My 8 y.o. 2nd grade sone has been dx’ed with LD in reading/writing, ADHD, apraxia of speech and fine motor weakness. He has an IEP, goes to Resource Lab every morning for Lang Arts, speech ther 2x week, OT 1/x week. Has been making progress w/ reading, although slow, reads at early-mid 1st grade level. His speech disorder (apraxia) significantly impacts his reading. He still cannot correctly pronounce many sounds; s blends, r, short vowels.. So sounding out words is extremely laborious and often unproductive. So at school and home we work on word chunks and sight words a lot.
He is on concerta 18mg for ADHD, teacher says she can see it ‘kick in’ approx 1 hr after taking it, he is somewhat more focued, attentive. But he still has some attending problems, I am talking to his Dr. about a higher dose.
My questions;
1) Cursive- He is having a very difficult time learning/ doing. He holds pencil very tight, doesn’t have good control. His OT is working w/ him on this. I think it may be a good idea to write in his IEP that no cursive be required. we have some many other issues needing help and cursive is low priority.
2) Spec educ teacher says she sometimes sees ‘repetitive movements’, for example he will lick his fingers and then touch his eyes (for dryness) a lot. We are using eye drops now but he still does it (eyes checked by MD< fine). Could this be a side effect from the concerta? Looking it up on internet doesn’t state it is. But does state anxiety, he does seem anxious occasionally, but even when not on med. Part of ADHD? What can we do?
3) Teacher also now noting behavior where he will ask the aide over and over again same question, when he probably knows answer- like an obstinate attitude. He stops when she tells him to.. He definitely has some contrary behavior at home but until now hadn’t at school. He has had this teacher over 1 year now so wondering with the familiarness he is allowing himself to push the limits..
Any advice please??
Thanks! Marla
Ask your doctor about the repetitive movements; they may be tics, which worsen on stimulant medication.