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When we first determined that our son had ADHD, we took an aggressive approach to the situation - denial wasn't our style. We sought the best medical advice we could get. We immersed ourselves in every book, magazine and web site having anything to do with ADHD and ADD.
Almost everyone has heard the debate on whether or not to use medication. Our doctor had advised that any side effects of the medication, such as weight loss, would be far outweighed by one critical concern. The doctor expressed concern that our sons impulsive behaviour would not only get him in trouble with his school teachers and administrators, but would also have the potential for him to be ostracized by his peers/friends.
We went the medication route and over time found the right meds, dosage and timing for our son. Having ADHD myself, I have taken medication also and can state, without hesitation, that my thoughts and actions are clearer, calmer, less distracted and less impulsive.
We have had times where our son has had to go without his meds. At those times, invariably, a new person comes out: completely out of control with bizarre interactions with others. At the end of those days, my son is generally remorseful and cannot wait to have his medication the next day.
Even with the benefit of the medication, school and relationships with friends have suffered.
Although school administrators have expressed patience and an understanding with the situation, that does not always make it all the way to the teaching staff. Teachers see an extremely bright boy who can behave at times and therefore see our son as choosing to behave or not. Reporting that the child is impulsive or ill-behaved is the equivalent of saying "the blind boy still refuses to see".
Close friendships never seem to last more than a couple of years. Our son's sense of humor is intelligent and above his age-level. Teachers and counselor's see some very clever attempts at humor that other kids see as just "weird".
It is a beautiful day today on Long Island - a nice warm break from a bitter winter. Other kids are running around outside in shorts and T-shirts. My son is sitting in front of the computer. His play is "safe" there. He won't offend anyone. No one will reprimand him for his impulsivity. It seems that it gets harder and harder for him to risk reaching out to others.
We still press on looking for opportunities for him to have positive social experiences. ADHD runs in cycles - good times of the day and bad; good days/months/years and bad. Better days will come again.