Childhood Diseases

Question
Posted by: Sue | 2012-02-27

Q.

ADHD

Hi Doc,

My daughter will be 12 in June, was diagnosed by her Paed in 2007 with ADHD, and has been on Straterra since. The problem is that her behaviour seems to be steadily deteriorating. Every day she gets put on the tracking sheet by various teachers, for constant talking, not following instruction, cheek etc, and today I had a call from the Principle as she was finally sent to his office for the same thing. She is in a normal Primary school - I''m a single mom and cant afford a specialist ADHD school. I also pay for her ADHD meds out of my pocket each month as none of the medical aids will cover this.
My daughters marks are way above average, it is her behaviour that is the problem. I''ve had many many talks with her, threatened to take away her sports activities (which mean the world to her) at school etc, but nothing helps the behaviour.
Her Paed wanted me to put her on Ritalin as well as Straterra the last time I saw him, but this just doesn''t sit well. I dont know what to do next. The punishment from teachers doesn''t sink in with her, no doubt being sent to the principle wont faze her for longer than today - I''m at my wits end. Please help, what do I do next? Does a Child Psychologist need to check for ADHD? Could her Paed have been wrong? Does she have to go to an ADHD school? I''m at a huge loss as to what to do to help her now.

many thanks.

Expert's Reply

A.

Paediatrician

You have set out the problem you are having with your daughter's behaviour very well.It is very unusual for a child with ADHD to do this well at school even on Stratterra. Stratterra can certainly cause mood swings as a side effect and I suspect this is part of your daughter's behaviour problem. She definitely needs to be seen by a child psychologist and the diagnosis of ADHD and her treatment both need urgent review.

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