Showing posts with label ADHD. Show all posts
Showing posts with label ADHD. Show all posts

Monday, April 19, 2010

It's a start

I mentioned that we finally got an official diagnosis for J. He's been diagnosed with ADHD (hyperactive and inattentive), dysgraphia, and delays in motor skills. I knew he struggled too much with handwriting for there not to be something there. I felt like the evaluation was very thorough, and gave us a lot of recommendations for school and for home.

We had our 504 meeting with the school this morning. Some of the accommodations, the teacher has already been doing, simply because she realized J needed them. I thought it went pretty well, although they aren't doing anything to address the dysgraphia - we're going to have to look outside the school system for occupational therapy for that. I see now why some parents who have kids with any kind of special need decide to homeschool their children. This just consumes your thoughts, and I know I find myself thinking that I don't want to be at work dealing with things to make someone else happy, I want to be doing something to help my child.

Tuesday, December 02, 2008

Now here's the kind of note every parent likes to get

I got this e-mail from Julian's teacher this morning:

He has done really well the past two days. He seems really excited about learning, but is staying in his seat and working really hard. Thank you so for working with me. I think we are going to see him grow by leaps and bounds in his academics.

I was so excited, I could have cried. What a change from the start of the school year, with two U's in conduct for the first two six weeks' periods, and constant notes coming home in his folder, and a visit to the principal's office, and all the crying about how hard school was! His handwriting is getting better, and it just thrills me to see stickers in his folder instead of notes telling me what went wrong that day. (He's started off this six weeks with stickers for five days in a row! Woo hoo!)

We're still on the 30 mg of Vyvanse, and it certainly seems to be helping. Julian hasn't lost one iota of his personality - if anything, he's more creative than ever, and his drawing has really taken off. His handwriting is improving, he's more excited about reading on his own (although he still prefers that we read to him, and there's nothing wrong with that!), and he doesn't complain anymore about school being hard or too much work. I am so, so glad that we did something now, rather than waiting to see if he outgrew this or if trying things other than medication worked. I'm glad to know he's on track now to being a good student, rather than one that elicits the reaction, "oh, great, it's THAT child" from teachers when they see his name on the class rolls. I know he's got the brain power to do well, and it looks like we're getting the focus and behavior concerns under wraps to where he can put that brain power to good use. What a great way to start my day!

So parents, if you've got a child with ADHD tendencies and have considered medication but are hesitant, let me tell you, don't be. You find the right thing and the right dose, and it can truly work wonders. (Carrie, if you're reading this, I know - you told me so! :-) )

Friday, October 17, 2008

Diagnosis

Monday was an eventful day - ophthalmologist, pediatrician, and teacher conference. Some holiday for me, huh? LOL

Julian's eye appointment went fine. His vision is good enough to pass a driving test, so no glasses needed at this time. Julian seemed pretty disappointed by that, saying he wanted glasses! Silly boy. LOL The ophthalmologist said that at some point, he may indeed need glasses if his vision gets poor enough that he can't do what he needs to do without corrective lenses. But for now, he's good. And the ophthalmologist was great - well worth the drive to Plano.

