Anonymous
Post 11/09/2011 08:02     Subject: Re:When you and your spouse don't agree about ADHD medication

You and your husband need to have a discussion not around medication, first, to come to the conclusion that you need to intervene if your son's ADHD is affecting him socially and emotionally, as well as academically.

Next have your husband take a day off of work (or at least a morning) to go and observe your child in the K classroom. In addition, if your husband isn't the one helping your child with homework at night, have him do that task for a few weeks.

Finally -- put your husband as the primary contact for the school, if he isn't already. If there are any issues that pop up at school, your husband is the one who gets called and has to administer the follow through at home.
Anonymous
Post 11/08/2011 21:54     Subject: When you and your spouse don't agree about ADHD medication

Anonymous wrote:
Anonymous wrote:OP here. Well, in our case, I am the one that has done all of the research and my husband has done zero. His area was not related to ADHD (not even close), and honestly, I think he uses this argument as an excuse, just because he feels our son is too young. I have not necessarily been looking at research by doctors or even talking to doctors or physicians about medication. In fact, at our last visit, his dev. pediatrician didn't even mention medication. The NIH stated in their report that he would likely benefit from medication but did not push it at all. They recommended some other accommodations, all of which we have tried or are trying. And yes, my research has included all types of studies and my reading has included all types of books, including ones like The Myth of the ADD Child, which makes some good points (but also confesses that medication is the right choice in certain situations). Regarding the long-term risks, well, any drug comes with risks, and i think you have to look at your circumstance and decide which is the greater risk. I personally would rather accept any potential small risk over my child failing out of school, having no friends, and possibly becoming depressed or worse. We are consulting his psychologist and OT, so we are getting input from others who know him.
I would like to know what the anti-medicine crowd thinks is the answer when you have a moderate to extreme ADHD case and you've exhausted all other options. We have done therapy, OT, lots of physical activity, elimination diets, behavior plans, sensory tools. Are you suggesting you just let your otherwise bright, likable child flounder and not reach their potential?


Your child is 5 or 6. How can you possibly have tried "everything" in that short amount of time? How can you be so certain that your child is going to "fail out of school" etc. when your child has only been in K for 3 months? If the problem is just school, perhaps you need to try a different school. If you have trouble at home, perhaps you need more work with a psychologist or social worker. There aren't going to be any quick fixes.


The ADHD diagnosis (through NIH) came about a year ago, but we suspected for a while before that because he had issues in preschool starting at age 2. So we had implemented dietary and behavioral approaches at home (and at school) well before K. He is currently in therapy and OT, as well as a swim clinic. We are currently working with the school and will see if they have any recommendations for accommodations, but he is already suffering academically and socially. I am not saying we are going to run out tomorrow and get some Ritalin for him, we are just beginning to explore it as a possible next step if we continue to not see results with our other approaches. But I know my husband and I need to get on the same page.
Anonymous
Post 11/08/2011 21:15     Subject: When you and your spouse don't agree about ADHD medication

Anonymous wrote:OP here. Well, in our case, I am the one that has done all of the research and my husband has done zero. His area was not related to ADHD (not even close), and honestly, I think he uses this argument as an excuse, just because he feels our son is too young. I have not necessarily been looking at research by doctors or even talking to doctors or physicians about medication. In fact, at our last visit, his dev. pediatrician didn't even mention medication. The NIH stated in their report that he would likely benefit from medication but did not push it at all. They recommended some other accommodations, all of which we have tried or are trying. And yes, my research has included all types of studies and my reading has included all types of books, including ones like The Myth of the ADD Child, which makes some good points (but also confesses that medication is the right choice in certain situations). Regarding the long-term risks, well, any drug comes with risks, and i think you have to look at your circumstance and decide which is the greater risk. I personally would rather accept any potential small risk over my child failing out of school, having no friends, and possibly becoming depressed or worse. We are consulting his psychologist and OT, so we are getting input from others who know him.
I would like to know what the anti-medicine crowd thinks is the answer when you have a moderate to extreme ADHD case and you've exhausted all other options. We have done therapy, OT, lots of physical activity, elimination diets, behavior plans, sensory tools. Are you suggesting you just let your otherwise bright, likable child flounder and not reach their potential?


