Friday, July 31, 2009

To medicate, or not to medicate

Today was the last day of camp for C. It was his first time going to day camp. For that matter, it was his first time attending anything other than school. We've never been comfortable leaving him alone with anyone who might not be capable of supervising him properly. He really can be that challenging. Also, he's such a homebody that he really isn't interested in going out and interacting with other humans some days.

Camp Shalom changed all that for us. He loved it. His only complaint is that it doesn't last the rest of the summer. We enrolled him in the two-week camp on the advice of our educational consultant, the wonderful Jill. She was, as always, right - it was exactly what he needed. Camp Shalom focuses on social skill education for kids with ADHD, Aspergers, and/or High Functioning Autism. Social skills training is so important for kids on the spectrum, because social skills are what they lack. By teaching him these skills, we can help C interact with other people more effectively.

The other thing we do to help him interact with others is medicate him. C is on two different ADHD medications - Concerta (stimulant) and Strattera (non-stimulant). This is the combination we've come up with after working with his pediatrician for several years. His pediatrician has worked with thousands of kids over the years. Out of these, he's only put eight on medication before they turned five years old. C is one of those eight.

When we tell people how old he was when we started him on medication, they're usually shocked. Most of the rest knew him before he was on the meds. Anyone who's seen him off the meds (in the morning or evening) know why he's medicated. It makes sense to them. He needs the extra help the meds give him. His impulses are controlled to the point that he can concentrate. At least, that's what I thought. When I talked to the counselors today, they were surprised to learn that he's on medication. They thought for sure that he was on a medication break. These are trained counselors with experience working with kids like him. I don't know whether to be amused or concerned. I guess concerned - if he can't concentrate with the help of medication, then what the heck do we do?

I read a great article on medication options the other day. It's a rarity to find an article discussing medications in a fair and balanced way. I'll be referring to it again in the coming weeks before school starts as we work (again? still?) to make sure C has optimal assistance in focusing on his schoolwork. I would love to be able to ditch the medication (the co-pays alone are a good reason to want off it), but I don't think it's a viable option for him. Anyone have a magic wand handy?

1 comments:

Deanna said...

Heather, I found with J recently that physical location seems to have an impact on meds. J was completely out of control on our trip to his grandparents in CT. Back home, he was fine. Now this is a new med to him, Vyvanse, when he had been on Concerta. I was almost ready to completely throw out the Vyvanse after the trip, but was glad I stuck with it. That may be the case for H--he may be just fine at home and regular school, while camp may just be too overstimulating like CT with his cousins was too overstimulating for J.