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bleung | 2008-08-10 23:53
Kellyaugust,

My son did not have such response but my friend's son did (aged 7) at the beginning (during and after the pills). After taking for a month, the side-effect stopped.

When he gets angry, does he listen to reasons and calm down? From 8 to 10 years of age, my son still got angry and shouted when was provoked but listened to reasons and calm down quickly. Now at 12, he only gets angry with himself, e.g. not getting good marks but seldom at others (e.g. classmates won't let him join the basketball game) and behave so calm and gentle. However after the effective time, around 8 p.m., he keeps on talking about things at school but still manage to do the night routine (revision, bath and bed).

I joined 1) BGCA - parents & child course (12 sessions?)
- family counselling

2) Health Authority - parents & child course (about 20 sessions during week days)

Both courses helped but need 100% participation. The family counselling helped us to identify and clear out family problems and differences to path the way for the behaviour training.

Hope this may help.
Quote:原文章由 Kellyaugust2004 於 08-8-10 00:07 發表
bleung,

many thanks and appreciate your response. after taking 10 days of 1/4 Ritalin, have reviewed with Dr and increased the dosage to 1/2 of 10mg Ritalin twice per day. He also gave us two concert ...
Yme | 2008-08-11 13:02
Hi 各位媽媽,

請問各位媽媽,注力不足要到什麼程度才要吃藥. (做accessment 的結果是否shown in %) 我的小朋友(age 8) 在政府醫院見了2次心理醫生和她看了學校老師所填的問卷調查,便說要吃藥,要見醫生. 心理醫生很年青, 她沒有要我們(父母)填問卷調查, 她什麼都沒說,注力不足到什麼程度又沒說. 是否要到見醫生時才由醫生決定要吃藥呢? 要見多少次醫生,醫生才決定用藥呢? 我應該怎樣才讓小朋友吃藥, 有沒有其它的方法呢?

請各位媽媽給予意見!
Kellyaugust2004 | 2008-08-11 13:30
bleung

thanks again for your response.

--->When he gets angry, does he listen to reasons and calm down?
no. maybe my son is still too young? he is 5.5 yrs old now.

i wonder will it be better if taking concerta? we will try before our next visit to the Dr

i'm just wonder should we keep trying or stop till school start and let the teachers / social workers commend whether my son needs to take pills......

i've now attending the parents & child course at BGCA. it's useful.

regarding the Health Authority , do u have any website / phone no. that i can contact?

many thanks
bleung | 2008-08-12 07:38
Hello Kellyaugust,

1) You are right, 5.5 doesn't really listen to reasons.

I used to let my son hit his pillow in his room when he got angry (it could last for 30 minutes) until he calmed down. Before 6, I held him tight and rock him gently and sang our special song. However when he was really angry, nothing could stop him. He would throw himself on the floor and scream. I just told him I would come back in 5 minutes and leave the scene. Then I returned and asked him if we could talk. If the answer was NO, I repeated the procedure again. He stopped all these (screaming, etc.) around 10 when he learnt how to reason (argue more like to me).

2) Concerta is Ritalin actually but it releases the medicine steadily once inside the body. I am sure your doctor have already showed you the 'effectiveness' graph - Ritalin has an up and down curve while Concerta's is more steady. That means Ritalin (say taken every 4 - 6 hours) works its peak for 2 -3 hours, slows down in the last hour while Concerta takes 1 hour to take effect, at its peak for 8 hours, then slows down.

3) I had mixed responses from teachers adn social workers. My son had little problems in P.1 & 2 because the teacher was very capable but she did suspect my son was ADHD. One social worker told me better not to take any drugs. One teacher who is ADHD said it would help my son. My doctor said, "Don't take over my job." Personally, I will continue the medication in the summer so to prepare for P.1.

4) When you are registrated with a government child psych. clinic and see the doctor there, you can ask to be put on the waiting list. The waiting time is long because they try to group children in similar age. I am not sure if you can join the course if your son is not a registered patient there.

God Bless.
Kellyaugust2004 | 2008-08-12 09:19
bleung,

thanks so much for your response. I believe God is leading.

1) You are right, 5.5 doesn't really listen to reasons.
--->thanks for your suggestion. will u find it difficult to handle outside when your boy is young?

2) Concerta is Ritalin actually but it releases the medicine steadilyonce inside the body.
---> i see. i guss maybe Concerta is more suitable for my son then. will try . just a bit afraid if he refuse me to take it before going to school.

