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Home » Reader question » Reader question: Our son has ADHD, who can give us advice?
Dear readers,
We have a six-year-old son who has ADHD in a high degree, we live in Bang Saray and only found a doctor in the Bangkok Pattaya hospital who has experience in this area.
The boy is now taking Retaline and there is a considerable improvement. It is a pity that we are obliged to buy Retaline in the hospital, we pay 60 percent more than the official price (is that allowed?).
Is there anyone among the readers who can advise us? Is there no guidance anywhere here to teach the children how to deal with this disease, as in Belgium?
We're even more worried because he's starting his first year of college this year, he can't sit still for a minute!
All advice is more than welcome, for which we sincerely thank you.
Gerard, Porn and den Benjamin
hello gerald,
send me your e-mail address here and I will personally give you some tips. I have the same son myself and moved from NL to Australia with the whole family because I didn't want to experience the hassle in NL. However, I have always refused to give Ritalin, which the doctor advised of course because that's the only thing they can do. you can do a lot about it yourself without medication, but that is a very difficult task. if you live in thailand i think you have a lot of time so it is not an impossible task. when my son was 10 years old you really couldn't tell that he ever had adhd and everyone was very impressed by it. I have had a lot of help from the school and put a lot of time into it myself.
regards
skippy
Thanks in advance,[email protected]
Gerard
ADHD is not a simple condition, and diagnosing it is rather complex.
This cannot happen overnight.
If medication is started, medical follow-up is necessary.
Psychological guidance is also indicated here, for all involved.
Also physiotherapy, to become aware of the limitations and learn to deal with them.
The foregoing is almost based on the WHO guidelines, but very briefly, explained in understandable language. Think so, do your best.
In the first instance, it is important for you to consult a doctor specialized in that domain who can continuously monitor the file. If - as far as is known in your situation - the only doctor experienced with ADHD practices in BPH, try to have him refer you to a pediatrician who works in the area where you live. Each hospital has a pediatrician and psychologist, who are skilled and familiar with ADHD, which is part of the training. If they really are not aware of this or are they not enthusiastic about it, do they have a network that can be called upon.
It will be clear to you that things are different in Thailand than, for example, in Belgium.
Another tip: discuss your son's condition at the school where he attends classes.
The therapy for ADHD is not only medicinal; not only the pills make him better. It is multi-approach: everyone is involved and that is also the best and gives the best prognosis.
Success, D.
First of all, ADHD is not a disease. It is a challenge. People with ADHD are more creative and think in terms of solutions rather than problems. The challenge, however, is to deal with all those impulses and creative thoughts in your head. Ritalin or concerta (dose more evenly throughout the day / available in various doses) can help to regulate that impulse flow. Rest, regularity and structure are also key concepts. During the first few days, concerta can cause abdominal pain, nausea and headache. That disappears again. Insomnia, problem with falling asleep for the first time can persist for a long time.
If there are (serious) behavioral problems, then there may not only be ADHD. PDD-NOS / ASS is then one of the options. These are behavioral problems related to disorders in the autism spectrum.
I'm afraid people in Thailand have little experience with this.
* self adhd, invented it, father of an adhd, fin. controller in special education (classes full of these kids).
Courageous Testimony!
As you say, it's a complex matter.
FYI: The last D in the acronym ADHD stands for disorder, not disease. Therefore speak indeed of a disorder, and not of a disease.
Dear Gerard, medication prescribed in a certain hospital by a doctor or specialist will be provided by the person concerned. hospital pharmacist, so in your case the one from the BPH. If you no longer wish to have the medication provided through the BPH hospital pharmacy, for example because of the costs, please discuss this with the doctor who is treating your son and ask him for a prescription. Take this prescription to the pharmacist at your local state hospital. It will clearly be noticeably cheaper if you don't push too hard as a farang. Let your wife handle things and stay in the background. A state hospital is actually for the less wealthy Thais, so it is not inconceivable that they also want to charge you a little more here. It could also be that the same doctor also works in that 'government hospital'. Just start discussing all this with that person. doctor, who you say has experience with ADHD patients.
As for the demand for more support and guidance, etc., every major hospital in Thailand has a paediatrics department. Ask at the desk of that department whether a child psychiatrist is also affiliated, resp. whether they can do something for your son, or whether there are other referral options.
