In early October last year I had Drake evaluated by a developmental pediatrician. I had some overall concerns about Drake, and after that evaluation he was diagnosed with Sensory Processing Disorder. The doctor and I also discussed the possibility of ADHD as I felt Drake displayed some signs, as well as the fact that I and many family members on both sides have it. The doctor told me that he would give Drake an EEG, a test that would look at brain wave patterns, at another date as apparently 90% of people with ADHD display similar brain wave patterns. The results would have to be sent out and would take a few months to receive.
In early November I took Drake back to the doctor for the ADHD test. Drake wasn’t a huge fan of the gel in his hair to hold all the different patches and wires, but did well overall watching his tablet and chatting with the technician. I was given notice in January the results made it back, but it took several more weeks before I was able to get the final print out and evaluative break down from the doctor. It came as no shock to me that Drake did indeed have ADHD.
What I found the most interesting about the analysis of Drake’s ADHD however, was the fact that his ADHD didn’t resemble mine at all. In two areas Drake possessed traits that my own ADHD does not — impulsitivity and emotional outbursts. Being familiar with ADHD and its symptoms, it surprised me to see aspects of it that I simply could not relate to in some ways. It shows that even two people with the same disorder and diagnosis can present very differently.
After getting the diagnosis I informed Drake’s teacher. I have talked in the past about my love for his teacher this year, and how my first foray into public school has been so wonderful for Drake and myself because of her. When I talked to Drake’s teacher in early September Drake didn’t have a diagnosis yet, but I let her know about the concerns I had for him and asked her to keep an eye out for me on his behavior. When Drake was diagnosed with sensory processing disorder, I let her know about his various therapies. Throughout the year we communicated back and forth through email and phone calls. I told her when Drake was being tested for ADHD and then when the results came in.
At the start of the school year we had talked about whether to inform the school about his ADHD and have a plan put in place for Drake, but both Mr. Chocolate (a public school teacher) and his teacher felt like it might not be necessary. In the classroom his teacher already knew about his issues and was managing them, coupled with the fact that Drake’s school is still only half day kindergarten so he wasn’t at school for a very long period of time. Academically his teacher said he was bright, already advanced in most areas, and was able to stay or be guided back on task, so we left it.
In March I had a parent teacher conference with Drake’s teacher. We talked a little about the social worries I had for him, as well as some of the small behavior modifications she works on with him to redirect and help him stay on task. At the end of the conference she suggested that I apply to the school for a 504 plan for him starting the following school year. When your child has different needs that the school needs to be aware of, there are plans called IEPs and 504s. This site is a great resource breaking down the differences between each, as well as what your child needs to do to qualify for these special accommodations.
As a parent you have to submit a letter to the school asking for your child to be evaluated to see if they qualify and fall under any of the specific areas that need to be addressed by the school. Once it is deemed so, you meet with the school’s child study team, teacher, etc. to put forth a plan that’s tailored to your child and their specific needs. Some of these adjustments can be as minor as making sure the child is always sitting in the front row for vision impairment needs, allowing the child to eat during class because of diabetic needs, longer test taking time with allowed breaks for attention needs and so on. The school will work with you as a parent to figure out the best placements for your child in their educational path.
Drake’s teacher felt that it would be best for some plan to be put in place for Drake so that his teachers are aware of his needs. As he grows test taking might be an issue, and allowing him extra time or time to take a short break to refocus could help If he needs extra redirection from time to time in the classroom, these accommodations would allow for that. Mostly we want the school and anyone working with him to know that his behavior might be out of his control rather than a choice to be difficult or defiant, which his kindergarten teacher has stressed over and over she knows is not the case. It’s also helpful for the school to be aware of all the children in the grade with different needs; that way one classroom isn’t over filled with children with the same issues for more balanced classrooms. I also hope perhaps with this plan in place, his teacher might have a better say on his placement for his first grade teacher next year, knowing what a sweet and kind-hearted boy he is under some of the roughness he can present.
Mr. Chocolate and I have also opened the discussion among ourselves about possibly using medication in the future. I took ADHD medication in high school and I am a big proponent of it. I felt it helped me focus when I needed it, and in truth in my day to day to life I often feel it would help me streamline better and keep on task more often. I think both Mr Chocolate and I are open to the idea of introducing medication if needed at some point during Drake’s academic years if we feel he needs it to focus and do as well as he is doing currently. It’s probably not going to be something we will heavily consider at such a young age, especially if his school work isn’t being affected currently. My one thought is that perhaps medication might help tone down some of Drakes impulsivity that can sometimes cause him to act out in ways that I am sure isn’t always friendly, such as knocking down other children’s towers. If this becomes a larger issue in his social life it might be something to consider, but for now we are both more on the page of simply establishing a plan for his school path and taking it from there.
pomelo / 5628 posts
I think ADHD in particular can be so different in boys v girls…which is often why it’s missed in girls! It makes sense to get the 504 now…you always want things in place just in case and it can get harder to get later. Lastly, I took a class in college at UCLA where the professor had spent her entire career trying to show that ADHD meds didn’t work. In the end she had to reverse her position because of the overwhelming positive effect. Sure they are over-prescribed, but they can be a life-saver when truly needed!
GOLD / wonderful pomegranate / 28905 posts
Can you elaborate a little about how impulsitivity and emotional outbursts presents itself in your son? At what point is not “normal” preschooler behavior ?
olive / 58 posts
Just to clarify for others… An EEG is not a diagnostic test for ADHD. I’m assuming you did some other testing, like questionnaires, and provided some history to the pediatrician. ADHD is diagnosed according to the DSM-V, which gives a list of criteria (symptoms) that are required to make the diagnosis. Some children with ADHD will have abnormalities on their EEG and some pediatricians might use this information as an adjunct to help make the diagnosis. However most children with ADHD will never have/need an EEG. I just wouldn’t want parents wondering why their child with ADHD didn’t have one.
pear / 1547 posts
@kjn: Thanks for mentioning this. ADHD is a clinical diagnosis and does not need an EEG by any means. I trained with a pediatrician who was the local ADHD expert and he never did EEGs (unless of course there was some kind of concerns for seizures). So they are not required to get your LO a diagnosis and/or treatment.
blogger / nectarine / 2600 posts
@kjn: @MenagerieMama: Interesting. Wonder why my Dr said it then. He did do a regular evaluation with questions and such that was done at the same time he did the sensory diagnosis.
@regberadaisy: I dont know if I know what qualifies as “normal” preschool behavior but my son has break downs a lot still at the age of 5. He gets snappy and rigid and will break down crying if something out of his routine is amiss. He also has a need to touch things constantly (i think due to sensory) so he will be doing something and Ill tell him to stop and you can see it in his eyes he is going to do it again and he does. With other kids he will continually like knock things down they are playing with or mess with them over and over to the point it really is a nuisance and an issue. He lacks the awareness I feel to stop himself as well as the impulse control not to do this stuff over and over again Whether thats normal or not is hard for me to say but its challenging and frustrating to say the least.
admin / watermelon / 14210 posts
My friend’s son was diagnosed with adhd in first grade. He had issues with sitting too close to people and the same type of sensory/physical needs as Drake, and really had trouble focusing. My friend opted to start him on medication, and she says he’s doing much better now