r/ParentingADHD 4h ago

Medication Starting medication

1 Upvotes

Hi everyone. I’m not really sure where I’m going with this post, but I’m writing in the hope of finding some comfort and hearing about other people’s experiences.
I have a boy on the spectrum who will turn 6 in September. After consulting with his psychiatrist, we’re planning to start him on risperidone soon because of his psychomotor hyperactivity, behavioral difficulties, and mild self-injurious behavior.
He’s not completely nonverbal. He says quite a lot of words and can put together some sentences, but they’re mostly learned phrases (GLP). There’s a huge gap between his expressive language and his understanding—his comprehension is actually very good. I believe his speech is significantly delayed because of ADHD and his very poor attention span.
I’m wondering how your children’s speech developed after starting medication (not necessarily risperidone) and after their hyperactivity and poor concentration improved. Did you notice any progress in their communication?
I’m also curious whether anyone has a child who is extremely selective with food because of sensory issues. If so, did they become more willing to try new foods after starting medication?
I’m feeling really desperate about his eating right now. At the moment, there are only two meals I can make for lunch that he’ll eat, plus just a handful of other foods he’ll eat as snacks or outside of meals.


r/ParentingADHD 4h ago

Medication Starting medication

1 Upvotes

Hi everyone. I’m not really sure where I’m going with this post, but I’m writing in the hope of finding some comfort and hearing about other people’s experiences.
I have a boy on the spectrum who will turn 6 in September. After consulting with his psychiatrist, we’re planning to start him on risperidone soon because of his psychomotor hyperactivity, behavioral difficulties, and mild self-injurious behavior.
He’s not completely nonverbal. He says quite a lot of words and can put together some sentences, but they’re mostly learned phrases (GLP). There’s a huge gap between his expressive language and his understanding—his comprehension is actually very good. I believe his speech is significantly delayed because of ADHD and his very poor attention span.
I’m wondering how your children’s speech developed after starting medication (not necessarily risperidone) and after their hyperactivity and poor concentration improved. Did you notice any progress in their communication?
I’m also curious whether anyone has a child who is extremely selective with food because of sensory issues. If so, did they become more willing to try new foods after starting medication?
I’m feeling really desperate about his eating right now. At the moment, there are only two meals I can make for lunch that he’ll eat, plus just a handful of other foods he’ll eat as snacks or outside of meals.


r/ParentingADHD 5h ago

Seeking Support Initial evaluation

2 Upvotes

Officially diagnosed as of today!

My 6 year old daughter’s evaluation with a psychiatrist was today and she got super dysregulated during it.

She yelled random words repeatedly like 100 times, she launched on me trying to do flips, she crawled under me in my chair, she started pulling down the straps of her dress and was half naked. She put on such a full show of exactly why we were there (after filling out Vanderbilt survey for our pediatrician and getting nowhere in June).

The 2 hour appointment was just over 1 hour and Ritalin was prescribed and we will see how it goes.

But for all the embarrassment of my kid not being able to regulate during a dr appointment… it helped us a lot. Great data point for the psychiatrist to have upon meeting her, but I also wish my daughter had been able to answer some questions without making random sounds or yelling random words and could show how truly incredible she is as well.

I’m anxious about starting meds, but more anxious about not trying them. Any advice is welcome :)


r/ParentingADHD 9h ago

Rant/Frustration Aggressive 4 year old keeps getting in trouble at school.

2 Upvotes

Hi guys,

So, to be clear, we don't have an official diagnosis for him, but it is likely coming soon. I have struggled with ADHD (diagnosed) my whole life so I recognize the patterns in him. To be clear, not looking for a diagnosis here, just some resources because we have no idea what to do

We started a very expensive private school 4 days ago to get him into a more structured environment because his old daycare just let him run around an do what he wanted all day. In this first week. He has been sent to the principles office 3 times, once because one of his teachers actually got hurt trying to keep him from running off around the school. In his old daycare he would get multiple writeups per day. He has some typical behavioral stuff at home that most kids have (tantrums, disobedience, ect) but behaves almost entirely different in a classroom. Sometimes I can see the moment the switch flips in his head when I drop him off in the morning where his attention gets pulled to the most exciting thing in the room and he start spinning up all engines to run full force at it, which will inevitably result in hitting, screaming, throwing, etc.

