Behavior Improvements in affect thanks to the medication

I always celebrate the little things he does, but this one was a show stopper! Since starting his current placement, William has never had a whole week (5 days) of good behavior. We've tried diet, sensory vests, bumpy seats, fidget toys, weighted lap blankets, sensory breaks... (you name it, we've tried it). We were lucky to get 3 days a week with a good check mark AND he has a TSS. But this week, since starting medication (we didn't even inform his teachers that we started the meds so she has no idea) he finally got 5 good days in a row. He is usually dinged for not being able to sit still or not paying attention and not following directions. His teacher is quick to check these boxes if he does anything to hinder his education like not copying notes or just generally staring out of the window. This week, her comments were that William has been very good in class and is able to participate and keep up with other classmates. He is able to focus and retain the information given to him. He also is thriving with his personality and is able to express himself better when speaking to us and telling us about his day. On the weekends, we are not giving him the medication and letting him have a break. We totally see the difference from giving him meds to not having the medication. He is back to his old self, but at least we recognize it and see how it is helping him. We don't give him the maximum dose, but just enough to get him through his day. 

As his mom, I still have reservations about medicating my child for school, but I do see that he is much happier with his school and academic performance and he is so proud of himself. He is excited to do good in school and not to be so down on himself when he was trying so hard to concentrate. Sometimes he would tell us "my brain isn't working" and I would feel so bad for him knowing that he is trying is best but just not able to perform like he wanted to. The medication is helping him focus on the things he wants to accomplish instead of worrying about his movements and his behavior. We will continue to monitor his progress and not give him the medicine unless he really needs it. Now if we could just find a good placement for him, now that he's happy and thriving....... 

Life is never dull for this complex, sweet, and loving little man I am blessed to raise. 

Onward and upward on the medication train we go...

Yesterday me and William ventured off to our Developmental Pediatrician with data from his teacher and Behavior Specialist in hand to discuss medication. Please understand that this was a very difficult decision for me as we have tried everything to steer clear of this road, but found it inevitable since William tries so hard, but sometimes cannot control his impulsivity. Here is the list of things we tried to avoid the drug road. They include, but are not limited to:

• Weighted Vest
• Non Weighted Compression Vest
• Bumpy Seat for school
• Lap Pad for school and home
• Thicker Kindergarten pencils that do not roll (the rolling kind was causing a distraction)
• Vegan gluten free diet (helped slightly but not overall and will still continue)
• No television during the week
• No video games during the week
• No overstimulation activites such as wrestling with Daddy
• Lotion massages
• Social Stories for behaviors in class
• TSS 3 hours a day (in the morning time when academics are being taught)
• Behavior Specialist (for treatment plan)
• Private Occupational and Speech therapy in the evenings

According to our Development Pediatrician, we have exhausted all the avenues we could are a left just one, which is medication for his ADHD.

Since talking we decided that this weekend we would try him in the lowest dosage of a drug called Focalin http://www.focalinxr.com/info/resources.jsp.

It seemed like the best option for William for the following reasons:

• It doesn't last all day and will only last maybe 8 hours just for school
• We could control when he takes it so that it wears off at night
• After a while, we would only give it to him during the weekdays and not on weekends to give him a break
• Out of all the choices, it seemed like the least when it comes to side effects.

I will administer the lowest dosage this Saturday and Sunday to monitor his behavior and make sure he has little to no adverse affects.

If you have been down this road, or have any insight on the drug, please reply and let me know your thoughts. Also, If you are just totally against medicine all together, I want to reiterate that I understand and I have researched and done as much as I could to not have to do this, but If this is helpful to my son, then I must atleast try this option, before turning my nose up and continue to stand by while he struggles to work 20x harder than his peers.

To medicate, or not to medicate? That is the question........

Today marks a significant step in our understanding and processing for my son. We have a developmental pediatric appointment for William and the topic of discussion, medication. We've been against even discussing medication for a while, but now that we've come close to the end of his 1st grade school year, we've noticed that the demands placed upon him for school are becoming overwhelming for William and we figured, we better start having the discussion now, before we hit 2nd grade. Just to you a bit of history.........

William walked into school and tried his best everyday. We saw that he was having trouble paying attention and lacked focus so we enlisted the help of his Behavior Specialist and were approved for TSS services 15 hours a week (3 hours a day) in the morning to help with his behaviors and focus. We also bought a weighted vest, bumpy seat for sitting, and a lap pad to keep him snug and somewhat comfortable while trying to stay focused and seated in the classroom. He gets a few movement breaks and gets 2 recess periods to burn off some steam, but for the most part, this still didn't help him when trying to concentrate or be able to focus when distractions are always occurring even in a class of 18 kids. Then we tried the diet method. We eliminated gluten, and introduced a gluten free vegan breakfast, lunch and snack option which helped somewhat to decrease his hyperactivity, but still didn't really address his focus and attention.

Today, I would categorize his strengths in reading and he has LOADS of focus for computer time (which he excels in and has become teachers helper for his fellow classmates). His weaknesses would be attention, copying things off the board, taking tests (when there's so much on the paper, he really gets overwhelmed), being able to listen to a story enough to retell it or get the summary from it (we have to show him little movies of people reading and acting out the story for him to be able to recall it) and following academic directions (pencils down, fidgeting, getting out of his seat when things happen outside the window).

Today, we will embark on this conversation with the doctor, to see if there is any more that we can do or if there is a low dose medicine he can use throughout the week that would help him academically and since he is diagnosed with both Autism and ADHD, I am hoping that we can take good suggestions from the doctor to help William feel more confident and better prepare him for next academic year.

I have to admit, William really puts forth so much effort, and he works so hard. He is an inspiration to me for his patience and tenacity. I just hope I am doing what's best for him to take some of the burden of trying to control his impulsive nature so that he can concentrate on his work and focus without having to worry about these things.

If you have gone through a similar situation, I welcome your feedback.

Wish us luck and have a great day!