Reply to Experience with putting a 4 yo on Ritalin?

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[quote=Anonymous][quote=Anonymous]We started meds at 4, and just couldn’t get it right. They made him very weepy and rigid. We tried adding a non stimulant and that was far more helpful for impulsivity. But caused sleep issues. That was at 6. He is 11 now and we’ve just had limited success with meds. His issues seem deeper. He also has LDs and a lower IQ. So who knows. A different brain. The kids I know who do super well on meds don’t have those issues. I’d start a post re medicating my child with a lower iq/other issues. [/quote]

I think op at some point said that her ds didn’t have low iq - that was something people on here were inferring because of her initial comment that he wasn’t gaining new skills appropriately. I think what she meant was that other kids were sitting down learning their abcs while her kid was running around a mile a minute, so he’s not working on the age appropriate skill development. That makes sense to me, and our ds’s hyperactive adhd prevented him from working on social skills development.

That said, I do agree with the overall point in the previous post that kids who present with such severe adhd at age 2/3/4 that they require medication are rarely clear cut cases, and often have other more complicated things going on. In our case, I don’t think the other stuff leads to an official diagnosis or anything. He’s just a really quickly kid with a quirky brain so the adderall solves a lot but leaves lots behind too. Im the pp whose ds is also on non stims and this is also part of my theory on why non stims should be a first line for these severe young kids. They clearly have a totally different adhd subset than your typical kid who starts getting bad grades in 4th grade because they can’t pay attention. So I’d argue that the large studies on adhd kids showing better success on stims than non stims - those studies have little to do with our severe adhd physical toddlers who need help. We tried all the stims and all the Non stims. He never had issues with any of the stims, but did have classic side effects with them all - and some wore off faster than others. That’s how we settled on concerta. And on the no stims, some made him weepy. Kapvay did not. [/quote]

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