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This reply was originally posted by user adhdmomma in ADDitude’s now-retired community.
There’s a saying in the ADHD community: “Pills don’t teach skills.” While medication helps kids with ADHD slow down and focus, it doesn’t teach them lagging skills, it just makes them more able to learn them.
So, yes, behavioral therapy in addition to medication is ideal: https://www.additudemag.com/adhdblogs/19/10965.html.
I found Ross Greene’s book, “The Explosive Child” very helpful to determine and address lagging skills, but also to determine behavior triggers and address them collaboratively. I recommend it to every parent of a child with ADHD.
When we talk about lagging skills, we are talking about frustration tolerance, time blindness, emotional communication, emotional regulation, self-awareness, self regulation, organization, etc…
It’s important to consider a medication adjustment as well. It could be that his medication is not lasting as long as it should or as long as he needs it to. And/or he could be experiencing rebound in the afternoons, which deteriorates mood and behavior: https://www.additudemag.com/adhd/article/957-2.html.
Finally, traditional parenting tactics don’t usually work for kids with ADHD. A positive parenting approach is much more successful:
There’s a lot to think about and learn starting out, but you will get there.
ADDconnect Moderator, Author on Parenting ADHD, Mom to teen boy with ADHD, LDs, and autism