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Old 08-04-17, 01:11 PM
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Why do children not take medication, before the age of 4-6?

Hi,

This thread is meant to discuss, why do children not take medication before the age of 4-6?












M
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Old 08-04-17, 02:21 PM
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Re: Why do children not take medication, before the age of 4-6?

There seem to be at least a couple of reasons.

One: symptoms of impairment should be seen in more than one setting. Many
children are mainly at home until they begin school at age 5 or so.

Two: the FDA has not approved the medications for children under the age of 6.
Why? Because the effects are less predictable in younger children who are still
going through a period of tremendous growth (both body and brain).
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Old 08-04-17, 03:18 PM
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Re: Why do children not take medication, before the age of 4-6?

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Originally Posted by mildadhd View Post
Hi,

This thread is meant to discuss, why do children not take medication before the age of 4-6?












M

I think it is better in this way

It can also be a reason

ADHD mostly causes problems with integration of daily life, basic responsibilities etc.

A child who is under 6, i guess they arent responsible for anything, they are under protection of their parents.They dont need to organise anything, they dont need to study etc.
They only play with toys, have fun etc. , i guess hyperactivity can be tolerated until some age like 6

So why would a child use ADHD medication? There is no proper or concrete reason for it. You need really strong evidence which shows it is important to take medication for children. Otherwise side effects and negative impact on growth risk are not worth to take.

When u start medication , you need to estimate what are benefits what are losses. When u estimate it for children who are under 6 , they cant benefit more than they lose
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Old 08-04-17, 03:38 PM
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Re: Why do children not take medication, before the age of 4-6?

Also i want to clarify toleration of hyperactivity

When i was child(before school) i remember that i was real troublemaker
I was doing really dangerous things, i was climbing on anything i found. My parents realized i have hyperactivity disorder but they were scared of medication . So they chosed a different way , they didnt prohibit anything , but they put me under watch all the time.

I remember that when i went to playground my mother was watching me all the time.Instead of prohibiting , having strict rules, they chosed that way. Once they didnt watch me while riding bicycle , i remember that i jumped from a height with my bicycle which is about 1m thankfully i didnt hurt myself
when we were at holidays , my poor father was watching me all the time when i was in aquapark under the sun It was hard for them . when i was a child , it was really hard to find good psychologist in Turkey , so i couldnt have any kind of theraphy.
My parents chosed to sacrifice their time in order to keep away me from hurting myself.

When i started primary school, i started to become inattentive and hyperactivity part was decreasing . My grades were good until 5th class, after 5th class lessons required cumulative knowledge and self-studying. My parents chosed to buy special lessons,additional school, rented teachers etc. somehow i passed High school entrance exams with good grades.

I only think that if parents sacrifice enough for their children it is possible to tolerate ADHD for children by my experiences. ( btw i am only child, it can be more difficult for parents who have children more than 1 , if two of them have ADHD at least)

I think medication is last option for children.
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Old 08-04-17, 03:44 PM
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Re: Why do children not take medication, before the age of 4-6?

I think meds might also be problematic for very young kids because they might find it more difficult go description (or understand) side effects. I remember when I started meds the side effects were quite disturbing e.gm heightened anxiety. Not everyone has side effects but if they do it must be quite hard on kids. Also it might be more difficult to adjust or titrated dosages.

I also found that meds alone were not enough ajd I had to use vwry specific behavioural strategies along with meds to get any benefit from them. I can imagine that figuring this out and finding specific tools might be quite difficult for a child.

Anyway as with everything it's a risk benefit analysis. I'm sure some kids do need meds and will do a lot better on them (and be much safer and happier )
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Old 08-04-17, 03:49 PM
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Re: Why do children not take medication, before the age of 4-6?

It would be difficult to do a double-blind, placebo-controlled, randomized study to get clinical results about this, but I do wonder about the neuroplasticity and neuroremodeling that occurs with dextroamphetamine, and if use with children at that age could potentially prevent/cure ADHD because intervention would occur during the time of explosive neuronal growth.


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  #7  
Old 08-04-17, 08:05 PM
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Re: Why do children not take medication, before the age of 4-6?

Nobody is born with mature self-regulation.

