I am at the end of my rope and ready to send my son away to any boot camp that will take a 6 yr old. He is such a loving child at times... very caring, tender, and loveable. And the most adorable little boy. But then you watch him in action. My son, Nicholas, has recently been diagnosed ADHD. His brother is ADD. Nicholas has had what I thought was the "terrible 2s" from about 18 mos until early 5. It seemed they would never go away. Then, he started school, and I thought he'd adjust, but he seemed to always get in trouble for his inattentiveness and his impulsivity. In 1st grade, his impulsive behavior landed him in the principal's office an average of 3x a week... everything from touching kids (not in a mean way) to screeching in class, dropping his pencil and looking around, and doing anything to get attention from classmates and the teacher. He was also suspending for fighting on the bus (with his brother), but a fight is a fight. One month later, I had him examined & he was diagnosed with the ADHD and put on Focalin XR 15mg. What a world of difference... for a few months. His impulsive behavior is back. At home, he pushes buttons with everyone, argues about everything, and refuses to do his homework. I attempt to deal with the behavior in stages, starting with a timeout on the steps (where he'll display his anger and throw things off the steps, shoes from the floor, and anything else he can find). He is told the timeout doesn't begin until he is still and quiet. Then, it escalates because he cannot be still or quiet. He is then sent to his room for his timeout (he hates being by himself). Then, he'll stomp, bank on his door, throw things. Then, his 5 minute timeout is extended to 30 minutes. Then, priviledges are taken away... and it goes on, until he finally gets it and calms down.
As of a few weeks ago, we started a "smile chart" for periods of the day. He earns a smile when he follows the house rules throughout the day. He gets a sad face when he does not. 4 straight smiles earns him back his game system. One sad face loses it. He hasn't had the game system back for more than 1 day since starting the chart. Now, it seems he doesn't care about it. So now, I'm using computer time as the priviledge. He loves webkinz, so he has to earn his computer time through the smiles. One sad faces loses that priviledge until he earns a smile again. So far, he hasn't had webkinz for a few days.
Basically, he argues, displays anger through throwing things, hits, gets easily frustrated (seems to have no fuse), lacks respect for adults and lacks respect for other people's belongings (& his own), does not respect authority, does not care about consequences, antagonizes his brother (who is very mild-mannered), and is extremely impulsive (seems to have no filter in his brain).
Just this week, he is on a new medicine for his ADHD, but these problem go back a few weeks, so I don't relate it to the switch. The medicine he's on now is Concerta 54mg (comparable to 20mg of Focalin XR). He metabolizes his medicine faster than its effective timeframe, so he needed a 12 hr medicine. It's too soon to see if it's working, but so far, I'm not seeing a longer effectiveness.