Reply to Did medication at 4 for ADHD help social/language issues?

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Reply to "Did medication at 4 for ADHD help social/language issues?"

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[quote=Anonymous][quote=Anonymous]I am right there with you op. My son just turned 4. What kind of social issues are you seeing? My son is very socially motivated and interested but can get too in the face, excited, wild. He has a mild receptive and expressive delay and does a co treat with ot because he can't sit still. [/quote]

Socially - just not interacting with peers.  Some it is not sticking around in one place long enough to start those interactions.  I think play skills (which were previously behind) have caught up such that that foundation is there, but a lot of it seems to be sort of failing to register what another kid is doing.  Likes other kids, now tolerates them nearby, but responding to another kids overtures?  Sticking around/attending long enough for another kid to respond in what *could* be a conversational exchange (albeit prompted on her side), nope.  I think some delayed language skills come into play here too, but they're sufficient for some more interaction than we see.  There *does* seem to be some motivation/interest, but social awareness - registering what is going on around, non verbal cues, tone of voice, being spoken to - seems to be fairly lacking at least with peers.  That said, she's much better with adults, particularly 1:1 and in really really small groups - but adults can do more of the heavy lifting in an interaction.  There's just a real qualitative lack of engagement in the give and take of social interactions that is difficult to describe - like you're interacting with me, but half the time (with adults, nearly all the time with peers) there's a feeling something is missing, we're just not on the same wave length - and difficult to pin on a particular issue.  And then other times when it's that over the top/too excited issue - she's bowling kids over with hugs (failing to register they clearly don't want one right now), getting too loud, etc.  It's hard to parse out if it's simply an issue picking up some (both subtle and overt) social cues, or also an inability to make use of them when she picks them up, but I suspect some of both.  I think with adults it looks like "you're just not paying attention" until you get some longer qualitative experience with her, but with peers it seems really evident to me, given the real lack of interaction, that it's more than that with them.[/quote]

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