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Suggest Treatment For Impulsive Behaviour In A Person With ADHD
Question: Dear Doctor
I am from Srilanka (Colombo) and my son is 24 years. He was diagnosed with ADHD from the age of 8 and was been given Ritalin at that age. But right now he is taking Valparin and Risperidone on the need prescribed by his doctor.
The main problem we are facing right now is his impulsive behavior. For example: he gets the urge to kick parked vehicles when we take him out and tries to hit women, but not all the time. Suddenly he does this without any prior indication. He tells that its coming to him to behave that way.Is this true or is it a planned action? however he doesn't want to hit our own vehicle. He is not worried about this action. He is also happy at times after doing this. As a father I have told him several times of the consequences , but he is not bothered. Why is he doing this? is there any problem for his erratic behavior. As a parent we are very worried about his future.
On the positive side he can read, write and he has completed his school education (Ordinary Level). And he can play the piano an guitar well, does swimming and cycling well. He also has a very good memory. He is very conscious of his figure and his belongings.He prays every day and does his other work in a satisfactory manner.
Now he is following a basic computer course at an institute .
The main problem he has is that he kicks parked vehicles ( this habit started recently- 3 months) and having a tenancy to hit women occasionally.
This happens when he has a mood swing I believe. That is why he is under Valparin and Risperidone for his aggressiveness. Please advise us how we can overcome this problem so that he can lead a normal life .Also please tell us weather this happens because of his mood swings. if so how we could manage this problem.
Your kind co operation regarding this matter is greatly appreciated.
Thank you
Regards,
xxxxxxxx
I am from Srilanka (Colombo) and my son is 24 years. He was diagnosed with ADHD from the age of 8 and was been given Ritalin at that age. But right now he is taking Valparin and Risperidone on the need prescribed by his doctor.
The main problem we are facing right now is his impulsive behavior. For example: he gets the urge to kick parked vehicles when we take him out and tries to hit women, but not all the time. Suddenly he does this without any prior indication. He tells that its coming to him to behave that way.Is this true or is it a planned action? however he doesn't want to hit our own vehicle. He is not worried about this action. He is also happy at times after doing this. As a father I have told him several times of the consequences , but he is not bothered. Why is he doing this? is there any problem for his erratic behavior. As a parent we are very worried about his future.
On the positive side he can read, write and he has completed his school education (Ordinary Level). And he can play the piano an guitar well, does swimming and cycling well. He also has a very good memory. He is very conscious of his figure and his belongings.He prays every day and does his other work in a satisfactory manner.
Now he is following a basic computer course at an institute .
The main problem he has is that he kicks parked vehicles ( this habit started recently- 3 months) and having a tenancy to hit women occasionally.
This happens when he has a mood swing I believe. That is why he is under Valparin and Risperidone for his aggressiveness. Please advise us how we can overcome this problem so that he can lead a normal life .Also please tell us weather this happens because of his mood swings. if so how we could manage this problem.
Your kind co operation regarding this matter is greatly appreciated.
Thank you
Regards,
xxxxxxxx
Brief Answer:
Further Consultation and routine follow-up required
Detailed Answer:
Hello xxxxxxx, thanks for your question to Health Care Magic .
Your son's behavior of kicking vehicles may be related to a psychiatric illness (bipolar disorder, oppositional defiant disorder, autism spectrum disorder, intermittent explosive disorder), but also may simply be an oppositional behavior that will go away with time.
I think you are doing the right thing by allowing him to have a trial of Valparin and Risperdal, as his response to this can help us establish if this is a psychiatric problem or a problem of immaturity.
Tell me please ,
how long has he been on these medications?
Is there any family history of a similar problem, or of psychiatric illness?
In the future, for continuity of care, I encourage you to contact me at my private link below. After you ask a direct question it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Further Consultation and routine follow-up required
Detailed Answer:
Hello xxxxxxx, thanks for your question to Health Care Magic .
Your son's behavior of kicking vehicles may be related to a psychiatric illness (bipolar disorder, oppositional defiant disorder, autism spectrum disorder, intermittent explosive disorder), but also may simply be an oppositional behavior that will go away with time.
I think you are doing the right thing by allowing him to have a trial of Valparin and Risperdal, as his response to this can help us establish if this is a psychiatric problem or a problem of immaturity.
Tell me please ,
how long has he been on these medications?
Is there any family history of a similar problem, or of psychiatric illness?
In the future, for continuity of care, I encourage you to contact me at my private link below. After you ask a direct question it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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