Medicating the ADHD Adopted Child for Summer Camp
Last week, I posted a link to a Newsweek article that explored the pros and cons of taking a child with attention-deficit hyperactivity disorder (ADHD) off their ADHD medication during the summer while they attend sleep away camp. As a parent of an adopted child with ADHD, this is an issue that I deal with as well, although my son does not attend sleep away camps. At seven years old, I only send him to half-day summer camps. However, the same issue applies.
Parents who were interviewed for the article provided their reasons for taking their children off their ADHD medications for summer camp. Those reasons included wanting to give their child a break from the medication, wanting to enable the child to sleep and eat better (stimulant ADHD medication frequently causes lack of appetite and insomnia), and not wanting their child “labeled” by camp counselors.
Personally, I believe it is a big mistake to send a child with ADHD to summer camp without his ADHD medication. My number one reason, which trumps all other considerations, is safety. Children with ADHD have impulse control issues. Why do we want to send an unmedicated child with impulse control issues to a place where he can easily hurt himself or somebody else through his impulsivity?
Most sleep away summer camps involve water. We do not want the ADHD child doing something impulsive that results in drowning himself or someone else. In addition, children at summer camps are not going to be supervised as closely as they are at home or at school.
In addition, the camp counselors are often high school or college age students rather than professional teachers. This means that the camp counselors are unlikely to have professional training in how to manage a child with ADHD. Heck, I have times after my adopted child’s ADHD medication wears off in which I have a very hard time controlling him as a parent. How can I expect an 18 year old with no experience in working with an ADHD child to handle him?
As far as labeling goes, I am on the opposite side as the parents who do not want their child having a label. I am relieved that my child has a label because that explains why his behavior can be out of control. He is not just some spoiled brat who never heard the word “no” in his life. He has a medical condition that is causing this behavior.
If I sent my adopted child to summer camp without his ADHD medication, he would still be labeled. However, instead of the label being ADHD, it would be “spoiled brat” or something else nowhere near as nice. Bottom line – my son cannot “hide” his ADHD. Whether or not I tell the camp counselors about his label, if he is unmedicated, the label speaks for itself.
Now, I do have to say that if I had to take my adopted child off his ADHD medication for the summer, I would much prefer that somebody else have to spend the day with him. He is very difficult to manage when he is on his “ADHD high,” so I understand why parents of ADHD children would want to do this with somebody else having to deal with the consequences. However, in my opinion, this is not responsible parenting. Responsible parents do not put their children into situations in which they are likely to harm themselves or someone else. It simply is not safe.
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Photo credit: Lynda Bernhardt
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ADHD is a Mental Illness
My daughter does take ADHD medication vacations. But only under controlled situations. ADHD is a mental illness. Executive brain defects shouldn't be taken lightly.
AngelaW
The ones that you love the most are usually the ones that hurt you the most. - Unknown
what's the advantage?
What is the advantage/reason for giving them a medication vacation? I know next to nothing about ADHD and the accompanying meds.
Med vacation
With some ADHD meds, the child builds a tolerance to the med, and needs increasing doses over time. A med vacation 'resets' the child's system, and the med will be more effective, at the same dose. Another issue is the child's reaction to the meds, many don't like the meds, it has side effects and makes them feel different. The vacation gives them a break from that. I would think the vacation should only be done with the parent, the child's judgement may be quite impaired. John
Opportunity to gain weight and sleep
In addition to the reasons offered by John, a med break can give the child a chance to gain weight and catch up on sleep. Since my son started his ADHD medication back in January, he has only gained a couple of pounds but has grown much taller. As a result, he has gone from being somewhat stocky to thin. He has no appetite after he takes his medication after breakfast until close to bedtime. And then he has trouble sleeping from the medication. I give him melatonin every night to help him sleep (per doctor's orders), but even that only helps so much.
Taking a break from his meds would enable him to gain back some weight and sleep much better. However, I would have to live with his out-of-control behavior to do this, so he is not getting a med break this summer. It is such a tough balancing act. I hate having to choose between him eating & sleeping well versus being tolerable to live with.
- Faith
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We must BE the change we wish to see in the world. - Ghandi
See The What's Underneath
Medicating a growing child... especially with a controlled substance.... It feels like I am always trying to keep her meds balanced with her growth. She grows a half inch. Does she need more meds?
So I take her off to see how she behaves without the meds. Then we (doctor + me + Natasha) adjust the meds until we see impulse control... with minimize side effects. Natasha will pick at her skin and hair if she is over medicated. One side effect of Ritalin is phantom itching.
AngelaW
The ones that you love the most are usually the ones that hurt you the most. - Unknown