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Getting Help for Anger Issues
Both of my sons (ages 10 and 11) are ADHD, and since they're only a year apart, they're constantly fighting. We've always had a problem with the older one being insolent and disrespectful at times, while at other times he's tender and sweet. I realized that he gets most disrespectful when he feels set aside or powerless; since I've enlisted his help more heavily in cooking, doing dishes, and household repairs, he feels more responsible and --surpinsingly -- is more respectful and better able to control his temper. His self-esteem soared after I let him replace the water faucet in his bathroom! My younger son, on the other hand, has an anxiety disorder along with the ADHD; possibly even bipolar disorder, but it's hard to truly nail down all the comorbid disorders that can exist alongside ADHD. Whatever, he's always had meltdowns occasionally. His school counselor started charting them and found that they always occur during the week of the new moon, every fourth week like clockwork. That's also the fourth week of my menstrual cycle, although I don't suffer from PMS too badly, so I didn't think he was picking up on my mood. Regardless, we noticed that the meltdowns that usually lasted a couple hours suddenly started lasting for days. Then he threatened suicide. It turned out he was reacting to his medication -- he was on Focalin -- and it was exacerbating his anxiety and making him more irritable. We switched him to Vyvanse, and I took him to a pediatric psychiatrist. Because he has a history of anxiety and anger control, she prescribed Riperdal along with the Vyvanse. Risperdal is useful for evening out anger issues, but it does increase appetite. For my son, that was a good thing, because he didn't eat on most stimulant medications. He still has tempers during the fourth week of the month, but they aren't as severe and he no longer wants to die to escape the horrible feelings he has. He knows it will pass, and that he has to try to keep the issue in perspective; the Risperdal lets him hang on to a sense of perspective instead of becoming lost in his emotions.
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