Your child is 5 or 6. How can you possibly have tried "everything" in that short amount of time? How can you be so certain that your child is going to "fail out of school" etc. when your child has only been in K for 3 months? If the problem is just school, perhaps you need to try a different school. If you have trouble at home, perhaps you need more work with a psychologist or social worker. There aren't going to be any quick fixes.
Anonymous
Post 11/08/2011 20:59     Subject: When you and your spouse don't agree about ADHD medication

Anonymous wrote:
Anonymous wrote:I think he is sort of in denial and is hoping some of it goes away as he matures. He also used to be in the pharmaceutical field and thinks the ADHD drugs are partly a money-making scheme. It's the strangest thing, because he is otherwise a very intelligent guy (has a PhD), but I just cannot get him to read articles and books on the subject (and believe me, I've tried), so he is just so uneducated on the disorder. It's very frustrating. That's why I'm thinking I need to get a professional to convince him.


HOLD the phone!! He is in a position of knowledge here and you want to second guess him and what he's learned in his field....even with a PhD? Not to be snarky here, but perhaps it is you that needs to back down. My husband was the one wanting to try medication with my kids, but he never spent a lick of time researching it. I, on the other hand, have spent the past 5 years researching ways to cure my children's disorders naturally and holistically. When we reached a stale-mate on the subject, I told him that as soon as he spent his first hundred hours researching the subject, we could have our first serious conversation in which his opinion would actually matter to me. Medication is not something to take lightly. You can't just rely on the doctors...they aren't going to tell you about any of the horror stories or nightmares associated with these drugs. They're going to tell you exactly what the drug companies have trained them to say. You need to research how these physicians get kickbacks from the drug companies, you need to research the studies behind the drugs, you need to go deeper than a doctor does because in the end, if something happens to your child, they have insurance to back them up and you are left with the pieces to pick up. And they have the listed known side effects listed such that you can't say you didn't know the risks. If, after you have become an expert on the drug that they want to put your child on, you still feel that it is in your child's best interest to medicate, then you should do so. But do it with complete confidence and knowledge so that when/if there are problems, you know exactly WHY they are happening. Anything else is, in my opinion, completely irresponsible.


OP here. Well, in our case, I am the one that has done all of the research and my husband has done zero. His area was not related to ADHD (not even close), and honestly, I think he uses this argument as an excuse, just because he feels our son is too young. I have not necessarily been looking at research by doctors or even talking to doctors or physicians about medication. In fact, at our last visit, his dev. pediatrician didn't even mention medication. The NIH stated in their report that he would likely benefit from medication but did not push it at all. They recommended some other accommodations, all of which we have tried or are trying. And yes, my research has included all types of studies and my reading has included all types of books, including ones like The Myth of the ADD Child, which makes some good points (but also confesses that medication is the right choice in certain situations). Regarding the long-term risks, well, any drug comes with risks, and i think you have to look at your circumstance and decide which is the greater risk. I personally would rather accept any potential small risk over my child failing out of school, having no friends, and possibly becoming depressed or worse. We are consulting his psychologist and OT, so we are getting input from others who know him.
I would like to know what the anti-medicine crowd thinks is the answer when you have a moderate to extreme ADHD case and you've exhausted all other options. We have done therapy, OT, lots of physical activity, elimination diets, behavior plans, sensory tools. Are you suggesting you just let your otherwise bright, likable child flounder and not reach their potential?
Anonymous
Post 11/08/2011 20:21     Subject: Re:When you and your spouse don't agree about ADHD medication

Also, I think he is apprehensive because of the lack of data on risk of long-term use.


ding da-ding da-ding ding ding! This is the one that every last "and now DS is calmer and more able to attend ! ! ! " posters never ever address.

