By Dr. Lara Honos-Webb

 

The way you talk to your child can profoundly impact his or her behavior, motivation and ability to pay attention. One of the key strategies parents can use is to find and focus on  your child’s gifts. The best way to get improvements in areas of concern is to adopt a coaching approach. This means that you use frequent reminders of desired behaviors. It also means you give explanations for why they should use these desired behaviors. This is in sharp contrast to how most parents communicate with their ADHD child, “How many times do I have to tell you not to mouth off to your teachers?”  Here are five examples of things you can say to coach your child to better performance in school:

 

1. “It’s ok to ask lots of questions, it shows your curiosity, problem solving ability and leadership. You will be more effective in getting the outcomes you want if you use a tone and style that shows your respect for your teacher.”

 

2.  “Your teachers work hard to give you the best education and they care a lot about you, I want you to show respect and appreciation for their hard work.”

 

3. “When you can sit still in class, remember that you can be the boss of your body. If you take a couple deep breathes and remind yourself to calm down you can take control.”

 

4. “The best way to get your teacher to support you is to look at her and listen when she talks.”

 

5. “Remember that the harder you try, the smarter you get. You can build your brain by working hard.”

 

Lara Honos-Webb, Ph.D., is a clinical psychologist licensed in California. She is author of The Gift of ADHD and Listening to Depression: How Understanding Your Pain Can Heal Your Life which was selected by Health Magazine as one of the best therapy books of 2006. The Gift of ADHD Activity Book: 101 Ways To Transform Problems into Strengths and The Gift of Adult ADD were released in 2008.  Her work has been featured in Newsweek, The Wall Street Journal, The Chicago Tribune and Publisher’s Weekly, ivillage.com, msn.com, abcnews.com as well as newspapers across the country and local and national radio and television. Her books have over 125,000 copies in print. The American Psychiatric Association included the Gift of ADHD (2005) in its recommended reading list in their “ADHD Parents Medication Guide.” She specializes in the treatment of ADHD and depression and the psychology of pregnancy and motherhood; she speaks regularly on her areas of expertise. Honos-Webb completed a two-year postdoctoral research fellowship at University of California, San Francisco, and has been an assistant professor teaching graduate students. She has published more than 25 scholarly articles.

 

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I have to go to a psychiatrist to be evaluated about my depression/social anxiety disorder to see if I need medications for it. One thing that concerns me about it weight gain. If I have a negative self image, I really don’t want to take something that would make that worse, such as gaining weight. But I’m wondering if the medication itself actually causes the weight.

If the medication increases appetite, it doesn’t necessarily make you gain weight. It’s the extra eating that does. Say if you were able to avoid the extra eating, the weight gain wouldn’t be there. I obviously don’t know how the meds would affect me, but I’m an athlete and have my food and nutrition planned out accordingly to my workouts and lifting routines. I have everything calculated to my body weight and know how much I actually need and keep daily journals. I’m hoping since I’ve been training for years and know what I need that I wouldn’t give in to the medication’s appetite increases. I have ADHD too and just because the Adderall seems to make me want to smoke doesn’t mean I do it. Foolishly, I did a bit in high school and even though I wasn’t a regular smoker; I still get nicotine cravings. Just putting this an example to compare against antidepressants and increased appeitite.

So do you think that medications themselves cause the weight gain?

no the medications themselves definitely do not cause weight gain. i was put on anti depressants and anti anxiety medications when i was diagnosed with anorexia and the dr knew that if they caused weight gain i wouldn’t take it. i didn’t even have any appetite increases. obviously i did have to gain weight because of the eating disorder but now i’m at a normal but thin weight and i am still taking anti depressants and don’t notice any appetite changes at all.

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Common symptoms of attention deficit disorder, or ADD, include being easily distracted, being forgetful and having difficult staying on task. Find out how a person with ADD can have problems interrupting others with help from a licensed mental health counselor in this free video on attention deficit disorder.

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So I noticed that after I started taking wellbutrin to help with my ADHD I have a very very very low appetite and that when I do get hungry I don’t eat much and that I am fine just not eating at least on a physical level. I know that I should eat but it seems to much effort and it really bugs me because I used to be a person who would go to the dining hall at least 4 or 5 times a day. I am athletic and i fear this medication is killing me by denying me the nutrition I need by making me not interested in it. It seems I just ignore hunger in place of other things and let it slip by the way side until I haven’t eaten all day (such as right now) and am painfully starving.

Many drugs can cause decreased appetite, but you know that going without food all day is bad. Maybe try eat 5-6 small meals a day (instead of 3-4 large ones). This way you can eat only a little at a time but not deny your body the nutrition it needs. If you notice a significant weight loss, you need to speak to your doctor.

