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Anger Management and ADHD

7yr boy ADHD/OCD-neurologist says he needs behavior therapy

Our 7yr old son has severe ADHD/OCD. It always seems to happen this way but when he had his recent visit with his neurologist, he had been doing really well. Right after the visit he started having meltdowns in school and at home. He has started becoming extremely defiant again and talking back and in his last meltdown he kicked his teacher. He has become increasingly scared again of everything as he was before the meds. We called his neurologist and in the past he would work with us on his meds. This time he told us we always do this and call him right after the visit with a problem. This time he said he can only help with the meds and he’s done all he felt he should/can do and we really needed to look into having him see a behavior therapist. We really don’t have the income to now add another doctor/therapist. Do I need to do this and take a part time job in order to do this? We are about as lean as we can be at the moment on cutting back and finances. He does see a guidance teacher once a week and we have started him on a free study with a local college for play therapy. any other suggestion on what WE can do as parents. It’s so hard sometimes to decipher what needs to be done on the parenting behavior side vs what he can’t help on the ADHD/OCD side vs what he should be able to do bc of the meds side….

Replies

Yes, it is all very exhausting!  Don’t give up!  I would talk to your pediatrician and get a referral for an ADHD specialist/psychologist.

Sometimes it’s just not the right doctor for your situation.  And clearly this is not a good fit.

You need someone who will communicate and work with you in the long term.  Maybe even the neurologist can refer you to someone.

The two things proven to be the most help:  meds and behavior therapy.

Take control, advocate for your son.  Good luck!

Posted by Pdxlaura on Feb 26, 2014 at 7:30am

the biggest problem lies with the fact we have no money to get a behavior therapist.

Posted by Ma3on5 on Feb 26, 2014 at 8:14am

I know this is exhausting but if you can’t afford another therapist, educate yourself as much as you can. There is a lot to read about it. Sometimes simple changes in tactics at home makes marvels.  Change his diet too. For us taking away milk and gluten did not solve 100% the problem but it helped a lot.
Do not despair! you are not alone.

Posted by dianagisell on Feb 26, 2014 at 12:33pm

Not all behavior specialists are classed as mental health providers (I assume you not having the funds to add a behavioral specialist is that your insurance has poor coverage for mental health, as does mine). In my town, there is not one neurologist who will treat ADHD. We have a children’s developmental and behavioral practice with MDs that are a regular copay. Then we have the behavioral practices that are mental health. See if there’s a specialist in your area that is a “specialist” visit under your insurance.

This doctor is obviously not the right doctor for a child with medication sensitivities. My son is the same way and we had to dump his first ADHD doctor for the same reason. We also just quit a 2nd medication because it was causing extreme fears for my son. Find a new doctor!

Penny
ADDconnect Moderator & Mom to Tween Boy with ADHD and LDs

Posted by adhdmomma on Feb 26, 2014 at 7:08pm

My initial response was that the neurologist was able to make a “connection” (that this always happens after a visit—you call with problems).  Instead of being curious about the nature of that connection and doing a bit more investigation into what is going on here, it sounds like he might be assuming the “problem” has more to do with a parent who is not communicating “problems” at the “right” time (during the visit) but waiting until after to do telephone medical management.  And that, from a physician’s point of view is always less than ideal for various reasons.

I would suggest that before going to find another doctor or another therapist that you do what will seem to him to be the most responsible thing you can do right now (and which IS the most responsible thing he should/could do too)—schedule an office visit with him to discuss nothing else but this observation you have made, which is that things seem to be going fairly well at each appointment but then Something Happens after those appointments.  See if the two of you can figure out what that Something really is. 

Before you go off in search of another doctor, another therapist, or just more information you could apply to this “problem” I think having a much better idea of the true nature of that problem would be a good idea.

In the meantime, if you want to use this forum as a place to post more of the details about his past medical history with this neurologist that may help you/us get a better sense of what’s going on.  Dates of visits (approximates, like month & year); what meds/doses were at that time of the visit; what was reported by you at the visit (doing pretty well); what types of problems came up after the visit; what medication changes were made via phone; what the results of that med change were…etc.

Maybe there’s something more obvious about the nature of the problem that can be deduced if we had a better idea of those sorts of details as well as a Big Picture view.

Posted by BC on Feb 26, 2014 at 8:26pm

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