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[quote=Anonymous]I don't know if I have anything helpful to offer other than to let you know you're not the only one trying to figure out how to deal with this.  My DS (ADHD/inattentive/impulsive, anxiety, LD) is in third grade and increasingly over the school year he's been having meltdowns.  He's not aggressive but he totally loses his ability to regulate his emotions and he either shuts down completely or gets into a negative emotional feedback loop (he can't do anything right, he's the stupidest boy, he doesn't know anything, etc.).  It started to escalate and become disruptive to the special ed classroom.  We have an excellent special ed team and they performed a functional behavioral analysis (FBA) but were unable to determine a definitive trigger.  It's often associated with work he doesn't want to do because he perceives it as difficult - but not always.  The behavioral specialist suggested that perhaps that once his anxiety was triggered he acted out in this way as he's trying to regain control of the situation.  I know I'm not explaining it well here but I do believe that it's a reasonable theory.  DS is taking medication for ADHD (Intuniv) and anxiety (generic Prozac) that have helped him immensely, it's just these episodes that seem to flair.  He knows all sorts of techniques to help calm himself (deep breaths, movement break, ask for help, get a snack, etc.) but when in crises he chooses NOT to use them.  Immediately after the episode, when he is again calm, he's very remorseful but can't really articulate well what was going on.  Part of the intervention plan we developed after the FBA includes a daily behavior chart and the option to talk to a counselor whenever he needs to.  We're looking for a cognitive behavioral therapist (CBT) in the Springfield area that takes BCBS for more assistance - if anyone has any recommendations, we're open for it.  Good luck, OP.[/quote]

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