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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
UAMS Department of Psychiatry
4301 W. Markham # 554
Little Rock, AR 72205
501-526-8100
501-526-8199 (fax)
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