Have you found yourself in one of these difficult situations?
- You and your child's physician conclude that your child should take medication, but your spouse says no.
- You and your spouse agree on medication, but your mom or dad, or an in-law, voices strong disapproval.
- You are divorced, and your ex refuses to allow your child anywhere near medication.
- You and your spouse are putting your child on medication, but your child's teacher disapproves.
Helping your child do well in school, socially, and at home is not an easy task. Things get complicated when you and your spouse disagree on a course of action to take. The most difficult situation is when parents disagree on the need for their child to take medication for ADHD.
Frequently the disagreement stems from one parent not realizing the seriousness of the child's behaviors in school. And sometimes a parent doesn't understand the role medication plays in helping a child with ADHD. This out-of-the-loop parent is biased against medication. He will tell his spouse and the doctor, "You are not going to put my child on medication" or, "My child doesn't need medication."
What to Do
First, try to educate your spouse. He or she should have been involved all along, but if not, you might say, "The doctor recommended using this medication. Let me set up an appointment for us, so that you can hear his reasons for the recommendation."
Set up the appointment and tell your doctor in advance about your spouse's distrust of medication. At the meeting, the physician might start out with, "I appreciate the fact that you are concerned about your son being on medication. Let me try to relieve your concerns by explaining more about it." Have the physician review the symptoms of ADHD and pinpoint the behaviors targeted by the medication. He should review how medication works and for how long, side effects, and how they will be handled.
If your spouse refuses to go, ask the doctor to call the parent. He can say, "I understand that you are uneasy with my suggestion that your son take medication. May I try to address your concerns?" If your spouse still refuses a one-on-one discussion, ask him to read about ADHD and how medication can help manage symptoms. A good place to start is on ADDitudeMag.com or on chadd.org.
Share the Anxiety
If your efforts fail, make your spouse aware of the problems your child is having in school. Perhaps you have been the one who got all the calls about your child's problems in the classroom, and went to all the meetings with the teacher and guidance counselor. You explained it to your spouse, but he never gave you his full attention.
Meet with the principal and request that teachers and others call you and your husband about your child's challenges in school. Give the school your husband's day-time phone numbers. Do not go to meetings with the teacher or special-ed team without your husband. When you get reports from the school, share them with your spouse.
You may be keeping your spouse out of things because he gets angry at your child when he isn't doing well in school. He may even yell at or hit your child. If so, make an appointment with a family or marriage counselor soon.
If you and your physician decide that medication will help manage ADHD symptoms, don't tell your child not to tell Dad or Grandma that he is taking ADHD medication. This places your child in a difficult situation. She may think that taking medication is wrong or feel uncomfortable about being asked to lie to her father.
To discuss this topic with other parents in your shoes, visit the Parents of ADHD Children support group on ADDConnect.