Have they addressed attachment issues? Is it possible that she is having problems with that?
Also, I am wondering if there is an organization in your area that helps adoptive families deal with issues that arise with adoption. Here in Wisconsin, we have an organization called Adoption Resources of Wisconsin. They hold a lot of classes and learning sessions, and can be a great resource.
I am sorry for everything your daughter is going through.
My son is 5 and is adopted from Guatemala. He was recently diagnosed with ADHD and we are just beginning to try to find the proper meds for him. He is a sweet, wonderful little boy. He bonded with us immediately when we brought him home at 8 1/2 months, and we really didn't experience many problems with him until he was 4 and began the preschool room at daycare. He has always been passionate - when he is happy, he is very happy and everyone around him is drawn to him. He could be equally passionately unhappy or sad.
I don't know much about Ukraine adoptions, or the incidence of behavioral or other problems from there. I am glad that you found this board - just knowing that you have support and a place for information is a huge help.
Hi and welcome. Have you found a parent support group for Ukraine adoptions? I found one pretty easily by googling Ukraine adoption support group. You may find out more information specific to your situation there. www.frua.org
One of the first thoughts to cross my mine was Fetal Alcohol Effects (FAE). Don't know if that pertains to your daughter, but I thought I'd throw it out there. There is information on that in the above web site.
Have you gotten her a thorough eval with a neuropsychologist? Having that information on her cognitive abilities could be very helpful to you in finding the right intervention for her.
You may want to google bipolar also. A psychiatrist would be the one to diagnose that. If she has bipolar, I have read that stimulants can make them behave worse.
Go to your nearest Children's Hospital or University Hospital and make an appointment for a full eval. That would be a good starting point. Then you need to read, read, read and educate yourself as much as possible. Good luck!
First, you are not alone.
My 10yo has only recently come out of her "terrible twos" with the help of a behavior plan and meds.
Was her diagnosis made by a child psychiatrist or neuropsychologist; and what type of doctor is managinge the meds? It sounds like she has at least oppositional deffiance (ODD) with the ADHD (not uncommon). A psychiatrist with experience in ADHD med management usually has many strategies for managing the ADHD and the co-morbidities that come with it and would be less likely to undermedicate (common with pediatricians). My daughter's doctor has told me that there are lots of ways to customize meds to a child's individual needs. It may take time to find the best med and dose for her. Also if additional help is needed, meds such as guanfacine (Tenex) or clonidine can be added to help with hyperactivity and defiance; or a combo of stim med and strattera. These are all posibilities if you get to a dose on the patch that seems good but not good enough in these areas. Discuss this with the doctor; you may need to keep a log of behaviors to pinpoint when the problems are occuring and what adjustments could be made.
Behavior can also be helped with a positive reinforcement behavior plan like is described in the thread called Ogram's marble system. My daughter had one for school last year and then we added the home behaviors and came a long way in reducing the rages, disagreements and other conflicts. The meds have reduced her implulsiveness and have helped in school (reducing her frustration-she has gone from Fs to As and Bs). It is not perfect but pretty darn good.
One footnote: My adopted daughter appears to have inattentive form which is not bad enough to treat with meds (we use behavior plan and organizational skills). My biologic child is combination ADHD and is described above. They are 11 months apart.
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