専注力不足及過度活躍症(ADHD)兒童家長站

kw250

原文章由 當媽 於 08-6-21 10:18 發表
聽罷『運動與情緒健康講座』，由於講座中需要處理相關的事務，固聽得不太全面，但可概略告訴你們一些『貼士』，以供有情緒困擾的父母得以舒緩，從而跟孩子一起解決情緒問題。

1.保持運動
(因運動可促進血液循環、強化肌肉，因血 ...

當媽或其他媽咪
想問吓當仔是否睇中醫呀!有無食(R藥).
因想了解多些中醫是否要針灸.

心急媽咪上

anna_gigi

當媽
你好,好耐冇上來,還記不記起我,有個仔仔有adhd, 如順利的話應該升中五,但是都好多不愉快事情,除左adhd之外,還有很多情緒問題,現在睇埋心理科,真係好煩

kitty0303

Oh! Please let me know what kind of special exercise is good for them.
I also want my son to quit the medicine.
I am afraid the brain cannot be build normally with stimulant.
Thank you

原文章由 chunchunmami 於 08-6-17 11:04 發表
Have waited for more than one year for government treatement but nothing is offerred except pushing us to apply medicine.

For quick treatment, had given medicine to my child before but he was so thin ...

[ 本文章最後由 kitty0303 於 08-6-23 20:48 編輯 ]

kitty0303

Anyone interested or went to this institute before, please commend.

Thank you.

http://www.greenfieldicnc.org/chi/events.php

Kellyaugust2004

hi all moms,

i still reading all the past postings.
my son now is 5.5 yrs old and just visited a Dr yesterday (parents) and my son will meet him today.  

do u think it's too young if giving medicine?

for the meantime, i would like to ask , did u try VegEPA?  i'm thinking of ordering it for my son.... do u think it help?   as for the time, i just give him Omega 3 fish oil. i guess this is not enough, right?

thanks.

原文章由 kitty0303 於 08-6-24 23:51 發表
Anyone interested or went to this institute before, please commend.

Thank you.

http://www.greenfieldicnc.org/chi/events.php

Skywan

當媽:

你好好久無上來, 之前你給了我的意見很有用,不知你可否再給些意見呢?

現在小兒轉校一年, 註校的社工也建議小兒吃 "R",
因為佢暑假后升 P.5了所以最近一次的覆診決定同意給他藥物治療, 醫生亦有親自同佢解釋吃藥原因, 現正式給他試藥了, 不知結果如何, 不過希望佢可以平安度過來臨 P.5 - F.5 的生活。

不過想請教, 因當仔之前吃 "C" 的時侯有吃 EYE-Q  "魚油"丸。我仔仔未吃 R 之前我是有給他吃 VEGEPA 的魚油丸。
是否除我仍可以給他吃 "魚油"丸? 請問可否給些意見。

當媽

Skywan,

其實，我一直都保持著看這個topic！

很開心知道你不但看我的分享，而且實踐，還見效果！

希望孩子更見進步！

首先，我要澄清，當仔曾食eye q，但已沒有再食了！
不過，一直都保持著食不同牌子的omega 3。
現在，見他不斷成長發育，正在考慮是否將每天攝取的分量提高。原因是青少年在成長期，內分泌也在調節中，固性情會因生理變化而有所波動，如發覺不妥，我會建議孩子加添劑量。

至於，你兒在食精神料藥物的同時吃不吃omega 3，則只講因人而異，不敢胡亂定案！
但在決定是否給他吃omega 3前，不如先問一問自己：
1.父母對omega 3的認識有多少﹖
2.你對孩子的生理缺損了解多少﹖
3.omega 3 真的可幫助或針對兒子的先天不足嗎﹖

再者，給你些忠告，當選擇方法幫孩子解決現有困難前，必先要明白它的理論，再評估其風險和利弊，才再決定。

但如果真的給他服用omega 3的話，由於它屬脂溶性，而脂溶性物質能包裹著其他食物，會有較好的輸送和吸收，且積存體內的風險較低，所以飽肚食成效會好很多，副作用也會減小。

原文章由 Skywan 於 08-8-2 16:25 發表
當媽:

你好好久無上來, 之前你給了我的意見很有用,不知你可否再給些意見呢?