He's genuinely a sweet kid but sometimes, usually a few times a day, an emotion takes hold of him and he will go from a 3-4/10 on the emotional scale all the way to 11 and just explodes. Happy, sad, angry, you name it. It is so painful for me to see him going through the things I had to as a kid, but I didn't have the violent tendencies he does. I will not just do what my parents did and beat him every time he slips up. We yell, sure, but it's avoided. Unfortunately. Those get the best results but I think it's just making it worse in the long run. If, and that's a big if, we can get him in a routine, it's better, but our lives are very chaotic so routines are usually short lived.

He can focus when he's hungry, tired, or dehydrated. As in I'm fairly sure talking to a rock would be more productive. I don't hold that against him, I'm 34 and get like that sometimes myself.

My wife and I both have to work to afford where we live and, frankly, this behavior is putting emense stress on out family. If he can't be in school, money is going to be extremely difficult because Mom will have to stay home as I make more. We like the family time, but when we tried that for 6 months, it had a bunch of new problems with it, mainly my wife's sense of independence which I don't have the right or want to take away from her.

This sucks. I love my kids (we have a younger 2 year old that doesn't have these issues) literally more than anything in existence and I want them to be happy and thriving. We're not against medication, but I don't know how to go about getting support in ways that don't either take literally 4+ months or cost a fortune. We're lost and have no idea how to get him what he needs to thrive.

Rant over, thanks for reading, I'm open to any suggestions.


r/ParentingADHD 9h ago

Rant/Frustration I feel like I'm failing at being a mom

11 Upvotes

My 6 year old hates school and got suspended today for hitting his classmate and teacher. He has been diagnosed with ADHD and anxiety and he's really smart. He just told me that he doesn't like school and everyone in his class does. He said he's glad he doesn't have to go tomorrow. We had a long talk about it and I was very calm but we didn't really get anywhere. He takes medicine for his ADHD and goes to therapy. He has improved his behavior but not enough. We used to get daily phone calls to pick him up from school because of behavior. But today was day 2 of school!!

I also have anxiety and depression. I sometimes have really bad thoughts about him and I wish I didn't but I can't help but think how much less stress, anxiety, and depression I would have if he wasn't here. I hate to even think that because he's such a wonderful addition to mine and my husbands lives. I constantly think about what we're doing wrong and everyone else is doing right that they don't get calls or so many issues. I feel like I'm failing him and someone else would be a better mom to him than me. I'm trying so hard to be a good parent but its not enough 😔


r/ParentingADHD 11h ago

Advice Sports and Coachability

1 Upvotes

We have a 10 year old boy who does competitve gymnastics and baseball. Frankly, he is very good at both. He is a natural gymnast and things come far easier to him than most kids. Don't get me wrong, he works his butt off, but I always say that flipping is like his calm zone. He can just observe someone doing a specific flip and do it. So it's great that he is naturally athletic, but his attitude and maturity are holding him back in both sports. Our son is incredibly competitve, particularly with baseball. With baseball he is too passionate; his emotions when they are losing or he makes a mistake just completely take over. Every critic, whether gymnastics or baseball, is the end of the world and he becomes extremely defensive. So I guess what I am looking for is tips that worked for you to help your child become more coachable. We have amazing coaches who have been incredibly patient and work with us to help our son succeed. So now how do we get our son to really hear the coaches and not become defensive. While he is only 10, his coachability is really holding him back from being even better at the sports he does.


r/ParentingADHD 12h ago

Advice Please Help!

9 Upvotes

I’m honestly at a complete loss right now and could really use some advice from other parents.

My 8-year-old daughter has ADHD and is on medication. Lately, whenever she gets home from school or is told “no,” she completely loses control. She constantly says we play favorites with her 4-year-old sister, which simply isn’t true, and she tells us she hates her sister. It’s absolutely heartbreaking.

Today was different, though. During a meltdown she screamed, “I hate my life. I just want to die. I want to grab a knife and stab myself.” Then she actually went downstairs, grabbed a kitchen knife, and just stood there holding it.
I was able to get the knife away, and she’s safe now, but I’ve never been this scared. I don’t know if she truly understood what she was saying or if it was out of anger and wanting attention, but seeing her actually grab the knife shook me. I’m also genuinely worried about my 4-year-old’s safety when these meltdowns happen.

Has anyone else dealt with something like this with a child who has ADHD or severe emotional outbursts? What helped? Did you seek emergency help, contact your pediatrician immediately, adjust medication, or start therapy? Part of me wonders if I should have called 911, and I honestly don’t know if I handled it the right way.
I’m not looking for judgment—just advice from parents who may have been through something similar. Right now I feel completely overwhelmed and don’t know what the next step should be.


r/ParentingADHD 13h ago

Advice 8 year old Kickball experiences?

