By age of six most behavioral problem cases are considered for drug therapy. But since his behavior is good at school, you may defer this decision for later.
Most likely cause is brain center development anomaly. There can not be clear fix solution but you have to devise reward and punishment strategy which is consistent and agreed upon by all elders.
Please can you explain the centre development abomaly?is this to do with his birth?
I have used this type of reward and punishment stratedy with him for a few years now,although this helps a little,he is still so impulsive and im woried he is going to hurt himself or someone else.He is doing such dangerous things and i have to watch him at all times.
hi im still online
not sure if my last email reached you?he was assesed by a consultant phsyciatrist,he said that he thought Bryces probs were to to with the hard wiring of his brain,but showed symptons of ADHD also. In the last week he was caught stealing at school and climbing on the sinks to get out of the window.At home last week he ran straight accross a road,tried to climb up the chimney and says he can fly.His impulses are so quick and there seems to be no triggers for these.I have to pay to see a phsciatrist as i have been trying for 4 years to get him assessed but have been told no over and over.I have always known things are not quitebe as they should be.He also head bangs at night although i have managed to get to do this just on the matress now.Was on the floor at one point.I worry about some of the things he says.He talks about hurting people and his brother a lot.He certainly worries me
Hi I hadn't gotten word of the response and all of what you describe would worry me as well. Did the psychiatrist suggest medication for Bryce? He was a child psychiatrist that you saw correct? Not a psychologist (PhD not MD). I am assuming that you have tried to have him assessed via your GP referring out correct? Do you have any behavioral developmental pediatricians around they would be in a teaching hospital area most likely. The head banging is actually common and not really a specific sign of anything in particular kind of a self stimulating or calming behavior. At 6 I would also worry about what he is saying as it seems that he may be acting on what he thinks (hopefully he hasn't tried to fly!) but it does seem that he is lacking the common sense that normally stops us from acting on our impulses. Is there mental health illness in your families? The problem with medicating for ADHD when there is actually something more going on (like for example only! the start of a bipolar disorder) behavior could be pushed in one way or another by the medicine for example towards mania the high points in bipolar when they feel they can do anything like fly...which could be dangerous. I don't quite understand a physician telling you that there is something wrong with the "hard wiring" of his brain though at least not in 2013. Child psychology has advanced by leaps and bounds and many things can be given a bonafide diagnosis or at least a ballpark that can give us goals for treatment.
yes he is a child psychiatrist md mrcppsych msc actft.My local hospital refused to do the assesment and also the child devolpment team refused.i had to ask my gp to help me find a private doctor.He has sugested ritalin,which i have been unsure about he was tried on fluoxetine but he seemed to go even more hypa on that.The only mental illness thats been in the family is myself as i have suferred from depression for about 15 years,but not bi polar.i have quite stable for about 7 years before that it was quite severe.I would not like to risk ritalin if it could cause more probs for him?
Thanks for your response. So having depression in the family even if it wasn't severe increases his risk of having a mental health disorder later on period. I glad for you that your depression has been under control since your twins have come into your life! Also very sorry you have had problems advocating for assessment for him as you know something is going on and it is so hard as a parent to "make" the system know it as well. But if a bondafide child psych has evaluated him and suggested Ritalin it make much more sense to me than fluxetine does. Their job is to look out for other mental health disorders as well. Ritalin is not my drug of choice for ADHD treatment as I prefer a longer acting drug such as Concerta or Adderall XR that can be dosed one time a day and last all day vs 2 time dosing and peaks and valleys of Ritalin. However it may be a good idea to try it first as you can start at a low dose and gradually increase easier and you can stop quickly if need be. If it is going to work should be evident at doses of at least 10mg a day and it can be so crystal clear that when you forget to give it to him the school can call and ask if he took it or not. I am often amazed at how well it works and how proud kids can be of themselves being able to stay out of trouble and not be the "bad" kid anymore. Taking medicine is a huge step I understand as a parent but it seems that your son's behavior could be dangerous to him or to someone else and if medication could help this I would think it would be totally worth the side effects. I liken it to an asthma pump or a insulin for a diabetic. ADHD is a real disorder and thankfully it is treatable. I wish you the best. I am about to call it a night but will be back online in the am thanks!!