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5 year old nephew who has ADHD/ ODD

My 5 year old nephew was diagnosed a little over a year and a half ago with ADHD and ODD. He was in a preschool program last year that dealt with situations like this and he did AMAZING. He is now in kindergarten and things were going great the first week and now I am getting letters that he is "out of bounds" screaming, yelling, running around. He is on Adderall, Risperdal, and Clonidine..The medications work really well, but I don't know if he is having problems being at school all day or if the medicine just isn't working anymore...I just need some help....
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5914096 tn?1399918987
Medication doesn't fix misbehavior.  Screaming, yelling, and running around are not products or symptoms of ADHD. ADHD misbehaviors are inattentive behaviors such as talking out of turn, etc...  What your son requires is discipline.  Perhaps your son requires a more structured school setting like day treatment where there is more structure.  But I really think the focus should be more on discipline than medication.
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189897 tn?1441126518
COMMUNITY LEADER
   When is his birthday?  He may be a bit young for K.
Find out when he is doing all this running around.  Adderall (unless its the extended one) can be out of your system in 4 hours or less).
  Is the running around in class or outside or both?  And you might want to visit and see for yourself how he is doing.  And especially how the teacher is handling this.
  Is he getting a good nights sleep?  Thats really important.  Also a good breakfast is very helpful.
   By the way, its always a good idea to let your doc know what is going on.  I suspect he/she will ask the same questions I have asked.
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