Bedtime executive functioning with ADHD

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Forum -> Parenting our children -> Our Challenging Children (gifted, ADHD, sensitive, defiant)

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amother

Tue, Sep 05 2023, 10:49 pm

How does a preteen or teen (or adult!) manage their nighttime routine when their meds have worn off? My dd cannot put herself to bed. She's starting high school and not getting close to enough sleep, and I'm worried about any work that has to get done after her meds wear off too. Basically, she will read or craft or whatever and completely forget any schedule that even she has put in place. Alarms get turned off and ignored. She doesn't notice when she's getting tired, or when it's midnight. She forgets to brush her teeth. A routine doesn't help enough without the meds.

On her meds she can manage these things. Once they wear off, no go- no concept of time, no attention, no ability to do homework or study. And she can't take an extension dose or she can't sleep at night. She hates needing me to remind her. Ideas?

amother

Ecru

Tue, Sep 05 2023, 10:51 pm

I have alarms that tell me what they are for. Not a bell ringing, a voice that says "It is 5 minutes to 11. Start finishing up what you're doing." "It's 11:00. Go brush your teeth."

An app, especially with a smartwatch, can really help to keep you on track.

amother

Tue, Sep 05 2023, 11:23 pm

amother Ecru wrote:

So dd hears those, says to herself, "Ok", shuts them off, and goes back to what she was doing. Or she says to herself, "Cool, I'll finish the paragraph", and then she keeps going and forgets it was a warning, and she's in the middle of something else when the next one goes off, etc. And she often has zero memory of having heard the alarms at all. On her meds, this system works pretty well.

Also, what do you do on Shabbos? And if you need to focus on work or the like at night?

amother

Tue, Sep 05 2023, 11:23 pm

Double.

amother

Wed, Sep 06 2023, 7:20 am

Ideas? How ro deal or help teens deal with adhd at night and with bedtime?

amother

Chartreuse

Wed, Sep 06 2023, 8:53 am

Sounds like her medicine isn’t working for her. Can you speak to her doctor and try something else?
Or maybe a sleeping pill taken after supper?
Setting alarms and reminders don’t work for adhd people- don’t bother

amother

Peach

Wed, Sep 06 2023, 8:58 am

Reading this thread bec dh with add goes to sleep 5 am and it drives me crazy.

amother

Oxfordblue

Wed, Sep 06 2023, 9:06 am

I would consider getting her an ADHD coach who can teach her the skills she needs to succeed in life.

Another idea is to try alternative things because alternative things change the body completely and doesn't have the same issue of wearing off at night.

Some ideas are vitamin, brain gym, rhythmic movement and craniosacral therapy

amother

Jade

Wed, Sep 06 2023, 9:58 am

amother Chartreuse wrote:

Alarms work for me (adhd), but I have to adjust them sometimes. For alarms I tend to ignore, I make them loud, and set one every minute for 5 minutes to make sure I'm not ignoring them. I also label them so I know what I'm supposed to be doing. Eventually I get into somewhat of a habit and the schedule gets easier. It's not perfect, but I couldn't function at all without tons of alarms.

amother

Peony

Wed, Sep 06 2023, 10:04 am

amother Ecru wrote:

This sounds really cool. Which app?

amother

Wed, Sep 06 2023, 10:54 am

amother Jade wrote:

What do you do on Shabbos and yom tov?

Dd's meds work while they're working. She has meds for other adhd aspects that are round the clock, but nothing that would let her sleep helps with attention.

amother

Ecru

Wed, Sep 06 2023, 11:19 am

amother Peony wrote:

This sounds really cool. Which app?

Routinery is my favorite.

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