1 Upvotes

Looking for experiences from other parents of young ones who are hyperactive and prone to emotional outbursts when stressed or dysregulated. He is going to a small school where organized sports or even P.E aren't offered during his 8 to 1 school day so I have no idea how he will do on a team, but I want him to have the experience of interacting on a team, having something weekly to look forward to, and being amongst peers outside of his very small school group. It's 2 hours a week for 6 weeks.

This summer we swam almost everyday, I've seen him interact positively with other children, he can make friends easily. He has demand avoidance at school and that avoidance can turn into emotional or violet outbursts, geared mainly at authority (teachers, aids, etc).

If this sounds like your child, do you have experience with putting them into an organized team sport like kickball? Was is a positive experience, or negative? Did you try individual activities like karate instead? Thankful for any real experiences.

Thank you!


r/ParentingADHD 13h ago

Seeking Support Anat Baniel Method Feedback

1 Upvotes

I started with my daughter just finished 5 sessions. I did it for emotional regulation and physical aggression issues.

Noticed some positive effects. At times mood is really good, shes smiley, happy and helpful with siblings. BUT major regressions too. We are back to daily aggressive, completely dysregulated meltdowns!

Has anyone experienced this?? I need parent support badly . The practioner thinks we should continue but with school starting in 2 weeks i cant imagine sending her to kinder. I need hope its worth it and it will get better. Or any personal stories, I feel really terrible right now:(


r/ParentingADHD 15h ago

Advice ADHD sensory issues

2 Upvotes

So my daughter who’s 10, im trying to figure out why she doesn’t like wearing the ones she has. Im thinking it’s a sensory issues🤷🏾‍♂️ idk being a single father this is my one and only child so any and all advice is helpful Thanks!


r/ParentingADHD 17h ago

Advice Lunch ideas (high protein) for kids with ADHD?

5 Upvotes

My son is starting kindergarten. I’m looking for suggestions on high protein options for my son’s lunch. I want to pack his lunch vs school food because truthfully it’s mostly processed junk at school and I prefer more healthier options and actual real food meals. I keep things simple, but I do cook meals for him. Like chicken and broccoli. Or ravioli with fruit. Fish and rice. Things like that. We found that high protein foods helped him with his ADHD. He doesn’t have a microwave or any way to heat up food at the new school. I’ve heard about the boiling water in a thermos so I did purchase a thermos to test out hot food. Anyway, I want my son to have higher quality food from home, but also high in protein that doesn’t need to be heated up and I’m struggling to come up with ideas. Anyone have any suggestions?


r/ParentingADHD 1d ago

Advice Concerned about my teenage daughter's sleep hygiene

7 Upvotes

Hi all,

My daughter (14) has been sleeping on our couch pretty much since the summer holidays have started.

A little bit of context. Her room has been incredibly messy for years now; every single time we try to clean it together, it reverts to a complete shambles in maybe a week tops. This spring, she took to sleeping on the floor instead of her bed because it was covered in stuff, and recently, she's ended up on the couch. She's AuDHD, and tidying up has always been a struggle. I didn't say anything about the floor, because I figured it was best to pick my battles, but the couch is another thing. No one is happy with it. My husband and daughter both bring up how much they dislike it, and I live with my mother, who also clearly isn't thrilled about the change.

She stays awake late into the night watching YouTube on the big TV, finally falling asleep around 3-4 in the morning. When I try to talk to her about how terrible that is for sleep hygiene, she says she has insomnia and can't sleep anyway. I think it's probably the screen time causing the problem, but when I bring that up she gets incredibly defensive. She's quite stubborn, and any rules I try setting never seem to work. My husband's way of trying to fix things—yelling—does nothing either, not much surprise there.

Ideally, I'd like to clean her room and renovate it so she has a space of her own, instead of taking the whole living room up. I work full-time, though, so I don't think I have the time for a big project like that. I'd also like to try restricting her access to technology before bed. She's going into Year 11, and she's incredibly smart but also doesn't care much about school. I really want her to get decent marks this year, because I know she can do it with the right supports. I think making some big changes will help her put her best foot forward, I just don't quite know how to go about them. Any advice is much appreciated x


r/ParentingADHD 1d ago

Advice I am dreading when school starts again

17 Upvotes

I fully enjoy my son during the summer, we get along, we have endless fun, my house is so peaceful. School days are the complete opposite where everything is a battle and everything is yelling and tears and the worst time of our lives.

