Sunday, December 16, 2018

ADHD Choices

There is nothing easy about making the decision to medicate my ADHD children.  You have societal pressures, conern for your childs health, is this the right decision forever, is it time to switch medication.  Then you have to go to the monthly appointments or every 3 month appointments to check in.  Did I forget to mention that it takes me about 7 days to get a prescription filled?  Between calling the nurse, waiting for the doctor to write it out, then I have to drive to the doctors office to get the paper prescription, then drop off the paper prescription, then have the prescription filled and pick it up again.  Often times my ADHD children forget to tell me they are running low on medication.  Sometimes its a miracle that all of it is even working out.

This week was particiularly challenging. Our ADHD doctor does not accept insurance.  That means visits with him are $115 and visits with our pediatrician are free.  So once our children are "stable" we ask the ADHD doctor to write a report to our pediatrician so we can switch to 'free' doctor appointments.  After 18 months and 4 different prescriptions for Eleanor it was finally time to switch to the pediatrician.  We visited with our Doctor..... who did not have the report.  But Eleanor only had 5 pills left from her last prescription.  I call the ADHD doctor who says he will bring the report righ tnow.  I still have HOPE that we can get a scrip today.  But we keep talking and now the pediatrician is concerned about Eleanor's weight loss.  She has been losing weight for the last 2 years.  Well.... she only starting medicating a year ago, so I think maybe her weight is finally stabilizing.  The pediatrician doesn't agree with me and won't write the prescription.

So after waiting a month for the appointment, there was no report and it didn't matter anyway because the doctor "doesn't feel comfortable" writing her a prescription for something she has been taking for 9 months.   Sigh

Well, I still don't have a solution for when Eleanor runs out of meds and her days turn into crying meltdowns due to her emotional dysregulation.  I go talk to the receptionist for the ADHD doctor who assures me they will write a prescription and get her in for a check-up.  We talk about the difficult choices we make for our children.  Both William and Eleanor are so successful right now on their medication.  But it kills their appetite.  So I literally have to chose between my children being underweight and adjusted and functioning.  OR  Being a healthy weight and not able to remember anything, their emotions all over the place and their social skills suffering.

Those are the choices I make as a mom.  Constantly weighing the odds, looking into their future and then taking a giant leap off of a cliff hoping that I picked right.  Because they didn't come with instructions.  I don't have a degree in pharmaceuticals or developmental pediatrics. 

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