Brief update: Joshua went to an ADHD specialist on Monday to re-evaluate her original assessment of where he is within the definition of normal and what our options where in regards to medicine. We had stepped up Intuniv by this point. She prescribed a very low dosage of Ritalin. He's taking 1/4 of the dosage available for his size. In other words, we're starting on a very small a dosage to see some improvement on focus, attention and impulsiveness.

To offer positive re-enforcement, we're giving him a new silly band everyday he comes home with a "smiley" from his teacher. If he gets remarks about bad behavior like hitting or being disruptive then he has to talk to us about it and he gets no reward.

Per Donna Bateman's advice, we are also further cutting the sugar intake and switching to gluten-free products such as breads, pasta, cereal, soup, etc. Hunt's ketchup does not have gluten as a thickening agent and they offer a corn syrup free recipe- even better!! No more juices either. It's water and milk in our house. Luckily the boys LOVE soymilk and almond milk so we mix that in with cow's milk and they like that better than juice anyway.

Today: he got a smiley from his teacher and a silly band from his dad. :-)