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he is on strattera 40 mgs and he is 6 years old. the medication is working in the daytime but at night it is making him miserable. does anyone have any suggestions please

2007-04-18 14:10:42 · 4 answers · asked by Anonymous in Health Diseases & Conditions Other - Diseases

4 answers

In what way is he "refusing"?

ADHD is one thing. Misbehavior is another. You may be dealing with both here.

Try establishing a bedtime routine for him. Start about an hour before bedtime (and make that time CONSISTENT...between 8 and 9 is about right for his age). Create this bedtime routine WITH you child, so he is an active participant in its development.

Start with shutting off the tv/computer/toys at 7pm. Draw a bath, and have bathtime/hygeine for 30 minutes. Allow him to choose a book, and sit quietly and read with him for 15 minutes. Take the final 15 minutes for a glass of milk and a very light non-sugared snack, and trip to the potty. End your 1 hour pre-bedtime ritual by sitting next to him in his bed and reviewing all the positive things that happened that day, as well as what he's looking forward to most about the next day.

Make your expectations crystal clear, as far as what is expected at bedtime. Be specific. "Johnny, after we have bathed, read, had our snack, and talked about our day, I expect you to stay in your bed (unless you need the potty or have an EMERGENCY) until morning. This means no toys in bed, no chatting with siblings. I expect you to rest quietly in your bed, even if you feel like you cannot fall asleep. I know sometimes it is hard. Mommy and Daddy understand, and we are going to help you settle and calm yourself so you can get a good night's sleep. We are confident that you can do this. You will feel much better in the mornings whenyour body has had enough time to rest at night. So let's review...what does it mean when I say "lights out?". Then have your child repeat to you, to the best of his understanding, what your expectations are of him at "lights out", and what the consequences will be for out-of-bed behavior.

ADHD kids do MUCH better with STRUCTURE. Sit down with him and make up a picture chart of this bedtime ritual (particularly if he's not a proficient reader/writer yet). During the hour before bed, continually refer to the chart. Given enough time, your child will adjust to the bedtime routine and actually look forward to it.

Best of luck to you,
~M~

p.s. Part of the bedtime routine, if you want to continue it on into the actual in-bed behavior, can involve teaching him simple, progressive muscle relaxation. It gives him something to "do" while in bed and simultaneously relaxes him.

2007-04-18 14:24:27 · answer #1 · answered by michele 7 · 1 0

First get him at the equal events each night time. Kids with ADHD want events. Keep him lively after tuition to burn off vigor. Make bedtime half-hour prior than average to deliver him extra wind down time and as a final hotel you'll additionally purchase melatonin over-the-counter. It is usual, a chemical the frame produces however is used to function a snooze aide. Give it to him one million hour earlier than beginning the bedtime events and it is going to aid. Another factor to take into account is to show the whole thing off within the room whilst he is going to mattress. A small night time mild is all to have on as some thing else indications there mind it's nonetheless tiem to be up. and wake him up whilst daily.

2016-09-05 16:58:33 · answer #2 · answered by ? 4 · 0 0

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2007-04-18 14:18:58 · answer #3 · answered by egc859 1 · 0 0

Start a routine with him read a book with him and explain how he should close his eyes and sleep after the book and evening prayers!!

2007-04-18 14:20:07 · answer #4 · answered by ak99705mom 2 · 0 0

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