I'm parenting two kids with ADHD. One is also ASD.
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Sleep. They won't get ready for bed. They won't go to bed. They won't get out of bed in the morning. They won't get ready for school.
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They struggle a bit. They can make 5 minute friends, but they often become demanding or lash out at the first sign of frustration and their friends don't hang around. They can offend people easily.
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Meds. Melatonin and stimulants. Super effective. The school will call me within 90 minutes if I forget to administer meds. It's that obvious.
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I am burnt out. All the time. It's hard to do anything but raise the kids and go to work.
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Probably a reliable babysitter. The grandparents have very limited capacity.