In my experience vyvanese works the best for autistic spectrum kids who are ADD/HD as long as its not bipolar. I am wary of trying meds for my oldest, who is PDD.NOS (autistic features, atypical autism) and ADD. He is 8.5yrs.
My son is not aggressive and he is labile with an incongruent blunted mood, however, with our family history I believe him to be bipolar/PDD not ADD/PDD.
my mother is bipolar and on a slew of meds
my SIL is bipolar and on a slew of meds
my MIL needs to be on meds (undx bipolar)
husband is bipolar-does not take meds. Has been dx extensively, has paradoxical effect to meds, and goes hypomanic cyclically and when he tries to take Wellbutrin (tricyclic anti-depressant) that is used to try to quit smoking.
I fear my son would go manic/psychotic on alot of the meds out there
A lot of PDD/ADD/HD kids do not fair well on stimulants do to the bipolar features and I can’t understand why so many parents allow their kids to go from 1 stimulant to another, honestly the definition of stupidity is to keep trying the same thing and expecting a different outcome. If a PDD/ADD kid goes psychotic on any one of these adderral, ritalin, concerta, dexedrine, vyvanese, then there is no point in doing a trial on all of them, move to a different class of drugs.
How much sensory integration is she getting? Could be her OT sucks.
Mom needs to carry OT strategies at home.
Could be its the wrong med, could be the wrong dx.-she may be bipolar, could be the med dose is below therapeutic range.
Is she getting social skills training at school? She should, my son does. What kinds of accommodations does she have in her IEP? Does she have a break card, point card, weighted vest, pressure vest, core disc, preferential seating, a 1:1 paraprofessional to facilitate appropriate bx with peers?
Medications are totally beneficial and warranted for those that truly need them to function. Dosages are titrated up, this takes time, so they start low in order to adjust to the lowest effective dose.
What Kathy is describing is NOT ADHD, and its commonly diagnosed as ADHD especially in this population. What she describes is CAPD, and it goes hand and hand with the autistic spectrum population. Yes, my son has been diagnosed CAPD too. CAPD is central auditory processing disorder, and the problem is differentiating between foreground and background noise. CAPD is described acutely by Dr. Temple Grandin, an accomplished published entrapreneur autistic woman who has CAPD and there is auditory retraining for this. Meds should not be used for CAPD. Now yes its possible to have an overlap and have CAPD with an attention disorder, but frequently the CAPD is misdiagnosed as an attention disorder.
preferential seating, a corral around the desk, an FM system (son uses this too), headphones, testing done with breaks and individually (not just state testing, all testing).
Tomatis training for CAPD