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Thread : Need Advice for Oldest Son Dealing with ADHD Younger Brother...  
12 Sep 2008 @ 10:03 AM
kibarra Join Date: Wed 25th Jun 2008
Threads: 1 Posts: 0
Need Advice for Oldest Son Dealing with ADHD Younger Brother...

My son is on Vyvanse 30 mg...it does great except that it really lowers his appetite. We went in for a checkup and he hasn't gained a pound in over 8 months (He is 7 and is small for his age, so should be growing at this point). Our Dr. said that while 30 mg was the lowest dose for Vyvanse previously, they just came out with 20 mg and he wanted to try my son on that...less strength, less side effects, more eating was the goal here. I was up for that because my heart was broken that he hasn't been growing. Well, that day the doctor and I spent time talking to my son about how he had to eat even if he didn't feel like it. I was told to give him whatever he wanted to eat whenever he wanted it...which sounded just fine to me considering I was willing to do whatever to help him start growing/get some weight on him. I had a very long "talk" with GOD....now I have always encouraged my son to eat, tried different things, I am a strong Christian and pray about many things...but for some reason hadn't even thought to pray about my son's appetite. Well, my son was on the 30 mg for about 10 more days after the appt. before I got the 20 mg. prescription filled. The same day of the appt. his appetite immediately began to pick up, and hasn't really slowed down since. I feel it is because of the prayers, because I didn't do anything different really except prayer and offer him a little more choices than usual, and he was already eating better before we switched from the 30 mg to the 20 mg. So, I am thrilled about that. Now, for the problem :-) This 20 mg Vyvanse basically does NOTHING for my son. He is acting out of control at home...the medicine is taking longer to kick in, wears off quicker...his grades are drastically lower (like an A/B student to a C/F student...seriously). He is distracting other students, mean to his siblings...the list goes on and on as you ADD parents already know. In the mornings it takes so long to get him to do stuff, we are always rushing out the door to make it to school on time. The big problem is that my older son just started middle school this year...and he is very social. He likes to be to school as early as possible so he can talk with his friends...he is loosing his patience with my younger son. He gets so mad at his little brother for being so difficult and making it so that he can't get to school early enough. On one hand, I want my older child to show compassion to his little brother, because while he IS VERY difficult, essentially, he can't control his behavior completely without help. On the other hand, I totally understand my older son's frustration, because I feel that way too. I am sick of this you guys! I am so sick of breaking down in tears every morning after I drop my ADHD child off at school wondering how he is going to make it through the day, and feeling like the worst mother because I can't help him. I did read (somewhere on this forum, I think) about how if ADHD children need medicine that is fine, but they also need to be taught self control and self calming methods...what a GREAT idea...seems obvious, but I never thought of it. The problem is I live in a small town and there aren't any classes like that...I even checked around different fitness centers for children's yoga classes...but to no avail. Kinda depressing. Anyway, this post was partly to vent, and if you have any advice at all, I'm all ears, but my main question is how I can deal with the older sibling...how can I help him understand, yet also know that how he feels is normal. Is there anything special I can do for him...I just don't know, I'm at a loss here. PS. We have an appt. next week to possibly get my youngest back on the 30 mg instead of 20 mg...if he has gained weight...if he hasn't gained weight, the way he has been eating, I am going to see if we can check for other problems...because he does constantly have an upset stomach and bad allergies along with some other "stuff". Who knows?! Thanks for listening!

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12 Sep 2008 @ 10:26 AM Reply # 1
AU1984 Join Date: Wed 21st Nov 2007
Threads: 2 Posts: 7
Older siblings and ADHD

Wow! I can so relate to everything you said! My ADD son is 9, and currently on 40 mg of Vyvanse. He has 2 older sisters, 16 and 12 1/2, who are constantly at odds with him. I think they know in their heart, that he can't help alot of his behaviors, but he still continues to get on their nerves. I wish I had some great advice, but I don't. I'm always telling them to just try to ignore whatever he is doing to annoy them. The running late part is SO frustrating! We are always out in the car, honking the horn, waiting for my son to come on! As far as the appetite goes, my son has some days where he doesn't seem to eat much at all, and others where he can't get enough. He is gaining weight slightly. I have been really trying to increase his protein. Tried hiding the powder in his milk, but he noticed, and wouldn't drink it! I am with you as far as tears and prayers. I am constantly second-guessing myself as to whether I am doing all I can for him.

