Your approach is wise. I will what I can find out.
I feel your frustration. Kind of makes me wonder about the training of the doctors you have worked with. For example, weight loss is a very common side effect with lots of known ways to deal with it - and it sounds like no one has discussed this with you? Which also makes me wonder about what kind of doctors you have been working with? I also wonder about your overall knowledge of the subject - not your fault, I blame that on the doctors. And, by the way, while all studies show that the best results for ADHD are a combination of meds and behavioral modification therapy, the therapy really depends on who is doing it.
Anyway, my best resource that I have is this link. Dr. Parker is someone who I have turned to a lot for questions about medication. The link is for "Coach Partners", which might prove helpful. But I would highly recommend reading everything on his site. The site is -
Hope this helps. Please post if you have any more questions. By the way, the book I recommend the most for really good general knowledge of ADHD is "The ADD/ ADHD Answer book," by Susan Ashley. Its about 10 dollars on Amazon (the last time I looked).
Thanks for your response. It's funny that you mention Dr. Parker because we just left his practice. My son's weight loss occurred under his care and he also ordered a bunch of tests that no one in the medical community views as creditable. I feel like the practice philosophy is based completely on generating revenue instead of results. I have had consults at UVA with a dev. pediatrician and at CHKD with dev. psychologist and still feel like we are missing a big diagnosis because the providers don't get to actually see the behaviors-my son almost always cooperates when we are there during appointments. I will pick up the book today. I have been dealing with these issues for 7+ years now and feel like I have a better than average understanding of ADHD, but just don't know where the centers of excellence are for children like my son.
Dang, I really thought that Doc Parker would be able to help with the medication problems, especially the non eating part. I assume that the last meds your son was on were ones he prescribed? (if so what were they - if you don't mind sharing) Curious about the extra tests - were they brain scans (that seems to be the latest thing)?
Normally, its typical for doctors to do teacher surveys, etc when diagnosing ADHD. I guess that since he has already been diagnosed, they skip that step? I think that would be a starting point which any good psyc who specializes in adolescent ADHD should be able to do. I am guessing that is why you want him to stay at a center so he can be observed. But, unfortunately, I have never heard of that. Most places where kids stay are treatment centers for children with serious behavioral problems.
I am also assuming that things like Sensory Processing Disorder (which looks a lot like ADHD) has been ruled out?
Yes, I was wondering about surveys. I am thinking that he should be evaluated at home, in the classroom and in the playground. Maybe he is on the autism spectrum. Kids on the Aspergers end are often misdiagnosed with attention disorders.
Could you surreptitiously record him in his home setting and have the video evaluated? He may be behaving oddly in that environment.
I sent you a long message, but when I went to check it for an answer, it wasn't there. I must have forgotten to hit the "post" button. I had spoken of one of my daughters who had been suffering from "a pediatric ailment of unknown etiology" (meaning they had no idea what was wrong with her). It took four years and two continents to find the correct diagnosis. Only after that was treatment possible. So I understand you because I have been there. The most important factor in helping these children is us, the parents, because we never give up. So, no matter what anyone tells you, don't give up.
If only I could be sure it was only just ADHD. My son had the full testing to include the teacher and parental surveys at age 5 when he was first diagnosed with ADHD. He has just had them repeated, but has only been with his teachers for 2 weeks so it's too early to report. He has symptoms of several disorders-ADHD, Aspergers, bi-polar, OCD, ODD. Our biggest problem is that everyone focuses on his school work where he is a straight A student and has attended the magnet school for the gifted. I am not at all concerned about his academic abilities. I am extremely concerned about his social skills. He does not retain experiences, can't think through situations before he acts-all tell tale signs of ADHD, but he has a very violent component to his behavior. He does not have the ability to read social cues or value the effects of his behavior. I am thinking that an inpatient stay would allow a provider to observe these behaviors because my son wouldn't be able to hide them for very long. I am also looking for a center of excellence for children with behavioral disorders. I have received a recommendation for Johns Hopkins and will be researching the possibilities of treatment, but I find that parents usually make the best recommendations.
My son has taken just about everything on the market-a lot of off-label use drugs as well-Concerta, Adderall, Vyvance, Foclan,Daytrana, Ritalin-the list goes on. Dr. Parker's office never weighed him while he was a patient, but did order an immunological study as well as a hair test for heavy metals and trace minerals-both tests were not covered by insurance and other professionals wouldn't even look at the results. A brain scan was mentioned but never ordered.