

From
drhuggiebear.com and Frank Barnhill, M.D.
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Dr. Frank’s ADHD behavioral rule #1:
“ADHD is first a diagnosis of exclusion, then a diagnosis of inclusion!”
You must first exclude all the illnesses that mimic ADHD and then be sure the diagnosis fits ADHD traits.
Frank
Barnhill, M.D.
In
order to be a “social person” and learn how to get along with others, your
child must practice the art of “being social”.
It’s
no secret that ADHD kids don’t develop social skills as rapidly or at as early
an age as non-ADHD children. Since ADHDers have problems with “executive brain
processing”, they often miss the little subtle facial, verbal or physical clues
needed when interacting with other people, that the rest of us catch. For
example, they may not detect the changing voice tones and “shaking head no” of
a playmate who is scared to climb a high tree or cross a busy street without a
parent. Since the ADHDer will probably persist in the behavior, and even push
the other child to join in, a relationship conflict occurs that makes the
non-ADHD child think about avoiding him or her in the future.
As
the ADHD child eventually senses the other child’s reluctance to play with him,
he becomes angry and manipulative in his attempts to push others to play. He’ll
often play harder and take more risks trying to impress or outdo his playmates.
This competitive drive would best be channeled into sports and organized
athletics. If such fails to occur, then the ADHDer will lose friends as he is
seen to be too rough to play with or parents and other kids don’t approve of
his risk taking behavior. Social isolation drives ADHDers to become partially
isolated and develop defensive behaviors to protect their egos.
Here
are a few tips to help you improve your ADHDer’s chances of developing good
social skills:
·
Start
reading to your ADHDer as soon as possible and at the same time you read to
your other children, even if the story read is above the child’s learning
skills. This will teach your ADHDer that he or she can participate and share
your time with other children and not be the center of attention.
·
Purposely
set up playtimes with a single child of a similar age, so you can help
“supervise” their play. ADHD kids don’t do well in large groups, so it’s much
easier for your ADHDer to focus on sharing, playing without being rough and
taking turns when there aren’t a lot of other kids around. Explain why we
should share, take turns and avoid playing roughly instead of saying “because I
said so”, or “because that’s what we’re supposed to do”.
·
Set
up play times and social events at your home or in similar “comfortable areas”.
The reason is easy to understand if you think about your ADHDer’s need to feel
in control of his surroundings to avoid confusion and frustration. You and
everyone else may think having a birthday party at a pizza place or skating
rink is going to be great, but your ADHDer may become overwhelmed in these
areas, especially if he’s less than 10 years of age or if it’s a “new place” to
him. When an ADHDer feels overwhelmed and threatened, they become moody, much
more hyper and demanding as they try to gain some control over their new or
unfamiliar surroundings. If you want to have social events in an “unfamiliar”
place, then slowly introduce your ADHDer to the place about 3 or 4 weeks in
advance. Make a small family outing and allow your ADHDer to thoroughly
investigate and get used to the new environment. ADHD kids like to direct other
children’s attention to neat things as it gives them that little feeling of
acceptance they so need.
·
Coordinate
visits to another child’s house, by explaining your child’s ADHD to the child’s
parents and making suggestions about play activities. Sometimes, it’s hard to
get parents to do this, as they feel embarrassed about their child’s ADHD, but
ADHD should not be an embarrassing disorder. In fact, a parent may help keep
their ADHDer from displaying those terrible ADHD traits in public, by training
them how to socially interact at an early age. Be sure to explain frustration levels
and good as well as bad habits to the other child’s parents.
·
Set
up social visits that help your ADHDer “have a best friend or buddy”. To do so,
you must observe whom he or she plays best with or interacts with the least
amount of threat and friction. Then encourage their friendship by first having
social events that involve the new best friend and your family. Next, schedule
social occasions that involve both families, so that the “best friends” can
show off their relationship and feel comfortable about spending nights at each
others house.
·
Help
your ADHDer to become good or great at doing at least one thing, such as a
specific sport (place-kicker, tennis, catcher, etc.) or an artistic talent
(playing guitar, painting, drawing), so that he has an ego-self-esteem building
ability that helps him interact with others at school or play. Children are
much more tolerant of other children who have special talents!
·
Be
sure to set good examples for your ADHDer to learn by! Show that you can share
things and patiently wait in line without complaining. Be open about explaining
when you have to take turns and why you “choose” to do so.
Following
these suggestions should give your ADHDer an edge in developing good social
skills and decrease the likelihood of him or her displaying undesirable ADHD
traits while in public or interacting with friends and family.
Dr.
Frank
Dedicated to our common goal in helping ADHDers achieve
their greatest potential in all aspects of life!
No
portion of this information is intended to be offered as medical advice for the
individual. Your family doctor is still the best
source of advice for you and your family and you should consult him or her if
you have any medical concerns. If you wish to use this article as a parent
handout or in your newsletter, please see http://www.drhuggiebear.com/
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All
articles are derived from published materials, educational sources and years of
experience for each author. No portion of the
above-contained information is offered as medical advice in any manner. In
times of need, your family doctor or professional counselor is still the best source of advice for you and your family
and you should consult him or her if you have any medical concerns. If
you have comments or questions, please drop me a line at drfrank@drhuggiebear.com.
Frank
Barnhill, M.D.
All materials, content and graphics are Copyright 2006 Frank
Barnhill, M.D.
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