You can also discuss all this with the treating doctor. He will really not be surprised if you indicate that you are looking for more treatment and guidance in addition to the medicinal therapy.
Finally: I don't know what the official price of Ritalin is, but what I do know is that medicines vary in availability and price per country. I cannot say whether Ritalin is 60% too expensive in Thailand, but I can say that this medication is already much more expensive in Belgium than in the Netherlands.
The director of the Rajanagarindra Institute of Child Development (RICD) in Mae Rim, Chiang Mai is a psychiatrist. His name is dr. Samai Sirithongthaworn, tel. 053 890238-44. Maybe he can help you?
Dear Gerard, Porn and den Benjamin,
Despite the fact that Ritalin improves ADHD, I would like to point out that there are "side effects" in the longer term that are not or hardly warned about.
Just want to raise them, because if I had children of my own I would never give them these kinds of medicines, even if they are very adhd.
Unfortunately, I speak from experience because when I was 11 my parents tried retaline, welbutrin, and some others such as dexodrine. Until I was about 18. So about 7 years of experience with these medications.
The biggest problem that they all end in ine, just like cocaine, heroin & amphetamine and / or the more innocent variants such as caffeine & nicotine. (but certainly not to be underestimated)
Just like coffee and cigarettes, these adhd drugs are a pep, increasing your concentration. And just like coffee and cigarettes, it wakes you up, and you focus, you can temporarily (until it wears off) concentrate better and you have more perseverance, because your brain has to continuously produce dopamine.
Now the problem with ADHD,
Yes it helps with getting results at school, but later in life, you are much more sensitive to others
substances, because your brain is already used to “stimulation” at a young age. (read conditioned) But at a later age you are more sensitive to the bad ****ines. Add to that if you are impulsive. Then you have an extremely high risk profile to try and like those variants, with all the consequences that entails.
Another thing, our contemporary society lives on sugar today, it really is in everything, from ketchup to soft drinks, but not to forget also often in relatively healthy Thai food, including the fine MSG (also a pep agent). a short energy boost .. and makes me extremely hyper .. (Did you know that before 1930 people ate almost no sugar. 0.05 gr per day!!) today it is in everything and people eat an average of up to 70 gr of this stuff !!
My serious advice, absolutely no sugars, MSG etc, and a lot of sports and more sports.
Exercising stimulates natural dopamine production and makes you tired.
You will see that the changes will be enormous ... Your son will have to learn to live with it anyway, medicines are a patchwork remedy with potentially serious consequences ..
MVG
A concerned ADHDer…
Ps I've been away from NL for a long time sorry my Dutch isn't what it used to be..
The tip to avoid fast sugars is already a hit.
If you understand that, you're on the right track.
This applies to any type of ADHD patient, with or without autism spectrum disorder.
no products containing sugar, and try it with extra magnesium in the form of magnesium citrate powder, it has been found that many people get serious shortages of this, which can lead to strange behavior
Hi Geard and Porn,
Unfortunately, I can't tell you much about ADHD.
As far as medicines go with BPH a lot.
My husband is a heart patient, for this also 2 times in BPH.
To make a long story short.
A wealth of pills every month.
So we just stepped into a (small) pharmacy and put down the note with pill names, packaging number and mg.
She first asked for a prescription, but just flipping back and forth and…
Bingo.
Got everything.
First asks me: “What you pay?”
So immediately deducted 400 baht and so with all the pills.
With the slightly cheaper less deducted.
From the difference in price we went on a cruise -:)
When it was time for another check-up, I went to another hospital.
And guess what.
BPH gave my husband 2 different types of pills, which served exactly the same purpose.
So 1 species immediately thrown in the ashtray.
But all that time at BPH unnecessarily swallowed and paid.
So just try a few pharmacies.
Good luck with this and with your son.
LOUISE
Forgot to say one more thing.
Once in BPH, at the heart specialist I told that man that BPH was very expensive with his medicines.
Yes I know.
I will write on the recipe that you get a 10% discount!!
So that's what I mean
LS,
There is a good counseling institute in Bkok, including Dutch-speaking therapists.
The address: ncs-counseling.com. phone no.: 02-2798503
There are also aids from sensory information processing (child physiotherapy). Look up one http://www.sarkow.nl/ en http://www.squeasewear.com/nl that can promote concentration without medication! Good luck