Guest guest Posted January 10, 2006 Report Share Posted January 10, 2006 In a message dated 1/10/2006 7:50:46 PM Central Standard Time, friendsofcam@... writes: <<My sons autism preschool wants him on Risperadol because he isn't paying attention and is easily distracted.>> Are you sure the drug they suggested was Risperdol? If so, this would raise a big red flag for me about the preschool. Risperdol is a psychotropic drug usually used to treat schizophrenia and accute bipolar mania, and people with major rage issues. It can have some really nasty side effects. It certainly wouldn't be the first drug to try for attention or distraction issues and certainly not with a preschooler. I can't imagine Dr. Goldberg ever prescribing that for a preschooler. While you may have already explored this direction, my first action would be to observe how the people at the school are working with him, the environment (sensory stimulation like lights, sounds, lots of color and action can easily distract), if it's a positive, encouraging atmosphere and if they're working with him at an appropriate level. Often, working at too high or low a level for our kids can make it look like they have attention issues or are easily distracted. Bringing the work down a level or bumping it up can sometimes get the kids' attention really fast. Also, check to see if they're using sweet treats or colored candy as motivators. Amazingly, this is pretty common in schools designed to " treat autism " and then after the kid is sugared up, they wonder why he's hyper and not paying attention. If you've ruled out environmental and school-related issues, and things in his diet that may be making it harder for him to pay attention, and want to explore drugs, perhaps you could look into SSRIs or Tenex. Gaylen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 10, 2006 Report Share Posted January 10, 2006 Perhaps you could convince them of a trial of Tenex instead? Have you tried it? I would recommend against Risperdal. There are risks. My son's school put my son on a reward-based behavior program and helped his attention without meds. Of course, a preschool isn't quite the same as like public school where you could briefly turn it around on them. The SSRIs can improve focus too, but the Tenex seems to be a good one for 3/4 of the kids... --- friendsofcam <friendsofcam@...> wrote: > Does Dr. Goldberg ever give Risperadol and for what? > My sons autism > preschool wants him on Risperadol because he isn't > paying attention > and is easily distracted. I'm concerned about long > term effects and > if this isn't just masking the problem. Does this > mix with everything > else these kids are on? Is prozac used instead of > this or with it? > Thanks > > > > __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 10, 2006 Report Share Posted January 10, 2006 Dr. G doesn't like to use risperdal unless absolutely necessary, and if that it would be extremely low dose. My son was on risperdal when we joined Dr. (from a previous doc). He was on it for severe aggression issues ( & my understanding is that it is usually used for behavioral issues like aggression, not so much for focus, etc.) However, as my son improved on the protocol, we were eventually able to take him off risperdal, and he's been mostly aggression free. I'd check on a different approach for focus before I'd do risperdal--I don't think it's the right med for that. Heidi -------------- Original message -------------- From: " friendsofcam " <friendsofcam@...> > Does Dr. Goldberg ever give Risperadol and for what? My sons autism > preschool wants him on Risperadol because he isn't paying attention > and is easily distracted. I'm concerned about long term effects and > if this isn't just masking the problem. Does this mix with everything > else these kids are on? Is prozac used instead of this or with it? > Thanks > > > > > > Responsibility for the content of this message lies strictly with > the original author(s), and is not necessarily endorsed by or the > opinion of the Research Institute and/or the Parent Coalition. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 10, 2006 Report Share Posted January 10, 2006 I'm not sure what Risperadol does, but I have never heard of Dr. Goldberg using it (I don't think he does). To help my little guy (age 5) focus a bit better he put him on Tenex because he said he was too young for Strattera. He talked about maybe trying him on Strattera when he is 6. I know that Dr. McDougle, at Riley Childrens Hospital in Indianapolis is really into Risperadol. Here's a link to a page that discusses a study done on it- http://rileychildrenshospital.com/newstory.jsp?newsid=87 (you have to page down a little to find the article... " Study Finds Anti-Psychotic Medication Useful In Treating Behavioral Disturbance Among Children With Autism " ). Fred Volkmar, (big autism name from Yale) was in on the study, too. My hunch (and it is no more than that) is that Dr. Goldberg probably feels that there are meds better able to help a child grow a healthy brain and body than Risperadol. Dr. McDougle is a psychiatrist researching autism. I just couldn't bring myself to take my son to a psychiatrist when I felt he was ILL. I think you are right to be concerned that it might just mask the problem. I'm sorry I can't be of more help. Caroline > From: friendsofcam <friendsofcam@...