What is ADHD and How do You Manage it? By: Dr. Noel Swanson
Attention Deficit Hyperactivity Disorder (ADHD) is a condition that can afflict children. People suffering from ADHD have symptoms such as: 1) Poor attention span and concentration - unless totally engrossed in something (like a computer game). 2) Poor concentration and memory 3) Impulsivity - doing things without thinking first 4) Easily frustrated - often leading to temper tantrums and outbursts Of course all children (and adults) show difficulties such as these at various times. For the child with ADHD, however, these difficulties are so great that they have experienced failures in various areas such as a) at school (getting work done, paying attention, daydreaming, losing homework, talking in class, being disruptive, etc.), b) Participating in healthy activities at home such as getting chores finished, maintaining cordial relations with siblings, maintaining a modicum of efficiency and getting things done on time. c) in society (Often bossy and overbearing, show aggression, get frustrated easily and then have temper outbursts, and more) It would not be appropriate to include ADHD as an injuries or a disease as its onset is not dependent on a germ or any specific physical malfunction. This comes into effect only as a result of some part of the brain not working at peak efficiency and not contributing totally. ADHD can be called a hereditary condition, where parents and children show similar symptoms. The symptoms and the ADHD condition does not go away in short span of time and takes a long time to get under control. Sometimes children suffer from ADHD through their teens into their adulthood also. How do you manage ADHD? What bothers children suffering from ADHD is the danger and fear of long term implications and complications. For example: a) Score poorly or fail in school because of lack of concentration. b) they may be constantly in trouble because of their impulsivity and so be excluded from school and end up with the police, c) may turn to social ills like drugs, crime, drink because of their constant failures. All of these may then have long term implications even into adulthood. What you cannot beat has to be managed, and the goal of good management is to avoid complications. Since the process of management is a long term commitment, the only people who can effectively ensure its putting into place are the parents. The parents who live with the child, understand his needs and requirements and are the foremost people who are concerned with the well being of the child are the ones who need to take a proactive part in managing this difficulty. Unless parents themselves take the lead, all efforts of others shall go to naught. It is only when parents take an active part that the efforts of others shall bear fruit too. Some of the components of effective management of ADHD are: COMMITTED PARENTS who are ready to support their child in full. Through the information available to the parents through the books, videos, Cds and internet, the parents should be able to help their ADHD afflicted child. A word of caution here is that along with all the information, there is a lot of mis-information also available on the net and other sources. This skewed information might cause a problem in understanding the condition of ADHD. There is no magic cure available for ADHD, anybody who claims to have a magic cure is lying! GOOD COMMUNICATION. Communication between the school and the home is very important for effective management. This enables you to discuss solutions and implement them for an effective output. ADJUSTMENTS IN THE ENVIRONMENT. Children with ADHD do best in a quiet, calm, structured, low-stimulation environment (e.g. one to one) and poorly in chaotic situations (e.g. busy classrooms, noisy, busy homes). As a family you may want to find ways to reorganise life so that it is less stressful for all of you. At school the teachers will be doing the same, and it is best if the two can be co-ordinated. CLEAR BEHAVIORAL MANAGEMENT STRATEGY. These children respond best to very clear expectations of behavior, and very clear rewards and punishments - with rewards being more frequent than punishments. If you are having difficulty in doing this at home you may want to talk about some strategies with your key worker. SUPPORT FOR THE PARENTS. These children are hard work - even for the best of parents. This often produces a lot of stress. Often this can lead to marital breakdowns and parents getting depressed themselves. To prevent this you may need to consider getting help for yourselves - parent support groups, parent training groups, respite care, marital counseling, family therapy are all possible resources. MEDICATION for ADHD should be such that reduces the symptoms and lets the child the opportunity to learn academic, social, and other life skills. The aim here should be to get the correct medicine in the right dosage. child the opportunity to learn academic, social, and other life skills. There are several types of medication that are used. The most common are the "stimulants" (discussed on the next page), but increasingly common is the new medication atomoxetine, which seems to work very well with few side effects. Ask your doctor for full information. The path of correct management has to be tread by the parents themselves. Healthcare professionals can only advise and guide the parents on this lonely path. They can assist you where ever you get stuck and help you along in implementing an effective management plan. But, in the end, it is you and your family who have to live with it, and so the more you learn about it, and the more you learn the best ways to manage it, the better your chances of a good outcome.
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Go over to Dr. Noel Swanson's excellent website for more free parenting articles. While you are there, make sure you also get his book The GOOD CHILD Guide - it is essential reading for every parent: www.good-child-guide.com/ Click here to get your own unique version of this article.
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