The Difficult Decision of NOT Medicating my Child

March 30, 2012 by in SPD with 23 Comments

“I refuse to comply.”  The quote is from the movie Ghandhi and the concept of refusing to comply with those who seek to control you has become a powerful refrain in my life.  ESPECIALLY in my life now that I have both a husband and a child with SPD and Asperger’s Syndrome.

Not long ago, at various early IEP meetings, there was a lot of pressure put on me (and I can tell from the language used that this is a practiced litany) to “do something” about my child.  Invariably, there was at the table a counselor or other expert with just enough sense of their own power that they felt arrogantly confident diagnosing and prescribing drugs (with  ZERO qualifications to do either) based solely on their belief that my child would “get so much more out of school” if I’d just put him on meds.   Those moments really activate that alarm bell in my head that perhaps these professionals might be more concerned with order on the factory floor of education and not with long term outcomes for individual children once they exit their wing of the factory.

I refuse to comply.

There are many families faced with the above scenario every year—a decision not to medicate, and a host of educators lined up to inform you that you are wrong, that you are harming your child, and then….the REAL issue rises from the deep….that your child would be SO MUCH EASIER to control if you would just comply.  Hmmmmm…..  Control.

So, a clutch of well-meaning teachers who must educate 26 kids at a time in a tiny room for six and a half hours a day would prefer it if my child were drugged with powerful psychotropic drugs simply so that they can get through the day without having to “deal” with him too much.  I understand, really I do, and if it were my task to teach 26 kids, I’d be bent out of shape at the one who needs so much supervision, too.  But it’s not my job.  It’s YOURS.  My job is to deal with him the other 135.5 hours of each week.  It is my job to prepare him and help him and do his OT and see that he is well fed and calm and functions at his best.  It is my job to stand as he dumps the poison of his daily frustrations and fears all over me and love him anyway.  Your job is to teach him math and English and science and social studies and how not to make the other 25 children loathe his presence every day.

Meanwhile, in the midst of the teachers’ personal frustration and the general sense of judgment of me for being hopelessly misguided and uninformed, I have doctors (three of them, in fact) and OT professionals commending me on my decision not to medicate and supporting me in all that I do to help my son learn real coping skills and real strategies for dealing with real situations as they arise.  Self-regulation.  It’s hard for him right now, I get that, but it’s what will win out in the long run.  I understand that it takes an excruciatingly long time of exposure to stressors for him to work out how NOT to behave like a funny, furry blur of a wild animal and instead regulate his emotions and reactions in a manner that is less difficult to deal with.  It’s a  learning curve nobody wants to put up with, but I ask this….

What happens when my child can choose not to take his meds?  If we make him easy to deal with now, but he fails to learn to deal with life as it presents itself without the veil of chemicals, what then?  Trust me on this, I have real perspective here, and when a 20 something (30 something, 40 something) aspie suddenly decides he can do whatever he wants and skip taking all those meds that “dull” his senses, he will be ill-equipped to function in the storm that he will inflict on everyone he knows.   Life will come to an utter stop.

Every time I bring this up around other mothers with spectrum kids, there is fierce debate and defensiveness, then justifications and floods of guilt-fueled arguments.  This bothers me.  Some who see results from the meds in the right-now become so pleased with what they have accomplished for their child,  they seem to give themselves permission to feel superior to us unwashed ones who chose not to medicate.   We will see where we all are in fifteen years.  The mothers of the late-teen aspies who have multiple hospitalizations under their belts might regret not muddling through the muck of teaching self-regulation while you can still physically pick your child up and put them in time out, or move them away from a stimuli and hold on to them while they get back under control themselves.  On the other hand, there are families who never faced the non-compliance problem and would argue that it is because they medicated early and often.   I don’t have answers yet, only my gut instincts and love, just like everybody else.

I do know this though, and know it absolutely:  when someone who is not a qualified medical professional demands of me that I should medicate my child, and their core motivation is to preserve order in THEIR sphere of influence, which my darling child will occasionally wreck until he learns not to, I will continue to patiently, persistently, and sometimes even ferociously “refuse to comply.”

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About DaCreaturesMama

EMAIL ADDY FOR THE 5/12 post: csb4sryc@comcast.net. I am DaCreaturesMama. He will be eight years old come May 2012. I have grown to madly, deeply, with increasing vehemence, hate acronyms. How about you? We are awash in OT, PT, SPD, IEP's, so we do TKD, TLS, and utter a fair amount of deliberately toned down OMG's every day. Da Creature is an LOL, FWIW, IMNSHO, bundle of chaos and humor, and though I wouldn't trade him for ALL the tea in China (yes, da Creature, there is probably an exact amount of tea in China, but no, Mama has no idea how much, I was just trying to tell the nice people---no, I doubt there's just four boxes of tea---but that's not the point....) What was I saying? I no longer remember. Story of my life, eh?