It is universally accepted that the stimulants make 100% of people taking them focus better, even those of us like me who've take a few during law school finals. A good researcher will tell you this.

But nobody knows what 25 years of taking these does to a brain for the long-term. No, they don't. There's one half-assed Ritalin study on children out of the 1980s and that's it.
Anonymous
Post 11/08/2011 20:14     Subject: Re:When you and your spouse don't agree about ADHD medication

Anonymous wrote:Np here. Please don't insult those of us who choose to medicate and imply that we haven't done our research. We have and made the decision to use medication. Do I like the fact that my children are on medication? Of course not. But I have seen the before and after and I know that we are making the right decision. We will continually revisit and hope to reach a point where they won't need it. But right now they need it and I wouldn't deny them it just as I wouldn't deny any other medical treatment to them.


Why do you feel this way about the course of action you have chosen?
Anonymous
Post 11/08/2011 20:06     Subject: Re:When you and your spouse don't agree about ADHD medication

Np here. Please don't insult those of us who choose to medicate and imply that we haven't done our research. We have and made the decision to use medication. Do I like the fact that my children are on medication? Of course not. But I have seen the before and after and I know that we are making the right decision. We will continually revisit and hope to reach a point where they won't need it. But right now they need it and I wouldn't deny them it just as I wouldn't deny any other medical treatment to them.
Anonymous
Post 11/08/2011 19:37     Subject: When you and your spouse don't agree about ADHD medication

Anonymous wrote:
Anonymous wrote:I think he is sort of in denial and is hoping some of it goes away as he matures. He also used to be in the pharmaceutical field and thinks the ADHD drugs are partly a money-making scheme. It's the strangest thing, because he is otherwise a very intelligent guy (has a PhD), but I just cannot get him to read articles and books on the subject (and believe me, I've tried), so he is just so uneducated on the disorder. It's very frustrating. That's why I'm thinking I need to get a professional to convince him.


HOLD the phone!! He is in a position of knowledge here and you want to second guess him and what he's learned in his field....even with a PhD? Not to be snarky here, but perhaps it is you that needs to back down. My husband was the one wanting to try medication with my kids, but he never spent a lick of time researching it. I, on the other hand, have spent the past 5 years researching ways to cure my children's disorders naturally and holistically. When we reached a stale-mate on the subject, I told him that as soon as he spent his first hundred hours researching the subject, we could have our first serious conversation in which his opinion would actually matter to me. Medication is not something to take lightly. You can't just rely on the doctors...they aren't going to tell you about any of the horror stories or nightmares associated with these drugs. They're going to tell you exactly what the drug companies have trained them to say. You need to research how these physicians get kickbacks from the drug companies, you need to research the studies behind the drugs, you need to go deeper than a doctor does because in the end, if something happens to your child, they have insurance to back them up and you are left with the pieces to pick up. And they have the listed known side effects listed such that you can't say you didn't know the risks. If, after you have become an expert on the drug that they want to put your child on, you still feel that it is in your child's best interest to medicate, then you should do so. But do it with complete confidence and knowledge so that when/if there are problems, you know exactly WHY they are happening. Anything else is, in my opinion, completely irresponsible.


Hello sane person. I totally agree with everything you say. So nice to know there is another person on this board who has really done their medication research and doesn't just rely on a couple of articles from a drug-funded "advocacy" website.
Anonymous
Post 11/08/2011 17:36     Subject: When you and your spouse don't agree about ADHD medication

Anonymous wrote:I think he is sort of in denial and is hoping some of it goes away as he matures. He also used to be in the pharmaceutical field and thinks the ADHD drugs are partly a money-making scheme. It's the strangest thing, because he is otherwise a very intelligent guy (has a PhD), but I just cannot get him to read articles and books on the subject (and believe me, I've tried), so he is just so uneducated on the disorder. It's very frustrating. That's why I'm thinking I need to get a professional to convince him.


