Archive for adhd behavioral

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 been struggling with concentration and focus issues for a long time. I just took over 7 hours of testing and was diagnosed beyond any doubt that I have ADD (techincally ADHD innatentive type) and the doctor recommended that I start taking medication. Which medication is most effective at treating this condition? Don’t tell me to get educational therapy or behavioral modifications because I have already tried that.

Wow… don’t you just LOVE how helpful and considerate some people are? Jeez folks!

Well, I struggled my whole life with issues focusing, and completing tasks and remembering things. Finally, when I was a junior in high school, my parent’s took me to a psychologist who gave me the same news. I have ADD. What people don’t understand is that ADD or ADHD is a CHEMICAL IMBALANCE and medications for the condition make up for those unbalanced chemicals.

My doctor put me on a medication called Concerta. Concerta has completely changed my life! Ritalin just made me feel like I had 17 shots of espresso and there is another medication called Stratera (which I have never used). Those are the most common one’s used for ADD/ADHD. I feel like I’m a "normal person". i was always the one falling behind and forgetting to do things, never finishing things I started… now I do it all and don’t even realize it until the end of the day and I’ve gotten SO MUCH done! I would ask your Doctor about Concerta and/or Stratera. I hope this helps.

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Has anyone treated ADHD in a child (preferably a boy) with behavioral therapy?

What is involved in it?

Is there anything we can try to implement at home to get a head start before I can get him an appointment with a therapist?

Are there any resources you can recommend such as books, websites, etc?

I have ADHD myself, but have no idea how to help my son. I would really like to avoid stimulant medications. I take Adderall but I just feel that the side effects are too harsh for a 7 year old. He’s already small for his age, both in height and weight and I’d hate to give him anything that will have an anorexant effect.
Can your son play the same video game for an hour? He hyperfocuses when he plays video games. I literally have to shut the game off to get his attention.

Can he behave in your car while you are taking him to some place pleasurable? I have to tell him multiple times to turn around, put his seat belt back on, quit fighting with his siblings, etc. So, no. He can’t.

Can he play a game with you and stay on it to completion? He does pretty well at first but then will start playing with game pieces, or just decide in the middle of the game that he no longer wants to play and just walk away.

Does he have a hobby, best friend, or a favorite activity? No, he’s all over the place. He does have good friends but not one in particular that he would call his best friend.
Can he watch TV for any length of time without doing something else? For short periods of time. 15 minutes tops until he’s bored with it.

Can he stop his "ADHD" behavior if the reward is great enough? No, that’s the problem. We’ve tried rewards and nothing works.

Does he sleep through the night? Most nights he does, but he also sleep walks. He doesn’t necessarily wake up though. I have to physically redirect him back to his bed. He might wake up with a bad dream or something about once a month.

Is he difficult to wake in the morning? No. He jumps right out of bed. Getting him to get dressed, brush his teeth, get his shoes on, etc., is another story.

He’s pretty classic ADHD. I completely trust his doctor and the diagnosis.

Oh sure, we had tons of behavioral therapy for our son’s ADHD.

It works better to have therapy with medicine than just the medicine alone.

What you do is look at behaviors that you want to change, and see what function the behavior has, and replace the behavior with another one that is more helpful or less destructive.

Eventually, your child will know how to stop some behaviors himself and cope with his distractions.

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Has anyone treated ADHD in a child (preferably a boy) with behavioral therapy?

What is involved in it?

Is there anything we can try to implement at home to get a head start before I can get him an appointment with a therapist?

Are there any resources you can recommend such as books, websites, etc?

I have ADHD myself, but have no idea how to help my son. I would really like to avoid stimulant medications. I take Adderall but I just feel that the side effects are too harsh for a 7 year old. He’s already small for his age, both in height and weight and I’d hate to give him anything that will have an anorexant effect.
Can your son play the same video game for an hour? He hyperfocuses when he plays video games. I literally have to shut the game off to get his attention.

Can he behave in your car while you are taking him to some place pleasurable? I have to tell him multiple times to turn around, put his seat belt back on, quit fighting with his siblings, etc. So, no. He can’t.

Can he play a game with you and stay on it to completion? He does pretty well at first but then will start playing with game pieces, or just decide in the middle of the game that he no longer wants to play and just walk away.

Does he have a hobby, best friend, or a favorite activity? No, he’s all over the place. He does have good friends but not one in particular that he would call his best friend.
Can he watch TV for any length of time without doing something else? For short periods of time. 15 minutes tops until he’s bored with it.

Can he stop his "ADHD" behavior if the reward is great enough? No, that’s the problem. We’ve tried rewards and nothing works.

Does he sleep through the night? Most nights he does, but he also sleep walks. He doesn’t necessarily wake up though. I have to physically redirect him back to his bed. He might wake up with a bad dream or something about once a month.

Is he difficult to wake in the morning? No. He jumps right out of bed. Getting him to get dressed, brush his teeth, get his shoes on, etc., is another story.

He’s pretty classic ADHD. I completely trust his doctor and the diagnosis.

Oh sure, we had tons of behavioral therapy for our son’s ADHD.

It works better to have therapy with medicine than just the medicine alone.

What you do is look at behaviors that you want to change, and see what function the behavior has, and replace the behavior with another one that is more helpful or less destructive.

Eventually, your child will know how to stop some behaviors himself and cope with his distractions.

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Behavioral therapy has worked the best for me. I need to study, I just go to a place without distractions. It makes studying 100 times easier.

Cognitive therapy? A bust. No matter how many times I tell myself that I need to focus and ignore the distractions, it barely ever happens.

Drugs? I’ve heard of Ritalin. I might start using it.

I’ve been through ADHD in earlier years, and please take this into consideration, medication is a last resort. Yes, the benefits are obvious, concentrating better, and less hyperactivity, but the cons bury the pros. think about it, when you take a medication that makes you act differently, is it completely making you something you’re not. It’s changing your thoughts into things that aren’t supposed to be there. can you even imagine what that feels like? Ask yourself, do you want to be someone you’re not? A lot of people have benefited from ADHD, look up the famous people that have/had ADHD. Just learn how to focus, it’ll take time, but trust me, medication is hell on earth, when i was taking medication for my ADHD, i literally went insane for 2 years. It’s not something you need/want.

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