Implicit and explicit self-regulation mature after birth.

It is normal for everyone to exhibit immature hyperactive, impulsive and inattentive behavior, before the age of 4-6.

Behaviors associated with emergence of AD(H)D are not generally considered abnormal, until after the explosive neural rate of implicit development declines, about the age of 4-6*.



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Last edited by mildadhd; 08-04-17 at 08:30 PM..
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Old 08-04-17, 09:16 PM
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Re: Why do children not take medication, before the age of 4-6?

Quote:
Originally Posted by mildadhd View Post
Nobody is born with mature self-regulation.

Implicit and explicit self-regulation mature after birth.

It is normal for everyone to exhibit immature hyperactive, impulsive and inattentive behavior, before the age of 4-6.

Behaviors associated with emergence of AD(H)D are not generally considered abnormal, until after the explosive neural rate of implicit development declines, about the age of 4-6*.



M
But kids develop at pretty much the same rate ... unless there is a disorder
that impairs that development and slows it. Most moms have a sense of how
their child compares with similar aged children at library story hour, or the
play park, or in child care situations.

Some kids are much more immature, hyperactive, impulsive or inattentive,
more often, compared to their peers. Without using the term "abnormal"
there is clearly something different going on with their development.

Google webMD for "adhd in toddlers and preschool kids."
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Old 08-05-17, 07:42 AM
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Re: Why do children not take medication, before the age of 4-6?

My son was diagnosed at age 3.5 but didnt start meds until age 4. At that time meds were not recommended before age 6 so because there really wasnt much internet to speak of, or that I had access to, I had to go to the library and research it. Imagine having to constantly be at the reference desk asking for help, I love the internet for this reason. I was a recently graduated college student so thank God I still had access to the university library because the one available to me at home was pretty dinky.

I think the choice to medicate is a huge one, and very often parents are demonized or at least questioned when they start meds, as if they want to medicate their kids or that its easy or a good "baby sitter" to use medication. Any parent that loves their kid will do real research. Not the Dr google/webmd kind, but real pub med, cited research. I had taken my son to 4 different psychiatrists/neurologists and subjected myself to poor research and judgment. There was no way I was going to start my young son on medication without proper research. And there was no way I was going to let a doctor bully me into any decision.

Its so hard to study children in the long term. To find that many kids, that you can study over years consistently, and then compile data is a huge hurdle. Plus you would need enough kids to do a blind double controlled study and I just dont know if there are enough people out there willing to follow through with it. Sometimes you have to go with your gut as I did. I will never say it wasnt worth it and I will always say it saved his life.

He made the choice to stop meds when he was 16, i guess his body changed. What was I to do? I cant force a 16 year old to take meds, He was a gifted student and has an unbelievable IQ so maybe he just learned enough coping skills. He said he didnt like the way they made them feel after a break in the summer. I wished he would have stayed on them because now that he is 21 I see him struggle with some of the adulting he does.
He is in college and lives with us (he's a millenial so I dont see his financial situation changing anytime soon) and I see the adhd in full force everytime I see coffee cups in the bathroom, or he starts discussing politics with me while I am on the toilet. He is forgetful and distractible and still has ants in his pants, but he is a man now and I did my best.

Maybe he will tell me how I failed him when he reaches 30. Maybe I did, maybe I didnt push hard enough or I pushed too much. Maybe I missed something or maybe my alcoholism late in his teen years broke him, but I cant change the past. I can only help guide him now and make up for whatever I didnt do enough of.
I adore him and I have let go of regret.
I did my best and will never say otherwise.
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Old 08-05-17, 11:01 AM
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Re: Why do children not take medication, before the age of 4-6?

I think children do not take medication, before the age of 4-6, because their brain's are not developed enough to be diagnosed.

It is normal for everyone's implicit self-regulation to be developing after birth and the first few years of life.



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Old 08-05-17, 11:55 AM
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Re: Why do children not take medication, before the age of 4-6?

Quote:
Originally Posted by mildadhd View Post
I think children do not take medication, before the age of 4-6, because their brain's are not developed enough to be diagnosed.

It is normal for everyone's implicit self-regulation to be developing after birth and the first few years of life.



