Concerta, Adderall -- neither one is showing effectiveness

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bjtao
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15 Sep 2010, 8:28 pm

When I was in school, the ADHD kids would sell their meds to non-ADHD kids. ADHD kids that take the meds will feel calm and be able to concentrate. Non-ADHD kids that take the drugs will be hyper and feel extremely alert (a high). Therefore, if you do not have ADHD, the drug will not work on you, it will have the opposite or no effect.

An easy way to tell if you have a correct diagnosis is how the drugs affect you.

If you are prescribed an anti-depressant for depression, and it makes you hyper and manic, you do not have depression, you probably have a mood disorder.

If you are prescribed a mood stabalizer or anti-psychotic and it has no impact or a negative impact, you probably don't have a mood disorder, you might have depression.

I would question the diagnosis.



bjtao
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16 Sep 2010, 1:46 pm

schleppenheimer wrote:
We live in a very high-stress, high achieving school district in Pittsburgh, which was great for our other two kids. It is also good for our 11 year old, in that there are many accomodations made for our son (more time on tests, tests given verbally sometimes rather than written, etc.). The school district has a pretty good understanding of aspergers.

This 8 hour marathon homework happens about once a week. Sometimes less than once a week. It is horrendous, and we try to minimize it, but if you're in middle school, and three classes have tests the next day, plus homework assignments, and your son can't concentrate, then what should be about four hours ends up sometimes taking 8 hours. It's awful, to be sure. Last night he had one math assignment, which took an hour. He also had a word search for science (purely busy work), which we work on with him because it's basically pointless, but he gets extra points for finishing it (which will often make up for late work or forgotten assignments).

We try really hard to give him down time, to just be a kid. That's a big thing with me -- I think we ask way too much of our kids nowadays, and there's never enough time to just stop and smell the roses. I hate that fact.

I am keeping in much better contact with the doctor, and I am telling him that the meds aren't working. He always sounds surprised. He's a good guy, and unfortunately my son LOVES him -- I say unfortunately, because I swear the doctor is aspie as well (undiagnosed, and it's purely MY theory) and yet doesn't understand the situation fully. I'm going to have to really make my point the next time I talk to him -- there are NO add indications, just the aspie "zoning out" with class and homework. If meds can't help, then we are going to have to just get off this merry-go-round.

Kris


Last year we did not have a diagnosis....

It was regularly taking my son 2 hours of inattention and meltdowns to finish a 2-minute worksheet.

Even w/out the diagnosis, the teacher said if he doesn't finish in 20 mininutes, then be done with it. Turn in whatever he finishes in 20 minutes (for the 2-minute worksheet) and write a note. My son was aware of this rule. Eventually he started doing his homework within the 20 min. He felt proud of himself. I think he didn't feel the overwhelming pressure (anxiety) of having so much work to do and knowing it could take hours for him to complete it, then he would have a breakdown from anxiety, etc...

I wonder if your son's teachers would allow some kind of special arrangement such as this, or provide him with less work.



RykerSJ
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28 Oct 2010, 5:02 pm

Concerta has done wonders with my teen. It's the timed release Concerta.



Caitlin
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28 Oct 2010, 8:21 pm

*waves to Gavin*

Gavin's point is an important one - if indeed a child DOES need medication in order to be successful in those formative years, then they should not be denied the tools they need - even if medication is one of them. You cannot go back and re-do those years in terms of development, so it's important to keep an open mind about meds.

That being said, I've always been told that ADD meds will not work (will not change anything) in a child who does not have ADD. Have you asked your prescribing doc about this? As others have mentioned, it sounds much more to me like sensory issues are preventing him from focussing in school. What accommodations does he have to help with sensory overload?

For homework, it is not ADD that causes Asperger kids to feel overwhelmed and hopelessly unmotivated about plowing through homework - it is generally their neurological inability to foresee the end and to see how a larger assignment is broken into smaller (sometimes much smaller) and easily doable pieces. I would recommend you try a few things for homework:

First, as DW once mentioned worked well for her son, give him an amount of TIME he must work on the assignment that night, not an amount of progress he must make (too conceptual). Once he is done his time, he is done for the night. Gradually work to longer periods of time.

Second, try a time timer (available on the internet) which shows time elapsing to a visual end (rather than just marching on and on like a regular clock). I've heard these really help with AS kids and school work.


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