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Good Luck...
Does the father know exactly how much "extra" time you are having to spend at the school, etc because of your child's behaviour? Even though he lives 5 hours away, mabey you could talk to the teacher and explain that the father is having resistance to the child being treated. Tell her that from now on when there is a problem, for her to call him first and explain the situation. She may have to end up calling you to come "deal with it" since you are closer, but at least he will know it's real, you aren't making it up or exaggerating. Plus, he can't deny it once the teacher has talked to him. I don't know of your relationship with your ex, but I know lots of time ex's can be resentful, and if he is that way, he may not want him diagnosed/treated simply because you do want him diagnosed/treated. So, this is where the teacher calling him could also help. Anytime your child is in trouble, and a note is sent home, etc...have them send a copy to your ex as well. In my opinion, men, as a rule, are more resistant to this type of thing than moms (my husband was), and I think it is because we are the ones dealing with all the issues and they don't understand the full extent of the problem. Your ex needs to understand the full extent, then he may be open to your son being treated once he sees that there is a problem.
Also, there are natural remedies, like the other post stated, that you may want to try. My son has never been on them, I am not opposed to them, and infact it may be something we do in the future...we just haven't tried any as of yet .
Good luck with that, just keep fighting, becuause if your child is ADHD he needs the help...
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