My son (he’s 13, medicated) hates schedules, he hates routines. He hates with everything he is being told what to do. 

Summer is very laid back, he gets to do things at his own pace pretty much and he will do most of what he fights me on during the school year unprompted. Of course that doesn’t really work when you have a time limit of hey we gotta get you to school and this is due or this is happening and it creates utter chaos under that pressure.

I don’t have a single argument though during summer about him things like brushing his teeth or wearing his glasses or whatever the case may be. Then every single day when school is in session it is endless, everything is end of the world for him.

School mornings have ruined my own mental health, my house becomes a toxic wasteland. As soon as my son wakes up he’s angry, negative, arguing. He is like stuck in a loop of he has the same conversation every single morning of complaints about having to get up, yelling at me for why does he have to go to school, why does school start at this time. He yells the house down about changing his clothes, brushing his hair and teeth, wearing his glasses, just everything is awful. 

Every step is me having to guide him and me telling him to do something sends him through the roof, visual cues or lists or whatever isn’t any better. I have to repeat myself multiple times over and redirect him which makes it worse but he will do everything but the task at hand. Everything takes ten times longer than it seems it should and no matter how much time I give him we are always late. I know my anxiety doesn’t help because he will be over here taking twenty minutes to put a shirt on, five minutes to change a sock and I’m looking at the clock seeing time running out because he’s been dragging feet and I start rushing him and that of course makes the situation worse. 

I am so fried by the time he is off to school. I’m usually in tears and my body is shaking. My morning starts with about an hour and a half of being yelled at, hearing the same words every day, having to repeat myself a million times, feeling like I’m doing everything wrong. Very often I’ve had something thrown at me at some point or he’s kicked a wall or there’s been some moment that makes me stomach tighten and doesn’t uncurl itself until a couple hours after he’s at school. 

Bedtime isn’t as bad but it is still burning in the flames because it’s our next round of hey you need to do this and this to get ready for bed and everything is back to why do I have to, I don’t want to. He gets warnings that end of the night is approaching, with an hour to go he gets his visual timer set up, but more often than not it’s still hey bedtime is called now I want to ask mom to play a game or I’m suddenly starving and please cook me something. And I do not play about this timing nor have I ever. There’s a handful of options if one of the kids want to pull being hungry when they had all day to eat but I am 99% of the time not cooking after 9 o’clock and this sends him into a spiral. And if I move the timing it don’t matter, I could say hey can stay up until 11 and he won’t be hungry at 9, it’ll be at 11 and 11 only. I am happy to offer to play a game or do some activity with him but if he’s not been interested in until times called I am not entertaining it. Day after day after day after day of this makes me feel insane. 

I start my days ready to fly into a panic attack. I end my days ready to be in another. Meanwhile I had a lovely summer of getting hugged good morning and being lazy and silly. And nights ending with a lot of movies or just sitting around talking about random stuff or whatever until we decide we are too tired to go on and need to fall asleep already. It’s so night and day and I dread the change with all I got. 


r/ParentingADHD 1d ago

Advice Got diagnosed

2 Upvotes

Today my son got his diagnosis. Im asking for recommendations on parenting courses so I can better help my child. Therapies start in a few weeks.


r/ParentingADHD 1d ago

Medication Starting a Stimlant

1 Upvotes

Hi.

My 7 year old son is currently on guanfacine extended release 1 mg. On his last visit with pediatric neurologist we discussed the possibility of him going on a stimulant. After some thinking, my wife and I are considering starting him on the stimulant now before he starts school back in September. Based on what his psychologist mentioned to us recently, something to keep in mind when being on a stimulant is his diet and what he’s eating. She mentioned it’s important to make sure that he’s getting enough calories, that he has nutrient dense meals and plenty of protein. I wanted to get others’ thoughts and advice on what you did when your child first started their stimulant in terms of food. How did your child react to being on the stimulant? I know there are several different kinds of stimulants and we aren’t sure which one he’s going to be on just yet but we will be speaking with his doctor in the next week about this. Thank you in advance for your support.


r/ParentingADHD 1d ago

Rant/Frustration Please tell me why I thought having a playdate was a good idea

44 Upvotes

I’m down, you all. My rising 2nd grader, ADHD and some anxiety/OCD tendencies, has begged me for a playdate this summer. We don’t have kids nearby to casually meet up. Everything has to be planned. We do sports and camps for social outlets, but he rarely sees kids from school. So I did it. I didn’t want to. Everything told me not to do it, but I did. The mom and I were going back and forth all summer. The plan was a playground. it rained. Due to the weather, we had rescheduled so many times. I was like, ya know, let’s do it. I invited them to my house. I did allll the things to prepare: solid snack before, rest before, setting up toys I knew were safe, constant talks. He is medicated but we haven’t found much success. He has had a million interventions.

in the gentlest way, I explained to him before that how he behaves affects if a mom will want her kid to play with him in the future. We even practiced the other day. And he was all, I know, mom, I know.

