We resisted medicating Lucas for his ADHD for three years. Like many parents before us, we took the try-everything-else-first route, which served a two-fold purpose: First, it acted as a defensive barrier against those who might secretly accuse us of lazy parenting. “Ah, yeah, we’re drugging our kid. But don’t worry, we’re not lazy parents; we tried everything else first.” Second, it prevented us from feeling (as) guilty about drugging our kid. Because … we really did try everything else first.

The tipping point in the big “Do We Medicate” debate was the teacher-parent conference. I sat with my husband on one side of the table and Lucas’s four teachers sat facing us. A gelatinous blob of PLEASE HELP US DO OUR JOBS lumbered across the table, swallowed me up, digested me, and shit me out on the floor as a steaming heap of ineptitude.

These are the best teachers in the state. They’d tried every technique they knew and Lucas was still only completing about 40% of his schoolwork. He was a wreck in the classroom, materials strewn about, never aware of what he was supposed to be doing, always making disruptive noises and interrupting the teacher. The teachers spent so much time redirecting and trying to reach Lucas that the other students’ education had been compromised. After that meeting, I went home and bawled my eyes out. We had to do something. “Everything else” wasn’t working.

Lucas started 10mg of Focalin on a Tuesday. Fifteen minutes in, I began to notice differences. Little things. I went to ask him to put on his shoes, but they were already on. I asked him to get in the car, and he said “okay” and got in the car. (?!?!?!?) During the ride to school, he stared thoughtfully out the window. I thought OH MY GOD HE’S BECOMING A ZOMBIE!!! I asked him what he was thinking. He described to me an intricate plan for his next building design on Minecraft. Who was this child speaking in bullet points?

When he arrived home from school that day he walked in the door, placed his shoes neatly in the laundry room, unpacked his backpack and lunchbox and scurried off to do his homework. His younger sister was running around screaming and he said, “Can you please be quiet? I’m trying to concentrate.” That was the first time I’d ever heard him say anything like that. He finished the homework in record time and flew out the door to play with the neighbors.

Wednesday after school I asked Lucas to clear his papers off the kitchen table. A minute later I turned around to bark at him a second time and was startled to find he had already done what I asked. I choked back the bark and had an epiphany instead: Lucas isn’t the only one who’s been suffering here. ADHD had been wearing all of us down, especially me, his primary caregiver. I’d been worrying for so many years that the constant negative feedback Lucas received at school would condition him to believe that all he could expect from life was an endless torrent of people begging him to pay attention and telling him his best wasn’t good enough. A justifiable concern, for sure. But I nearly overlooked what ADHD had done to the rest of our family. To me.

I realized that through all these years of struggling to manage Lucas’s ADHD, I too had been conditioned. I’d been conditioned to assume that Lucas would never ever do what he was asked. That I had to enunciate and repeat and have him regurgitate back to me while maintaining eye contact, then ask him to repeat it for me one more time, and then I still needed to check in with him two minutes later to be sure he was following through. I’d been conditioned to believe my child could not accomplish much of anything without my relentless helicoptering. To yell, because sometimes that was the only way he would hear me; to shush shush SHUSH!!!, because he never shut the fuck up with the crazy repetitive nonsense noises.

To summarize: I had become conditioned to be annoyed by my own child. The crazy thing is, I didn’t know it. That is just how things were. To me, that was motherhood.

Thursday morning the week of starting meds: On the drive to school, Lucas worked with his multiplication flashcards in the car. He shuffled through them, reciting them aloud, repeating each one three times to help himself remember. He soon began to eliminate the ones he knew and set them aside. He worked through the cards until he felt confident he’d memorized them, then he set the whole pack aside and said, “Mom, let me know when a minute is up. I’m going to think about something else for a minute, then I’m going to come back and see if my brain still remembers everything.”

A wave of some strange new emotion washed over me and made me shudder. My son had just reminded me of … me. Without any prompting or encouragement, he had devised a study technique that I had also once independently devised for myself. The thing I thought was: Oh my god we are related! My son! It was the first time I had ever felt that kind of genetic connection with him. It leveled me flat.

Later that afternoon I went to pick Lucas up from chess club (shut up, it is so cool) and I ran into his reading and social studies teacher. She beckoned me over so she could tell me how Lucas had been doing the last couple of days. She was as excited as if she’d won the lottery, literally trembling with joy. “Look,” she said. “Look at this writing sample. Just LOOK at it! Look how much he wrote. Look at his handwriting. And READ it. Oh my god just READ IT! It reads like a science textbook!”

