We’re going on four years of having a “diagnosis” of ADHD for D, and now we’re finally going to get her tested for ADHD. Sounds like a good idea, right?? When she was diagnosed four years ago it was after a counselor spent just an hour or so visiting with her. He deduced, after spending that amount of time with her, that she has ADHD, and should take 5 mg of Adderall. Since that time we have increased her dosage to 20 mg, but since it’s prescribed by her g.p., I’ve always felt like we’re flying in the dark when we decide that we should increase her dosage.
So, today I asked her counselor what he is seeing as being challenges we are still dealing with, and we were talking about her continued impulsiveness and lack of self-control. During our discussion it came to light that she had never been tested, or “clinically” diagnosed. by means of reproduceable methods, which surprised him. As we talked about what her school could do to support her difficulties, he emphasized that we need to have her take some intelligence-measuring tests so that we can find out if there is a capability that is not being met, or if the problem could lie in an actual disability or learning disorder of some kind. We are in agreement that it is probably not either of these things that keep her from getting the grades I think she should. It’s more likely a lack of motivation, but we have to rule out the other things.
We’re also going to do an actual clinical test for ADHD, and another for anxiety. She has some exhibited behaviors that lead us to worry about anxiety she deals with, but it’s not clear if it’s a clinical level or just some that occurs on a situational basis. He mentioned that IF she has clinical anxiety issues, her Adderall can be making it worse. However, he also said that it’s not recommended to put a young woman D’s age on anti-anxiety meds. So. Hmmm…
I’m optimistic. I feel that getting an accurate diagnosis will put us well on our way to figuring out how to get her motivated to get the grades she has to get to stay on the softball team and be able to drive. Those things are SUPPOSED to be motivation enough, but her grades thus far this semester are not demonstrating that she’s got motivation on any level.
I also asked her to write me an essay last night that describes what her goals are for herself. I wanted her to talk about future stuff - like whether or not she wants to go to college, or get married and have kids, or whatever. But I also asked her to include little thing, things she wants to have happen in the next few years or even few months. Graduating from high school, driving, etc… What I want to do is pick some goals and break them down into some immediate steps she can take to start heading toward them. I think she has a hard time (as most teens do) thinking in terms of ten years from now, but if she can come up with the goals then I hope to help her make other, smaller goals that will get her started in the right direction. For example - if she wants to be a photographer, I want to help her find a class to take or a summer job that will help her learn something about photography. Anyway, I hope it will help her a little.
I have enjoyed watching D grow into a young woman who likes herself better. I think she’s a funny, compassionate, loyal and intelligent girl. I just want those things to dominate her, not the difficulty in school, anxiety, and impulsive behavior. I have hope.