Black Box Warnings

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Our choice was right – for us

Jeffrey and Me September 2011

Jeffrey, my son, was 22 months when he lost all of his words.  We didn’t think much of it as he hadn’t been a very verbose child, preferring to play by himself quietly.  Unusual for a small child of that age, but he was a joy to be around.  I didn’t think anything of it when I took him into his 2 year well baby check up and the doctor expressed some concern about his lack of vocabulary.  I had started talking late and so had my husband.  The pediatrician was a bit more cautious and gave us a referral to the Early Developmental Intervention Services (EDIS) on Aviano AB in Italy, just to cover all of our bases.

We scheduled the appointment with EDIS and took Jeffrey in for an evaluation.  We watched for 2 hours as they tested him, not allowed in the room as it may distract him.  We had no idea what they were doing.  At that time, we were blissfully unaware of what was going on or what the testing could mean.

We met with Dr. Campbell in his office after the testing was done.  He was a very no-nonsense kind of man, with a gentle bedside manner for the children he worked with, but very brusque with the parents.  I remember him stating, quite clearly, “It will take a couple of weeks to get the results back, but I can say with utmost certainty that your son is autistic.”

I know that he went into more detail, but I can’t, for the life of me, remember another word that he said.  I remember spiraling into a dark space in my mind, wondering what that meant for my son. 

School Daze

When he started school, there were issues.  Not big ones, at first.  Little ones.  Fidgeting, not paying attention, talking out of turn (when he talked at all), socially unacceptable behaviors.  It wasn’t until he was 5 that I learned that one of the side symptoms of autism was AD(H)D like behavior.  He would display some of this behavior when he was in class and it was distracting to him and to the other students.  It made him fall behind in class and caused many a phone call to be made to me to come and put him back on task.

When we left Italy and moved to Mississippi, this became a great big problem.  One of the things that autistic children have a problem with is change.  Moving from Italy into a new house in a new place meant that Jeffrey was having a hard time of it.  His symptoms of AD(H)D that had manifested in Italy became worse when we were in Mississippi.  I spent many a day at the school fighting with the administrators. 

Nevertheless, we didn’t medicate yet.  I wanted to give it more time.  I wanted to see if he could manage to learn the coping skills he would need to make it through life.  Unfortunately, that didn’t happen.

When my ex-husband got orders to New Jersey three years after we had arrived in Mississippi, I made the decision to medicate our son (my ex wasn’t very involved, by choice, in the therapies, fights and medical issues of our son).  I thought that we would give it a shot to give him the best possible chance to succeed in a new place, a new school and with new people.

Eeny-meeny-miny-moe

Jeffrey and his little brother messing around

We tried different medication.  We started with Concerta (a Ritalin based product), then moved to Adderrol (which stunted his growth so much that he didn’t gain any weight or height for a full year) and then we moved over to Focalin (which is what he has been on for the past 5 years).  We were very lucky to have a wonderful pediatrician in New Jersey that was watching Jeffrey’s health so closely.  Focalin is a mirror image drug of Ritalin, taking away the harmful side effects that were seen with the Ritalin, and it was the pediatrician’s suggestion that we try this particular drug.  We have had tremendous success on this medication, with him having just completed his Freshman year in High school with friends and good grades.

I recognized, very quickly, that the teachers that Jeffrey was going to have to interact with were not going to be able to focus on him, one-on-one, with the redirection and such that he would need in order to succeed in school.  Also, I understood that his lovely quirks, the ones that I cherished, would make him the target of bullies and such at school.  For me, it wasn’t just about his formal education and succeeding there, it was also having him succeed in peer interaction -  something that is very, very hard for an autistic person to do.

I didn’t want to medicate, honestly.  I didn’t want to mess with my child’s physiology in such a base manner.  However, I knew that he would need help to succeed academically.  Unfortunately, No Child Left Behind (the education reform bill passed by former President Bush and never funded correctly) had very much tied the school district’s, and therefore the Special Education Department’s, hands with regards to offering my son the support that he needed and deserved in a classroom setting.  Weighing in this factor, I knew that I would have to do something.  Medication seemed the best route for us.

There have been drawbacks.  There have been times when the medication has worn off and there have been tantrums and such when he is put in a situation that overstimulates him.  We do have to plan around the 5 o’clock hour, which is when his meds wear off.  However, with the medication, he is able to focus in such a way that he is achieving more than I ever thought possible.

It’s been bumpy, but….