    Comments

  • corey


    BRAVO!

  • Jennifer


    AMEN! What a relief to know there is someone out there who feels EXACTLY the way I do. Thank you for posting this :)

  • Melanie


    Wonderful Post!!
    Bravo!

  • Jen


    Creature’s Mama – thank you for sharing this struggle and decision. I have a teen aspie brother who has been medicated as ADHD and “Passive-Aggressive-Oppositional-Defiant” (huh? what? when he got that diagnosis we were all scratching our heads) anyway, he has been medicated since kindergarten, and wasn’t diagnosed as having Asperger’s syndrome until age 15. He’s no longer in mainstream school because when he loses control (and he doesn’t know how NOT to lose control) he is a danger to himself and others, he’s been hospitalized multiple times (but thankfully has never been sent to jail), and now at almost 17 my parents are running out of options, and he is completely unable to deal with real world scenarios, especially conflict. My mom and I both try not to dwell on the question – where would he be now if 10 years ago he had been accurately diagnosed and been given the opportunity to learn what da creature is blessed to be learning from you now.

    • DaCreaturesMama


      Jen–Oh, that’s so hard. These are the stories that terrify me for da Creature in later life. I’m sorry to hear that it took so long to unearth the Asperger’s/Spectum issues for your brother. Early intervention has good outcomes. Late intervention relies heavily on meds and hospitals. I hope your family can find the middle ground for him and turn it around. The consequences of disruptive behavior can sure snowball on a kid fast. :(

  • DaCreaturesMama


    Thank you. It’s hard to know what to do. I haven’t met a family yet where whatever decision they have made isn’t painful in one way or another. I was also a teacher, so I can see the practicality of not having to deal with all the issues. Still, what is flawed with how school personnel feel and communicate about the medicate/don’t medicate question doesn’t represent a failure of the teachers OR the SPD/spectrum kids, it’s more a conflict inherent in education: you can either teach large amounts of children homogenous things in homogenous ways, or help individuals learn in individual ways. The two modalities are mutually exclusive and perhaps fatally incompatible, IMO.

  • Naomi


    I am a neuro-unique person (I’ve kind of stopped looking for labels, but the ones I’ve already officially acquired include cerebral palsy, ADHD, & depression, and I have strong suspicions about NVLD).

    In middle age, I’m struggling to find the right combination of exercise, supplements, prescriptions, and habits to keep me productive and sane. I’m practically an advertisement for “better living through chemistry” so you might think I wouldn’t agree with your decision.

    But I do. Right down the line. As I said, *as an adult* it’s a struggle to get it right. That’s with my grad-school vocabulary and my hard-won skills of self-observation.

    As a child, as a ball of feelings with a deceptive appearance of precocity, trying to explain and describe the effects of a drug? Impossible. And I certainly remember hating the meds I DID have to take for physical ills, the way going to the nurse marked me out in one more way as a freak.

    So. Soldier on. I love you.

  • Michael


    Disclsoure: I don’t medicate my child, nor have I had to face that question, yet. And, overall, I completely agree with what you’ve written, 100%.

    However, you have one line about parents who’ve chosen to medicate their children acting superior, and while I believe that is probably very true, I definitely detect a sense of superiority in your entire post.

    My point is this: it is natural for us to feel what we’re doing for our children is best, after all, why would we do it if we felt otherwise? So what you may be detecting as a superior attitude is someone who genuinely feels what they’re doing is right, and wants you to have the same success.

    Of course, there are people who are just plain superior. And they are probably best to be avoided.

    Anyway, thank you for the excellent post. It made me feel better prepared if we’re ever faced with the question about medicating, or not.

    • DaCreaturesMama


      That’s that inevitable defensiveness one acquires when one makes a hugely unpopular decision (at least in my particular little corner of spectrum life). I have people in my extended family who are very very ugly about my decision, and I suspect that is the undercurrent you may be hearing. It helps some days for me to remember that the doctors who DO have knowledge about these matters have been vocally supportive of my decision.

  • Michael


    Link for the above should be my ASD blog: http://www.asddad.com. Sorry.

  • Angela


    Thanks for this post! I was beginning to think I was the only one who felt this way!

  • Sorry about this


    *Gandhi*

    • DaCreaturesMama


      Oops…I should know better, I own quite a lot of his writings. (blush) I have no idea how to edit this post at this point, so I’ll just have to leave it be. Thanks for reminding.

