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Adhd 8 year old, worth diagnosis?

34 replies

cloudchaos · 10/09/2023 09:15

The SENCO at my sons school believes he should have a referral to a psychologist for an ADHD assessment. He is 8 years old. I don't disagree that he has some ADHD traits but I've made it clear to the school that I'm not interested in medicating him. They seem very pro this. He's not disruptive in class, but more unfocused / away with the fairies, and probably does require more support than the other students as he has some TA time to re-explain the activities as he doesn't always "hear" what was asked of him. He's in an independent prep if that makes any difference to their agenda!

I don't mind him being assessed if this will ultimately benefit him, but I'm not sure what an ADHD diagnosis would mean for him - would he get longer in exams etc? And considering I don't want to have him medicated, I'm just wondering if there's any point getting diagnosed?

OP posts:
Fortboyard · 10/09/2023 14:30

I would progress with assessment if I were you, it doesn’t have to change anything if you don’t want it to and is a very very long process.
i never ever wanted my ds to go on medication but in the end it was either him go on adhd meds and have a chance to succeed at school or the rest of the family go on anti-depressants and ds get excluded from school.
10 years on he has good gcse results, is doing great with his a levels. planning to go to uni next. There is no way he could have concentrated and behaved appropriately to get through secondary school without meds.
Re addiction, I would say that medication would help with impulsive behaviours (addiction is inability to control impulse to engage in addictive behaviour) so I would think it would help avoid addiction.

D1nopawus · 10/09/2023 14:58

Medication is short acting. A trial of meds is just that. To take them and see if things improve. If your DC doesn’t get on with them, he can stop or change type. Why not be open to seeing if they help?

The critical thing with an eight year old old described as “sometimes away with the fairies” is that improving their concentration and focus could potentially make a huge difference to their ability to learn, at a time when they are building foundations for later learning.

Meds can get a bad rap when ignorant people post bollocks about how they are used to control naughty DC. QED if your child isn’t naughty they don’t needs meds. This. Is. Just. Wrong. Many people on meds are inattentive and find them life changing.

My advice? Start by getting your child assessed and if the diagnosis is made, remain open to medication. It’s about helping your child to concentrate and putting them on a level playing field with their NT peers. Why wouldn’t you do that?

D1nopawus · 10/09/2023 15:03

My DH has ADHD and addiction issues and I'm also concerned in case some of that is genetic and leads to addiction issues.

Sorry, I only just read this comment as it came up whilst I was typing. I think the thing to understand is that it’s the ADHD that leads to the addictions and not the meds. Most people find medication helps them to manage their addictions because they are more stable. I understand your concerns, and am pleased you are proposing to go ahead with assessment. Discuss your worries with the professionals and you can make an informed decision.

LoveMyADHD · 10/09/2023 15:06

@cloudchaos I totally get what you mean by not wanting to change your kid

my DS changed on meds, completely I would say but… all these “traits” that I loved and actually thought are part of his “personality”, were actually just adhd traits. The thing is because we’ve been with them for sooo long, we get used to them and their fun traits and we think they’re part of who they are

Reality is different; when my kid was on meds, and hangs around with other kids , then I realised what the non-Adhd is.

you ll realise this more when he’s older and you start comparing more

anyway take a step at a time, as per the lovely message from one of the posters here “Knowledge is power”, so much information out there to help you out …

BertieBotts · 10/09/2023 15:11

OP there are a lot of myths that go around about ADHD medication. Ultimately I would speak to a doctor, not go off random advice on the internet. But essentially your concerns are very normal and if you do get your DS seen by a professional then they would be something to discuss directly with that professional. A diagnosis is after all not an order to medicate :) It would be about whether you, the doctor, and DS (if appropriate) think it would be a useful option/tool for him at any time, which for some people it is and some people prefer not to use it. Ultimately, if he is struggling, it seems counterproductive to completely write off the option of something which might help without actually discussing your specific concerns - you could explain the history of what happened with your DH for example - with a medical professional with the relevant knowledge and experience.

These medications have been used quite a long time across the pond so there is good info on their longer term effects. You should also discuss the addiction issue, because there is some info that suggests it is ADHD itself, rather than medication usage, which precludes people to higher risk for addiction and that where children are successfully medicated before the teen years, this risk reduces and is comparable to the average population level risk of addiction, so it might be really worth exploring what your doctor thinks about your DS's individual risk profile WRT trying or not trying or avoiding as far as possible.

