How many kids get the meds right? | ADHD Information

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Dd (just turned 8) was assessed and diagnosed a few weeks ago as having ADHD (combined) and Giftedness.  Next week we are going to a renowned pediatrician in our city who specializes in ADHD, for a consultation on meds.

Her ADHD manifests itself mainly in impulsivity (talking out in class is a biggie- and it's exacerbated by the whole giftedness thing since she always knows the answer), physical awkwardness (like she literally doesn't know what to do or where to put her body sometimes, being clumsy and awkward, etc.), inattentiveness to detail (she speeds through much of her schoolwork so it's sloppy, far from her best work) nonstop talking and general drama queen-ness.  She can also be anxious, but at the same time is never afraid of new situations, playing with new kids, or any kind of change.  Academically she does very well, A's and B's, but I worry that right now her giftedness is overshadowing the ADHD, and as she progresses through the grades she'll need that ability to focus on detail that she doesn't have right now, and that the tides could turn.

Anyhow, all this to say that I am not against meds, in fact I am very encouraged by all the positive stories about kids who've been helped.  I hope that my daughter will be helped in the same way.  

The psychologist who assessed her said that 70% of kids that are diagnosed and go on medication do so without incident- that it's not a nightmare of tweaking doses and switching meds and horrible side effects.  70% sounded pretty positive to me- just wondering if y'all agree with this.  Much of what I read online sounds like it is written by the 30% if you know what I mean, but then again, one would have much less reason to post about it if it's all good- hope that makes sense.

Thoughts?



sounds like you got it right.......people who "get it right" right away arent on message boards looking for help . I know quite a few people, children and adults who take ADHD meds and have not had any major side effect issues.Like you, we have a child with ADHD and Giftedness. We started him on stimulants, but saw a bad reaction. He got overly anxious, and developed unusual tics. We returned to the doctor and he switched to another ADHD drug which is working better. It took one year and 4 different drugs to get it right.

Make sure you do your reading about Giftedness. Many kids who are gifted are also ADHD, or they are misdiagnosed. Gifted traits are sometimes mistaken for ADHD symptoms.

Our son is seeing a Gifted/Talented counselor and in a small therapt group with other G/T kids his age. There are many pleasures parenting a G/T kid, but also many challenges. From what we've been told, the reason why these G/T kids have trouble is because the back part of their brain is developing fast, and the front part of their brain is developing slower. Eventually, both parts of their brain catch up with each other, but it may take until they reach 20 years old or more.

There are various techniques you can do to help an G/T & ADHD child. One of the things you can do is have them do balancing games while at the same time you ask them questions. It forces them to think out of both parts of their brain simultaneously, which promotes growth.

Make sure you talk to your school counselors about what they offer G/T kids. School are required by law to provide assistance to kids that are struggling, but are not required to help G/T kids. Parents often need to fight for their G/T kids to make sure they're getting the help they need too.

tosca,

Our 9 yo DD is also ADHD and Gifted.  I have read that they are the hardest to teach.  We have had great success with meds (I mean 4 years of meds and we're just now running into any real issues).  Having the right teacher is key as well as the right med.  I would take the summer to start medicine since you can keep an eye on her and she will have more time to adjust.

Unfortunately Dad in Akron is right.  There are plenty of programs to help the disabilities in our children but not a lot to help them encourage the giftedness.  For us (we are stationed in Japan) they have a pull-out gifted program but the catch is they have to make up the work they miss in regular class as well as do the gifted work (which makes it seem like a punishment).  Her old school did a cluster (gifted mixed with regular students) and they always wound up going the speed of the lowest student.

I would suggest working with her at home.  My mother-in-law was a teacher and helped us find lots of workbooks and such that are specifically for gifted children.  There are also lots of websites that have games that make the extra learning fun.  Let her go at her speed at home.  Our daughter is now on the second Harry Potter book.  Everyone told us it was too much for her age but she wanted to read them.  She read the first one in a week.

I guess what I'm saying is don't discourage her.  If she wants to pick up a middle-school or high-school level book let her. but also if she wants to sit and look at a picture book let her (sometimes their brains need a break for silliness).  Or if she wants to do harder math let her.  Don't let the school decide her level, let her.  Heck, if you can encourage her to start learning another language.  Since we are in Japan our DD is now learning Japanese and still likes to try Spanish now and then.  We just encourage all kinds of learning no matter how silly it may seem at the moment.

Good luck and good job!! 

tosca,

It took us a year to settle into the right med combo but I still say that it was worth it.  Right away we were getting some help with the meds but it wasn't until a year that we had minimized or learned to deal with side effects. 

I have always thought that the giftedness helped in some ways.  My dd has learned organizational tools to the point that no one at school realizes that she struggles with organization.  Our gifted programs have been good for dd because she is proud that she is intelligent when she feels so disfunctional sometimes.  I think that every school has a slightly different program so you have to try it and then drop out if there are problems such as excessive homework. 

My dd ended up on meds because she ended up with anxiety dealing with constantly trying to compensate for her ADD in 5th grade.  She was losing friends because she wasn't able to catch social cues and didn't even hear someone talking to her.  Girls can be real tough as they get older.  She was driving us crazy at home and her sister was really starting to dislike her for her verbal outbursts, interupting and sometimes accidently hurting her.  Even though we don't have the hyperactivity diagnosis, dd is impulsive with her mouth and body at home. 

