I’m so confused and haven’t been able to find an answer to this- my son was always a great sleeper. Never had any issues falling asleep or staying asleep even once his behavior started becoming a problem. After A year and half of challenging behavior and receiving behavioral therapy, he was formally diagnosed with adhd and his sleep was still great. Then all of a sudden he started having problems staying asleep.
So my question is is it even possible for someone with adhd to have had a history of no sleep issues?
I’m starting to question the diagnosis. I just don’t understand how his sleep patterns could have changed for the worse all of a sudden. presumably he always had ADHD so why wouldn’t he have had any sleep problems earlier? (Side note: his sleep patterns changed before he was on any stimulants so that’s not the cause)
thanks for your feedback!
This is a good question. I don't know, but my son's sleep was always good until out of the blue it wasn't. His sleep habits started to change prior to starting stimulants, but before his diagnosis. They got exponentially worse after starting meds. He easily could have been diagnosed a year or two earlier--prior to sleep disruptions, but we held out on diagnosis & medication. I always assumed that the sleep disruption came with the aging process & stress associated with developmental milestones.
I'm always second guessing diagnosis so I sympathize with you. Did you get a full psych evaluation or did the pediatrician diagnosis based off the parent/teacher questionnaires? With my son things started spiraling rapidly and all the psychologist had a 6-12 month wait so we started with a pediatrician. I didn't feel comfortable with the diagnosis until we finally got a psych evaluation that supported the diagnosis.
thanks for your response. Well I’m not really sure as ridiculous as that sounds. He was evaluated by two different therapist - an OT and mental health professional (social worker or a psychologist I’d have to go back to his paperwork) but they just conducted his initial eval to qualify him for his IEP plan. In the meantime, he was seeing a developmental ped who we met with for a year plus before she formally made the diagnosis based on her observations in the appts, our feedback, his pre-K teachers, and the therapists he saw during school hours. So I guess in writing that out, no the diagnosis likely wasn’t a full psych evaluation.. who typically performs those— guessing an actual pediatric psychiatric?
Hopefully, someone more knowledgeable than me will chime in here. My son was diagnosed 2-yrs ago and my daughter 6-months ago, so I'm still learning and by no means an expert. In our case, it was a psychologist and psychologist associate that did our son's and daughter's Psyc Evaluations. They collected the same parent/teacher questionnaires as the doctor, but they also spent 4-6 hours alone with my children performing other tests including IQ and evaluating their behaviors. A few weeks after the one-on-one session, she met with us to discuss her findings and gave us a report summarizing the test results, the diagnosis, and a list of resources. The reports were 12 & 28 pages. The end result was still a diagnosis of ADHD (same as the pediatrician), but with some insight on how his IQ or comorbid conditions impact it as well. I think psychiatrists perform the evaluations too.