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13 Sep 2008 @ 1:48 PM Reply # 2
michelle Join Date: Sat 13th Sep 2008
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Dealing with brother

I can relate to how you feel also. My son is on 50 mg. of Vyvanse since June and has lost about 8 lbs. He's 9 years old and has lost his appetite also and has not improved. Dr. tells me not to worry about it, but he's a stick only weighing 54 lbs. He has a younger sister who is actually pretty understanding, but I'm probably the one who gets more frustrated with him not getting ready or doing things when they're required and then suffering the consequences with melt-downs. We are seeking counseling which helps in which they are inacting a reward system so when he's ready on time, etc. he gets a reward. For my son, the reward is a baseball card. If he's ready when we tell him, he gets a baseball card or two. This happens with only 1 reminder. Find something small that can serve as a reward like a baseball or Pokemon card and tell him that if he's ready when it's time to leave he can get this reward and if he earns it, be sure to lavish on the praise! I hope this works for you. It has with us.

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13 Sep 2008 @ 2:13 PM Reply # 3
atwitsend Join Date: Wed 10th Sep 2008
Threads: 1 Posts: 3
We're all in this together!

Thanks for your reply for my son! In the recent weeks, we have also had really bad mornings after trying to get him to eat. He is an only child, so no siblings to frustrate. However, we are frustrated just getting him out the door to school and praying he'll eat something!! I have tried making a small fruit smoothie with either milk or juice of some kind---in a blender with the frozen sweetened strawberries and half of a banana. The frozen strawberries also come unsweetened, but he likes it sweet. I have also tried frozen peaches, berries etc. I have him at least take a big gulp when he takes his medication, but I have been setting it in his bathroom to drink while he gets ready. It seems like we are spoiling him in some way, but they have to eat ! I just got some chocolate instant breakfast at the store, I will try that in the mornings also. He will drink something in the am because he is thirsty when he wakes up. Anyway, I was also looking at the best alarm clocks for ADHD. I might try the one that vibrates the mattress, it's around 19.99. There is also one called "clocky". It rolls around and makes R2D2 noises until they get up. I've seen one and it might work better for the younger kids, as it's kind of fun. It's more expensive, 50.00 or so, but may be worth everyone's sanity if it works. Ha! I don't know what the answer is to get these kids up and out the door, but I do agree---I'm going to pray about it for sure.

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25 Nov 2008 @ 11:15 AM Reply # 4
steeleamelia Join Date: Tue 25th Nov 2008
Threads: 1 Posts: 2
I completely understand!!

I am new to this forum and to ADHD! My son is 9 and was dx with ADHD 1 year ago. He to was very small before meds- He currently weights 54 lbs and the pediatrician is concerned about his weight. We have be adjusting meds- Started on Daytrana (worked best) and now is back on it at 30mg. But we have tried Vyvanse and Strattera and both together and I still don't think we have it "right " yet! However, she added a pill at night that is used from toddlers to adults- it increases appettite. Cyprohetadine 4mg- It is also used with children that suffer with migraines. So far have not noticed that much of an improvement with appetitte.

My son has horrible mornings, gets quickly frustrated with feeling rushed and in turn takes it out on my 14 y/o daughter. I think he is very resentful towards her. You see my daughter is the complete opposite to him- straight A student, athletic- all of it! When he gets mad that is one of the first things he says. My husband and I praise him all of the time no matter how poor of the grade etc. I just am very concerned about their relationship! Often my son takes his frustation out on me as well- yelling, screaming, throwing fits, occass I think if thought he could get away with it he would try to hit me- and I have to stay on him about hitting sis.

All and all this is a very heartbreaking and frustating problem! I love my pediatrician but I feel we have to get more aggressive in getting him the proper help. I am planning on getting him the IEP testing but thought I should wait until his meds were somewhat right but he is falling behind in class. I am trying to locate a specialist that deals with children ADD/ADHD.

Justt know you are not alone!

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