HOLD the phone!! He is in a position of knowledge here and you want to second guess him and what he's learned in his field....even with a PhD? Not to be snarky here, but perhaps it is you that needs to back down. My husband was the one wanting to try medication with my kids, but he never spent a lick of time researching it. I, on the other hand, have spent the past 5 years researching ways to cure my children's disorders naturally and holistically. When we reached a stale-mate on the subject, I told him that as soon as he spent his first hundred hours researching the subject, we could have our first serious conversation in which his opinion would actually matter to me. Medication is not something to take lightly. You can't just rely on the doctors...they aren't going to tell you about any of the horror stories or nightmares associated with these drugs. They're going to tell you exactly what the drug companies have trained them to say. You need to research how these physicians get kickbacks from the drug companies, you need to research the studies behind the drugs, you need to go deeper than a doctor does because in the end, if something happens to your child, they have insurance to back them up and you are left with the pieces to pick up. And they have the listed known side effects listed such that you can't say you didn't know the risks. If, after you have become an expert on the drug that they want to put your child on, you still feel that it is in your child's best interest to medicate, then you should do so. But do it with complete confidence and knowledge so that when/if there are problems, you know exactly WHY they are happening. Anything else is, in my opinion, completely irresponsible.
Anonymous
Post 11/08/2011 16:35     Subject: When you and your spouse don't agree about ADHD medication

Anonymous wrote:I think he is sort of in denial and is hoping some of it goes away as he matures. He also used to be in the pharmaceutical field and thinks the ADHD drugs are partly a money-making scheme. It's the strangest thing, because he is otherwise a very intelligent guy (has a PhD), but I just cannot get him to read articles and books on the subject (and believe me, I've tried), so he is just so uneducated on the disorder. It's very frustrating. That's why I'm thinking I need to get a professional to convince him.


Also, I think he is apprehensive because of the lack of data on risk of long-term use.
Anonymous
Post 11/08/2011 16:15     Subject: When you and your spouse don't agree about ADHD medication

I think he is sort of in denial and is hoping some of it goes away as he matures. He also used to be in the pharmaceutical field and thinks the ADHD drugs are partly a money-making scheme. It's the strangest thing, because he is otherwise a very intelligent guy (has a PhD), but I just cannot get him to read articles and books on the subject (and believe me, I've tried), so he is just so uneducated on the disorder. It's very frustrating. That's why I'm thinking I need to get a professional to convince him.
Anonymous
Post 11/08/2011 15:42     Subject: When you and your spouse don't agree about ADHD medication

Just wondering...what is your husband's stance, given that you don't agree? What are his reasons/concerns?
Anonymous
Post 11/08/2011 14:54     Subject: When you and your spouse don't agree about ADHD medication

OP here. Thanks to the two previous posters, and others. This is along the lines I was thinking...that if I can get a developmental pediatrician to talk to my husband, perhaps without me there, then that might work. I'm also hoping that some of the discussion at the EMT meeting this week will help sway him. And yes, we would likely start with the lowest possible dose.
Anonymous
Post 11/08/2011 14:42     Subject: When you and your spouse don't agree about ADHD medication

Thanks for your response, OP. 12:30 here. Based on those details, I would consider a trial of medication. Maybe you could make a deal with your husband that you will get two opinions and if both MD's agree you will do a trial of medication, beginning at the lowest possible dose?
Anonymous
Post 11/08/2011 14:33     Subject: Re:When you and your spouse don't agree about ADHD medication

When DH and I didn't agree (I was pro-medication sooner), he went to an appointment with our pediatrician WITHOUT ME. Discussing it with a neutral party, without feeling as though I was steering the conversation, convinced him that it was worth a try. DS reports that medication makes it possible for him to listen in school, even to the "boring" parts (for him, this means anything related to math).