Reply to Stimulant rebound irritability

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]I have a severely irritable ADHD kid. Does he take his meds, including afternoon boosters, on weekends? Have you noticed he is less irritable if he doesn't take his meds? Are you sure the irritability is from the meds and not from the ADHD?

My kid also slept poorly when taking an afternoon booster, so we discontinued that. [/quote]

Yes mine takes it on weekends too - he is on meds mainly for impulsivity, hyperactivity, emotional regulation so he needs it every day. It has been a long time since I saw him off them consistently but when he is off then he is crankier overall. He needs a ton of activity and stimulation to be level

You may have a point about the booster but when we don’t give it he rebounds at school and then is just cranky there [/quote]

It sounds like your kids might not be irritable from rebound, but instead just irritable when not under the effects of meds, since you said he is pretty bad when he doesn't take them. That's the way my.kid is, too. My kid is also highly irritable, and there are studies that show that severe irritability can be caused by severe Adhd. I do think intense activity helps. My kid needs it, too, but also resists it, and is very demand avoidant. Fun fun fun.

https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.2019.18101134

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