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Elementary School-Aged Kids
Reply to "Excessive day dreaming?"
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[quote=Anonymous][quote=Anonymous] Classic inattentive form of ADHD. FIGHT for that IEP, he'll need it later. Unfortunately there are no truly effective strategies to stay on task if the inattention is severe at a young age: the brain is simply not mature, and you either have to wait until it is (in the 20s or 30s) and accept the consequences, or discuss meds with a psychiatrist, which we ended up having to do, after an extremely thorough neuropsychological evaluation. Research has shown that meds plus behavioral modification (teaching study skills and giving accommodations in school) works the best compared to meds alone, or behavioral modifications alone, which unsurprisingly is by far the least efficient. Environmental modifications are: sitting close to the teacher, in front of the board, away from distractions such as windows, doors, computers or chatty peers, and receive repeated directions, get assignments broken down and have an adult sit next to him to redirect him during tasks when he daydreams; additionally and very importantly, receiving extra time on tests! ALL of these can be had with an IEP (and more, such as more time to hand in homework in middle and high school and receiving LESS homework), but they will be difficult to obtain easily and systematically without one. Good luck. This is worth researching and preparing and working out with doctors and the school. I advise you to post on the Special Needs board, you will receive much support and advice.[/quote] PP again. Pediatricians are NOT trained to properly diagnose and treat ADHD. You need a psychologist to evaluate, and a psychiatrist to prescribe if ever you decide to do so. We used the Stixrud group to do the evaluation. It cost us $3.2K out of pocket and it was worth every penny. Some development pediatricians and psychologists will do a short, less expensive eval just for ADHD but it won't be as good and will not show the IQ subscores, learning and working style of your child, severity of inattention, and possible existence of learning disabilities, nor will it diagnose such. ADHD often comes with learning disabilities, so that's a problem. Another thing I liked about Stixrud is that they have a great deal of experience with getting schools to give accommodations and services. The report was full of MCPS keywords, to make it harder for them to reject the report. And indeed, our school accepted it immediately. [/quote]
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