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...it's a brain thing
One of things I know from studying ADHD and having it myself is that the brain can recognize the need to do something, but somehow the process of doing something about it gets messed up.
I often know I have to go, ignore it for some reason, and then I have to go again...
So it's a psychological reason, that is related to how ADHD affects the brain.
However, don't overlook the fact that it could be that your child is having a growth spurt (body too big for bladder).
The idea of making it a routine, going when you don't think you need to go is one of the most proactive ways to go.
Build a pee break when transitioning - get that put on your child's IEP (school treatment plan) and you can also work bathroom breaks into your routines when out with your child.
I can see the validity of the argument that it is the meds affecting the way the brain send/recieves messages and sensory input.
GP's wouldn't neccessarily think to consider it from a neuropshchological perspective. :)
good luck!
(in the meantime, you could use those pull ups for older kids if it's an embarrassing issue for your child, and teach them how to deal with it at school - permission to use the accessible washroom rooms, instead of the regular stalls, time it so they're not going when other kids are going)
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