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Child Study Center

Child Study Center

Family Education Page

 

 

From time to time on this page, we will add information of possible interest to families concerning some of the more common forms of behavioral or psychiatric problems seen in children and adolescents. 

ADHD Basics For Parents

 

DIAGNOSIS:

•  Three basic types : primarily inattentive (not hyperactive but frequent problems paying attention), primarily hyperactive-impulsive (the hyperactive child), and a combined type with mixed symptoms

Inattention symptoms:

•  Careless mistakes, attention wanders, may miss what you said

•  Chronic problems completing tasks  

•  Disorganization; Hates to do tasks that require sustained mental effort

•  Easily distracted by things around them

•  Forgetful

•  Frequently loses things

 

Hyperactivity symptoms:

•  Fidgety, squirming in the seat; Frequently out of their seat

•  Excessive motor behavior for their age; Often on the go, as if their motor is stuck on fast (‘hyper”)

•  Difficulty playing quietly; Excessive talking

 

Impulsivity symptoms:

•  Blurting out in class or frequently interrupts

•  Difficulty with taking turns

 

Some disorders that may mimic ADHD:

•  Anxiety disorders: may be jittery, show increased startle response, increased autonomic arousal; may look hyperactive

•  Asperger's syndrome:   this high-functioning autistic-like disorder includes problems with maintaining attention and focus, poor social skills

•  Depression:   a child who is depressed has difficulty paying attention; they may be more inner-directed in their attention ( eg , thinking sad thoughts)

•  Behavior disorders:   such as Oppositional-Defiant, Conduct disorders in which the main problems are defiance of adults, authority figures, and rules; aggression; etc.

OTHER COMMON CHARACTERISTICS OF ADHD KIDS:

 

•  Poor self-concept:   because they often encounter criticism, disapproval, failure; some respond oppositely:   “If I can't be good at anything else, I'll be good at being bad.”

•  Aggression: they are at increased risk for impulsive aggressive behavior

•  Academic problems:   children with ADHD tend to have problems with academics; many ADHD kids also have learning disabilities

•  While ADHD families usually show more problems, and bad parenting can cause many child behavior problems, a child with a difficult temperament such as ADHD can cause good parents to fall into bad parenting practices

 

Other issues in ADHD:

 

•  There is still no clear understanding of why ADHD develops, although current evidence suggests genetic or neurological explanations.  However, environmental and learning factors can also be important.  The healthier the family, environment, and support system, the less likely any problems from ADHD will be severe.

•  Dietary issues: there isn't really any good evidence that as a group, ADHD kids are made worse by certain foods; if it is true, it may only be for certain individuals, whether or not they have ADHD.

•  Research shows that improvement is best with a combination of medication and psychosocial interventions (usually behavior programs, parenting, school contact).  

•  Kids don't usually outgrow ADHD, although the hyperactivity often decreases and they can learn to cope better with the basic symptoms.

•  Just because a child can sustain attention when doing something they like does not rule out ADHD


ADHD Readings and Resources

 

•  Diagnosis and Treatment of Attention Deficit Hyperactivity Disorder. NIH Consensus Statement Online 1998 Nov 16-18; [cited 2000, 5-22]; 16(2): 1-37. See web site at:   http://odp.od.nih.gov/consensus/cons/110/110_intro.htm

Books for Children and Teens:

  • Galvin , M. Otto Learns about his Medication. New York: Magination Press, 1988.
  • Moss, D. Shelly the Hyperactive Turtle. Rockville, MD: Woodbine House, 1989.
  • Nadeau , K., and Dixon, E. Learning to Slow Down and Pay Attention. Annandale , VA: Chesapeake Psychological Publications, 1993.
  • Quinn, P., and Stern, J. Putting on the Brakes: Young People's Guide to Understanding Attention Deficit Hyperactivity Disorder. New York: Magination Press, 1991.

Books for Parents:

  • Bain , L. A Parent's Guide to Attention Deficit Disorders. New York: Dell Publishing, 1991.
  • TAKING CHARGE OF ADHD: THE COMPLETE, AUTHORITATIVE GUIDE FOR PARENTS. R. A. Barkley. Guilford Press, 1995.
  • Barkley, R. Defiant Children. New York: Guilford Press, 1987.
  • Goldstein , S., and Goldstein , M. Hyperactivity: Why Won't My Child Pay Attention? New York: J. Wiley, 1992.
  • Moss, R., and Dunlap , H. Why Johnny Can't Concentrate: Coping with Attention Deficit Problems. New York: Bantam Books, 1990.
  • Pryor , Karen.   Don't Shoot the Dog: The New Art of Teaching and Training . Bantam Books, 1985.
  • Silver, L. Dr. Silver's Advice to Parents on Attention-Deficit Hyperactivity Disorder. Washington, DC: American Psychiatric Press, 1993.
  • Wilson, N. Optimizing Special Education: How Parents Can Make a Difference. New York: Insight Books, 1992.

Support Groups and Organizations

Attention Deficit Information Network (Ad-IN)
475 Hillside Avenue
Needham , MA 02194
(781) 455-9895

 

ADD Warehouse
300 NW 70th Avenue
Plantation, FL 33317
(800) 233-9273

 

Children and Adults with Attention Deficit Disorders
(CH.A.D.D.)
499 NW 70th Avenue, Suite 101
Plantation, FL 33317
(800) 233-4050

 

Council for Exceptional Children
11920 Association Drive
Reston , VA 22091
(703) 620-3660

 


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