From
drhuggiebear.com and Frank Barnhill, M.D.
On Line Edition November
2006
________________________________________________________________________
This UncommonSense Health Newsletter is dedicated to being
your source for easy to read, up to date ADHD information on current and
important medical issues for your growing family.
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Dr. Frank’s 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.
This Month’s issue: ADHD behavior
Frank
Barnhill, M.D.
Sometimes it’s like the straw that broke the proverbial
camel’s back. This time it’s just more than you can take. You’re stuck between
grabbing him by the neck and shaking some sense into that “can’t seem to
remember” brain or pulling your last graying hair out! You have to
fight back the urge to use physical violence in response to her uncaring
attitude. It’s like the world’s going to explode if she says “duh, mom” one
more time.
Well, don’t feel alone, millions of parents are in the same boat. And they tell me it feels like it’s sinking a lot of times. They express frustration and feelings of guilt about not being able to control their ADHDer’s behavior or getting them to “think before they leap”. Since we don’t want our ship to hit an iceberg and sink, let’s take a look at a few common ADHD problems that cause parents to become frustrated. Then, we’ll look at ways to solve some of those problems and relieve family anxiety and frustration.
You’ve
told your child to clean up his or her room at least ten times. He just doesn’t
seem to understand that part of success in life is learning to organize and
that you want your home to look nice in case friends drop by or family visits.
Since
ADHDers are by nature poor organizers, the cleaning up the bedroom problem is
very common. It’s in the same trait category as not cleaning up toys in the
family room, forgetting to feed the cat, and forgetting pencils and paper for
school. What can you do to keep from getting angry and frustrated over the
situation and help your ADHDer at the same time?
Most
of us learn to organize by repeating and practicing the skills over and over.
The fact that your ADHD child has a chemical problem with “executive memory
processing” means that he or she will require much more practice in learning
organizational habits. For ADHD children and even adults, practice makes
better and perfect practice makes perfect habits. Spend time everyday with your
ADHDer practicing feeding the dog, cleaning up his room or making a ritual out
of taking her medications, until the perfect habits are automatic.
Always
involve your child in the decision-making that goes into getting organized. Ask your
child where he would like his toys stored or his school supplies placed for him
to easily find them. Get her to use paper and crayon to write reminders to feed
her pets or take her pills. Teach them to get clothes ready for school the
night before and place them where they can be easily found.
You’ve
called her five times to get out of bed. You even went into her bedroom and
shook her leg. You cut her alarm clock off thirty minutes ago. It just seems
like this child enjoys making the whole family run late. Your other kids are
angry because they’re going to be late for school again. Two of them had to do
extra homework for being late last week and it was “all his fault”. How can you
be fair to your other children when you have to contend with him?
If
your ADHDer is frequently late for school or work, buy a no-snooze setting
alarm clock that helps them “get up on time”. There’s no doubt ADHDers are hard
to get out of bed, unless something they really wish to do follows. So,
consider rewarding “getting out of
bed on time behavior” with a favorite breakfast food or a “special
immediately rewarded privilege”. Yes, such can cause problems with your other
children. So, in order to be absolutely fair, your kids should agree on how
rewards are to be given. One family I know lets the child who is first dressed
and ready to go to school ride in the front seat on the way to school.
You’ve
reminded her a hundred times not to interrupt when adults are talking to each
other. But she does, just one more time than your patience can stand. You’ve
threatened punishment before time and time again, but this time you mean it.
This is a common annoying habit of ADHDers. When they think of something, they
feel that it’s urgent to express their thoughts right away. A lot of this
behavior has to do with “executive processing” and it’s called impulsiveness.
It falls into the same category as breaking in line, cheating, shoplifting,
lying, speeding on a bike or driving too fast, and running out into the street
without looking.
So
what are you to do when your child is interrupting almost every word you say to
your best friend? You reinforce the idea that interrupting someone when
they are speaking should only be done in cases of urgency. One parent in my
practice stops his conversation and quietly asks “where’s the fire, son”?
Patience is learned by observing patient people. If you speed, then expect your
child to speed. If you constantly look at your watch wishing things to go
faster, guess what you teach your children? Parents who want to teach their
ADHDers to be patient have to teach the how, why and where of patience.
Patience
is based on learning to postpone something for future reward.
Now, let’s discuss manipulation.
A medical school professor once told me that some abused children actually seek
abuse, because the attention they received was better than no attention at all.
ADHD kids have a similar attitude about punishment, whether physical or emotional.
ADHD kids require a lot of attention and when they don’t get it, they seek it
in the only way they “know” how. I know it’s hard to believe that when you yell
or scream at your ADHDer you are giving him or her attention, but you are. It
may be a negative form of recognition, but it is attention just the same. So,
what are you to do?
You
should practice recognizing when your child needs that dose of special
attention and turn the event into a positive self-esteem building experience.
When your ADHD son interrupts you, ask where the fire is, point out that
interruptions should be for urgent events, and remind him that he has been
smart to spot urgencies in the past and his observations are important. Then if
what he has to say isn’t urgent, do it again, and thank him for pointing out
his observations.
ADHD
kids really do march to the beat of a different drummer. Avoid comparing your
ADHDer to your other children, because they are not alike. Your ADHD child must
have his own personality, strengths and weaknesses. If you have some unusual
life skills training tips, please share them.
Dr.
Frank
Dedicated to our common goal in helping ADHDers achieve their greatest potential in all aspects of life!
Dr. Frank’s
Golden Rule:
“ADHD is first a diagnosis of exclusion, then a diagnosis
of inclusion”.
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/
for our reprint
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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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