M
Autism can be diagnosed as early as 18 months, and the child benefits greatly
from early intervention. I think the same is true of some kids with adhd, that
the difference can be seen in toddlers and early intervention would be helpful.

Early intervention doesn't have to be medication, but like Aeon, I wonder if
the meds were given early they would boost development in the brain so the
child isn't as delayed.
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Old 08-05-17, 12:38 PM
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Re: Why do children not take medication, before the age of 4-6?

Quote:
Originally Posted by Lunacie View Post
Autism can be diagnosed as early as 18 months, and the child benefits greatly
from early intervention. I think the same is true of some kids with adhd, that
the difference can be seen in toddlers and early intervention would be helpful.

Early intervention doesn't have to be medication, but like Aeon, I wonder if
the meds were given early they would boost development in the brain so the
child isn't as delayed.
You know I am all for learning ways of promoting healthy early development of self-regulation, especially for children born with more sensitive temperaments, that may negatively influence development, before the age of 4.

Parenting figures may certainly notice differences, (more sensitive temperament) and parenting figures could make accommodations for any hypersensitivities that may help reduce negative impact on their development.

But how would you know if the child has ADHD for sure, in the first place, before the age of 4, when implicit self-regulation is normally immature?



M
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Last edited by mildadhd; 08-05-17 at 12:50 PM..
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Old 08-05-17, 12:57 PM
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Re: Why do children not take medication, before the age of 4-6?

Quote:
Originally Posted by mildadhd View Post
You know I am all for learning ways of promoting healthy early development of self-regulation, especially for children born with more sensitive temperaments, that may negatively influence development, before the age of 4.

Parenting figures may certainly notice differences, (more sensitive temperament) and parenting figures could make accommodations for any hypersensitivities that may help reduce negative impact on their development.

But how would you know if the child has ADHD for sure, in the first place, before the age of 4, when implicit self-regulation is normally immature?



M
You would know by comparing the self regulation of the child to the typical
regulation of other children of the same age.

You don't expect the child to have the development of a 4 year old at the age
of 2, but you compare him or her to other 2 year old children.

As I said in the post you responded to, you look for the differences.
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Old 08-05-17, 01:20 PM
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Re: Why do children not take medication, before the age of 4-6?

Quote:
Originally Posted by Lunacie View Post
You would know by comparing the self regulation of the child to the typical
regulation of other children of the same age.

You don't expect the child to have the development of a 4 year old at the age
of 2, but you compare him or her to other 2 year old children.

As I said in the post you responded to, you look for the differences.
What would be the differences at those ages?

How do rule out possible development between 2 and 4?

How do you rule out other conditions like BP, etc.

Why do doctors recommend behaviour therapy before the age of 4-6?

I think it is great that you are focusing on the early period of development in regards to early intervention, some of the many benefits of supervised play therapy in regards to noticing differences.

But the facts are doctors do not prescribe medication until age of 4, why not?





M
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Old 08-05-17, 02:00 PM
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Re: Why do children not take medication, before the age of 4-6?

Being overly fidgety and squirmy, moreso than other kids in their age group.

Having an inability to sit still for calm activities like eating and having books read to them.

Talking and making noise excessively.

Running from toy to toy, or constantly being in motion.

My granddaughter was age 5 when I commented to a friend that I had
noticed these things before she started pre-school, and they had not
improved over time.

When I took her to story time at the library, the leader would guide the kids
through an activity like "The wheels on the bus" and then they would sit down
while she read them a story.

My granddaughter could not sit quietly. She would wriggle around, from butt
to knees and back and even lying down. She would interrupt the story teller
to share an event that the story reminded her about, or to ask a question.
The other children sat and listened quietly before the next activity, even kids
who were younger than she was.

Same thing at the dinner table, from sitting on her butt, to kneeling, to
standing in the seat, to getting down to get something or do something.

Often interrupting other people, saying "Mom" over and over before mom
could even ask "What?" And when she was asked what she wanted she didn't
remember. That got really old.


As far as the meds, most of the research was done on kids between the ages
of 6 and 18, so there are no studies to reference in treating children younger
than 6, although there is nothing to rule it out either.
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