Dear Sad Mom,
Bladder and bowel control, although not a very common difficulty experienced in children with ADD/ADHD, is not unheard of. You said that your daughter is defiant once the Ritalin wears off; I wonder if her lack of bladder control is a way of continuing this defiant behaviour. Some children with ADHD have Oppositional Defiant Disorder (ODD) as well; while others who are diagnosed with ADHD are in fact ODD, which can also be treated with Ritalin. It may be worthwhile taking your daughter to be re-evaluated by the health professional who originally diagnosed her. A change in medication may also allow her brain chemistry to be more stable eliminating the up and down effect she has presently.
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