現在小兒轉校一年, 註校的社工也建議小兒吃 "R",
因為佢暑假后升 P.5了所以最近一次的覆診決定同意給他藥物治療, 醫生亦有親自同佢解 ...

[ 本文章最後由 當媽 於 08-8-6 14:31 編輯 ]

bleung

Dear Kellyaugust,

My son is now 12 and has been on ritalin and concerta for 3 years.  He is a successful case according to the social worker in his school.  We combine medication and behaviour treatment.  

1.  Usually doctors are reluctant to dignose and/or give medication at young age.  When he turns six or at P.1 when his behaviour at school / interaction in daily life becomes a problem(due to ADHD), then the doctor has firm ground to make his dignosis.

2.  Part of the causes of ADHD is that the brain lacks / does not produce enough 'transmitting substance' to communicate between different parts of the brain.  "Stimulant" as you call it, encourages the brain to produce such substance, thus messages can be passed on to different parts of the brain to help the child to control his behaviour, emotion, concentration, etc..

3.  Not all the ADHD children respond well to the drugs.  Some children may have other medical problems which means they cannot take 'stimulant' drugs.  There are also non-stimulant drugs which take longer to be effective.  You should talk to your doctor ( I believe he should be a specialist) about all available medication, stimulant or non-stimulant.

4.  Side effects - in my case, there is a scale here: on one side his development into a balanced adult and on the other side, his weight issue. My son is underweight and the growth rate slows down (143cm, 30kg) but he's only been sick with flu once since the medication.   My concern is that with his average appetite, does he have enough nutrients to develop his brain/intelligence?  I hope all the food he eats goes to his brain, and little is left for his muscle.  He is a bright boy.  I have started to give him polycal (carbodhydrates supplment) this week to see if there is any improvement.

5.  My son is lucky that he does not suffer from the side effects of the drugs (only the first few days with complaint of minor headache and nausea).  I don't believe in drugs holiday.  I give him concerta during school days and ritalin on weekends.  When he is in control of himself, it is the time I can help him to develop good living / learning habits.

Hope this may help you.

原文章由 Kellyaugust2004 於 08-7-26 11:52 發表
hi all moms,

i still reading all the past postings.
my son now is 5.5 yrs old and just visited a Dr yesterday (parents) and my son will meet him today.  

do u think it's too young if giving medicin ...

Skywan

當媽,
謝謝妳! 會跟你的資料及意見會與 c6 商量。

tks a lot!

原文章由 當媽 於 08-8-2 20:47 發表
Skywan,

其實，我一直都保持著看這個topic！

很開心知道你不但看我的分享，而且實踐，還見效果！

希望孩子更見進步！

首先，我要澄清，當仔曾食eye q，但已沒有再食了！
不過，一直都保持著食不同牌子的omega 3。
現在，見他不斷成長 ...

Kellyaugust2004

bleung,

many thanks and appreciate your response. after taking 10 days of 1/4 Ritalin, have reviewed with Dr and increased the dosage to 1/2 of 10mg Ritalin twice per day. He also gave us two concerta for a trial. The side-effect which we can observed is my son become easy to get angry 吃了藥會比較燥點.  This is really not good. As he will start P1 in sept, we have to wait a few more wks to see his adaptation and response.

did u agree 吃了藥會比較燥點?

and what kind of behaviour treatment did your son join?

many thanks .

原文章由 bleung 於 08-8-3 15:36 發表
Dear Kellyaugust,

My son is now 12 and has been on ritalin and concerta for 3 years.  He is a successful case according to the social worker in his school.  We combine medication and behaviour treatm ...

bleung

Kellyaugust,

My son did not have such response but my friend's son did (aged 7) at the beginning (during and after the pills).  After taking for a month, the side-effect stopped.

When he gets angry, does he listen to reasons and calm down?  From 8 to 10 years of age, my son still got angry and shouted when was provoked but listened to reasons and calm down quickly.  Now at 12, he only gets angry with himself, e.g. not getting good marks but seldom at others (e.g. classmates won't let him join the basketball game) and behave so calm and gentle.  However after the effective time, around 8 p.m., he keeps on talking about things at school but still manage to do the night routine (revision, bath and bed).