Jeffrey and Aaron horsing around this summer

It’s been 13 years since we received the diagnosis that changed everything.  Ten of those years have been spent fighting for his rights, fighting for his success and fighting to make sure that I don’t lose him to the medication.  For us, medication was the right thing.  But that’s the point, right?  Medication should not be a blanket prescription for every child that displays AD(H)D like symptoms or receives that kind of diagnosis.  Medication should be given on a case-by-case basis.  There were times when even the medication didn’t help.  There have been times when I have had to yell at teachers, doctors and administrators to get Jeffrey what he needs to succeed.

I don’t want to thrust upon society a child that is so doped up he can’t function.

My goal is to offer to the altar of life a child that can cope with what the world throws at him and to prepare him to be a successful, contributing adult in society.

For him, those goals will be reached with the help of medication.

But this is just my story.  Everyone is different.  Everyone is unique.  That’s what makes this planet we call home so interesting.  Take my story or trash it.  Either way, that’s up to you.  But remember this:  while the options to not medicate are out there, and they are good options, you want to make sure that you make your children’s formative years as smooth as possible.  In my mind, I don’t know why I would have my child battling numerous battles on different fronts (socialization/education/autism/AD(H)D), when I can wean that down for him to manageable battles on manageable fronts.

But my child is unique.  His is a special case.  He was not diagnosed with AD(H)D but autism.  That brings a whole different set of challenges.  But I wanted to share my story with all of you in the hopes that you would realize that there are reasons that some of us decide to medicate. 

And, yes, we’re alright with that choice.

My family

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About theforgottenwife

I am The Forgotten Wife, a woman left behind by her soon-to-be-ex husband. Life is pretty awesome. Along with theforgottenwife, I also contribute to Two Smart Chicks (http://two-smart-chicks.com). Come check it out!

28 Comments on “Our choice was right – for us

  1. Pingback: Limp Dick in a Box | A Clown On Fire

  2. meizac
    July 19, 2012

    And it’s precisely the *choice* that matters. Kudos to you, The Forgotten Wife, for advocating for and making choices with/for your son are right for your family. It sounds like you’ve done/are doing a wonderful job with/for your son.

    • theforgottenwife
      July 19, 2012

      Thank you! You are right – it is the choice that matters. Everyone should have the right to choose to do what they feel is in the best interest of their children. I was appalled when I first read about TWP and what the court had forced on him. There is no cause for that. While I can understand a judge, or the court, stepping in if there was nothing being done for the child, to force medication on a child whose parents were responsibly trying to deal with the issues is ridiculous. It should be a choice.

  3. free penny press
    July 19, 2012

    I learn so much about ADHD & Autism reading these posts.. While my children may not have any of these situations it helps me be a more educated and compassionate person. Mom, I salute you for the choices you have made and will continue to make.

    Best of luck to you all!!!
    Lynne

    • theforgottenwife
      July 19, 2012

      Thank you, Lynne! It was much more of a battle than it is now. Mississippi was the worst. New Jersey has been a godsend for him and me. I can only hope that it continues to go smoothly for the rest of his academic career!

  4. clownonfire
    July 19, 2012

    The Forgotten Wife,
    You’ve written a touching post. I can’t thank you enough for agreeing to share your story on Black Box Warnings.
    Le Clown

    • theforgottenwife
      July 19, 2012

      Thank you so much for agreeing to have me. I love to share the story because it brings awareness and understanding to those that have never encountered autism and its symptoms before. Thank you so much for allowing me to tell my story here!

      • theforgottenwife
        July 19, 2012

        This is a great place for people to share their stories. Thank you so much for starting this blog!

  5. The Writer
    July 19, 2012

    Congrats on another well fought battle; having worked with youths impacted with autism, I’m aware of the challenges parents are often faced with. Your story gives strength to those parents! Great pictures by the way!

    • theforgottenwife
      July 19, 2012

      Thank you so much! Austism is such a fickle kind of disability, one that affects each person so differently that you have to be ready to change tack at any moment. It’s hard, but I know that both Jeffrey and I are much strengthened by the battle that we have fought all these years. Thanks for the compliment on the pics, too! They are my handsome boys!!

      • The Writer
        July 19, 2012

        Indeed! Glad to hear you and your boys are doing well. And I see your boys got their good looks from mom ;)

  6. Madame Weebles
    July 19, 2012

    Great post, TFW!! I think there are many excellent and valid reasons to medicate, and you’ve obviously evaluated your son’s needs very carefully. The right medication can work wonders, and I’m glad you found it for him! Thank you so much for your story!

    • theforgottenwife
      July 19, 2012

      Thank you for reading! I don’t think medication should be a go to, forced on anyone by doctor or any other means. Careful evalation of the options and watching to see how they work, when you do decide to medicate, are the only ways to go. I’m super happy we found the right one, too!

