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Author Topic: Adolasance with BPD has ADD.  (Read 546 times)
fadless

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Who in your life has "personality" issues: Child
Relationship status: married
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« on: November 15, 2014, 08:02:24 PM »

Hello everyone.  I would like to ask a question. While I read the connection between BPD and ADD (Attention Deficit Disorder) I found out that BPD is comorbited with ADD. My son's anger issues and mood swings issues are getting better but we are confronting to other issues; more importent of them is concentration difficulty in the clasroom, distraction, not starting doing  homework, even if he starts  he gets extremelly bored in 10 minutes and never finishes it. He has issues with teacher because it. I asked the doctor for Hiyperactivty/ADD test he refused it. I found out on internet that using hyperactivity drugs (ritalin) worsens the BPD symptoms (increases moodswings) so that doctors don't prescribe ritalin for Hiyperactivity while having BPD. Could you give me suggestions please. Thank you.
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Our objective is to better understand the struggles our child faces and to learn the skills to improve our relationship and provide a supportive environment and also improve on our own emotional responses, attitudes and effectiveness as a family leaders
jellibeans
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« Reply #1 on: November 15, 2014, 11:28:37 PM »

My dd17 has ADHD and she use to take Ritalin a couple of years ago. I do think that drug irritated her and it was not a good fit. She then took adderall and she did better but she abused that drug and often took more than she was suppose to so we stopped. Took the summer off to stabilize drugs. Just before the start of school she started vyvance and it think med has been a good drug for her. I just want to add that I don't always think meds for adhd is necessary. It depends on the individual.
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qcarolr
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« Reply #2 on: November 16, 2014, 10:09:32 PM »

Hi Fadless

May I ask the age of your son? What year in school is he?  What medications is he on medications for the mood disorder?

I have experienced many of these same things with my DD now 28 and my gd who is 9 and in 4th grade. It is true that the mood disorder makes treating the ADD very tricky. My DD struggled greatly with this. She took mood stabilizers along with either antidepressants or with ritalin. We took DD off the ritalin when she just turned 10 after trying to cope with all this for several years. She also has a moderate to severe learning disorder that clouds the impact of the meds. DD also has panic disorder and meds. do help with that. She has tried Vyvanse as an adult and feels it helps her think better. I am reserving an opinion on that one for now.

My gd has some anxiety issues and takes Intuniv for that. It also helps with the hyperactive part of ADHD for her. I hesitated to start the stimulants for the ADD because of the troubles her mom had. (note: gd lives with my dh and I)  She was really really struggling in school last year, so at Christmas break we started her on a 5mg dose of Adderall. It was like a light switch turned on in her brain. She is catching up well with her academics, though still works best in small groups due to the anxiety issues.

The adderall DOES push gd's mood. We have to watch this and be willing to add a mood stabilizer if needed. We had a bad episode in August, she took Respiradal for a couple weeks that help a lot with her aggression before the side effects caused us to discontinue. She seems to do OK without it now.

The other part is I have learned ways to not take it all so personal. This lowers my frustration and anger level. Then I can manage some really good skills to help gd gain awareness of her emotions, thinking and related behaviors; the impacts of these behaviors on herself and others, how to sooth herself to reduce anger or manage anxiety... .  We work with a great child/family therapist that has guided us in this path. The first step with gd is to always help her to feel safe, secure and well loved. Then she can hear us talk about behavior and consequences. At her age now, she participates in this discussion.

I look forward to hearing more about your son, and ways we might be able to support you.

qcr
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The best criticism of the bad is the practice of the better. (Dom Helder)
fadless

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« Reply #3 on: November 18, 2014, 05:25:34 PM »