3) thanks for sharing your opinions. i will talk to teachers next week during orentation.

4) When you are registrated with a government child psych. clinic and
---> i see.

also, do u find the pills help on concentration and behaviors?

thanks
Kellyaugust2004 | 2008-08-12 09:21
bleung,

thanks so much for your response. I believe God is leading.

1) You are right, 5.5 doesn't really listen to reasons.
--->thanks for your suggestion. will u find it difficult to handle outside when your boy is young?

2) Concerta is Ritalin actually but it releases the medicine steadilyonce inside the body.
---> i see. i guss maybe Concerta is more suitable for my son then. will try . just a bit afraid if he refuse me to take it before going to school.

3) thanks for sharing your opinions. i will talk to teachers next week during orentation.

4) When you are registrated with a government child psych. clinic and
---> i see.

also, do u find the pills help on concentration and behaviors?

thanks
bleung | 2008-08-12 11:51
Kellyaugust,

1) Very embarassed during the early years and felt bad. He was big trouble in family gatherings. He was actually better in my mum's place 'cos my mum always reasons with him and praises him and cooks him his favourite food, in other words, he feels special.

I trained myself to be thick-skinned and ignore other people's judgemental look. I understand my priority is to raise a good son, not to show people what a good mother I am. That is, no more image la.

These are the tactics I used before 10 :-

I prepared well in advance - bring toys / books / drawing pad / PSP (whichever to suit his mood, before 6, he even liked to copy passages from story books!) to dinner. Shopping trip is short. If he got angry in public, I took him somewhere quiet (backdoor, staircase) and let him calm down. My son likes chewing gum (ADHD child likes action / movement). I gave him that instead of snacks on long journeys.

I always went to same shopping centre and told him beforehand what he should do if he got lost ( wait by the entrance of Toys'r Us, give him a note written with my mobile no).

Now at 12, he has no such problem. He even went on a 5-day camping trip with the school last month.

2) Similar side-effects but one doctor said Concerta causes milder side-effects. I didn't ask why.

I asked my doctor to explain to him why medication but he actually was not happy because his friends at school called him "mental" for taking pills. He was P.3 then and understood what were written on the doctor's name plate and certificates. It took a year for him to take the pills willingly when he realised the pills actually helped him.

At your son's age, it's easy to disguise Concerta as vitamins, but I am not sure if it is good in the long run (the trust issue).
You should talk to the worker in BGCA and your doctor about this.

c) I have to stress that my son responds to the drugs well since day one. Now he can revise for two hours (I set him questions and he looks up the answer from the books) on his own. He behaves well when on medication and can sit through a classical concert. He is in the school band with weekly group practices and regular school performances. He is still cheeky to the teachers ( his words: I am just saying what all of us think of her). All violent behaviour stopped (no more careless hitting or fighting). I think it's part due to the drugs, part due to the skills he learnt to control himself from experiences in the past years.

There have been ups and downs for the past years and improvements are steady but slow. God look after him all the way.
Kellyaugust2004 | 2008-08-13 15:09
bleung

1) u're right. we really need to support , praise him more. if we always point out his false, this will affect his self image.

thanks for your tips. i will try to stay calm. in fact, i need to do so and it's better to both of us.

c) I have to stress that my son responds to the drugs well since dayone. ---> i'm very happy for u that u can see the improvement on your boy. i'm waiting for this day to come.

There have been ups and downs for the past years and improvements are steady but slow. God look after him all the way.

---> sure. i've to stay strong. and be positive.

thanks so much for your sharing and tips and encouragement. keep in touch .
LongLong_ma | 2008-08-25 10:39
當媽,妳好!!!妳幾時發現仔仔的問題??....情況是怎樣的??

我仔仔今年7歲....一向以來....仔仔上堂都會被投訴....唔專心....無自理能力.....發脾氣.....以前我以為他年紀小....可是外來的聲音(但他在家都算是乖孩子..没有活躍症的徵狀).....實在太多了.....我都曾要求學校安排評估....但他們以亞仔成績不太差為由拒絶了!!!.....那我應該怎做呢??.....現在,我是不是只可以去私人機構做評估呢???....我真是一點頭緒也没有.....可否介紹給我呢???
siukwonglai | 2008-08-26 16:45
你好！

若不經學校轉介給教育心理學家，你還可以像我朋友的兒子（小學生）一樣, 找西醫，經他的推介去獲得評估服務

香港衛生署體能智力測驗服務

http://www.dhcas.gov.hk/cindex.html
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