Reply to Adhd - worth trying a specialized school?

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[quote=Anonymous][quote=Anonymous]Has he tried the different classes of stimulants?

Is he in weekly therapy?  If not, can you get it for him?   Therapy is where he will learn emotional self regulation.  [/quote]

Yes, he’s got weekly CBT therapy. He’s made some progress in reframing situations and identifying triggers. But its not enough to fix the emotional issues. He refuses to be seen by the school counselor, who keeps an eye on him nevertheless. We’re in line to see a psychiatrist, but it takes ages to get in the door here. Our old DC psychiatrist cant do online sessions, but will work with our provider here, once in place. He’s recommended we avoid all Ritalin-based stimulants, and also Prozac (I think because of risk of SI). DS’s last encounter with Focalin resulted in him melting down, flipping desks and threatening to impale himself with scissors. Scary. DC-psych said lo-dose Wellbutrin could be a solution to help with depression and focus, but a common adverse reaction in kids is increased anxiety. But we need someone willing to prescribe and monitor closely on this side.

He’s been off-med for years and dealt with mainstream school both while we were in DC as well as here, but it requires intense monitoring of his homework schedule, and a lot of creativity to come up with ways for him to break tasks down, etc. It’s the stuff that any executive skills coach would do. DH & I both have time & will to put into helping with study skills, but it’s slow going. Meanwhile, his workload is getting bad - frequently needing 3-4h of work every day after school to keep his head above water. As I mentioned, the outcome of all of this work hasn’t been great. It just doesn’t seem sustainable and there’s certainly no room for it to get worse.

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