I joined 1) BGCA - parents & child course  (12 sessions?)
                          - family counselling

            2) Health Authority - parents & child course (about 20 sessions during week days)

Both courses helped but need  100% participation.  The family counselling helped us to identify and clear out family problems and differences to path the way for the behaviour training.

Hope this may help.

原文章由 Kellyaugust2004 於 08-8-10 00:07 發表
bleung,

many thanks and appreciate your response. after taking 10 days of 1/4 Ritalin, have reviewed with Dr and increased the dosage to 1/2 of 10mg Ritalin twice per day. He also gave us two concert ...

Yme

Hi 各位媽媽,

請問各位媽媽,注力不足要到什麼程度才要吃藥. (做accessment 的結果是否shown in %)  我的小朋友(age 8) 在政府醫院見了2次心理醫生和她看了學校老師所填的問卷調查,便說要吃藥,要見醫生. 心理醫生很年青, 她沒有要我們(父母)填問卷調查, 她什麼都沒說,注力不足到什麼程度又沒說. 是否要到見醫生時才由醫生決定要吃藥呢? 要見多少次醫生,醫生才決定用藥呢?  我應該怎樣才讓小朋友吃藥, 有沒有其它的方法呢?

請各位媽媽給予意見!

Kellyaugust2004

bleung

thanks again for your response.

--->When he gets angry, does he listen to reasons and calm down?  
no. maybe my son is still too young? he is 5.5 yrs old now.

i wonder will it be better if taking concerta? we will try before our next visit to the Dr

i'm just wonder should we keep trying or stop till school start and let the teachers / social workers commend whether my son needs to take pills......

i've now attending the parents & child course at BGCA. it's useful.

regarding the Health Authority , do u have any website / phone no. that i can contact?

many thanks

bleung

Hello Kellyaugust,

1) You are right, 5.5 doesn't really listen to reasons.

I used to let my son  hit his pillow in his room when he got angry (it could last for 30 minutes) until he calmed down.  Before 6, I held him tight and rock him gently and sang our special song.  However when he was really angry, nothing could stop him.  He would throw himself on the floor and scream.  I just told him I would come back in 5 minutes and leave the scene.  Then I returned and asked him if we could talk.  If the answer was NO, I repeated the procedure again.  He stopped all these (screaming, etc.) around 10 when he learnt how to reason (argue more like to me).

2) Concerta is Ritalin actually but it releases the medicine steadily once inside the body.  I am sure your doctor have already showed you the 'effectiveness' graph - Ritalin has an up and down curve while Concerta's is more steady.   That means Ritalin (say taken every 4 - 6 hours) works its peak for 2 -3 hours, slows down in the last hour while Concerta takes 1 hour to take effect, at its peak for 8 hours, then slows down.

3) I had mixed responses from teachers adn social workers.  My son had little problems in P.1 & 2 because the teacher was very capable but she did suspect my son was ADHD.  One social worker told me better not to take any drugs.  One teacher who is ADHD said it would help my son.   My doctor said, "Don't take over my job."  Personally, I will continue the medication in the summer so to prepare for P.1.

4) When you are registrated with a government child psych. clinic and see the doctor there, you can ask to be put on the waiting list.  The waiting time is long because they try to group children in similar age.  I am not sure if you can join the course if your son is not a registered patient there.

God Bless.

Kellyaugust2004

bleung,

thanks so much for your response. I believe God is leading.

1) You are right, 5.5 doesn't really listen to reasons.
  --->thanks for your suggestion. will u find it difficult to handle outside when your boy is young?

2) Concerta is Ritalin actually but it releases the medicine steadilyonce inside the body.  
---> i see. i guss maybe Concerta is more suitable for my son then. will try .  just a bit afraid if he refuse me to take it before going to school.

3) thanks for sharing your opinions. i will talk to teachers next week during orentation.

4) When you are registrated with a government child psych. clinic and
--->  i see.  

also, do u find the pills help on concentration and behaviors?

thanks

Kellyaugust2004

bleung,

thanks so much for your response. I believe God is leading.