My DS has been on meds for 7 years with no problems (other than some rebounding which wasn't fun but wasn't horrific), not even at the start.  We changed his meds once in about first grade and he was on that dose until this year (6th grade).  So yes, it isn't a terrible process for everyone.

Having said all of that, this year (6th grade) has been difficult.  I am still trying to figure out what happened.  I won't elaborate on everything that happened (you can find stuff in other posts) but I am having to go back and do a lot of reading and learning.  You are right to be concerned that your DD's giftedness can make things easy now but result in difficulties later.  My DS is gifted and I now think that is why things have gone so well for us to this point.  Our old school district had a great gifted program - he was in a math and science class everyday with all gifted kids.  It worked great for my DS.  We moved this year and this school district has a pull out program and like Navywife said, it is like a punishment because you have to make up all the work you miss which my DS doesn't deal with very well.  Also, now that he is getting ready to enter middle school I am greatly concerned that his lack of organization, etc. is going to start causing serious problems.  His "smarts" have helped him deal with this in elementary school but I think his "system" isn't going to work for him in middle school.  Middle school can be difficult for all kids but I think it poses a special challenge for our ADHD kids.  I wish I had done more to prepare my DS while still in elementary school.  I also wish I had learned more about what it means to be gifted. 

I encourage you to read both books about ADHD and giftedness.  I never read anything on giftedness until just recently and I am astounded at how giftedness can "look like" ADHD sometimes.  The book I am currently reading is called Mellow Out They Say.  If Only I Could.  Intensities and Sensitivities of the Young and Bright by Michael Piechowski, PhD.  I am only on the 2cd chapter but it has been interesting.

Good luck!

Thank you all for your great input- it's wonderful to find a place where so many people really get this.  I was at a little get-together last night and someone was spewing on about how awful it is that kids get sent for these assessments, that we are unnecessarily labeling them...and on and on...you can fill in the rest of the blanks.  She doesn't know anything really about my dd.  I piped up and told her that 1) the assessment process is actually a very enlightening and positive experience when done by the right person (as it was in our case), and that 2) ADHD isn't something that is an issues defined by the schools designed to get our square pegs to fit in a round hole.  When my dd struggles every freaking Wednesday to gather up her things for Brownies and can't find them, and yells and cries amidst her room that is a tornado when her sash is two feet in front of her yet she can't see it, that is real.  When she can't yet negotiate traffic and crossing streets because there's just too much sensory input for her to deal with at once, that is real.  Ugh.  People's ignorance really gets to me at times.

Greyhoundmom3- I can so see your experience one day happening with my dd.  Right now she is flying academically because she can get away with it.  The biggest things her teacher dealt with this year were her calling out in class, and her needing a lot of adult reassurance in doing her work and staying on task.  Doing group work was hard for her at times too- she doesn't always get those social cues- she talks a mile a minute, can have a hard time cooperating, and will sometimes revert into a whiny/crying mode when things don't go her way.  In short, she can be super-annoying :(

navywife- I definitely do plan to work with her at home.  There are really two things I want to focus on- one is keyboarding (learning this one one of the specific recomendations that was in her report so that she can have a computer dedicated to her in grade 3), the other is routine and organization.  Keyboarding I don't think will be difficult for her.  Routine and organization are second nature to me, but how to teach them to a child with ADHD?  She is very good with certain routines- mornings for example she has no problem getting out of bed, dressing herself, brushing teeth, getting her outdoor clothes on.  Where she gets bogged down is in "stuff"- Where is my backpack?  Where is my form for the field trip?  You all know the drill I am sure.  I can't tell you how many times I've rearranged and set up her room to make it easy for her to keep track of her stuff.  At this point I am thinking of doing some sort of chart or marble system to help us work on this.

mamark- Following what I said just above to navywife, I am SO heartened to hear that organizational skills can be learned.  I would love to hear more about how you did this.

Thank you all again, this board is the best place ever :)
tosca39623.2809837963

tosca,

You are right about crossing streets.  We thought it very likely that our dd would get hit by a car if she were to try to cross the street with out us there.  I was terrified every Girl Scout field trip.  She also was prone to getting lost in crowds. 

We can talk more in depth about organization sometime but the biggest organizational tools that we have are the agenda and color-coding the binder.  Dd is programed to write down her assignments and she picked out her color scheme for her different subjects.  In our schools the kids start using an agenda in 3rd grade.  Some kids would try to keep it all in their heads but my dd was always faithul using the agenda.  When she hit middle school she already knew how to use tha agenda.  She also adds her own notes to the agenda such as "socks for gym class" or "book for study hall".  She also uses sticky notes to remind her of things.  We taped a clear pocket on the front of her adgenda notebook for papers that need to go to school and sticky notes.  Lists in the morning to help her with her routine.  Meds help with her overall memory.   

Our biggest challenge now is the rare teacher that doesn't write on the board.  We also have to figure a way to get her to charge her cell phone.  I forget to charge mine so I am no help.   

I'm all for diagnosing.  First, you can get meds without a diagnosis.  Second, you can't get compensating tools effeectively without a diagnosis.  Third, the world won't accommodate our kid's challenges so we have to find a way to help them fit in better.  All the complaining and whining we do won't make everyone give our children special treatment or consider them just part of the normal spectrum.  It's nice when it happens but it isn't the real world.  Best to accept it and deal with it.