The pediatrician's visit was draining. Even though I already knew what I was going to hear, it was still a lot to process. I showed Julian's doc the Conner's survey from his teacher, and we talked about what the teacher and counselor had described in terms of the issues he was having at school. She then asked me what I thought, if I believed it, and I had to say yes. I see how he can't sit still. I see how his emotions are up and down, up and down. I see how he can't focus long enough to get his work done without me sitting right there with him, helping him keep himself on track. I see the anger and the opposition. So I had to say yes, I believe it. She said she's known it pretty much since Julian was an infant, but she doesn't bring up the subject until parents broach the subject with her. She asked Julian to sit still and be quiet and not move while she and I talked, and he lasted maybe two minutes before he was moving around, looking under the exam table to see what was there, messing with his hair and his ears - he couldn't do it. His doc said we could do more testing to see if there was anything else going on, and I told her the counselor at school said it's the attention/behavior issues driving the learning difficulties, not the other way around, and his teacher said he's very intelligent and should do well if we can get a grip on the attention/behavior. So we're trying meds - we're starting with 20 mg of Vyvanse. The doc recommended we start it on the weekend, so I can have a day or two to see how he reacts to it before he goes off to school on it, and he needs to take it first thing in the morning with food, preferably protein. (That should be fun, as the only protein Julian wants to eat for breakfast is bacon and eggs, and I can't make bacon and eggs every morning.) We'll take our first dose on Saturday, and we'll see how it goes. Other than the ADHD discussion, there was a checkup - Julian is 3 feet, 10 1/4 inches tall and weighs 56 pounds now. There was also the Flumist nose spray (not much fun), a finger stick to check his hemoglobin (less fun than the Flumist), and the second half of the Hep A shot (took both me and Brian to hold him down, and there was lots of screaming).

That afternoon, I met with his teacher and counselor. The counselor had done an observation of Julian for a 20-minute period when he had a specific task to work on - it wasn't time where it was OK for him to be up and moving around the classroom. The time period was broken down into 30-second intervals, and she observed how often he was off task, playing with objects, out of his seat, etc. During that 20 minutes, he was off task 65% of the time, playing with whatever he could get his hands on (pencils, paper, bits of eraser) 45% of the time, singing to himself 30% of the time, and out of his seat 20% of the time. He was also redirected by the teacher six times, but the counselor said the student teacher was in charge right then and may have gone easy on Julian because she knew the counselor was observing. That kind of inattention can't help but affect his schoolwork. I saw work done by the kids posted on the walls of the classroom, and Julian's handwriting is noticeably worse than most of his classmates - yes, theirs is still clearly kid handwriting, but Julian's is so much less developed and looks so much more strained. I could pick out his work from the little tail on his small a's and his backwards s's. The counselor said handwriting issues are fairly common in kids with ADHD, and that that should improve as his focus improves. She also said that reading is usually tough for ADHD kids, and I said, oh, no, reading is one thing where he seems to be doing well. I told them we're a family of bookworms and reading has always been highly encouraged, and his teacher said he is doing well, by her testing. Julian reads 65 words a minute and comprehends most of what he reads, and he just moved up another level this week, so reading is our best subject at this point. I told them we'd be starting the meds this weekend, and the counselor said she'll do another 20-minute observation before we go back for the follow-up with his pediatrician, so we'd have something to compare the first one to. Overall, it was a good talk, and I think they know now that I'm not blowing off what they say and I am committed to helping Julian get on a good track and do well in school, and I feel like they are, too. So it was a lot to process in one day, but ultimately, it's good to know we're taking steps to help Julian do as well as I know he can. And if we get the ADHD under control, I think he'll do well in school.

Brian went back to work on Wednesday. This eight days on, six off is a challenge. It's like I just get used to him being back, and then he's gone again, and then I just get used to being by myself, and he's back. How families with one spouse on shift for long periods of time manage it, I'll never know. I'm thankful for his job, but boy, the logistics are way less than ideal. He's looking at several options at home, including the museum field, Child Protective Services, and whatever else we think of that might have potential. There haven't been any new teacher openings anywhere, and he hasn't gotten any sub assignments at all. I just hope something works out closer to home when we really need it. And if his work hours end up being cut (which is a possibility if enrollment doesn't go up), I'm telling him to just find something, anything closer to home. When you break down his paycheck by how many hours he's officially on shift, it works out to about $6.00 an hour (which is, I just realized, less than minimum wage). I think retail or warehouse work would pay better. If he ends up working less hours and getting paid less accordingly, it wouldn't be worth the drive out there or the time away from home.

I'm trying to remember, we walk by faith, not by sight. Today, it's a real struggle to keep that faith.