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Bonnie, Psychologist
Category: Parenting
Satisfied Customers: 2189
Experience:  and pediatric nurse practitioner with 30 years of experience counseling parents.
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I am the mother of three children, ages 15, 10, and 8. The

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I am the mother of three children, ages 15, 10, and 8. The 10 year old has been diagnosed with partial seizures, adhd, odd, separation anxiety and possible bi polar. I'm told he is to young to definitely diagnose bipolar. He has difficulty controlling his anger and temper. He has been physical during these outbursts of anger with himself and others. Every day is like a roller coaster you never know how he is going to be. He is also rude disrespectful and cusses. We have tried everything we can think of to help him. He is currently seeing a counselor and a child psychiatrist and taking the meds concerta, risperdal and carbatrol.the house stays in a constant state of disruption. In school they say he acts great and is one of the best behaved kids they have, but as soon as he comes home a switch flips and it starts. any ideas on how or what i can do. it is starting to affect the othe children because there is constantly arguing and fussing going on. pls any help would be appreciated.
Submitted: 6 years ago.
Category: Parenting
Expert:  Bonnie replied 6 years ago.
HI I would like to help but have a question first

Was his behavior perfect at school before medication?
Customer: replied 6 years ago.
yes his behavior at school has always been good. he is in a separate setting classroom
Expert:  Bonnie replied 6 years ago.
Sorry I still have another question and then I will work on an answer which may not be done for a few hours (my next client just arrived).

Why is he in a separate classroom? What do they do to get such good behavior out of him? Is his learning delayed?
Customer: replied 6 years ago.
yes also has a learning disability. he is classified as mildly retarded on his IEP. I'm not sure what they are doing but he behaves great there but it is a hassle and a fight to get him to go to school. he is constantly saying that it is stupid and he hates it.
Expert:  Bonnie replied 6 years ago.
I am sorry it took so long for me to get back. Busy day.

The first thing to remember is that a 10 year old with mild mental retardation probably has the judgment and reasoning of a 5 year old (you can compare him to 8 year old to determine his level).

I am going to guess that the reason things go well at school is about schedule, consistency and predictability. You may have to elicit th help of the other children and provide this to him. In other words, have an after-school through bedtime schedule (for example- 4:00 SNACK; 4:20 watch movie or favorite program; 5:00 dinner; 5:30 family game, ect. ect); Actually put this schedule in writing on a wipe-off board. On the weekend it should a different schedule should be written. When he has a good evening (no temper tantrums), give him a reward. Find out how they handle this at school as well because he is obviously responding to their system.

It could also be that by the time he comes home, his medication has worn off. So, do discuss this with the prescribing doctor.

I hope this helps some and good luck with this challenging situation.
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