u/Ok-Worldliness-1852

My son started with 18mg concerta but was bouncing off the walls by 1pm every day. Started 27mg and his conversational skills were so much improved (he’s autistic too and often gets distracted by internal thoughts so can’t converse well). But on 27mg he had no real executive function improvements so the dr upped it to 36mg and said if it doesn’t work we’ll try vyvanse.. well 36mg seems worse. He’s back to being internally distracted and even worse with executive function etc so it’s definitely not the right dose. I’m just wondering if we should give the vyvanse a try or if we should go back to 27mg since it had at least SOME improvements.. I’m not sure what to expect if we try the vyvanse.

The first dose of 18mg my son was WIRED by 1pm never heard him talk so much in my life. Second and third, no difference at all.
27mg were notice his conversations are so much better, not hyperfixated, less scripting, more of his own speech and intimating conversations. Besides that not noticing any difference with executive function, attention or focus. But he is not sleeping at all… he was up until 5am the other night.. then in the morning when we have to wake him up he’s so tired and doesn’t want to get up and he’s tired throughout the day.
We give 10mg of melatonin already which is the max we can do and we already did that because his autism makes sleep hard.
The dr just increased his dose to 36mg and now I’m scared ! What do we do about his sleep 😩

We are not very handy people but attempting to build our fence. The posts have been set by someone else. It’s going to be 6ft tall, the posts will be slightly taller for aesthetics. My question is about the top rail. When I look it up it’s saying the top rail should be roughly 6inches from the top of the boards but if I want to put a top cap on, which has to screw into the top rail, the top rail would have to basically be right flush with the top of the boards right ? Is that fine to do ?