Wednesday, January 14, 2015

And His Diagnosis Is...


We received Noah's diagnosis last week, for the most part I was not surprised at some of the diagnosis one bit.   Here is what we found out:

Major Depressive Disorder, moderate  (Yep we knew that and he is being treated for it.)
Attention Deficit Hyperactivity Disorder, combined presentation. 
Oppositional Defiant Disorder, monitor for Conduct Disorder (Um...yes, this is a given by the way he does everything opposite as to what I say and so disrespectful.)
Monitor for Borderline Personality Disorder

I guess I did not understand ADHD entirely.  I would have never guessed Noah was ADHD because he can concentrate.  He spends hours in front of video games.  What I have learned is that ADHD people can spend hours or focus on things they enjoy, they just have a problem focusing or completing task they do not enjoy or do not understand.  Okay, to me that is lack of discipline with following through at least that is what I thought.  I looked at good ol' Wikiepdia for some more answers.
  
An individual with inattention may have some or all of the following symptoms:
  • Be easily distracted, miss details, forget things, and frequently switch from one activity to another  Hmmm....sometimes?
  • Have difficulty maintaining focus on one task  Totally if it is something he does not like.  (Again, who does not?)
  • Become bored with a task after only a few minutes, unless doing something enjoyable  Does not any human being?  You just have to plug away. Awh...maybe that is the issue, they do not have the connection or whatever it is in the brain to make them keep plugging away?.
  • Have difficulty focusing attention on organizing and completing a task or learning something new  Oh, his lack of organization drives me nuts but I thought that was a boy thing.
  • Have trouble completing or turning in homework assignments, often losing things (e.g., pencils, toys, assignments) needed to complete tasks or activities  I have seen this a lot with Noah.
  • Not seem to listen when spoken to  I thought this was tuning someone out or ignoring?  Wow I guess I am so out of touch.
  • Daydream, become easily confused, and move slowly  Nope, not Noah
  • Have difficulty processing information as quickly and accurately as others  I am learning Noah is having difficulties here.  He is more of a person who relies on his memory and with school becoming more challenging this is where the distractions and difficulty of focusing is coming into play.  Hmmm.... maybe there is something to this.
  • Struggle to follow instructions  He has always had difficulties with verbal instructions.  I just thought it was because he is the baby.
An individual with hyperactivity may have some or all of the following symptoms:
  • Fidget and squirm in their seats  I do not see this in Noah.
  • Talk nonstop  OMG!!!!  Yes, this kid has never stopped talking the day he learned.  Well if you do not count this past year when he has been full of hatred.
  • Dash around, touching or playing with anything and everything in sight  Dash around, no but touching or playing with anything and everything yes.
  • Have trouble sitting still during dinner, school, doing homework, and story time  I never noticed this with him.
  • Be constantly in motion  Again, I never noticed this with Noah.
  • Have difficulty doing quiet tasks or activities  Yes, this is Noah.
These hyperactivity symptoms tend to go away with age and turn into "inner restlessness" in teens and adults with ADHD.
An individual with impulsivity may have some or all of the following symptoms:
  • Be very impatient
  • Blurt out inappropriate comments, show their emotions without restraint, and act without regard for consequences
  • Have difficulty waiting for things they want or waiting their turns in games
  • Often interrupt conversations or others' activities  Noah has been all of the above and has been very dominate since he became a teenager.
What does this mean?  Well the doctor has now prescribed the lowest dosage of medicine for the ADHD.  When Noah becomes 18, he will be off medication and then retested.  One third of children do not need medications once they are 18.  If Noah needs medication still, he will go off again at the age of 23 and be tested.  This is when the brain has completely developed according to the doctor and another one third of people do not need medication for ADHD.  This means only one third of the people who have ADHD need to stay on medication as adults.  The doctor, feels treating the ADHD will also treat the Oppositional Defiant Disorder, which is common with ADHD (50%-20% ADHD has ODD as well.)  Again according to Wikipedia ODD is characterized by antisocial behaviors such as stubbornness, aggression, frequent temper tantrums, deceitfulness, lying, and stealing.  I think you all can understand why this disorder did not surprise me from what I have posted about Noah's behavior last year.  

As for the borderline Personality Disorder, his psychiatrist and therapist are on different pages.  The psychiatrist feels it is way too early to diagnosis him with this but his therapist stated she totally sees this with Noah but stated with therapy he can be treated. 

I shared with Noah his diet will change some to assist with the ADHD.  He needs to stay away from red and yellow die food and less sugar.  The boy has a major sweet tooth. I explained he still can have some, like diabetic but it will have to be with moderation.  I also shared other ideas for snacks for him which will be available more often now.  As for the diet here is what I found out.  He should have more protein in the morning and after school snacks, like eggs, cheese, beans, meat, and nuts. He should have less simple carbohydrates such as: candy, corn syrup, honey, sugar, products made with white flour, white rice, and potatoes without skin.  He should have more complex carbohydrates (which will also help with sleep at night) such as: veggies, some fruits (like oranges, tangerines, pears, kiwi, grapefruit, grapes, and apples.) and more Omega 3 fatty acids, this will be impossible, he hates all forms of fish. I might rely on the vitamin for this increase.  

Hopefully we all will see a difference with the new addition of medication and diet in Noah. I really want to see this child succeed, he used to be fun to be around and he is a bright person.  I know he has the potential, now he has to keep making good choices.  It may be more of a challenge for him but if he wants this, he has to work at it.  He has been making good choices since the week after Thanksgiving. We have had only minor melt downs but to me, this is more the norm when you have a teenager. 

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4 comments:

  1. He is a very fortunate young man for having such a sweet and supportive mother.
    One day he'll wake up and realize that and stop messing around.
    Take Care and Best Wishes on you, Noah and Family!

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  2. How wonderful to get a handle on it all. As you said, teenagers have a terrible adjusting time with their hormones, and added to that all the rest you have described, no wonder he is in a nasty place. My Grandson has all of the above symptoms, but discovered Pot as a way to self medicate and now lives away from home, and because he is only 16 we are all fretting about his health and how he manages without money or home, and we have to let him get on with it, because at 16 he can make decision to leave and not do as his loving parents want. Its a hard time, you are doing very well with him, just hanging in there can be awfully hard, but you are doing it, and you know, no one gets a book on how to parent, we are all flying by the seat of our pants ha ha all the best janzi hugs from over the pond..

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  3. When we were kids, my younger brother was diagnosed with ADD (without hyper activity). He got really angry and moody with Ritalin so my mom did a bunch of reading and research about it, and took him off, and switched up our diets instead- getting rid of food dyes, artificial flavors and sweeteners and eating more whole foods and it helped immensely. He still had some trouble concentrating at times in school, but he's 29 now and you'd never guess he was ever diagnosed as ADD in school.
    Hang in there! At least you've got a diagnosis and a treatment plan now!

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  4. As a teacher, I've seen many different presentations of ADD and ADHD. I've also had students with ODD, depression, and borderline personality disorder (keep monitoring for that, of course). There is a light at the end of the tunnel now that you had a diagnosis. My 33 year old stepson still takes adderoll for focus. He's not hyper, either, but he still exhibits many of the symptoms from when he was first diagnosed, and he is an extremely successful nurse, head of the emergency department. Keep the faith!

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