Question: My 13 yo was diagnosed with add and ocd. She was put on Vyvanse 20mg 1 1/2 yrs ago. 1 month ago was bumped up to 30mg. She has a bmi of 13; 5"4 80lbs. she started menses in August; now no longer has it. In PE she has to run more than a mile. Usually she doesn't mind but for the past few months she has complained to coach that she has 'breathing pains'; the coach (aware of her meds) still makes her run. 5 days ago, she came home complaining that she fell asleep in two classes (PE is in morning). Yesterday she said that after a particularly grueling running session, she 'fell over on to her backpack and slept (sounds like she fainted). Her friend awoke her and she said she had some trouble breathing. she didn't report this to coach. I am taking her off meds until I find out what is going on. Her weight has been a concern for me since she was 4 (weighed 35lbs for 3 years but grew 4 inches). Her pediatrician seems to think that even though she is very thin that she is fine due to the growth chart showing her height and weight (though below chart standards) have been consistent. Even with add meds, she can't concentrate or remember. She exhibits signs of depression but I'm hesitant to put her on anti-depressants and she doesn't like the idea of potential side effect. I don't want to have on any meds. I think her weight is behind these issues. What do you think? What sort of specialty doctor should I have her see? She has had blood tests done (not sure what they were called) when she was 5 and when she was 10 (all of these were to see if there was an underlying problem to the weight) and they were normal. Are these episodes of 'sleeping' an indication of heart or blood pressure? I am going to take her to her pediatrician but honestly I don't think this doctor is in tune to what is going on..half the time they don't even get her name right. I appreciate any advice.