My Forum Comments
I absolutely love Ireland, but I understand the diagnosis and treatment protocols there might be quite different than what we are used to. Has your son been formally diagnosed with ADHD? It sounds like the school is making accommodations by providing the movement breaks you mentioned, but maybe this is standard for all students? Regardless, you mentioned CBT but I wonder if his doctor has spoken with you at all about medication options. Sometimes, symptoms do flare during puberty and many families find that they need new treatment strategies to keep the wheels on the bus. https://www.additudemag.com/puberty-and-adhd-symptoms-teens/
One follow-up question: What is your son’s treatment plan?
It sounds like your son is in middle school – is that right? ADDitude has a lot of articles about school behavior but many of them apply to elementary school students. I think this would be an excellent question for our ADHD in Boys expert, Ryan Wexelblatt (https://www.additudemag.com/author/ryan-wexelblatt-lcsw/). Do you mind if I share it with him? In the meantime, here are a few things you might find helpful…
This article about school options links to a ton of great resources, including a set about the nation’s best online schools: https://www.additudemag.com/schools-for-adhd-ld-students/ We hope you will follow up to let us know how things work out for your son!
I would encourage you to share your experience on our Jornay medication overview page so that other members can chime in and your experience can help the whole community: https://www.additudemag.com/medication/jornay-pm/
You mentioned an anti-depressant, but no medication for your ADHD symptoms (focus/inattention being the primary one, it appears). I would recommend that you talk with your psychiatrist about your options at that upcoming appointment you mentioned. ADHD is not a matter of will power or desire to change; it is a matter of neurological chemistry. You cannot control this chemistry, so please don’t beat yourself up about the challenges you face and please don’t give up on your dream!
Here is our channel all about medication so you can get familiar with some of your options ahead of time: https://www.additudemag.com/category/explore-adhd-treatments/medications/
Hi there! It’s great to hear that Vyvanse has made such a huge difference in managing your ADHD symptoms. I can’t offer specific medical advice regarding the brain fog that you describe, but I would recommend checking out this Natural Treatments channel on our site: https://www.additudemag.com/category/explore-adhd-treatments/natural-treatments/
There, you will find information about vitamins, supplements, diet and more. Many people find that a breakfast high in protein and low in carbs/sugar helps them function well in the morning, for example.
I hope this helps!
I love the idea of an app that asks you a series of questions for each item you enter on your to-do list and, behind the scenes, calculates a Priority Score like the one you describe from college. There are a few that come close – you might check out Focus Matrix, which is free and gets good reviews. I would also point you toward our How to Prioritize channel for more ideas: https://www.additudemag.com/category/manage-adhd-life/getting-things-done/prioritizing/
Best of luck!
I’m so sorry to hear about the challenges you’ve been facing at work. It’s rare to find a job that you truly love, so I would recommend investigating all of your options before making the decision to leave.
First, do some research on your legal rights at work here:
Next, gather up some strategies to help you overcome some of the ADHD-related executive dysfunctions you mentioned:
You might consider cognitive behavioral therapy to address some of these:
And it’s smart to know your full range of treatment options:
I hope this helps and isn’t too overwhelming!
Hi! This question came up in this webinar with Thomas Brown, PhD (https://www.additudemag.com/webinar/optimize-stimulant-adhd-medications/) and this is what he said…
Q: “My child becomes extremely irritable in the after-school witching hour.” Or “I become very anxious as my medication wears off.”
If these symptoms start up in the late afternoon or early evening, that is a rebound.
The problem is not that the dose is too high, but that it’s dropping too fast and the person is crashing. That is usually a pretty easy problem to fix: By taking a small dose of the short-acting version of the medicine before the rebound occurs, you can bring that long-acting dose downward at a more gradual rate.
Here, too, we must consider the long-acting medication’s formulation and packaging. Adderall XR and Concerta, for example, tend to have a rapidly ascending and descending curve. Whereas Vyvanse has a flatter curve; it doesn’t peak and fall. Some patients may benefit by changing to a different medication to avoid the rebound effect.
What you describe here sounds an awful lot like rejection sensitive dysphoria, which is actually a symptom of ADHD that is largely overlooked and misunderstood. While there is no explicit treatment for RSD, many people find that managing their ADHD symptoms helps to keep these feelings of extreme rejection in check.
I would recommend taking the RSD self-test (https://www.additudemag.com/rejection-sensitive-dysphoria-adhd-symptom-test/) as well as the ADHD in women self-test (https://www.additudemag.com/self-test-adhd-symptoms-women-girls/) and bringing the results to your doctor for a conversation.
In the meantime, we hear from many people who use mindful meditation techniques to help them deal with feelings of RSD in the moment. Perhaps you will find something useful here: https://www.additudemag.com/mindfulness-meditation-for-adhd/
Best of luck!
- This reply was modified 2 years, 2 months ago by Anni @ ADDitude.
I’m so sorry to hear that your son is enduring such hardship finding the right medication and dosage for his ADHD. The options can feel overwhelming at times, so we like to refer often to this chart: https://www.additudemag.com/adhd-medications-list-chart-stimulants-nonstimulants/
You’ll see that it includes both stimulants and non-stimulants, and each medication clicks through to a page with more information.
I would also recommend listening to last week’s webinar about this very topic with Dr. Thomas Brown at https://www.additudemag.com/webinar/optimize-stimulant-adhd-medications/
Best of luck!
An ADHD diagnosis alone does not legally compel a school to offer an IEP. The school assessment must show that the child’s ADHD significantly limits his or her ability to perform well academically. That is obviously subjective (you can learn more about this criteria here: https://www.additudemag.com/special-education-accommodations/). And you absolutely have recourse if your child’s school is denying an IEP; this article does a great job of describing how to contest that decision: https://www.additudemag.com/iep-step-6-if-you-disagree-with-the-schools-assessment/
Best of luck!
Have you ever thought about writing for our guest blog? You’ve got a great voice and, though the gig is unpaid, it might open up some new possibilities for you… If you’re interested, ping us at firstname.lastname@example.org. Seriously!
Congrats on the breakthrough in your treatment plan. You might have seen this article on Dexedrine (https://www.additudemag.com/dexedrine-adhd-medication-faq/), but I wanted to make sure you saw the reader comments and reviews in our medication overview here: https://www.additudemag.com/medication/dexedrine/
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