Thankyou jellibeans, Thankyou qcarolr for your replies. My son is 11 years old. All of his problems started last year with a minor trauma. One doctor diagnosed him Anxiety and priscribed Lustral (SSRı), after taking this medication anger and small scale of violance started. For months later we stopped it. We saw another doctor after I said he has anger issues  priscribed Risperdal. But I thought this anger was realeted to traumatic event he had I decided not to give him. His anger gradialy decreased over the summer. he had his art and craft room produced very creative things. He has serious allergy problems. What I've noticed that when we use antihistaminic medication his mood swings again. When he went back to school he started  antihistamin medication again. I week later he had a fight with another boy. He hurt the boy. Because he was so upset about that event he had anxiety atack in the school. He missed about 1 month in school, because missing all thise lesons he didn't want to work in the school, didn't do homeworks.  He taled me that he had attention problem, he esaly get distracted at the lesons. I took him to the doctor but doctor is ignorant about ADD. We are having  2-3 different tutors coming home, he is a lot better now. But he is having terible nightmares he is a bit narsistic towerds me, insulting, shouting at me never wants to hear word 'no'. because ı said 'no' to him the other day I was outside in the garden he locked all the doors so I couldn' t get in for an hour  :'( I'was so upset. When we go to terapist he doesn't talk to her at all. Now I'm keeping my fingers crossed that every thing is going to go fine. I'm rading a lot on this site, trying to aducate my self. I'm doing a modul on Cognitive Behovorial Terapy. I realy appreciate this site and people like yourself. Sorry for this long post. Best

wishes.
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qcarolr
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« Reply #4 on: November 19, 2014, 12:36:49 AM »

Hi fadless,

It is so frustrating when the doctors focus on such a narrow part of our whole child! I experienced this with my DD now 28. Dh and I are raising her daughter, gd9. She also has anxiety, has experienced some panic attacks thinking she is dying of heart attack, PTSD from experiences with her mom and friends in our home and car, plus ADHD. The adderall for the adhd pushes her mood also, but has been a miracle at school. She is catching up with her 4th grade standards and has made a lot of friends at school in 4th grade. She was always very quiet and 'contained' at school and acted out very aggressively at home. We have changed our approach with her and things are much better with dh and I as well as her friends.

I expect she may need mood stabilizers and/or the meds. like respiradol or seroquel as time goes by. My hope is the skills she is learning for self-reflection and self-soothing will minimize the needs for these stronger meds.

She also takes Intuniv that helps with the anxiety and hyperactivity. Does nothing for the attention issues though. She started the Intuniv end of 2nd grade. She does not tolerate a full dose for her weight - headaches and low blood pressure. She had some episodes in the neighborhood that exploded with the added anxiety before school started. The pdoc tried respiradal. It helped immediately with the violent anger. It also impacted her blood pressure plus she was getting 'chest pain'. Seemed like the influence on breast development that I have seen advertised on TV. So we took her off and the anger benefits have continued without the rispiradal.

The other thing is the tools I have gained in working with the regulating, self-soothing based models presented to me by gd's family/child T. Daniel Hughes book "Brained Based Parenting... ." opened my mind and heart to a new way of thinking about gd's behaviors. Looking below the actions to the emotion driving them. These emotions seem based in a place of fear and safety - fight/flight and/or freeze. Here is a review of this book: https://bpdfamily.com/message_board/index.php?topic=195469.0

Also Heather Forbes material (beyondconsequences.com) has been very helpful, and is along the same path of response to our anxious kids as Dan Hughes... Her book "Help for Billy" is focused on school and might be helpful for you to read. If you would like more information PM me. "Personal Message" link at top to send message.

Gd has been in therapy since age 4. She was unable to be verbal with her T and would not allow me to stay in the waiting room. This also changed with the adderall. She is now talking to her T, doing some EMDR therapy for trauma issues, and is able to clearly express her needs to her T and me. She still asks me to speak for her initially with friends or their parents and this is also progressing toward greater independence. She asks her T to share with me things she has discussed in a session.

Do you participate in sessions with your DS? I have done this on a regular basis - one out of four sessions once gd was feeling safe enough to let me be in waiting room. When she wanted me in the session with her (to feel safe) she often asked me to remain quiet. I would take a book to read, or the T would give me a book to read. Sometimes I even fell asleep - exhaustion is part of parenting our struggling kids!

Keep on posting. There is no such thing here as a post that is too long. Let us know how things are going. The meds. is a process and I hope this gets figured out. Remember as our kids grow their needs change, and so do their meds.!

qcr
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The best criticism of the bad is the practice of the better. (Dom Helder)
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