> > Reply-< > > Date: Wed, 11 Jan 2006 01:49:40 +0000 > < > > Subject: School wants Risperadol > > Does Dr. Goldberg ever give Risperadol and for what? My sons autism > preschool wants him on Risperadol because he isn't paying attention > and is easily distracted. I'm concerned about long term effects and > if this isn't just masking the problem. Does this mix with everything > else these kids are on? Is prozac used instead of this or with it? > Thanks Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 10, 2006 Report Share Posted January 10, 2006 Thanks for the comment Heidi... that's the first I have ever heard that he might use it. Caroline > Dr. G doesn't like to use risperdal unless absolutely necessary, and if that > it would be extremely low dose. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 11, 2006 Report Share Posted January 11, 2006 I have a real problem with any school suggesting a drug for a child. These people are not medically trained practitioners, they are educators. They should simply let you know that they are concerned about your child's inability to focus/attend and offer suggestions as to who you could approach for a solution (like your family doctor, a behaviourist, etc.). Imagine if your doctor came in and told them what curriculum they should cover. I think their approach is completely inappropriate. Sorry for the rant, but I had to throw it in. Rhoda Re: School wants Risperadol > In a message dated 1/10/2006 7:50:46 PM Central Standard Time, > friendsofcam@... writes: > <<My sons autism preschool wants him on Risperadol because he isn't paying > attention and is easily distracted.>> > Are you sure the drug they suggested was Risperdol? If so, this would raise > a big red flag for me about the preschool. Risperdol is a psychotropic drug > usually used to treat schizophrenia and accute bipolar mania, and people with > major rage issues. It can have some really nasty side effects. It certainly > wouldn't be the first drug to try for attention or distraction issues and > certainly not with a preschooler. I can't imagine Dr. Goldberg ever prescribing > that for a preschooler. > > While you may have already explored this direction, my first action would be > to observe how the people at the school are working with him, the environment > (sensory stimulation like lights, sounds, lots of color and action can easily > distract), if it's a positive, encouraging atmosphere and if they're working > with him at an appropriate level. Often, working at too high or low a level > for our kids can make it look like they have attention issues or are easily > distracted. Bringing the work down a level or bumping it up can sometimes get the > kids' attention really fast. > > Also, check to see if they're using sweet treats or colored candy as > motivators. Amazingly, this is pretty common in schools designed to " treat autism " > and then after the kid is sugared up, they wonder why he's hyper and not paying > attention. > > If you've ruled out environmental and school-related issues, and things in > his diet that may be making it harder for him to pay attention, and want to > explore drugs, perhaps you could look into SSRIs or Tenex. > Gaylen > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 11, 2006 Report Share Posted January 11, 2006 What you describe could certainly affect his ability and willingness to work for them. Would you be eager to cooperate with someone who was pushing you away and didn't take time to take care of your most basic needs? When my son was very young and extremely inside himself, we ran an intensive Son-Rise therapy program. Along with basic techniques on reaching and teaching the child, they stress the importance of surrounding the child with positive people who are comfortable with him/her and how a person's attitude could greatly affect the functioning of these very sensative kids. I saw this played out several times when we had a volunteer who wasn't comfortable with the program or tried an outside therapist who didn't show respect for him. He'd pull more inside himself with everyone, even though who worked well with him, and not focus as well. When we'd let that person go, he'd bounce back really quickly. Would it be possible to change schools or classrooms? Gaylen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 11, 2006 Report Share Posted January 11, 2006 My initial reaction was exactly the same as Rhoda's...had to chime in and say that!! I would explore the SSRI and Tenex routes 1st. My son is still disrctable on these. We are beginning Strattera this weekend....results of neurospect showed overload in the frontal lobes ... attention problems, fidgety, staying on task problems. We will let you know if it helps! > > I have a real problem with any school suggesting a drug for a child. These > people are not medically trained practitioners, they are educators. They > should simply let you know that they are concerned about your child's > inability to focus/attend and offer suggestions as to who you could approach > for a solution (like your family doctor, a behaviourist, etc.). Imagine if > your doctor came in and told them what curriculum they should cover. > > I think their approach is completely inappropriate. > > Sorry for the rant, but I had to throw it in. > > Rhoda > Re: School wants Risperadol > > > > In a message dated 1/10/2006 7:50:46 PM Central Standard Time, > > friendsofcam@y... writes: > > <<My sons autism preschool wants him on Risperadol because he isn't paying > > attention and is easily distracted.