Update on appointment

So we're doing well, apparently. I don't know if I paint too rosy of a picture or what, but IM is improving and is functioning well at school and home despite some very consistent behavior glitches that occur at predictable junctures. However, thanks to all the tiring behavioral modification and dietary monitoring and sleep accountability, we are doing what the medication would probably do, which is giving him the ability to calm himself and to think before acting. Which is good. But we're also tired, and I was a teensy bit ready to hear that he might need something for anxiety or impulsivity. I was surprised that the doctor actually did have some fairly high-ish scores for oppositional defiance, which I know is present but is far more of a concern with another child.

Instead, the doctor wants him to continue therapy for the summer, monitor the transitions to second grade and to adding a sibling, and reevaluate the need for meds if that transition is not smooth. The primary treatment is therapy for his age anyway, so this is good. It's the right thing to do in this case and in this timeframe because his stress level will go down when he doesn't go to school. We don't want to attribute a gain to medication when it's actually from a reduction of stress and stimulation.

The hard thing is that I can't help feeling like this is all moving SO SLOWLY! I don't want him to fall further behind in maturity, and his anxiety and impulsivity do get in the way of peer interactions. However, we do have good news on that front as well. IM has his best friend coming over on Thursday, and he's completely obsessing about it! Mellow out, dude. It IS exciting, but you can't drive mom crazy for days in advance.

Time for a nap.