is completely awake during his nightly "fidgeting"? Could it be that he starts out sleep walking, and is then woken up when sent to bed and unable to fall asleep again?

If not, and he is truly waking up full of energy at such an early time, it may be worth while giving him his medication later; if he is able to fall asleep without it, you could wake him up later to take his medication. If he is unable to fall asleep without it, and staying up later in the evening is not an option, a change of medication would be needed.

With regards to him collecting "stuff": this is very typical of his age and the things are viewed as "treasures" by him. Not allowing him to take these to the shops or friends is likely to cause a fight; rather ask him to choose one thing to take with. Safe and unsafe areas to look for things can also be implemented, for example, the garden is safe (if you have a garden area on the farm) while the dustbin is not.

Kind regards,
Delia

Reply to ADD/ADHD Expert

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