So I think we are on week four of Tigger-on-meds. Long enough anyway, for me to lose track.
He has come home with a few notes in the first couple of weeks praising his behavior. The principal wrote him a note and sent it to our home so that he could get it in the mail. I am assuming that he would do this for any kid who has pulled off this kind of turnaround, and not just because he knew how utterly conflicted I was about the whole thing.*
Someone, I forget who, asked me a question that has been rattling around in my brain, but that I almost can't afford to worry about right now. The question went something like this "Is he proud of himself, or does he feel that this is the medication and not really him." The short answer is that he is proud of himself, and is not self-conscious about the medication, or about the fact that he is taking it. I do know families with children who fight taking their medication. We do not have that issue. I guess that we are lucky.
The more existential question, if that's the right word, I just can't deal with right now. It helps that he is not a zombie, and that his personality has essentially not changed. Riding up to New Hampshire last weekend, with both boys picking at/feeding off each other for the entire 3-hour ride up and the 3 hours back (omigodmakeitstop!), Piper asked me if I really could see a difference with and without the medication, because he sure as hell couldn't.
With first hand experience of trying to get through homework with Tigger, pre- and post-meds, I have to say that I do see a difference. I also see more instances where Tigger's behavior is more age-appropriate than inappropriate. Yesterday, instead of finding him upstairs in front of the television, where he always goes when he sneaks off away from us, I found him in his room building something with blocks, something he has never done on his own.
At the risk of sounding overly dramatic, it's as if we have been living in the prison of our children's behavior. You know the old saying "I can't take you anywhere?" For us it was literally true. But it also meant that we really couldn't go anywhere, either. Everything had to be carefully planned, talked through with the boys, over and over, and even then, the excursions we took were risks. We risked spending the entire outing breaking up squabbles, we risked disturbing everyone around us, we risked losing Pumpkin in a crowd, because he would not stay with us or threw a tantrum if we insisted he hold the hand of an adult. Any successful outings were worthy of celebration, and totally, utterly, unpredictable. More often than not, we did not take those risks. We stayed home.
With the advent of Tigger-on-meds, it feels as if someone has cracked a window of that prison, and a little bit of sunshine is peeking in. Some weight has been lifted off my shoulders, but that sunlight has also served to illuminate that we have multiple issues to tackle here; Tigger's issues, Pumpkin's issues, and the Tigger-Pumpkin dynamic, which can be overwhelming. It's a reminder, as if we needed one, that Pumpkin's issues are far, far more complex.
And as of now, they are still eluding diagnosis. I may have mentioned that the neuropsych evaluation raised the issue of the autism spectrum, and then backed away from it. It mentioned Executive Function Disorder, which often goes along with ADD, but ADD has not been indicated in this case so far. We have a seven-year old, who has caught up or surpassed his age cohort academically, but is continuing to behave like a three- or four-year old.
Some days are great, and I still marvel over Pumpkin's huge leap in language over the past year. We can have a conversation, he asks amazing questions, he takes in all the information that his grandfather gives him, processes it and applies it to other learning. He has this interest in the natural world that's only really surfaced in the past few months.
Other days, it's like living in a zoo, where, at least the monkey isn't throwing feces, but he can not stop talking about it. He has the worst table manners, and family dinners are a constant litany of "use your fork, stay in your seat, use your fork, don't shovel your food." You look at him, and you expect to see a toddler, wearing a bib. I think it must be some kind of sensory thing, because nothing else makes sense.
I find myself making mental lists of the things we still need to get to the bottom of. On the really tough days, I wonder if there is no bottom.
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* Somewhere in the process of looking into ADHD meds for Tigger, some healthcare provider asked me if they had been recommended by his teacher. Sensitive as I am to the over-diagnosis of ADD/ADHD, and the potential use of these meds as crowd control in schools, I have to admit, the suggestion got my back up. But I shortly realized that the answer to this question was NO. Not ever, not even once.
I mentioned this to the principal some time later who told me that it was policy. Teachers, in his view, should not be pushing medication. I not only agree, I'm extremely grateful that I was allowed to come to this decision on my own, even if it took longer than it might have. Julie has a really interesting discussion of the issues surrounding boys in schools. So much of it has to do with culture changes alluded to in her post, which can be unbelievably frustrating, but I find myself here with an example of how a public school got it right.