6 year old ADHD with behavior issues at school not at home

[re5]

I have a 6 year old only child with ADHD,  she are in the top of he class academically, but socialy she is falling apart, by interrupting all time in the class room, not following rules, being overly loud and out on the playground more or less being a bully.  At home, I have a totally different kid, quiet, likes to read, do crafts, follows rules and mines her manners.  She lives with me and her dad part time and her mother part time, she has done this since she was 14 months old and has been on the same schedule since.  I think the two holds are run differently but that is out of my control.  I want to know how we can help her control her "social disorder" in school.  She is on 32 mg of concerta and weighs 70lbs.

[tejodouro]

Have you tried another med.  Maybe Concerta is not working or is not enough.  Talk to her docotor about trying another med such as Stratera (non-stimulant) or Metadate CD another type of stimulant.  I have a friend with a boy who takes Metadate CD.  They tried Concerta and it did not work for the school at all.  He was very restless and hyper.  At home he was fine at the end of the day.   So, the way this boy's body metabolized the med was different and the benefit of the med was late in the afternoon. Metadate CD works better for this boy during school hours. Good luck.

[Kevin Kennedy, Ph.D.]

The description you offer invites a question of the accuracy of the ADHD diagnosis. One criterion of the disorder is that symptoms must be present in at least two settings, not in only one. In any event, what is needed is a sytematic approach to managing the behavior. It is not obvious that such an approach is being used. What does the school do by way of managing the behavior?