>> > > Are you sure the drug they suggested was Risperdol? If so, this would > raise > > a big red flag for me about the preschool. Risperdol is a psychotropic > drug > > usually used to treat schizophrenia and accute bipolar mania, and people > with > > major rage issues. It can have some really nasty side effects. It > certainly > > wouldn't be the first drug to try for attention or distraction issues and > > certainly not with a preschooler. I can't imagine Dr. Goldberg ever > prescribing > > that for a preschooler. > > > > While you may have already explored this direction, my first action would > be > > to observe how the people at the school are working with him, the > environment > > (sensory stimulation like lights, sounds, lots of color and action can > easily > > distract), if it's a positive, encouraging atmosphere and if they're > working > > with him at an appropriate level. Often, working at too high or low a > level > > for our kids can make it look like they have attention issues or are > easily > > distracted. Bringing the work down a level or bumping it up can sometimes > get the > > kids' attention really fast. > > > > Also, check to see if they're using sweet treats or colored candy as > > motivators. Amazingly, this is pretty common in schools designed to > " treat autism " > > and then after the kid is sugared up, they wonder why he's hyper and not > paying > > attention. > > > > If you've ruled out environmental and school-related issues, and things in > > his diet that may be making it harder for him to pay attention, and want > to > > explore drugs, perhaps you could look into SSRIs or Tenex. > > Gaylen > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 11, 2006 Report Share Posted January 11, 2006 my 5 year old is on risperdal . He has PDD NOS and probable early onset bipolar as well .I would not put my child on risperdal for distractability /focus issues ! Our little guy was EXTREMELY self injurous and agressive to others as well as rapidly cycling from elated to crying /angry several times throughout the day with no appartant provocation .I mean he could be playing QUIETLY AND ALL OF THE SUDDEN BEGIN SOBBING HYSTERICALLY AND WHEN ASKED WHY HE WOULD RESPOND " I DONT KNOW I DONT KNOW ? " run to hide cry for 15 minutes then sit up and begin singing happily to himself .....Both his birth mother ,her father and HIS mother all had/have bipolar type 1 . we put him on the smallest possible dose and he has done very well ,The rapid cycling TOTALLY disappeared and so did the extreme self injurour behavor and the agression towards others ,mostly except when he is in situations that really tax his SID which is severe . jme but there are plenty of other alternatives to try before adding an antiphcotic to your childs body ! how about a sensory diet to help him focus and be less distracted ? we are seeing incredible improvement using this method . With all due respect to your childs teacher they are certainly NOT qualified to recommend medications for your child ! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 11, 2006 Report Share Posted January 11, 2006 I am suprised the preschool is pushing in that direction. What it does it smooths the spikes and agressive meltdowns. s bee on it two years now, it works.... is 59 inches tall 80lbs. and 10yrs. old he is on the smallest possible dose of it. He is on 1/2 mg sliced in half taken daily. Our Dr. Nemith really does not give out larger doses even to older and larger kids due to the side effects. Please type it in and research it on the internet, you really want to go light on this med. Just my honest opnion. kev --- friendsofcam <friendsofcam@...> wrote: > Does Dr. Goldberg ever give Risperadol and for what? > My sons autism > preschool wants him on Risperadol because he isn't > paying attention > and is easily distracted. I'm concerned about long > term effects and > if this isn't just masking the problem. Does this > mix with everything > else these kids are on? Is prozac used instead of > this or with it? > Thanks > > > > __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 11, 2006 Report Share Posted January 11, 2006 No, we were on Risperdal when we joined Dr. G and he wanted us off it. It does some LONG TERM damage and I don't believe he's for it. In fact, we just used it for emergency aggression and it brought on diabetic-like symptoms...extreme thirst, coupled with extreme urination. It was really difficult. Rose School wants Risperadol > >Does Dr. Goldberg ever give Risperadol and for what? My sons autism >preschool wants him on Risperadol because he isn't paying attention >and is easily distracted. I'm concerned about long term effects and >if this isn't just masking the problem. Does this mix with everything >else these kids are on? Is prozac used instead of this or with it? >Thanks > > > > > >Responsibility for the content of this message lies strictly with >the original author(s), and is not necessarily endorsed by or the >opinion of the Research Institute and/or the Parent Coalition. