Invariably, over time, most of these families have turned to their GP for support and the young person has been diagnosed with attention deficit hyperactivity disorder (ADHD). They have then been started on a course of medication, with varying results.
When working with medicated young people, I find that some practically become vegetables when their tablets kick in - they are virtually unable to hold a normal conversation or take part in sessions. Others become aggressive, depressed or suicidal as the effects wear off. At times I've had to work with parents to administer medication at the right time to get the best possible behaviour from individuals. This convoluted effort just to get participation from a young person has always sat uneasily with me.
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