Expert: Christine D. DeLoatch, MA CCC-SLP - 10/15/2008

Question
Hi my name is carra and i have an almost 3 year old boy named Spencer, I must first state that i did use cocaine during pregnancy just to get that out of the way when my son was 3 months old he was diagnosed with sensory processing disorder, and at 18 month he was also diagnosed with an unspecified central nervous system, with a probable future diagnoses of adhd. now onto my question my child resembles the energizer bunny he keeps going and going and going day and night he wakes up atleast 3 times a night he constantly into things engages in risky safety behavior his inability to focus and impulse control has created a very significant speech delay hes the only almost three year old that i know that cant say a 2 syllable word but at the same time i think he is gifted at 18 months old his therapist said he had a problem solving ability of a 5 year old he understand the some very complicated subjects and directions but is unable to verbalize i think due to inability to focus... now here's my actual question is he to young for medication and if not what are the risks i am in washington state in the city of everett

Answer
Dear Carra,

Thanks for asking me your question.  I apologize for the delay in my response. - I am having some problems with my computer.  The simple answer to your question is that doctors don't like to give medication to children under the age of 5 - because it only seems to work 50% of the time.  It really is just a roll of the dice.  After age 5 it seems to be more effective.  If, however, your son is at risk with regard to safety, then I would discuss it with your doctor.  

If you currently do not have an occupational therapist, I would suggest you get one.  An occupational therapist can help you with the sensory challenges, and find ways to help your son calm down and maybe stay asleep, like using weighted blankets and also using lavender lotion and massage at bedtime.  These strategies work wonderfully and can be used with and without medication.  

Thank you for being so honest about the pregnancy and birth history.  If you can, I would also suggest that you read Overload: Attention Deficit Disorder and the Addictive Brain by Miller and Blum.

You may gain some insight into your family history, and personal history as well.  

Many blessings to you my dear.  

Christine

P.S. Is he currently seeing a speech therapist - It sounds like he may have 'dyspraxia.'  If you need more information about that, feel free to post a follow-up.