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When your child's ADHD medication wears off

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  • Article summary:

    Does your ADHD child return home from school mentally exhausted, physically edgy, and starving -- all at the same time her meds are wearing off?

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When your child's ADHD medication wears off

When I talk to parents at ADHD conferences, I always say, “See the afternoon crash coming, and have a plan.” We parents know that it is a hair-raising roller-coaster ride from the time our ADHD kids get home from school until they go to bed.

Three o’clock is probably the toughest time of day for our ADHD kids -- and the rest of our family.
That shouldn’t be surprising. Kids walk through the door mentally exhausted, physically edgy, and starving — though they usually don’t realize any of it. What’s more, their meds have worn off, causing their ADHD symptoms to return with a vengeance.

My after-school plan was to give my daughter a healthy snack the moment she got home (it actually became an early dinner for her) and to disappear. Anything beyond a simple “Hi” could have triggered a tantrum. She needed to have time to herself.

Here are a few other things that helped reduce the steep drops of the 3 o’clock roller-coaster ride:
• Don’t over-schedule your child with after-school activities.
She worked at least twice as hard as her non-ADD schoolmates and needs about twice as much downtime. We set up a room for our daughter, outfitted with beanbag chairs, video games, jigsaw puzzles, and a play table. She isolated herself and played quietly when she was stressed. Since moodiness, irritability, anger, and defiance are common in kids who are tired and hungry, don’t force your child to accompany you on errands, which will tire her out even more. If you have to go out, be sure to bring in an ADHD-friendly babysitter.

• Set aside time for therapeutic physical activity.
Raking the leaves, riding a bike, doing martial arts on Wii, swimming, and taking a walk in the park are effective ways to release tension and hyperactivity.

• Talk with your child’s doctor about giving her an afternoon dose of ADHD medication.
Many children benefit from a second dose, which helps them focus and stay calm. Remember, no child likes to feel out of control.

• Watch what your child eats.
After-school foods rich in protein will help balance a child’s mood better than foods high in simple carbs. Consider an early dinner if she just can’t wait for the family meal.

• Hire a tutor to help with homework.
A non-family member is usually a better homework helper than parents, who may quickly butt heads with their child.

• Be realistic about your expectations and never compare your child with her non-ADHD siblings.

Terry Matlen

Terry Matlen, ACSW is a psychotherapist, consultant, writer and coach, specializing in adult attention deficit disorders. She has a special interest in women/moms with ADHD and parenting the ADHD child when one or both parents also has ADHD. She is the author of the book, "Survival Tips for Women with ADHD" and is founder/director of and



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