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 11, 2006 Report Share Posted January 11, 2006 What kind of sensory diet are you adding? > > my 5 year old is on risperdal . He has PDD NOS and probable early > onset bipolar as well .I would not put my child on risperdal for > distractability /focus issues ! Our little guy was EXTREMELY self > injurous and agressive to others as well as rapidly cycling from > elated to crying /angry several times throughout the day with no > appartant provocation .I mean he could be playing QUIETLY AND ALL OF > THE SUDDEN BEGIN SOBBING HYSTERICALLY AND WHEN ASKED WHY HE WOULD > RESPOND " I DONT KNOW I DONT KNOW ? " run to hide cry for 15 minutes > then sit up and begin singing happily to himself .....Both his birth > mother ,her father and HIS mother all had/have bipolar type 1 . > we put him on the smallest possible dose and he has done very > well ,The rapid cycling TOTALLY disappeared and so did the extreme > self injurour behavor and the agression towards others ,mostly except > when he is in situations that really tax his SID which is severe . jme > but there are plenty of other alternatives to try before adding an > antiphcotic to your childs body ! how about a sensory diet to help him > focus and be less distracted ? we are seeing incredible improvement > using this method . > With all due respect to your childs teacher they are certainly NOT > qualified to recommend medications for your child ! > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 11, 2006 Report Share Posted January 11, 2006 I wondered if it was partly the difference in teaching because last year he did really well. In this class I noticed some differences. In the last class when he was overwhelmed or frustrated the teachers let him pause and hug them. Then, he'd go back to his task. I th ink he felt connected. In his current class, they say " No, go back to work. " and they push him away. I noticed this the first week of school. After this he would begin to fidget more. Little things like that. They also, I think, leave him in a wet diaper too long. This can be very distracting. I was very upset at them at the first of the year because when I came to help in class I could see he was suffering in this horrible diaper and I mentioned it and they said, " he's been changed. " I could see he hadn't been for a long time. And he was developing horrible rashes on certain days. I mentioned this to the teacher and the supervisor... " He needs to be changed more. " One of the aids said, " she's going to ruin everything. " I guess if they didn't have time, they were skipping kids and only changing at certain times. > > In a message dated 1/10/2006 7:50:46 PM Central Standard Time, > friendsofcam@y... writes: > <<My sons autism preschool wants him on Risperadol because he isn't paying > attention and is easily distracted.>> > Are you sure the drug they suggested was Risperdol? If so, this would raise > a big red flag for me about the preschool. Risperdol is a psychotropic drug > usually used to treat schizophrenia and accute bipolar mania, and people with > major rage issues. It can have some really nasty side effects. It certainly > wouldn't be the first drug to try for attention or distraction issues and > certainly not with a preschooler. I can't imagine Dr. Goldberg ever prescribing > that for a preschooler. > > While you may have already explored this direction, my first action would be > to observe how the people at the school are working with him, the environment > (sensory stimulation like lights, sounds, lots of color and action can easily > distract), if it's a positive, encouraging atmosphere and if they're working > with him at an appropriate level. Often, working at too high or low a level > for our kids can make it look like they have attention issues or are easily > distracted. Bringing the work down a level or bumping it up can sometimes get the > kids' attention really fast. > > Also, check to see if they're using sweet treats or colored candy as > motivators. Amazingly, this is pretty common in schools designed to " treat autism " > and then after the kid is sugared up, they wonder why he's hyper and not paying > attention. > > If you've ruled out environmental and school-related issues, and things in > his diet that may be making it harder for him to pay attention, and want to > explore drugs, perhaps you could look into SSRIs or Tenex. > Gaylen > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 11, 2006 Report Share Posted January 11, 2006 my son's developmental ped wanted to put him on risperdahl. specifically to help calm him down and