Lucas politely interrupted our conversation because he wanted to inquire about the fire alarm on the ceiling. He’d never noticed it before and had roughly eight fucktillion questions about how it worked, who maintained it, whether or not it chirped if the batteries died, if the call to the fire department was automatic or if it was someone’s job to make the call, and if so, whose? He fired question after question at his teacher, squinting thoughtfully and maintaining eye contact with her as she answered his questions. The teacher and I looked at each other with tears in our eyes.

For years, I have thought of myself as in impatient, highly reactive person. A yeller. A snapper. A toy-thrower-awayer. I have thought, on many occasions, that maybe I am just not cut out for motherhood.

That has changed since Lucas started meds. The meds don’t wear off until 6:00 or 7:00 pm, which means I get a calm, attentive, non-ticky version of Lucas for two or three hours every day after school. It turns out, when I have two children behaving as one would typically expect children to behave, I am an impressively patient person. And I always have been. I just forgot.

So the thought I’ve had lately, the one that makes me really sad and confused is this: I like my child better when he’s drugged. He is more coherent, easier to communicate with, more organized in his tasks. And more than that, I like myself better when he’s drugged. I hardly yell at all. I can hear myself think. I am not frustrated and short-tempered. I like these things. I like this life.

But is the drugged Lucas still the real Lucas? Did I medicate him to make him more like me? Did I drug him into conformity? Have I done this to him to make my life easier? Who am I really helping here?

I’m still reeling a little, though now that Lucas has been on meds for six weeks I have more perspective. We haven’t been medicating on the weekends and I’ve been delighted to find that I am significantly more patient even when he’s off meds. I think having him on meds during the week buoys me enough so that if we have a few standout moments of ADHD over the weekend I am more emotionally equipped to handle them. And Lucas? He says school is fun now that he realizes he’s good at it. He tells me he enjoys learning because it makes him feel smart. He’s happy his teachers aren’t on his case all the time anymore.

And I’m telling myself that the medicine does not make Lucas a different person or a better person. He was already a good person, already enough, before medication. The medicine does not change who he is, it just clears away the excess noise in his mind and allows him access to his thoughts. It lets him be who he was meant to be.

That is what I’m telling myself.

(This post originally ran on Abandoning Pretense.)

Author

Kristen Mae is a novelist, freelancer, classical musician, and artist. Follow her on Abandoning Pretense, and check out her books, Beyond the Break and Red Water, available now at most online booksellers.

6 Comments

  1. Celeste O. Reply

    ADHD is a neurodevelopmental disorder IV which the frontal lobe of the brain does not develop correctly. The frontal lobe controls executive function. Executive function examples are impulse control, fine motor skills, attention span, and working memory.

    Sometimes it catches up as a child grows, and sometimes it doesn’t. There are actual MRI’s published to prove that this party of the brain is significantly smaller is some children with ADHD than those without ADHD.

    To refuse to medicate a child with ADHD is no different than refusing to medicate a child with any other medical problem. Don’t ever feel guilty for giving a child what he needs to be a healthy and productive person in this world.

    As an adult with ADHD and the parent of a child with ADHD I understand the struggle from both sides. I know the misery of missing my meds. I know the sad frustration of a child that cannot function. I know the embarrassment when the teacher calls for the fifth time in three days. I know the gut punch of that diagnosis. I know…

    I also know that anyone who doesn’t like the fact that my child takes medicine in order to be a productive student and future member of society can suck my balls.

  2. Could have done without the f-word, and sh__. They broke the flow of the article for me., and were unnecessary.

    • Liz Engelke Reply

      Great piece! I even “get” the cathartic value of swearing. Still, would you consider rewriting it with out the swears?

      I would like to share this article with a larger audience. It really nails the medication decision matrix on its qualitative head.

  3. Yesterday I was brainstorming a blog post about why I have never taken my sons for ADD diagnoses even though I am quite sure they have it. From what I have seen most of the kids I know of who are on medication are still total pain in the asses and use having ADD as an excuse to be one. I have seen medicating have serious negative side effects on my nephew and I don’t trust that the medical community truly understands brain function well enough to do I right every time. However, your article makes me think maybe I am a moron. Maybe we could have peace and harmony in our home. My 17 year old is like a tornado showing up at our house and here is a blog post I wrote about homework with my 9 year old. http://www.sosomom.com/just-for-fun.html

  4. Valerie O. Reply

    Great article. Also I love your use of fucktillion. Great word. Adding it to my vocabulary.

  5. Weezie Vert Reply

    Since starting meds during the week, my son is more contained on the weekend too. He says he can now see the person he is meant to be and aims for that when not medicated. Sometimes he misses, but his joy in realizing that he is not trapped in a box of impulsive jittery behavior if he doesn’t want to be, is amazing to see.

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