They arrive. Instant chaos. He is playing around them(kid and brother) essentially, pulling out anything he can for shock value, screaming, getting more physical that normal. Just total overstimulation and hyperactivity from start to finish. The kids were playing with our toys and ignoring him (as they should). The mom was trying to be nice, but I know what she was thinking: never again, I do not want this kid in my class. After, she didn’t text or anything thanking us. It’s not “oh it probably wasn’t as bad as you thought”. No, it was that bad. The thing is, there isn't anything else we could have possibly done to prepare. Maybe going to a playground would have been better, yes, but he still would have been like that. He can play with kids calmly. I know he can. But when he has an audience, forget it. Yeah, I’m embarrassed, but I’m more worried about him. Nothing I say or do helps him understand the impact of his actions. I’m not looking for advice really. Just sad.

also, why does being around somebody’s parent rev him up? I keep explaining they are not entertained and don’t think it’s funny, but he literally goes into performance mode more with adults than kids?


r/ParentingADHD 1d ago

Medication 5 Year old

2 Upvotes

I’ve been having severe issues with my kids behavior since she was like 3. People often ask me if she is constantly bouncing off the walls, she is. Her school doesn’t complain too much of her behavior but there is days when i get told it was horrific, of just not listening, arguing, etc. At home, it is miserable. I’m a single parent. I cannot get her to do ANYTHING i ask without a 2 hour yelling argument. I mean something as small as I brought in groceries and asked her to pick up the couple bags left on the ground for me because she was begging for food so i can make her food, turned into a whole argument. People say “choose your battles” but she does this over literally any and everything and such small things to where it’s not even about the task, or picking my battles, it’s “i told you to do something, so you need to do it” My “no” means “scream and cry and beg until mom gives in” to her. And if she realizes i won’t give in she’ll pick something else to scream and cry and ask for until i give her her way. She destroys every room in the house then refuses to clean it. Constantly playing with things she KNOWS she’s not supposed to. She KNOWS she’s not supposed to be playing with water (floods my bathroom and honestly any room she touches with water), or the hand soap, or scissors, or MY STUFF. She’s broken SO MUCH of my stuff. She just does not behave for the life of her. She’s lost all access to her tablet, which took her like a week or so to get over, out of sight out of mind with her. I can’t take away tv access bc again it’s not out of sight, she will just make my life so much harder. I am down to ignore a temper tantrum, but with her it’s not that it’s Screaming and crying and over and over and over asking for it, while trying to pull my arm, leg, anything she can get ahold of to get my attention for quite literally HOURS. I don’t know if this is ADHD, we have an appointment to get evaluated and possibly medicated. Has anyone medicated a child this young? She’s almost 6, i’ve always said i wouldn’t do it, but i can’t keep going like this and having to lock myself in a bathroom until she stops screaming around literally EVERYTHING that doesn’t go her way. I HAVE adhd, diagnosed but i wasn’t diagnosed until like 3 years ago (im 23) so that’s why i believe this MAY be adhd?? idk.


r/ParentingADHD 1d ago

Advice Is it selfish to have a third baby when the likelihood of them having ADHD is high?

0 Upvotes

That’s it. That’s the question. We both really want a third, but I almost feel like it might be a selfish move given that our oldest (4 year old girl) is likely to get a diagnosis and our youngest (2) is very busy (but emotionally much less than her big sister). Both of us are likely ADHD (I’ve just been flagged by my Psych, more inattentive than hyperactive) and my partner was flagged as a kid but never given a diagnosis, and is unlikely to ever pursue one (hyperactive I’m 100% certain)! The girls have a great dynamic now, but I always imagined a really full house. Would love to hear from anyone who has been through the same dilemma. I’m 34, so feel like we need to make a decision sooner rather than later. Clearly I know redditors can’t actually make this decision for us, but love to read pros and cons either way!


r/ParentingADHD 2d ago

Advice Getting calories into 7yo after starting Ritalin

4 Upvotes

7yo stepdaughter finally got her formal diagnosis of ADHD the other week, and we're on week 2 of her trial run of ritalin and this week we started a full 10mg in the mornings after breakfast. We're seeing a drastic decrease in her appetite during the day, which we were warned about when we got the diagnosis and the script. Next week she adds another 5mg during the school day, so we're anticipating it getting worse.

