5YO with ADHD, SPD and Moderate Anxiety

Brewtowngrl

We finally have our official Dx.  DS is already in OT for the SPD.  He is getting worse with his impulse control.  While on vacation he kicked me hard enough to leave a very large bruise. Then he melts down because he is embarrassed by his behavior.  The crying can last 5min to over an hour and he hides if there is someone else around.  At least this has only happened a few times at school.  DS2 is coping his bad behavior now turning my house into a crying screaming mess all the time.  Meals are a disaster because now DS2 won't even stay in his chair.  

That is the short version.  We have our follow up with the doc today now that we have his Dx.  What questions do I need to ask? How are you treating ADHD in young child?  He is extremely bright and scored very high on his tests with the psych, but his school work puts him on the low end of normal for his age.  Next year will be all day school and I am nervous for him.  He wants to please so bad, but can't.  His current teacher is helping me figure out getting a 504 for next year.

I have tried adding omega 3 vitamins and he every kind he spits out.  Even gummies.  He has major food issues.   

Brewtowngrl

We sought out private child psych that our pedi referred us to because his school was not very helpful this year.  I am told his school for next year with all day school will be much better.  She ruled out him being on the spectrum.  On the IQ his average was in the superior and his academic score was on the cut off for normal and low.  She was not concerned about academic and thinks that once we get a grasp on all of this and start helping him the academic will improve a lot.  

honestly I am not familiar with all your abbreviations since I am pretty new to this.  I do know that I have a list of tests performed and forms filled out by family and teachers.  This process took us a few months and i think I feel more lost then when we started.   

Brewtowngrl

bubba2b:

Behavioral component is first line treatment. We have a dd who is now 6. She was 3 when diagnosed. The behaviors you describe at home we have experienced as well. But DD also has speech/learning issues so we have had an IEP and Behavioral Intervention Plan.
We started medication at 4 and after a trial of short acting we have a long acting. The medication has made a big difference. We can work with behaviors and as they say...makes her available for learning. We also have safety issues...elopement, running in streets, etc..
Medication is a hard choice. For us it is necessity right now...
One behavior, the sitting at the dinner table. It took time and we still have bad days but she will sit at the dinner table for a short time and sometimes the whole meal. It is much better. Behavioral therapy helped us with strategies...
Also I keep her very busy...horseback riding use it as an incentive, swim lessons special need oriented, OT, Girl Scouts, and Speech. Even if I didn't have all the the therapies, she requires structure or a semi structure. Keeps her with other kids...It has been tough b.c of behaviors but worth it. Some activities...I want to do are Karate and Swim Team or more swim lessonsdebating between team and lessons.
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thank you. very helpful. we do soccer, gymnastics and swim right now. I have to figure out summer yet. we are out of town a lot and activities get harder.

it is so hard to see him struggle. he wants to be good but he just cant control it.

smiling76

Brewtowngrl:

bubba2b:

Behavioral component is first line treatment. We have a dd who is now 6. She was 3 when diagnosed. The behaviors you describe at home we have experienced as well. But DD also has speech/learning issues so we have had an IEP and Behavioral Intervention Plan. We started medication at 4 and after a trial of short acting we have a long acting. The medication has made a big difference. We can work with behaviors and as they say...makes her available for learning. We also have safety issues...elopement, running in streets, etc.. Medication is a hard choice. For us it is necessity right now... One behavior, the sitting at the dinner table. It took time and we still have bad days but she will sit at the dinner table for a short time and sometimes the whole meal. It is much better. Behavioral therapy helped us with strategies... Also I keep her very busy...horseback riding use it as an incentive, swim lessons special need oriented, OT, Girl Scouts, and Speech. Even if I didn't have all the the therapies, she requires structure or a semi structure. Keeps her with other kids...It has been tough b.c of behaviors but worth it. Some activities...I want to do are Karate and Swim Team or more swim lessonsdebating between team and lessons. nbsp; nbsp;

thank you. very helpful. we do soccer, gymnastics and swim right now. I have to figure out summer yet. we are out of town a lot and activities get harder. it is so hard to see him struggle. he wants to be good but he just cant control it.

DS1 wants to play soccer but I'm concerned that his SPD and possible ADD will get majorly in the way.  He is just so impulsive that it's insane.  We tried a very beginner t-ball thing last summer and it was a disaster.  He was walking in the way of swinging, running around, tackling people--horrible. 

How do you do it with them?  I'm so curious!!!  I'd love for DS1 to do karate and soccer.

 

Brewtowngrl

I talked to the social worker just a bit ago.  She said to forward the psychs eval to her and she will start the ball rolling so he is set for next year.  They seam supportive (at least so far).  We are definitely  looking at therapy (behavior mod) before meds.  

As far as soccer goes it isn't a big hit.  I think t-ball would be too much waiting around.  Swim and gymnastics are huge hits.