1) You are right, 5.5 doesn't really listen to reasons.
  --->thanks for your suggestion. will u find it difficult to handle outside when your boy is young?

2) Concerta is Ritalin actually but it releases the medicine steadilyonce inside the body.  
---> i see. i guss maybe Concerta is more suitable for my son then. will try .  just a bit afraid if he refuse me to take it before going to school.

3) thanks for sharing your opinions. i will talk to teachers next week during orentation.

4) When you are registrated with a government child psych. clinic and
--->  i see.  

also, do u find the pills help on concentration and behaviors?

thanks

bleung

Kellyaugust,

1) Very embarassed during the early years and felt bad.  He was big trouble in family gatherings.  He was actually better in my mum's place 'cos my mum always reasons with him and praises him and cooks him his favourite food, in other words, he feels special.

I trained myself to be thick-skinned and ignore other people's judgemental look.  I understand my priority is to raise a good son, not to show people what a good mother I am.  That is, no more image la.

These are the tactics I used before 10 :-

I prepared well in advance - bring toys / books / drawing pad / PSP (whichever to suit his mood, before 6, he even liked to copy passages from story books!) to dinner.  Shopping trip is short.  If he got angry in public, I took him somewhere quiet (backdoor, staircase) and let him calm down.  My son likes chewing gum (ADHD child likes action / movement).  I gave him that instead of snacks on long journeys.

I always went to same shopping centre and told him beforehand what he should do if he got lost ( wait by the entrance of  Toys'r Us, give him a note written with my mobile no).
  
Now at 12, he has no such problem.  He even went on a 5-day camping trip with the school last month.

2) Similar side-effects but one doctor said Concerta causes milder side-effects.  I didn't ask why.  

I asked my doctor to explain to him why medication but he actually was not happy because his friends at school called him "mental" for taking pills.  He was P.3 then and understood what were written on the doctor's name plate and certificates.  It took a year for him to take the pills willingly when he realised the pills actually helped him.

At your son's age, it's easy to disguise Concerta as vitamins, but I am not sure if it is good in the long run (the trust issue).
You should talk to the worker in BGCA and your doctor about this.

c)  I have to stress that my son responds to the drugs well since day one.  Now he can revise for two hours (I set him questions and he looks up the answer from the books) on his own.  He behaves well  when on medication and can sit through a classical concert.  He is in the school band with weekly group practices and regular school performances.  He is still cheeky to the teachers ( his words: I am just saying what all of us think of her).  All violent behaviour stopped (no more careless hitting or fighting).  I think it's part due to the drugs, part due to the skills he learnt to control himself from experiences in the past years.

There have been ups and downs for the past years and improvements are steady but slow.  God  look after him all the way.

Kellyaugust2004

bleung

1) u're right. we really need to support , praise him more. if we always point out his false, this will affect his self image.

  thanks for your tips. i will try to stay calm. in fact, i need to do so and it's better to both of us.

c)  I have to stress that my son responds to the drugs well since dayone.  ---> i'm very happy for u that u can see the improvement on your boy. i'm waiting for this day to come.

There have been ups and downs for the past years and improvements are steady but slow.  God  look after him all the way.

---> sure. i've to stay strong. and be positive.

thanks so much for your sharing and tips and encouragement.  keep in touch .

LongLong_ma

當媽,妳好!!!妳幾時發現仔仔的問題??....情況是怎樣的??

我仔仔今年7歲....一向以來....仔仔上堂都會被投訴....唔專心....無自理能力.....發脾氣.....以前我以為他年紀小....可是外來的聲音(但他在家都算是乖孩子..没有活躍症的徵狀).....實在太多了.....我都曾要求學校安排評估....但他們以亞仔成績不太差為由拒絶了!!!.....那我應該怎做呢??.....現在,我是不是只可以去私人機構做評估呢???....我真是一點頭緒也没有.....可否介紹給我呢???

siukwonglai

你好！

若不經學校轉介給教育心理學家，你還可以像我朋友的兒子（小學生）一樣, 找西醫，經他的推介去獲得評估服務

香港衛生署體能智力測驗服務

http://www.dhcas.gov.hk/cindex.html