ADHD

Question
Posted by: Maggie | 2012/06/14

Q.

HyperActiveChild

Dear Expect
I have a 7 yr old boy who was diagnosed as hyperactive but was never assessed by a psychologist and was put on retalin and risperdal. I dont give him his medication everyday. I give him once or twice in a month as he is not showing any signs of being hyper active. The only time he had signs it''s when he was around 3. He is struggling at school. What can i do? I''m worried as he is currently attending a normal school but the teacher has recommended a special school so he can be attended too closely.

Expert's Reply

A.

ADHD Expert

Dear Maggie,

A diagnosis of ADHD need not be made by a psychologist; a neurologist or psychiatrist can do as well and I assume one of these who provided the diagnosis for your son? If not, and he was diagnosed as "hyperactive" not ADD or ADHD, I urge you to have him re-assessed by one of the three professionals mentioned.

I am not sure from your post which medications you give him once or twice a month, however, please note that Risperdal should definitely not be taken in this ad-hoc fashion. There is also very little benefit in giving the Ritalin at such intervals as the effectiveness wears off after a few hours. Please speak with your prescribing professional sooner rather than later regarding the manner in which he has been receiving his medications and discuss a way forward.

I am also unsure from your post when the diagnosis and prescription was initially made; if it was at age 3, it was quite a strong measure to start him on Risperdal and Ritalin. Furthermore, these dosages should be monitored every six months or so and the doctor should have been made aware that he was taking the medications once or twice a month.

If he is struggling at school, having him assessed by an educational psychologist may provide some insight as to why he is battling.

Kind regards,
Delia

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2
user comments

C.

Posted by: Maggie | 2012/06/18

Thank you for responding. I will have him re-assessed as he wasnt assessed by a neurologist or psychiatrist but he went to a brain scan and the results were normal.

Reply to Maggie
Posted by: ADD/ADHD Expert | 2012/06/15

Dear Maggie,

A diagnosis of ADHD need not be made by a psychologist; a neurologist or psychiatrist can do as well and I assume one of these who provided the diagnosis for your son? If not, and he was diagnosed as "hyperactive" not ADD or ADHD, I urge you to have him re-assessed by one of the three professionals mentioned.

I am not sure from your post which medications you give him once or twice a month, however, please note that Risperdal should definitely not be taken in this ad-hoc fashion. There is also very little benefit in giving the Ritalin at such intervals as the effectiveness wears off after a few hours. Please speak with your prescribing professional sooner rather than later regarding the manner in which he has been receiving his medications and discuss a way forward.

I am also unsure from your post when the diagnosis and prescription was initially made; if it was at age 3, it was quite a strong measure to start him on Risperdal and Ritalin. Furthermore, these dosages should be monitored every six months or so and the doctor should have been made aware that he was taking the medications once or twice a month.

If he is struggling at school, having him assessed by an educational psychologist may provide some insight as to why he is battling.

Kind regards,
Delia

Reply to ADD/ADHD Expert

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