What is ADHD and How do You Manage it?
May 17th, 2008 • Category: ParentingThere are some children who suffer from Attention Deficit Hyperactivity Disorder (ADHD). The symptoms exhibited by these children are:
1) They have a low level of concentration and a very poor attention span.
2) Their memorizing powers are low and they have poor concentration.
3) Impulsiveness - the trait of doing things without thinking first
4) Easily frustrated - because of poor concentration and memory when they cannot remember things, they get frustrated. This causes behavioral patterns like temper tantrums and outbursts
While most children as well as adults face similar difficulties during daily routine, those children who suffer from ADHD have a far larger frequency of these difficulties. The extent is so acute that they are unable to undertake tasks such as:
a) at school (they are not able to pay attention or finish their work in time or they can be disruptive and destructive in class, may be talking excessively in the class )
b) at home (are not able to finish chores, are clumsy, get into fights with siblings and more)
c) in society (Often bossy and overbearing, show aggression, get frustrated easily and then have temper outbursts, and more)
ADHD is not a disease or illness in the sense that it is caused by germs, by injury, or by a clearly defined physical malfunction (such as asthma or diabetes). It is simply the result of parts of the brain not working at full efficiency.
Studies have proved that ADHD is partially genetic, gets transferred from parents to children and in a way runs in the family. What has also been established that the symptoms and the problems associated with ADHD are almost life long. They cannot be cured over night are with you for a long time. In most cases, these symptoms and problems continue well into the teens and often into adulthood too.
How do you manage ADHD?
Children suffering from ADHD can get long term complications which may run into their adulthood as well. These complications could be:
a) Their fear of failure at school owing to poor concentration, leading to school drop out
b) they may be constantly in trouble because of their impulsivity and so be excluded from school and end up with the police,
c) Their fear of taking recourse to anti-depressants such as drinks, drugs, crime etc to avoid getting anxious and depressed.
All of these, in turn, can lead to long term complications that affect functioning in adulthood.
The goal of management is, therefore, to prevent complications. This is a long term process, so the most important people to take charge of this are the parents. It is you as parents who have to live with the child, you who are most concerned about his/her long term well-being, and you who know your child best. If you do not take an active role in managing the difficulties then whatever else other people do will be unlikely to make much difference. However, if you do your part then there is much that others can do to help you along the way. Effective management is likely to include the following components:
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 is very essential between parents, support groups and the school teachers. If all three groups care to communicate and solve particular problems it will be beneficial for the child.
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.
PARENTAL SUPPORT. Since getting along wit these children and bringing them up takes a lot of doing , the parents themselves are likely to get depressed and break up. To avoid marriages to break up and to maintain harmony, it is advisable for parents themselves to seek assistance from parent support groups, parent training groups, respite care, marital counseling, family therapy are such support groups and organizations.
MEDICATION. While there is no medicinal cure for this affliction, medicines do help in reducing the symptoms. If these symptoms are reduced, the child gets an opportunity to learn social behavior, academic knowledge and other skills. Medication is not a cure, but can be an invaluable help. To ensure that the right medicine and in the correct dosage is provided, you would need to consult a professional worker.
ADHD patients are given various medicines. Most of these are stimulants and a new rage is a medicine called atomoxetine. This is a new medicine for ADHD and is seen to be working very well and with negligible side effects. More information on this new wonder drug could be sought from the doctor.
As health professionals we cannot raise your child for you, nor can we solve all your problems as you travel with your child along life’s journey. What we can do, however, is to assist you in getting unstuck when you get stuck along the way. We will try to help you to sort out all of the above points as best you can.
It is very important for you as a family to learn about the ADHD so that you are able to bring up the child in least stressful environment. The more you learn the better it is for the child and the family as a whole.
Dr. Noel Swanson is
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