That idyllic first session with Victor, where he hunkered down to his homework, resisting the lure of new presents and other distractions, was never to be repeated. By February, I knew him to be a much more complex, endearing and troubled boy than I had glimpsed in our first meeting. I had also grown to love him.
Victor had a lot of anger. He hit himself, called himself terrible names, and threatened to beat me. In his mother’s words “he had seen too much.”
Victor told me a story of a grandparent and uncle suddenly dying and that he had to abandon his dog, which he was now worried would starve. (Shelters don’t allow pets.) Now, Victor is prone to a bit of lying and this might not be accurate, but one clear fact is that he is in a shelter for domestic violence. Plus, little Victor is now the man of his family – the oldest of three children (he has a baby and 3 year old sister) whose mother is in the middle of a divorce and a bit stressed and angry herself.
One day, in an effort to get him excited about something positive, I asked Victor what he wanted to be when he grew up.
“That’s easy,” he replied, “I want to be a cop so I can play with guns.”
“Any other reason you want to be a cop?”
“Nope. I want the guns,” he said, shooting invisible bullets from his finger.
My friend, Kimerer Lamothe, an amazing mother to five children, remarked “I think kids can be excited about guns because they are such powerful release mechanisms. Maybe you can just expose him to other release mechanisms… like drumming or running or something.”
So when Victor got hyper or angry, we would break for five minutes of dancing or cartwheels.
This helped for about 10 minutes.
Victor’s first grade teacher decided that he might have ADHD. Victor’s mother, Maria (not her real name) was upset, didn’t want her son medicated and enlisted my help. I didn’t want to see Victor medicated either and was ready to do what I could to support her.
It’s true that Victor is hyperactive and inattentive, but I can think of plenty of reasons why this is so. Oh let’s see….On school days he wakes up at 5 am, takes a two hour bus ride, sits in school all day, takes a two hour bus ride back to his shelter, shovels down a snack and sometimes turns around 10 minutes later to have his session with me (or his therapist), while listening to kids play in the fenced-in courtyard outside. On days that we can’t use the children’s room, we do his homework at the dining room table in a public area where kids regularly ask him when he is going to be done. There is frequently a tug of war for his attention.
But shouldn’t someone try to address the problems caused by his living conditions before diagnosing him with a mental condition that requires medicating a seven year old?
Sadly, no. A doctor confirmed the teacher’s evaluation and Victor was diagnosed with ADHD. His mother, when faced with the doctor’s pronouncement, acquiesced immediately. A few weeks after his 7th birthday, Victor was given speed — I mean Adderall, an amphetamine given to children to treat ADHD.
Now I was angry.
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I went through a series of traumas when I was 10. They put me on Ritalin. When I was 26, I decided to go off Ritalin b/c I was trying to get pregnant. Suddenly, I could focus, remember, and pay attention. All those years I figured I had a really terrible case of ADD b/c I couldn’t do any of that while on Ritalin. Now I wonder what I could have done in school had I not been weighted down by a medication I didn’t need.
Wow. That’s intense, though, unfortunately, I suspect it’s not uncommon. I wonder how all the kids who are being medicated today are going to evaluate their experiences on medication when they become adults.
Colby,
It is amazing the work you are doing. You are right on with identifying his lack of physical activity and most likely poor diet to his behavioral issues. I’ve done a lot of reading of Dr. David Katz’ work. Specifically the ABC (Activity Bursts in the Classroom) project – where they showed in a school that by simply increasing the activity, kids were taken off of their ADHD and ADD medications.
I hope you can help him be successful. Great work!
XO
Joey
Here is Dr. Katz website
http://www.davidkatzmd.com/abcforfitness.aspx
Joey, thanks for your support and thanks also for pointing me to Dr. Katz’ site. I’m going to check it out tonight!
Oh, it’s you, Johanna, not Joey — Sorry about that. I just watched the video on Dr. katz’ site. His recommendations seem incredibly sensible. Thanks for the link. I’m going to feature this in this Friday’s Sites We Like post.
Thanks for diving into the breach! I appreciate the time, intelligence and compassion you to the homeless crisis and its survivors.
I look forward to reading more about your journey with Victor. Though sometimes painful, your story reminds me that change is the result of persisting through small steps.
Thanks, Patty!! You’ve made my day.
Your patience and resourcefulness will go a long way here. Thank you for this work you’re doing, and for sharing it with all of us so beautifully.
Thank you, Nancy. I appreciate it.
[...] response to my earlier post this week in which I lamented the hasty medication of the 7 year old homeless boy I’m tutoring, my [...]
[...] what? The drug didn’t make Victor less angry, and only occasionally more [...]