Kestra SpiritNova asked: The school teacher reported concern that my son has ADHD. So both the teacher and I completed a questionnaire on his behavior. The survey came back showing that he has ADHD at school, but it all came back as “average” for my questionnaire on his behavior at home, curiously…
I am going to a meeting on Monday, and the people at the school have told me that they’ve already decided to diagnose him with ADHD. They’ve assured me that children can have more difficulty at school than at home, and that the ADHD diagnosis will only help him, so I shouldn’t fight the diagnosis…
Yet, when I read the criteria for ADHD, it says the symptoms must be present at school and home. Why would the school be OK with diagnosing him with ADHD, if he doesn’t present ADHD symptoms at home?
I’m just trying to understand what is going on and how I should approach this next meeting. I don’t think disagreeing would do any good, because they haven’t listened to me so far. What is the best way to handle this?
The assessment was performed by the school psychologist. She said her decision was based on the surveys, teacher input about his classroom behavior (fidgeting), and her interview with him.
The changes they’re proposing are chunking assignments, letting him sit in front of the classroom, giving him reminders to complete his work, etc. It’s all small stuff that the student support team believe will help him in the classroom.
I asked the school staff if they get more money for diagnosing ADHD, and I was informed that 504 plans do not get them extra money, only IEPS do.
I took my son to a psychiatrist for an independent assessment last week but he said there was no formal assessment for ADHD and only went through the DSM-IV diagnostic criteria. He talked to us, and agreed that sometimes kids can show symptoms only in large-group settings if they’re “borderline.” He wrote a prescription for Concerta, said it was my decision whether or not to fill it, and he said to come back in a month.
I already have an open Child Protective Services case against my son’s dad. I talked with the people at CPS about my resistance to the push for diagnosing him with ADHD. I was concerned that the school might accuse neglect if I didn’t agree. CPS sympathized entirely with my position, said I was doing the right thing. I have a good relationship with them. So I don’t fear “termination of my rights.”
I resisted the initial ADHD evaluation by the school, but I was told that if I didn’t sign the paper for the formal assessment that they would hold my son back a grade.
I do wonder if the threat to hold him back a grade might be used again at the next meeting. I’ll probably fight it this time, because I’ve been told repeatedly that his academic progress is fine. He looks like he’s not paying attention, but he hears everything the teacher says and learns it all.
Their concern was that he might fall behind later, so better to deal with it now before it becomes a problem.
Thanks everyone for letting me know I’m not crazy to still be questioning this. 
To answer some questions, my son is 7 years old. When the teacher is teaching the whole class, he won’t be looking at the teacher, he’ll be looking elsewhere in the classroom or fiddling with something in his hands instead. Even though it looks like he’s not listening, every time the teacher calls on him to answer a question about what she’s talking about, he can answer the question correctly. So he actually is hearing and learning.
He does complete his work at school, but sometimes the teacher complained that she has to remind him to do it instead of just sitting there. He goes to two different classes, and while observing him in the classroom, I’ve noticed that he tends to “slack off” when he’s in a larger group… I get the impression that he thinks he can get away with it if there’s more people and less attention on him. Strikes me as laziness more than ADHD, but I don’t have the expertise to say.
Oh, I forgot to mention that he still gets high grades on his work, usually 100%. The lowest grade he got was an 80% on a math test. As I said, it hasn’t been affecting his school work. The concern is just that the inattention will cause his grades to go down in the future.
As for the abuse case, I have questioned whether or not that could be a confounding factor. The general impression I get is that the school has concluded that is not the case, but I will ask more about it during the meeting.
I haven’t had a teacher suggest ADHD before. He did well in preschool, but his kindergarten teacher did complain sometimes that he had trouble in school. Since the abuse at his dad’s house occurred in kindergarten, it’s possible that’s causing problems for him outside the comforts of home.
I took him to a counselor, and she doesn’t think he’s suffered any lasting effects from it - based on my time with him, I agree with her. CPS dealt with it quickly and are continuing to protect him.
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