My 6 yr old daughter was just diagnosed with ADHD combined type with anxiety and ODD.  Her psychiatrist prescribed her Concerta 18mg and today was her first day.  We gave it to her at 7:50 AM.  It was great until about noon.  After that, it went downhill.  She insisted on my husband or I being right beside her all day.  She didn't do any of her usual activities liking coloring.  She wanted to build a circus with her figurines from her dollhouse.  It took her three hours to do it.  It was like she had thoughts in her head of what she wanted to do but she had no clue on how to do it.  She was obssessed and fixated on this for hours.  After that, came the building of a camp site for her doll figurines.  Same thing happen with that.  Fixated for hours and didn't know where to start.  She lined all her toys up biggest to smallest.  I asked her why she did that.  She said because she could look at them to figure out what she wanted to do first.  Then, she would arrange everything then immediately mess it up again to "fix it".  She had major melt downs today.  She kicked and hit my husband when he tried to send her to her room to calm down.  (She has always been very defiant, but has never hit us before.)  She didn't want her little brother any where near her today because she said he would mess up the stuff she organized.  Is this her anxiety getting worse?  Seems like some OCD behavior, too?

What should I do?  Should I give the Concerta to her again tomorrow (Sunday) to see how she does?  Or just be done with it now and call the doctor on Monday morning.  If it was bad today, will it get any better tomorrow?  What about school on Monday?  Definitely not give it to her for school?  What next?  Strattera?

I will ask her doctor this on Monday, but right now I desperately need advice mother-to-mother, (or father-to-mother.)