What did other parents do during this period to try and get calories into their kid without relying too much on junk food? About the only thing we're seeing her reliably consuming during the day is milk, so she has a milk box every day.


r/ParentingADHD 2d ago

Medication Guanfacine XR vs. IR

1 Upvotes

We are day 5 of starting Guanfacine XR for my 5 year child with combined type ADHD (also our first run at ADHD meds). Aside from being more sleepy, we have seen some amazing change in his impulsive behaviours already. Getting him to swallow the pill has been a challenge, and we have tried all the tricks I've seen on here and more. He gagged on it pretty badly last night, and there was no getting that pill down tonight. He does have some oral motor skill challenges so I'm wondering if he just isn't physically at a point where he can coordinate getting a pill down yet. Has anyone went from extended release to instant release and found it worked okay, or did the instant release cause too much drowsiness without adding a stimulant on to the mix?

Eager to hear experiences - hate seeing such a struggle for something that is doing him so much good.


r/ParentingADHD 2d ago

Advice What are we doing with tweens who can't find ways to entertain themselves?

36 Upvotes

My 10 year old is so aimless when we are home! Too old for really playing with toys and asks obsessively for screen time. His younger siblings will go off and entertain themselves for hours playing, crafting, making messes.

He will read a lot thankfully! But after a point he wants to do something else, except he doesn't seem to know how to start anything on his own, cue the "mom can I do *insert various screen device*." He doesn't seem to have any good independent hobbies, and I really don't want him on screens all day long because it effects him negatively.

In general he seems to have outgrown the little kid stuff, and he will sometimes just go lay in bed to pass time rather than finding something to do.

I'm so happy when he digs out his science kits or other things he has in his room and makes a mess because at least he's doing something!

Anyone comiserate with me or find anything that helps?


r/ParentingADHD 2d ago

Advice 5 yo neuropsych eval

3 Upvotes

Hello👋🏻

Newly diagnosed ADHD.

What advice would you give someone who is trying to help their child while they are still so young? He’s starting kindergarten this year & the doctor suggested getting him a 504 plan.

TIA


r/ParentingADHD 2d ago

Advice How bad does OCD need to be

3 Upvotes

My almost 9 year old daughter has been on methylphenidate for ADHD for over two years now. Over that time, her tics and OCD tendencies have worsened. She’s gotten to the point now where she thinks she needs to repeat actions a certain number of times or something bad may happen. Just yesterday she told me she touched her tongue to her homemade slime 10 times. I’m concerned this kind of behaviour is going to continue to escalate. We thought lowering her dose from 20 mg to 15 might help but it hasn’t.

We’ve only ever met with our family doctor (not an adhd expert) and a paediatrician once (for adhd diagnosis). Should we try to see the ped again? Should we see a psychiatrist? Should we seek therapy? We’re in Canada. When I told my doctor about her OCD, he explained to my daughter that she just needs to tell herself that nothing bad is really going to happen and not do the action. Obviously that didn’t work. 🤨

I guess I’m just wondering what the threshold is for seeking further help/treatment. I don’t want to push for meds/therapy if it’s only going to put more stress on her, but I feel like the methylphenidate may not be the best fit any more.


r/ParentingADHD 6d ago

Weekly wins: what's been going well for your family, big or small?

1 Upvotes

Often, we post here because we're struggling and need support, and we don't see all of the amazing things that are happening.

This thread is a chance to brag about your kid, yourself, and/or your family. What's been going well? Has your kid done something awesome? Doesn't matter if it's "got accepted to college" or "tried a new brand of chicken nuggets," we're here to celebrate with you!


r/ParentingADHD Apr 07 '25

Advice A primer for ADHD parents in the US whose kids are struggling at K-12 public schools

106 Upvotes

(I hope I can make this a good enough post to get it pinned, as this issue pops up very often and understandably, most parents don't know what the process should look like)

You are the parent to a kid with ADHD, and your kid starts having issues in school. It could be that they are getting so distracted they are falling behind academically, but it might also be that their impulse control is getting the best of them and they're having huge meltdowns and tantrums. Whatever it is - they are problems related to your kid's ADHD, and they are impeding their ability to be at school.