  7. Love & Lunchmeat
    July 19, 2012

    The Forgotten Wife,

    This is an interesting post, and I’m so glad you’ve found what works for your family. Our son has a similar diagnosis, and yet we’ve found different medication is more helpful for him and his anxiety. (That’s only been recently though, and it’s probably too soon to say.) Good luck to you. I’m curious how your son will transition to adulthood.

    • clownonfire
      July 19, 2012

      L&L,
      Have I offered you to guest post yet? Sorry, I have a terrible memory. I am working on a new schedule…
      Le Clown

      • Love & Lunchmeat
        July 19, 2012

        No, and I have no idea what I would write! So, that’s probably a good thing…

        • clownonfire
          July 19, 2012

          L&L,
          If you do change your mind, let me know.
          Le Clown

    • theforgottenwife
      July 20, 2012

      I’m glad that you’ve found what works for your son right now. Yes, it will probably change in the future (damn puberty! LOL), but at least you’re doing what needs to be done for him. Good on you! You know, it’s funny, but I’m kinda curious how he will transition into adulthood, too! :)

  8. Joyce
    July 19, 2012

    Thank you for sharing from your heart. Your post touched me in a way that was familiar to me. My child or children (two grown girls, now 42 and 34) did not have autism, but my oldest was diagnosed with a learning disability as a child and was tutored through school, but could not keep up and made a decision to drop out of school while in the 10th grade even when we did all we could to keep her in. Long story. Our youngest daughter (34) was diagnosed with ADD as a Kindergarten child, and also was tutored and held back a year, but succeeded through school after that and finished and went on to do some college. As a parent and a grandparent of a boy also diagnosed with ADHD and put on Ritalin and Adderol we know what it is like to help them get the help they need while working with teachers, doctors and administrators and becoming frustrated. Our youngest daughter was also on those medications and later taken off when she chose to cope with her ADD and worked through those struggles. So, yes I know where your coming from and can relate. It is hard as a parent. I admire you for all your hard work and staying so focused on doing what is best for your child and children. God bless.

    • theforgottenwife
      July 20, 2012

      Thank you. It is hard as a parent, but sometimes I think it’s harder as a child. It sounds like you worked just as hard as I did/do with my children. I think the hardest thing is that you have to stay on top of everything, you can’t ever relax and say, “Well, they’re the professionals. They got it.” They don’t. They will do the absolute minimum to get by, especially in the schools. It’s very hard sometimes, and frustrating and tiring. But you still have to do it because it’s what’s best for your child. Sounds like your children are doing just fine :)

      • Joyce
        July 20, 2012

        Yes, they are (my girls). At one time our oldest (as a teenager) was the most rebellious, and defiant kid to raise and got herself into so much trouble and with the law, too. But, one day I decided to begin to ‘love her right where she was at’ in the midst of all her trouble and I prayed, all the time, and at that point things changed for the better and she turned around and became the most changed and wonderful young woman to be around and today both my girls and I are all very close and I am very close too to my grandkids. The twins, a boy and girl, our oldest girl’s children are now 19. Chris had ADHD and worked hard throughout school to achieve a high GPA and succeed and will soon be starting college, and Steph (our oldest who was our difficult rebellious teenager) has raised them very well because she never wanted them to go through the problems and difficulties she went through. Only prayer and God changing her could have made that kind of difference. I sincerely hope all will go well with you and your children.

  9. SummerSolsticeGirl
    July 19, 2012

    Beautiful story! Thank you so much for sharing it with us.

    OK, that sounded better in my mind. What I find beautiful is that you are willing to do whatever it takes to give your son what he needs. You weighed the options, tried different routes, and finally settled for what worked for him.

    All the best!

    • theforgottenwife
      July 20, 2012

      Thank you :) My children are my life and what they need, I’ll fight to get. I would hope that most parents are like that though, sadly, some are not. Hopefully I can show them what it means to stand up for what they believe in and to fight for those that need our help! Thanks for stopping by to read!

  10. Smaktakula
    July 20, 2012

    Good for you and for the active choices you’ve made in raising your children. I have boys of my own, and so far we have been very lucky. My heart goes out to you. That sounds so cliche, but it’s the closest to what I want to say that I can articulate.

    • theforgottenwife
      July 22, 2012

      Thank you. It’s been hard, but I’ve learned that we are a lot stronger than we thought!

  11. cathmae
    July 24, 2012

    Great post – loved your photos. What a beautiful smile you have.

  12. Kimberly
    November 25, 2012

    Terrific post – I especially loved that you recognized that your son would benefit from support for more than just academics (written down that sounds condescending which it isn’t meant to be!) – which even though teachers are required to have an “academic reason” to recommend evaluation for students the true desire is often to ensure day-to-day functioning in all areas of life can be enhanced via a number of strategies. Your son is lucky to have such an open-minded and willing-to-fight mother. :)

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