  • jesse


    Well said. They wanted to start my child on meds at 4. I have not and we are working on the things he needs. I’m pretty sure he has aspergers but no diagnosis yet. We will see what kindergarten brings.

  • Martianne


    This post speaks to me. we are getting the medicine push from some folks of late, but hubby and I are standing strong. For us, our child and our situation, it is NOT the right choice, we are confident. Diet has had wonderful affects so far and I am going to be learning more about diet at an upcoming conference (http://nourishinghope.com/pdfs/FLYER_NourishingHopeChildren_Boston_2012.pdf) OT, BT etc. help, too. I am all about nutrition and strategies INSTEAD of meds! (That said, I know some parents truly feel their children need meds. It is a personal family choice and I respect whatever choice folks make – as long as they make it with thought and not just at the bidding of someone seeking an ‘easy” pill.)

    • DaCreaturesMama


      I have a friend in the Boston area who’s had enormous difficulty with school issues and has worked hard on dietary helps. The conference looks like a good one. I wish we had more resources like that around here.

  • kelly


    I always enjoy reading your posts. I know medication is a great help for many people, but like all things, it is not for everyone. As I watch my child enter his tweens, I can see that all that work helping him to learn to cope in the world is starting to pay off.

    I have a friend who really needs to hear this today. I am printing off a copy and sharing it with her.

    • DaCreaturesMama


      I’m gonna SO need tweener Aspie advice soon. I worry about middle school like the doomsayers fixate on the Mayan calendar. I’m glad to hear the work pays off. Some days, in the trenches, I am so tempted to give up. Thank you for kind words, and I hope your friend finds something in there that makes sense.

  • beans_mom_1


    Wow! We haven’t been to the should-we-medicate stage yet. Our son is 5 and about to probably enter Kindergarten in the fall. You brought up a good point– how would he function without you actively teaching him day in and day out how to cope with stress/anxiety. Pills might be temporary relief but how can one learn to cope without having the chance to do so because of being on a pill? I think it is unfair.

    You’re making great strides and I know it’s hard, but in the long run, I believe it will all have been so worth the effort, patience! Great post!

  • Brooke Shumaker


    Of course this is a very personal one sided story. There are plenty of adults out there who struggled their entire childhood undiagnosed and not offered appropriate Meds who later discovered that taking Meds was a blessing. Your post really paints medication as bad. Chemicals, a veil for reality. I have to respectfully disagree that they are only that. Defensive posts like yours make it seem that parents who choose to medicate (such as myself) are taking an easy way out and not teaching self regulation. I do not think I’m superior, just making a choice for my child at this time. The nice thing about Meds for me is that it is not a permanent decision. We could stop. To me, it was worth a try and they are helping my son learn. The medication has been very helpful. I don’t think it is all about control. I think it is also that some kids (like mine) literally cannot do some parts of school without some help. Now he can. And this is homeschool. One on one.
    I thought I should add this for all those parents who would read your post and feel guilty about making the decision to medicate. It can be a valid option and not a cop out.

  • Courtney


    I would first like to say that I support your decision to not medicate if that is what is working for you and your family. My own experience with two boys with ADHD (both possibly Asperger’s but the youngest is the one I worry the most about)was that their brains were racing so fast they couldn’t stop long enough to think before acting. Once medication was started, they began to make better choices. When they made poor choices, they were more open to discussions about those choices than pre-meds. That said, we work constantly on developing skills for coping with the world we live in successfully. They may decide as they get older not to take medication but they have been available to learn about coping skills that I don’t believe they would have been open to without the meds. I have heard more stories than I care to think about involving individuals self-medicating neurological differences through alcohol and drug abuse. My boys now know their are other options if they decide not to take meds and find they are struggling too much without them. The decision to medicate was neither easy nor made lightly, but with input from a variety of professionals and out of a desire to help my kids not struggle as much as they were.

  • Andrea


    I read your article because someone shared it on myautismteam.com web site. My mom is strongly encouraging me to medicate my son. He was diagnosed with Autism, Sensory Development Disorder, and Generalized Anxiety Disorder…and he is an Explosive Child. During his meltdowns he gets violent. I have had to medicate him once before, he was on Intunive and he was a little zombie. His aggression was not there, but neither was his smile. He just plainly existed. And I lost my son. I never want to have that feeling back ever again, and if I absolutely had to as a last resort for his sister’s safety, I would do it again but only for a short while until I figured out a new plan. Because I am a determined parent that will never stop trying to reach him and meet him where he is at. I want him to develop real coping skills, and you can’t work with someone who is drugged. Isaiah goes to school this fall for kindergarten, and I just really appreciated your article. I know we are up for a fight, and I am ready for it.

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