focus. tried many other things over the years and have found what works best for me is GABA, 5-HTP and teanine (amino acids) act as neurotransmitters. vicki Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 11, 2006 Report Share Posted January 11, 2006 OMG I SOOOO second what Gaylen said. We had a bad teacher for my son one year in preschool, and they were about to kick him out, and when I moved him, the new teacher was so spectacular and made wonderful improvements in him. However, he still had a lot of damage/behaviors from the previous experience, and actually ended up getting kicked out, because they would not tolerate hitting and he couldn't seem to stop. When he realized the consequence that happened... getting kicked out of the school he DID love for that behavior, he started public school, and did not hit anymore... not because of how the new teachers were, but because he had loved the last one, and just had not understood the consequences or believed that he was capable of not hitting. It was a crushing experience, but he has recovered with a much more intact opinion of his ability to control himself, and does great, and I attribute it to the traumatic decision of the school that had to kick him out. I was devastated, but it was the best thing that could have happened. Oops. That wasn't really related to the topic, but it is VERY important to address the possibility that the teacher is not handling him right. You have to give these kids so much positive reinforcement, and treat them like you KNOW they are inherantly good and WANT to do right, and that you want to help them. When a teacher is privately frustrated with the child (understandably), even if she is doing her very best to hide her feelings, your child is going to subconciously pick up on it and react to it. The teacher before the bad one was puzzled by him and always had a type of frown on her face when we discussed him, and it initially made me uncomfortable, but she was so good with him, and protected him from a bully. When the next teacher did NOT manage the bully and protect him, my son eventually went nuts, and I realized after the fact that it was actually her, and not my son - which I kept looking for answers for what was wrong with HIM.. I never would have guessed that it was his teacher and the bully. He was so stressed out all the time that he couldn't think straight... an over-crowded too bright too loud and rowdy class. If you could find a Waldorf or Montessori school with an opening, I love those environments. But any calmer environment with a teacher with a mannerism that manages to keep a class predictable and safe would be good. And if you can't change, then I'd start educating them on sensory issues and make certain that someone observes the environment from his perspective to look for problems. You could have an occupational therapist go observe and find out a possible trigger. Or tenex. HTH, and GOOD LUCK. I know the stress you're going thru having to face the preschool every single day and have this problem forefront on your mind. Hang in there, it won't necessarily be a permanent problem. I wouldn't have believed that while I was going thru it. --- Googahly@... wrote: > What you describe could certainly affect his ability > and willingness to work > for them. Would you be eager to cooperate with > someone who was pushing you > away and didn't take time to take care of your most > basic needs? When my son > was very young and extremely inside himself, we ran > an intensive Son-Rise > therapy program. Along with basic techniques on > reaching and teaching the child, > they stress the importance of surrounding the child > with positive people who are > comfortable with him/her and how a person's attitude > could greatly affect the > functioning of these very sensative kids. I saw > this played out several > times when we had a volunteer who wasn't comfortable > with the program or tried an > outside therapist who didn't show respect for him. > He'd pull more inside > himself with everyone, even though who worked well > with him, and not focus as > well. When we'd let that person go, he'd bounce > back really quickly. Would it be > possible to change schools or classrooms? > Gaylen > > > [Non-text portions of this message have been > removed] > > __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2006 Report Share Posted January 12, 2006 Hi! We tried Respridal with our daughter--and she was pretty non-functioning in the afternoon--she would sleep for 3 to 4 hours--which means no school time -- plus when she woke up she was so angry-- she actually broke my nose with a remote control. So if I were you--I would consult Dr. Goldberg--he has other options for focus and attention. Hope this helps. Tresa vickila1@... wrote: my son's developmental ped wanted to put him on risperdahl. specifically to help calm him down and focus. tried many other things over the years and have found what works best for me is GABA, 5-HTP and teanine (amino acids) act as neurotransmitters. vicki Quote Link to comment Share on other sites More sharing options...
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