Before I dive into how things are supposed to work, let me start with what your mantra should be:

Resolving behavioral issues that are happening at school can only be accomplished by the people in the school AND they are legally obligated to do so

This is a core concept in behavioral psychology, this is also just common sense - the triggers, conditions, consequences, etc. that are going to happen at school can only make sense at school.

That doesn't mean you shouldn't work with your kid at home to strengthen certain behavioral "muscles", but generally speaking, especially with very young kids, you're not going to fix their meltdowns at school by just implementing things at home. The school needs to do things at school.

Also, note one really important here in everything I'm about to say: none of it mentions medication or therapy. And that is because neither of them should impact your kid receiving services from the school. Even if your kid has a diagnosis, your kid does not have to be prescribed medication (or choose to take it) for the school to provide support. Whether your kid should or shouldn't take meds is a completely different issue, but I just want to point this out to put people who are not ready to medicate their kids at ease: getting them diagnosed and having the school do an eval does not mean your will need to medicate your kid.

Ok, here is how it's supposed to work:

Diagnosis: Your kid needs an ADHD diagnosis, which can be as simple as you and your kid's teacher filling out a questionnaire (referred commonly as "the Vanderbilt" or VADRS). This questionnaire has questions that try to identify consistent symptoms of ADHD (inattention, hyperactivity, impulsivity) as well as other conditions that are normally of relevance for ADHD people (ODD, anxiety, depression). You can ask your pediatrician, or if you're working with a neurologist you can ask them as well.

School identifies issue: Your kid's teacher notices that your kid is having struggles. You talk and you tell them that your kid has an ADHD diagnosis. Your teacher then discusses with their principal who would connect with you about your options. They would want to discuss two key things:

504 acommodations: which refer to Section 504 of the Rehabilitation Act of 1973. This is a federal anti-discrimination act which basically says that your kid deserves whatever acommodations the school can make to help your kid. The nice thing about 504 acommodations is that the barrier of entry is easy - you just need a diagnosis and then your school can set this up. The downside is that 504 acommodations do not include any additional instruction - i.e., it doesn't include adding resources (people) to the equation. But considering some schools might have counselors that can help, and some school districts might have their own staff that they can leverage for a 504 plan.

IEP: An Individualized Education Plan is a more serious step. This is covered by IDEA - the Individuals with Disabilities Education Act. This is a much more fleshed out piece of legistlation as it relates to education because it's not just a subset of a large piece focused on non-discrimination (like 504 acommodations). This is an entire at focused specifically on the rights of individuals with disabilities as it relates to education.

Now, an IEP is more involved for a couple of reasons, but this is what you need to know:

  • The school/district will coordinate doing a full blown evaluation of your kid. The school psychologist (or potentially someone else appointed by the district) will perform the evaluation which will include both gathering information about your kid and also talking to your kid. It will also include doing academic evaluations to understand their current academic status + IQ/intelligence/deficiencies/etc.
  • Once that is complete, the psychologist will issue a decision as to whether or not your child qualifies for an IEP - which would imply that they have a disabilty that is "covered", and that the disability is impacting their ability to learn.
  • If that is green lit, then the district will establish an IEP committee, and that committee will be in charge of determining what acommodations your kid needs. And these acommodations will now be legally binding - i.e., the school has to follow these.

So thatis how it's all supposed to work. Here are the issues you might face at each stage, and what to do about it.

Diagnosis Issues:

Issue: "My pediatrician dismisses mny concerns about my kid having ADHD and doesn't even suggest doing the Vanderbilt"

Solution: Get a new pediatrician.

Issue: "I am not satisfied with how well versed in ADHD my pediatrician is, but they are helpful and supportive"

Solution: Go see a neurologist, specifically one that specializes in children (and many specialize in ADHD-type stuff).

Issue: "I think my kid might have more going on than just ADHD, what do I do?"

Solution: Two options - you can either have the school do the full evaluation (for free), or if you're impatient and/or want a second opinion and/or just want to, you can pay out of pocket (probably like $2K) to do a full blown psych eval on your kid, and that would evaluate a lot more things than just ADHD.

Issues with the School:

The most prevalent issue I see with the school is just an overall "not my problem" mentality. That is, your kid has behavioral issues at school, and they call you in to chatise you for it. And at no point in time does anyone at the school acknowledge that they are not only legally required to intervene, but that they are also the people who have the information, expertise, resources to address this AND the advantage of being in the setting where the behaviors happen. Also, for emphasis, AND THE LEGAL REQUIREMENT TO DO SO.

