Information about prompts

[Sjackson]

My son is on Adderall xr 20mgs it does seem to work for him but sometimes he still needs to be redirected with 3 or 4 more prompts to do something at home what can I do to help him start doing everything on 1 prompt but he loves to draw dance and sing and play games he also has ODD, the Odd is the hardest his ADHD isn't bad with his medicine how can I start having him listen on 1 prompt not more than that he also has a wraparound who sees him twice and has therapy sometimes to help him with his Odd I don't know what else I can do for him to listen on the prompts his dad and I give him to do

[Onthemove1971]

Just curious, does this only happen when his medication wears off? Or within 1 hour of taking it.

I was told that medication only works on %60 or the behaviors, %40 needs to be delt with in counseling or parent training.

Also have you discussed this with the doctor who gave him the medication? Have you tried increasing his dose? There is a range that a child per weight can take.

It may help to think about what you are asking him. For example when my son is playing basketball ( he is hyperfocused) and he has not had his afternoon medication, I can not expect much. I need to give extra warning. Like in 10 min. you will need to come in... then I also always do a 2 min. Warning. Our son usually has to shoot one more basket, then will come in.

There is a noticeable difference in how our son responds depending on the time from when he takes his medication.

Hope this helps.

[Sjackson in reply to Onthemove1971]

It's only when his medicine wears off and when he doesn't want to do what he's told to do his oppositional defiant disorder is the hardest he can stay focus on every thing he is doing while his medicine wears off it's only when we tell him to do something

[anirush]

How old is he? And if the medicine has worn off in his brain is little scrambled at that time. This is something that will get better as he matures. And behavioral therapy could help.

If that is the biggest problem you have, he is not getting violent or having tantrums, he is doing pretty good.

[Sjackson in reply to anirush]

He is 8 years old and he is not violent and he has therapy also sometimes he has tantrums

[Elijah1]

Get a referral to a therapist to help you develop a positive incentive program. You can read about some options and get a better understanding of the reasons the behaviors occur - one good book is Russell Barkley's book Your Defiant Child.

[Aspen797]

What mostly works for us: having a visual schedule or routine so expected behaviors are planned in advance and not asked for (homework, chores, etc); using first this, then that—no privileges until work completed; ignoring whining, yelling, arguing, carrying on—set clear expectations and consequences and carry them out but walk away, stay calm, do not engage; only give positive attention and give it freely each and every time he does one or two behaviors you are focused on (doing as asked the first time, helping without being asked, etc.). We use a marble jar and let him put the marbles in. It’s small. He gets rewarded a lot. Also, be understanding of his needs—if you’re asking him to do something at a time where he is hyper engaged in an activity, consider limiting that activity to a time frame and part of the day least impactful to you and then being respectful of his time when he is engaged in it by letting him be.

[Wendyloree]

You may need a higher dose. We had to adjust our daughter's dose because she had a growth spurt. She grew 4 inches and weight increased too over a 3 month period. Mind you she is still in her height and weight percentile. Discuss your options with your peditrian what is best for your child