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I’ve been on Vyvanse for almost 3 months now, 50 mg a day. It’s my first time on ADHD medicine, but I’ve been on Wellbutrin XL 300mg for 18 months. When I began taking the Wellbutrin I weighed about 155 lbs, in Dec of 07. Since then I got down to about 137-140 consistently, but since I started taking Vyvanse my appetite is completely dead. I can’t force myself to eat, because if I do then I get so sick that I have to go to the bathroom and try to throw up. I am NOT bulimic or anorexic. It’s just miserable being at work every day and feeling so nauseated, so sometimes I just sit in the bathroom and hope that I can throw up - I don’t make myself by gagging or anything.
For the first time in my life I feel 110% confident in my body and am loving the way I look, but I know that if I continue not eating I’m not going to be healthy. When I started Vyvanse I was average 137-140 lbs.
Today I weighed in at 122.8 lbs. Those 14 lbs were all lost within the last month, and it seems to be coming off even faster now. I’ve lost 7 pounds since last week. I’m 5′7" and 23 years old, and now my family (they don’t know I’m on anything) is telling me that I look skinny, but I love how I look now.
My point is - sorry I took so long to get there - that I want to know what I can consume each day to keep my nutrition from crashing, but without eating whole meals? I take vitamins, but is there something that I can put in my stomach so that at least I know I’m getting some sort of healthy substance? Like any specific sources of protein or something? Even when I did have an appetite I rarely ate meat, so lack of that is nothing new. I just need to find something to put me at ease about my body and make me feel like I’m not deteriorating. When I say "something I can eat without eating whole meals", I really do mean that I can’t eat meals. An example of what I eat per day is a latte in the morning, and sometimes - if I act as soon as I feel the hunger - something such as a bowl of cereal for dinner. That is how my health is now, and I know the obvious answer would be "eat multiple small meals a day" etc etc, but I can’t force myself to do that. That’s why I’m asking if there’s something small but has lots of nutrients?
Please help with any suggestions…
Thanks!

If you want nutrient dense, I would suggest hard boiled (or raw or softboiled whatever you prefer) egg yolks. You can survive without vegetables, fruits, grains and stuff, but you got to have protein and fat. Eggs really are a perfect food and just eating the yolks gives you a better fat ratio without adding fat. If you have lil appetite, I’d rather see you eat 2-3 egg yolks (or whatever you can get down) than one whole egg (the white of an egg is not perfect but it’s dense) Try to eat as many yolks as you possibly can before taking a multi vitamin.

You will lose more body fat eating protein and fat (don’t eat protein alone) than not eating AT ALL. To lose weight fast eat all you want but nothing but meat, eggs, healthy oils, mayo, butter and half an avocado a day (you’ll need added potassium). Keep your fat percentage high. Adding in green vegetables & some cheese will continue weight loss but at a slower pace.

If you starve yourself, your body will freak out and will want to store every ounce in case it doesn’t get nourished again. You need to give it adequate nourishment so it doesn’t slow your metabolism down to adjust for lower calories.

Simple carbohydrates (sugar, flour, bread, cereal, pasta, potatoes, rice) triggers insulin which can store the calories you eat into fat. The more protein you eat the more the fat burning hormone glucagon is released. The more carbohydrate you eat the more the fat storage hormone insulin is released.

High insulin levels unbalance other hormones. Controlling your insulin level will balance out other hormones & allow human growth hormone (HGH) to be produced naturally so you will gain lean muscle even without exercise. Any exercise will greatly increase your muscle mass with high HGH levels.

Reducing body fat and increasing muscle mass will have you in awesome shape in no time. Good luck!

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I have done research and want to know about visual spatial hyperlexia. I am a male in college and considered in an adult stage. I understand there is very little information on the disorder. Most people just get diagnosed with adhd( which I have). I became interested in understanding what it is after a teacher thought i may have it.

I have worked hard in a class and do fine in others , and its true we draw diagrams alot on the board. I have not done well in the class and maybe do not pick up on it well from all of the visuals. Again , I identified truth as evidence that i work hard but have not achieved results in just one class.Does that mean i have visual spatial hyperlexia…? I have indentified this truth that I have had adhd before (still do) but it is to my understanding associated with hyperlexia…

How do you treat it? can you help it through nutrition or exercise..?

You need to be tested and diagnosed by a neurologist (a medical doctor that specializes in the brain) or a neuropsychologist (a psychologist that specializes in the brain and its functions). Ask your college counseling center or department of disabilities (which would help students with learning disabilities) to refer you to a neuropsychologist. A neuropsychologist is a psychologist with expertise in brain functions and how they affect learning.

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Melinda Doolittle performs “Be Blessed” song at the Moonlight Garden Gala, a benefit to cure “Childhood Alzheimer’s” (NP-C) held in Reno, NV on May 10th, 2008.

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