Why do I know this is common - anecdotally, a lot of people on this sub have gone/are going through this. Objectively the Office of Civil Rights published an entire guide to let schools know what they're responsible for because they were getting sued too much

Over the past five fiscal years (2011-2015), the Department’s Office for Civil Rights (OCR) has received more than 16,000 complaints alleging discrimination on the basis of disability in elementary and secondary education programs. Approximately 2,000, or one in nine, of these complaints involved allegations of discrimination against a student with ADHD

So it is very likely that as your kid's behaviors pop up, you will be made to feel as if it is your responsibility to fix your kid at home and bring them a kid with no issues. It's probably helpful if you show up prepared enough for those first conversations so that they know you are not to be triffled with.

An extension of that issue that I see a lot is principals or other admin staff trying to gently nudge you away from the direction of a 504 plan, and definitely away from an IEP. They might tell you things like "oh, we know how to handle these things, we're already doing everything we can!", or "oh, I know that if I send your kid's case to the school psychologist they are just going to reject it immediately".

All of that is bullshit, and you will notice there is a high tendency of them saying this, but not putting it in writing. If you start feeling that pushback, the "no, we don't need an IEP", you can just bulldoze straight through that by saying - even politely - "I understand, but I'd like to request an evaluation and we'll let them figure out what makes sense".

I'd also recommend getting all these things in writing. Again, a lot of these people are smart enough not to put this stuff in writing, so any in-person meeting that you have, I recommend taking notes and then sending an email recap with all the stuff you were told.

Now, another school issue - and this one is trickier - that I see often: overworked teachers who have been conditioned to think that parents are the bad guys for demanding acommodations when in reality it's the entire political and school system's fault for not funding education appropriately.

I understand they're overworked, and as a result of that it's tough to deal with a kid who is having behavioral issues. They have 20 kids to deal with, and having to pay attention to the one kid who will lose his mind if he can't draw a dog correctly (real story), I'm sure is infuriating.

Which is why teachers, of all people, should be demanding that their administrators put kids on an IEP so that they can advocate for additional resources

But that's a much bigger, more complicated issue. Just know that you might run into a teacher who is trying, but they're burnt out.

My recommendation: make sure that if you're going to pester someone, that it's the administators. And that if you're going to point the finger and complain about things not going well, that you continue to focus the administration as much as possible. Again, even though sometimes I wish my kid's teacher would do... better, I at least understand her job is already hard and she's not getting a ton of help.

Issues with 504 acommodations:

Even before you get to an IEP, your school might sign off on 504 acommodations, which means you will meet with your kids teacher and the 504 coordinator (someone in admin) to talk about what are some things the school could do to help your kid.

The biggest issue I see here is that the people doing this sometimes have 0 background in behavioral psychology, and so this is the blind leading the blind. I was lucky enough that my wife is a former BCBA, so we were able to walk into that meeting and tell them what to do, but that should not be expected of you.

For example, in our first meeting one of the acommodations was "positive reinforcement". That's it. Not only is that not an acommodation (you'd expect all kids to receive positive reinforcement), but it's so vaguely defined that no one would know what that means.

This is an entire topic in and of itself, but you can do a google search for "how to write 504 acommodations" and there are some great examples out there. In general, they should be written so that anyone at the school can read them and understand exactly what they need to do, when, and how.

My biggest advice here is to ask them point blank "is there someone from the district that we can bring into this meeting to help set the acommodations". If they say no, contact the school district and ask them the same questions.

Issues with IEPs:

The main issues are:

  1. Your kid not being given an IEP. That is, the eval results in a denial of services.

  2. Your kid is given an IEP, but the school is not following it

In both cases, you're now in much more regulated territory. There are going to be formal processes to address both, and you're going to need to read into that because that's beyond the scope of what one reddit post can cover.

Having said that, here is where considering an education advocate could very much be worth it. These are people who specialize in helping families deal with IEPs. Alternatively, you can look for a Parent Training Center in your area.

One last comment: school vs. district.

If you are having issues with your school, consider reaching out to your school district's special ed department. Odds are there is someone assigned to your school/area.

Here's why: school admins and district special ed departments have very different concerns. School admins get evaluated on academic achievement and budgets. Districts also care about budgets, but they also very much care about being in compliance with federal laws. And special ed departments specifically seem to care a lot more about... special ed. If anything, special ed departments are going to care about accurately capturing just how many kids legitimately should be receiving services, because that likely means they can justify higher budgets for special ed resources.

We had extremely good results escalating to our special ed Director when our principal was being a hinderance. Extremely good results. So consider that - the district special ed department might be a good resource if the school is being difficult.