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You might be interested in previous discussions on this topic:
http://forums.webmd.com/3/add-and-adhd-exchange/forum/1172View Thread

Congrats. I think you're doing a good job thus far.
You've been researching the topic carefully, you're looking back over your life through a potential ADHD lens, and you've made the genetic connection to your dad (ADHD is 76 percent heritable).
Moreover, you're approaching the topic with care and caution, including asking good questions, such as what kind of specialist evaluates for ADHD and what do you do if you are diagnosed with ADHD? And, you're asking these questions at a reliable website.
Way to go!

I would advise you to continue reading. You want to be knowledgeable enough to be able to "interview" a potential mental healthcare professional. (Some professionals will claim to include ADHD in their list of specialties even if they don't know very much about it.)
It can be trickier when you don't have access to insurance or higher-priced specialists. But I've also seen people with great insurance and lots of money get poor care. So, this "self-education" advice holds for everyone.
What you do with the diagnosis, if it comes to that, is gain new knowledge to inform effective strategies. Those strategies might include stimulant medication, improved diet and exercise habits, increased focus on optimizing sleep, or all of the above. If the last two sound overwhelming, remember that strategies you've tried in the past didn't include knowledge of your ADHD. That knowledge can make all the difference.
Good luck!
GinaView Thread

Do these "episodes" happen at the end of the day, after your son has been in school all day? If so, it could be, he is reaching the end of his cognitive rope and simply cannot "behave" any longer. This is common among people with ADHD (though of course I am not suggesting that your child has ADHD; there is far too little information here to even hazard a guess).
I understand your wanting to avoid medication; it's seldom the first step for most parents of kids with ADHD. But neither do you want to avoid the impact that these repeated episodes are having on him or on your relationship with him.
I would encourage you to examine all aspects of his environment -- is he getting a good breakfast and lunch, sufficient exercise throughout the day, and sleep; is is possible he has some food allergies; is there tension in the home he could be reaction to, etc.
After you exhaust those avenues, I would seriously consider an evaluation with a qualified professional. You don't want to let these counterproductive patterns continue.
good luck,
gView Thread

All humans need vitamins and minerals, preferably from food.
If your diet is deficient and you have ADHD, of course that can exacerbate your physical functioning (including your brain). So it's wise to get a good diet, exercise, and plenty of sleep.
But those things will not "cure" ADHD.View Thread

I'm sorry to hear that our medical system has apparently failed to provide you with a useful diagnosis and treatment. Sadly, you are not alone.
Of course, we cannot diagnose here but I read many "red flags" for ADHD in what you've written.
Moreover, if you have been given various SSRI medications (Prozac, Celexa, etc.), it's important to know that, in some cases, they can intensify ADHD symptoms around lack of motivation, initiation, "caring", etc.
Wellbutrin can help some people with ADHD symptoms, to a certain degree. But it's not considered a first-line medication for ADHD.
I suggest that you read up on ADHD and see if it resonates for you.
good luck,
GinaView Thread

Of course you don't mention other factors in the child's life -- sources of stress, sleep habits, allergies, diet, etc. So it's hard to say if this is a good idea for your child in particular.
It boils down to your trust in the pediatrician.
I would recommend trying the medication the first time on the weekends, so you are able to see the effect.
good luck,
GinaView Thread

A "ditto" here on Dr. Quinn's response on Deplin.
My understanding is that, due to genetic differences, some people have difficulty uptaking enough folate from food sources. B vitamins (as well as many other vitamins and minerals) help support brain and nervous-system function. There is a genetic test to determine this. Otherwise, it is not something to take on a whim. You don't want to get too much folate, either.
Dr. Quinn also makes a good point that medication may help both of you. You know how flight attendants recommending "putting on your own oxygen mask first"? That also applies to parents who themselves have ADHD. It's best to take care of your own ADHD challenges so that you can better help your child instead of "muddling through."
best,
GinaView Thread


I know some pain-management doctors who have an intractable bias against learning about ADHD and the evidence-based medications used to treat it.
They are accustomed to seeing in their practice patients who are addicted to various drugs. Ironically, these doctors also freely prescribe barbiturates to patients, somehow not seeing them as troublesome as the stimulant medication.
It is hard for the public to believe or accept, but physicians who are "specialists" in one area often know nothing about other specialties. So, a pain-management physician might know nothing at all about psychiatric conditions.
Of course, the best physicians in any specialty remain humble about their ignorance on other topics, and so they will consult reliable sources of information to become educated.
Other physicians, unfortunately, stay locked in ignorant dogma, much to their patients' detriment.
In other words, I'd stick to the regimen that has worked for her until a physician makes an impressive case that he can do better.
Good luck,
GinaView Thread

This is a great reply. Thank you for taking the time to respond to this mom's question -- parent to parent.
I agree with you: I would go into defense mode.
Your child's father must know that these medications must be given as your physician has directed. It can be extremely risky to stop some medications suddenly.
I'm going out on a limb here and assuming that this father is the genetic donor to your child's brain-based issues, and his issues remain untreated. This could make him extremely difficult to deal with in addition to being an unreliable guardian.
Please listen to your instincts and do what you think is right to protect your child.
good luck,
GinaView Thread

I see how you must be confused and unsettled by this.
It seems there are quite a few issues going on, and they need teasing out. I'm not sure how much we can help from this distance, but here are some thoughts:
1. Were you entirely surprised that your child didn't transition well into preschool? That is, had you any other clues that this might be difficult for him -- perhaps by watching his behavior in other informal play dates or other gatherings with young children?
If he truly has challenges in this area that aren't typical of children his age, that's something to pay attention to.
If your child has always been at home with you, with little other outside interaction, this might be an abrupt change for him.
2. ADHD is highly genetic. Is it possible that you also have ADHD? If so, this might mean that you have missed clues that he is having problems. It might also mean that you forgot the guidelines established by the preschool, thus your surprise in finding the reporter a month later in the backpack. (Of course it's also entirely possible that this preschool is slipshod! I'm just pointing out some possibilities to think about.)
3. Sadly, not all pediatricians understand the nature of ADHD and tend to dismiss its early signs. Recognizing ADHD early doesn't necessarily mean medication but it does mean understanding how best to help that child at an age-appropriate level.
For example, does your child get enough sleep, does he get good protein in the morning, does he get time outside and exercise, and are his needs understood and responded to?View Thread
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