my almost 10 yr old son has diagnosed ADHD. he has tried 3 different stimulant drugs at various dosages, some have worked for a little while and school have seen a big improvement in behaviour and work but then they seem to stop working as well. others have over stimulated him leaving him 'gurning' and fixated on a rubix cube for 8 hrs solid. doc is now wanting to try this but after reading side effects im really not sure! he does talk of killing himself now and then and wishes his elder sister dead almost daily. can anyone give me any advice/guidance? forgot to mention some of his meds have left him with no appetite until theyv worn off and he finds it difficult to get to sleep. hes already very slim. pls help :-(
This question has also been asked and answered here: Strattera vs Adderall: What is the difference?
it may be the med for him. If he has side effects you don't have to keep giving it to him. Remember that all those side effects listed do not mean that he will have all of them or even one of them. They have to list anything even a very small number of people noticed. The wanting to be dead or wanting his sister dead is bothering me. Does his doc know he says that?
I almost wonder if it is something other than ADHD. His wanting to be dead and wanting his sister dead doesnt sound like ADHD. There are many other behavior disorders that can mimic ADHD but they wont respond to stimulants. If it is true ADHD, you usually see a big improvement right away, even within hours of taking the first dose, in some cases. Is he being treated by a psychiatrist or is it a pediatrician treating him? If he is not seeing a psychiatrist then I would definitely recommend that you take him to a childrens psychiatrist. He should probably be getting counseling along with medications for sure! His response to the medications and the symptoms you describe dont seem like ADHD to me. You may want a second opinion if you are already seeing a psychiatrist.
I'm not really an expert, but if I can offer my point of view/experience...
I'm very ADHD (but the non-hyperactive type) & I did the hyper-focused thing too (still do) where I'd focused on something for extended periods despite being ADD which can sometimes be part if the diagnosis. I also had bouts of suicidal ideation, ADHD can sometimes have co-morbid issues; for me it was & is major depression and I wonder if your son may be depressive?
Sometimes the stimulant ADHD drugs can cause sleeplessness and appetite suppression, but I don't have any help with that except maybe changing the type, say immediate release instead of extended.
The one thing that really helped me was riding horses and taking care of family dogs-- I was good at and enjoyed them, it helped boost my confidence, gave me an outlet for energy and all the good things that I learned doing those helped me build skills that transferred to other things. Structure and having something of their own that they're good at can be good for kids w/ ADHD.
The thing I'd want to have checked out is whether he is only ADHD or if there's something on top of it or something else entirely. If it's possible maybe seeing a counsellor/shrink/etc is important I think b/c talking about death (his or others') is scary (I'm sure you know this :) ). Start w/ his doc to let him/her what's going on and maybe there'll be a better drug choice for your guy.
Sorry this goes on and on, take care,
My son has Adhd and he has tried 3 meds so far. Strattera made him very angry. He told me he wanted to punch someone all the time. We took him off that one and tried Vyvanse. That worked great but he lost his appetite all the time. So the pediatrician prescribed ciproheptadine for appetite. It helped but not enough. So he tried Concerta along with the ciproheptadine and he is just fine now. It can take awhile before you find the right one for your son so don't despair! Also make sure that he takes his Adhd meds first thing when he wakes up so that he can sleep at night. Also my son was able to take Melatonin for sleep until his own sleep clock was back on track. He also used it when needed which is not very often anymore. He started about 10 years old too and now is 14. It takes time. It's nice that he is an age that he can tell you how he feels, ask him and keep discuss it when you feel he is having any changes in his mood. I would talk with my son about it too and it help with making decisions for him that were for his health benefit.
Good luck and take care,
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