One problem with waiting and then trying to start medication only when you encounter more serious problems is that you then sometimes get the issue, especially if you're entering the teen years, that the problems which have built up so far create a level of resistance and self-doubt and have reduced trust between the child and adults in their life (teachers, parents) so they can then be resistant and not want to take them, just as they need them the most. Whereas if they have been seeing them as a helpful thing from earlier on then it's not so much of an issue for them to continue later.

OTOH, teenagers are also more independent and more able to make their own decisions about treatment and if medication has been something that they have actively chosen to try, then they are more likely to comply with the doctor's instructions of how/when to take it. Sometimes they genuinely do not need them earlier on and it makes sense only to look at more support when they actively need that support.

I do think the approach for this has changed a bit recently and I think this is positive; when DS1 (now 14) was first diagnosed aged 10, we were given leaflets about medication (though advised not to medicate at that time) and the advice in there was pretty bad IMO as it seemed to suggest quite an old fashioned, top down approach of "Just tell your child the medication is to help them focus at school". I've never taken that approach as it did not really sit right with me; when DS did start medication he was 13 and I felt it was just as much his decision, not mine, though I have let him know what my thoughts are. I wanted him to understand what it actually does (it does not just magically give you focus - I gave a simple explanation of the brain chemistry).

OvertakenByLego · 10/09/2023 17:21

Thesmellofsummerrain · 10/09/2023 13:18

@Rufus27 This poster IS genuine and is speaking from his own experience. The child in my class came off Ritalin and it made no difference to his behaviour. He was intelligent, enthusiastic and a delight to teach.

The incident about a teacher attending an appointment with a doctor did happen. The doctor was reluctant to diagnose ADHD but the teacher persuaded him to do it.

It would seem I made the wrong conclusion if registration as SEN doesn't mean increased funding. This was around 2007 so it might have changed.

My impression of this particular school is they were using SEN as an excuse for poor results. To want to register a child as SEN because he can't pronounce the 'ng' sound at the end of words is absurd.

I am surprised to have been so much attacked for making a post which genuinely tried to help and caused me a certain amount of inconvenience this morning.

I am surprised that so many posters seem to actually want to see children given a label and medicated.

Schools didn’t get extra funding for a diagnosis in 2007.

Schools don’t need a diagnosis for a child to be added to the SEN register, it is based on needs. Schools must also make reasonable adjustments whether there is a diagnosis or not, one doesn’t need a diagnosis to be classed as having a disability. However, speech difficulties can be a form of SEN.

Diagnosis not label.

SavBlancTonight · 10/09/2023 17:32

I don't really understand how a teacher only has one example. Surely any teacher of more than a few years experience will have interacted with multiple children with SEN, including adhd?

Rufus27 · 10/09/2023 18:06

SavBlancTonight · 10/09/2023 17:32

I don't really understand how a teacher only has one example. Surely any teacher of more than a few years experience will have interacted with multiple children with SEN, including adhd?

Couldn’t agree more (I speak as a teacher with nearly three decades’ experience). There was so much in that post which didn’t ring true, not least understanding of the CoP. I’d love him to spend a week in my shoes, both as an SEN teacher and a parent to two children with complex needs including ADHD, and then think about the impact of medication. For some parents, it’s not a choice, it’s a lifeline simply to allow them to function safely as a family.

moanybird · 10/09/2023 18:31

cloudchaos medication hasn't changed my daughters personality, quite the opposite in fact. It has allowed her chaotic and busy brain to slow down a bit so that she can actually converse.
DD experienced extreme emotional dysregulation on an almost daily basis. When in that state, she is not open to reason and it is very, very difficult to engage with her and help bring her down from her heightened state.
Medication allows her to listen to reason as she can focus on what you are saying. Meltdowns have become far less frequent as her mood is more stable. We can communicate far better and more efficiently which means her previous frustrations don't come to anything (usually about curfew times, getting up for school etc).
It has been life-changing for us as a family.
She is still my beautiful, funny, quirky girl but her violence, aggression, impulsiveness and poor behaviour is far, far better managed on medication.
As a sweet and barely affected 8yr old, I could never have foretold what her 12/13yr old self would be. I'm grateful every day for methylphenidate giving me back my girl. It's been a rough ride over the past 18months including an episode where she nearly lost her life in January. Formal diagnosis and an open mind about medication (depending on circumstances) would be my advice. And I speak from lived experience.

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