Question: is medication your first line of treatment? I am favorable toward medications, and my children have done well with them, an they are a God send to so many, but they are a tool to help the therapy work better. Your son should have a combination of many hours per week of: cognative behavioral therapy, play therapy, speech and occupational therapy as needed, vision therapy and develpmental optomitry as needed, social skills classes, educational interventionts- behavioral supports- possitive interventions- school based therapies- as needed on an IEP or 504 plan at school, and a comprehensive behaviral strategie that you implement accross all enviornments. You will find that some children will respond well to this treatment without the need for medication, but many will need medication to attend to all these therapies and the overall treatment plan. It is hard work for you, his doctors, his therpists, his teachers, his school therapists, his intervention specialists, and himself. Medication can be a very important tool, but it is not the first step by any means, and it is not the soul intervention for any child.
Look into CHADD, Additudes magazine, www.wrightslaw.com, and any book written by Dr. Mel Leveine or Dr. Russel Barkely. If you do not have a comprehensive private evaluation by a developmental pediatrician or a psychiatrist/neurophsychologist combo, get it. This will give you a treatment plan, and give you an idea of what he should be getting at school, and what you should be providing privately. You will provide the lions share of his treatement privately, the school is required to make him funcitional at school, you are interested in maximizing his full potential, which will require additional therapy and treatment outside of school.
Good luck! Using medication is an individual thing, some children will do very well on a medication or combination that will not work for another child. There are so many choices now, so see the very best prescriber you can, which will (hands down) be a psychiatrist. If you can find one who has the ablity to see your son as often as he needs to, such that the medication is right, that will benefit him a great deal. Some psyciatrists are independent, and do not take any insurance, so you must file it all yourself, and these doctors can see you when you need to be seen, thought it may cost you some extra money. We have found that this avaiablity, particularly when medication trials are needed, is worth every penny.
There are many choices, some that are stimulant based, some that are not, and some that can help with the secondary issues associated with ADHD that when treated appropriately with the right medication, allow children to benfit greatly from all the therapy and hard work they put in to learning how to learn, how to control thought processes, and how to process and retrieve information in a reliable way. It is worth the hard work in the end.
M.