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Gifted ADHD Children

Best meds questions to ask ped at 1st visit


Hi all,

Sorry for cross-posting….We are taking DD 8 to see a new ped next week, it will be the first visit to talk about meds.  I am all for trying them, DH may be somewhat resistant but I hope I’ve educated him somewhat in the past few months since the dx of ADHD inattentive (I think some H, too), anxiety and low mood issues and gifted.

She has issues with short stature and under weight.  She is 41 lbs, I don’t remember her height but she is the size of a 5-6 year old.  Now to top off the eating issues she just got a palate expander Monday, so not wanting to eat much and grumpy because it hurts.

So, for those of you with kids who have some of the same/different issues, what are the questions you think are the most important or ones that you wished you had asked at that first visit?  I know I am missing some great ones…. planning on asking the obvious; what type of med(s), side effects to look out for and ones not to be alarmed about, food and sleep issues, melatonin, what else?  My mind is going blank with all that is packed up and swirling around in there!

Replies

It looks like you have great start. Eating can change withevery med. you may have to try multiple meds until the right combination is found. Try to ask your child what they feel like eating for a resricted list of options. Wiht the palate expander you may want try soft foods(oatmeal,grits,eggs, soup, yogurt, jello,apple sauce, frozen yogurt/ice cream, popcicles)  On the sleep issues have patience. Make sure you have a regular routine for your child. avoid computeruse,vidie games and tv. These tend to keep their minds racing. reading and quiet music tend to be helpful.  But what ever you do for a routine dinner, bath, reading/music time bed or what you chose do it every night until your child lets you know they do not need it anymore. I hope this helps.

Posted by AnnD on Nov 10, 2011 at 9:33pm

can your dd swallow a pill?  that will give you the most options assuming you do go with meds.  AnnD had lots of helpful hints regarding sleep issues.  It looks like you have all the main questions covered.  You may have questions about stimulant vs non-stimulant.

Regarding appetite, here are our tips:  feed a hearty, healthy breakfast, before the meds or with the meds if at all possible.  Don’t be alarmed if DD isn’t very hungry at snack or lunchtime, but always make sure that something appetizing and healthy is available (yogurt, sandwich, apple slices, cheese, milk).  We now allow “free feeding” after school.  Fruit, cheese, crackers, and certain cookies can pretty much be eaten- she asks, but the answer is yes unless supper is about to be on the table.  Same with snack after supper.  Almost always ice cream.  We have found that her daytime appetite is down, but the rest of the time she eats better because she is less hypersensitive, more willing to try new things, more focused on actually eating than playing. 

My last “word of wisdom” would be that you know your child.  After your child is on meds, if something doesn’t seem right, tell your doc.  Side effects can be expected, but many of them don’t have to be tolerated.  changing a dosage up or down, changing a medicine altogether can make all the difference in the world.  As you child has growth changes, etc, your doc will be your partner in keeping the dosage right.  If symptoms, irritability, etc appear, tell the doc because he/she should be your best advocate.

Posted by MollyMS on Nov 11, 2011 at 4:16am

Hi Kate,
thought of your post as I read this article from Psychiatric Times discussing strategies for effective partnering between families and treatment providers, outlines potential elements to enhance the family-clinician relationship
http://www.psychiatrictimes.com/child-adolescent-psych/content/article/10168/1696493
I would also ask how will the optimum dosage for your individual child be determined and what will be the ongoing means of monitoring of medication treatment.  Hope it goes well.

Posted by cowboy on Nov 11, 2011 at 3:40pm

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