I have been writing a lot about my son Max’s medication and psychiatrist changes in the passed 3 months. Though we have been listening to each doctor and following their recommendations we were not prepared for what has been happening.
As many parents will attest these changes are usually required because our children’s behaviors start to deteriorate and we need to find something to get them functioning better. After 1, 2 or more adjustments the psychiatrist generally pinpoints the correct medication and/or dosage that will help for the time being.
Some changes can be easy and some can be difficult. We went into this expecting, and seeing, more energy and some unhappiness as Max was weaned off of one medication while having his others increased. I was reading one blog this morning that talked about adjusting the writer’s daughter’s meds yet again. In it she says “Here’s a side effect of ADD/ADHD medications no one tells you about: the emotional toll it takes on parents. We get excited, hopeful, at the prospects of finding the exact right treatment, then feel the inevitable let-down of having to adjust a dosage yet again.”
Sunday morning Max woke up angry; everything set him off. He had to change his clothes 4 times before church. Usually this makes him happy, not that day. He was angry because his allergies have been worse this year and he needed to take a shower to wash the pollen off. Nothing he wanted was in its correct place. And the list goes on and on. But these are things that my wife and I can handle.
The problem came when we got to church. We were sitting in our seats when something he was expecting didn’t happen. That is, there was no announcement early on for the kids to go to children’s church. He loves going but because he didn’t hear anything he decided to kick his mother. These weren’t gentle kicks; he was angry and she was getting hurt.
I leaned over and told him quietly that if he didn’t stop hurting his Mom I would drag him out of the building kicking and screaming in front of everyone. He ignored me and continued his assault. I stood up without a word and reached for his hand. He lifted his legs to block me from leaving our seats so I stepped over him into the aisle. As I held his hand he struggled so, as I promised, I picked him up and carried him out of the church. All the way he was kicking and trying to bite me; I didn’t say a word.
When we were outside things got pretty bad. He threw himself out of my arms and attacked: hitting, punching, and kicking. When he tried to run back into the church I grabbed him and headed towards the car. All the time he kept yelling that he wanted to go back in.
This aggression hasn’t happened in a long time. We had been working with him for months on controlling his outbursts. He has had his child advocate and play therapist giving him tools to use to help him calm down. As a result I was unprepared for the violence. Where I should have been calm and assertive as I handled the situation I was angry and I think frightening to him.
By the time he climbed into the car he was crying. I spoke to him very sternly and angrily. By the end of the conversation, I mean, lecture he was saying he was never going back to church again because he didn’t want to face the people who had seen his outburst. I told him I didn’t want to either because I was embarrassed but I was going back. To his credit, Max decided he was going with me.
And you know what? They were having children’s church that day; it was announced after we had left the building. His mother took him over there while I marched back to my seat imagining everyone’s eyes on me. Part of the pastor’s sermon seemed to address what happened and made things a little better for me. He said that whenever any of the church members came to speak to him the first thing they would say is that they were doing things that were too terrible to talk about. He went on to say that almost everyone sitting in that room had something they believed was bad…we are all alike.
After this happened Max was very good the rest of the day but in the evening he and his Mom took a walk around the block to see his friends. Unfortunately they had to come back because no one was home. My wife informed me that he blamed her and kicked her over and over again on the way.
I just looked at him and quietly told him to go outside. I followed him out but then headed down the street, “Follow me Max”.
“Where are we going?”
“It doesn’t matter; just keep walking.”
“I’m not going if I don’t know where we are going.”
“Just do as you are told,” I said quietly.
As we walked I told him that I was not going to put up with his disrespect towards his mother anymore. If we are outside and he does it, like at church, I will carry him kicking and screaming away from there. If he does it at home I will just put him on the couch to sit quietly. If he gets up or swears or tells me he won’t stay, I will just keep putting him back until he does.
I also told him I wouldn’t listen to any excuses he, or anyone else, gives me. “My meds haven’t kicked in yet” or “it’s my disorder causing this” or “it’s so and so’s fault” or whatever won’t work. The fact that he can come up with excuses means that he has the capability to control himself. He must talk more to his advocate and therapist and continue to practice what they teach him.
Our walk took 20 minutes and as we returned home I looked at him, “Max, one thing you have to understand Mommy and I love you more than anything else in the world. Because of that we cannot tolerate bad behavior.”
“Okay, Daddy.”
“Now what is the first thing you are going to do when you get into the house?”
“Apologize to Mommy.”
“And what is the second thing?”
“Treat her with respect for the rest of the night.”
And he did just that.
When he went to bed I kissed him good night and told him I wanted him to continue respecting her before he went to school in the morning…and he did.
What does this have to do with Max’s med changes? His behavior was a direct result of them. He had an appointment with his newest psychiatrist this morning. After we described what was happening she nodded her head; she knew exactly what we were talking about. At the last meeting she had prescribed Focalin XR, the time released medication. She said that some kids experience the aggression Max has when taking it. She changed the prescription to the regular Focalin which, even though it has to be taken more often during the day, should reduce the violence.
It would be so nice if our kids never needed a med change; just stay on one prescription. Hey, it would be even nicer if they didn’t have to take the meds at all. But the reality is that to keep them stable they have to keep taking their medications. And making these changes are inevitable as their bodies change and they get older.
I can’t imagine ever getting used to this. I can’t imagine the effect it has on my son either.