So we had the follow up appt yesterday. As I thought, C was diagnosed with ADD, ADHD, and ODD (oppositional defiant disorder). Though he wasn't diagnosed with depression or anxiety. Seems as if what I've seen falls more in the "normal" range.
So we got a script for Concerta. We talked a bit about Straterra (non-stimulant, closer to an antidepressant), but it seems to be more indicated to the milder versions of ADD (not so much the hyperactive) and is generally ineffective for the ODD. So stimulants it is.
We need to get him an ekg to ensure he doesn't have an underlying heart condition, as there have been heart related deaths with the ritalin/stimulant ADHD meds (I've read 52 reported deaths somewhere, with millions of users over 50 years time...seems they think the meds exacerbate undiagnosed heart problems... like the basketball players who drop dead during a game). After he gets a clean EKG, she'll okay the script she wrote. I guess she has to hand write them every month... she can't sign us up for renewals.
So I'll go ahead and take the leap. I've spent about $100 on supplements, etc, and in 10 days have seen zero improvement. In fact, the last 3 weeks have been some of the most challenging to date. Though to his credit, he has been asking permission for more things, and saying nice and encouraging things to and about his brother more than usual. But his ODD and hyperactive stuff has been at an all time high.
At any rate, she suggested that the school counseling would be fine for now. We'll revisit in a month or so, and perhaps look at private counseling, but she wanted the school counselor to have an opportunity to work with him on the ODD type stuff.