[QUOTE=NoTellin]For ADHD children, I think a rewards/points system works better than cleaning all of the toys out of the room (I've tried both). You might want to search under the word "marble" on this board for info on a reward system. Are the meds causing the aggressive behavior or was it present before the meds? How long has that been going on for?[/QUOTE]
I've tried a reward system that really worked for awhile but it has since fizzled off. Now I've taken away television privileges, some toys, etc. The aggressive behavior was there before the medication unfortunately. Honestly I can't remember a time when he wasn't aggressive. Even as a baby he'd fight you, arch his back, scream, etc. I will check out the marble reward system.
Has your son ever seen a NeuroPsych? Of all professionals, NeuroPsychs are great at getting to all the roots and causes of problems. Often a dx. of ADHD is either incorrect or not the full picture and, if not completely correct, stims and Straterra can actually make things worse. You can find NeuroPsychs thru Neurologists (no, they aren't the same) and Univeristy or Children's hospitals. If there are mood disorders, substance abuse, or suicide in the family tree, you could be looking at a mimicker, like early onset bipolar. For Neurological problems, it could be high functioning autism. My son's first dx. was ADHD/ODD. He is actually PDD-NOS, quite different, but it presented the same when young. The NeuroPsych spent twelve hours testing him before diagnosing. He's done great since then. Carla, Just wanted to say "Hi", I too am in Missouri, about an hour south of St. Louis. We are just beginning our trips to the different doctors with my 4yr son. I just found this board last week and it has heped me so much already, though it also made me realize how little I know. There seems to be alot of experience and wisdom in this group. I agree it is nice to find people who understand. Be strong. I have found lately when my son has stressed me out, that it helps to go back later when he is sleeping looking so peaceful. It reminds me that he is still just my little boy who wants to be loved. Carla, welcome! You are not alone. You certainly have made the rounds with diagnosticians. With aggressive behavior on stimulants, you could be looking at bipolar. But with developmental and speech delays and hyperactive behavior, you could also be looking at autism spectrum disorder. I would recommend an evaluation by a neuropsychologist (generally found at children's or university hospitals), who can assess for many childhood neurological disorders. Nailing the diagnosis down is the only way you'll be able to put the proper interventions into place. Good luck! For ADHD children, I think a rewards/points system works better than cleaning all of the toys out of the room (I've tried both). You might want to search under the word "marble" on this board for info on a reward system. Are the meds causing the aggressive behavior or was it present before the meds? How long has that been going on for?Even the little things can be important. You never know what information will help the doc get an idea that will turn out to be the diagnosis. It may feel like you are grasping at straws but really this is a long hard process. You never know what will happen.Has any of the drs mentioned childhood bipolar? Most Drs deny that it exists. When a child with bipolar is put on ADHD meds--they can go into mania or raging.
Have the Drs said anything about any other diagnosis?
I have taken him to see everyone from his pediatrician to THE top Pediatric Neurologist at St. Louis Children's Hospital. We have gotten really no concrete diagnosis of anything yet other than he has developmental delays, significant speech delays and ADHD. As far as bipolar I had not even heard of that until looking at the message boards today. I'm making a list of things to take to the psychiatrist for our appointment on Friday. Going to bring up bipolar as well as essential fatty acid deficiency. I feel like I'm just reaching around for straws at this point.