BE FIRM, CONSISTENT, AND KIND -- Remember the power of
praise and reward. Use a positive attitude and not a punitive one
in dealing with your child. Establish clear ground rules when the
child is young and keep those rules with appropriate amendments.
As the child matures and improves in judgment, give him more
leeway. There is no "Operating Manual" for rearing your
child, but one rule to heed--NEVER, NEVER put the child down. Do
not degrade the child--MAINTAIN self esteem at all cost.
LISTEN -- Listen actively to your child. This sets a good
example and helps the child feel important and valued. Remember,
if you do not want your child to tune you out, do not tune the
child out.
DO NOT HAGGLE OR NEGOTIATE OVER SMALL THINGS -- Make a clear
decision. Right or wrong, it is better than haggling. Decision
making is a chore for youngsters with ADD. Encourage him to make
a decision, but be patient with him as he tries to think it
through . If he makes a decision accept it. If he hesitates and
shows indecision, only then make the decision for him. Build
mutual respect as each learns to make choices and understand the
consequences.
GIVE CHILD CHORES -- Keep the chore appropriate and keep
clear guidelines as to who will do what and when. Select one or
two chores and be prepared that it will also take your time.
Goodwill and many calm reminders may be necessary to get those
chores done. Parents who share duties and chores with their child
help to build self-discipline and a sense of responsibility.
HELP THE CHILD REMEMBER -- Many children with ADD are
distractible and forgetful. Keep a short list of tasks. A list is
impersonal, and the child will gain satisfaction as he checks off
those tasks that he completes. Use picture cues, a prominently
placed calendar, or environmental reminders (i.e.after supper
feed the dog; when sister brings the dishes-you load the
dishwasher). These techniques are memory boosters.
BE PREPARED TO ACCEPT THE ABSENT MINDEDNESS OF MOST CHILDREN
WITH ADD -- Often children do not process multiple requests
quickly or accurately. Before making a request, it helps if
parents first make sure they have their child's attention. Watch
to see where the child lays the kitchen shears, the saw, the
hammer, etc. Check later to see if the item has been put away, if
not, give a calm reminder to put it in its proper place. Most
importantly, allow the child only that which he can manage. Too
many toys, tools, clothes, shoes, etc. are distracting and cannot
be managed comfortably. Provide things only as they are needed,
and teach that everything has a time and place for its return.
STRETCH THE ATTENTION SPAN -- Rewarding non-hyperactive
behavior is the key to preparing these children with ADD for
school. The child can be shown pictures in a book and be
rewarded. Games of increasing difficulty can be taught. As an
example, start with building blocks and progressing eventually to
dominoes, card games and dice games etc. Matching pictures is an
excellent way to build a child's memory and concentration skills.
AVOID A POWER STRUGGLE OVER REPEATED DIRECTIONS Give a
command one to three times as needed but say it each time as
though it was the first. Speak clearly and slowly, use a gentle
touch, make good eye contact, and keep an encouraging expression.
After the parent has stated his wish in a simple, clear command,
the child can be asked to repeat what was said. As soon as the
child does what was asked, the parent should simply say,
"Thank you, I appreciate your doing what I asked."
One of the most potent motivations is a verbal response
indicating your pride and acceptance of the child's efforts.
HELP YOUR CHILD ORGANIZE -- Many youngsters with ADD are
erratic in their approach to problem solving and present
themselves as being very disorganized. They may have great
difficulty relating an event in its proper sequence. Keep a calm,
structured, and predictable home existence. Be firm and
consistent about routine chores and schedules for meals,
homework, bedtime, etc. Routines and schedules help your child
accept order and become more predictable. Minimize distractions
and provide a place, a time and the tools for a task's
completion. Help him know where to begin, when to end and how to
express who, what, when, and where. Again, a calm, uncritical
manner should be the rule.
DIFFICULTY WAITING -- Because of the child's impulsivity,
fear of forgetting, and/or being forgotten, he will speak and act
out of turn. Give him a turn!! Some interruptions may be allowed.
If you have permitted some lack of good manners, and provided
warnings and cues to help him realize he did interrupt, he may be
disciplined by excluding him from the activity.
PREVENT PROBLEMS WHENEVER POSSIBLE -- Keep in mind that even
children with ADD do not intend to be defiant. They probably mean
to do the right thing. It is best to try to prevent problems
rather than dealing with them after they occur. Recognize that it
may be more beneficial for your child to stay home with a
baby-sitter, than to stay in a crowded daycare facility or attend
an exciting wedding reception. The idea is to avoid situations
that could be embarrassing until he learns a measure of
self-control. These stimulating situations may be gradually
introduced.
AVOID FATIGUE -- When children with ADD are tired, their
self-control breaks down. Rest, relaxation and regular routine
are particularly needed for this group of children.
PROVIDE OUTLETS FOR THE RELEASE OF EXCESS ENERGY -- Because
their energy should not be bottled up, these children need daily
constructive and creative activities that may include running,
biking, swimming, sports, etc.; a fenced yard helps. In bad
weather, provide a recreation room where they can do as they
please without criticism for their noise or activity level.
Children with ADD are often creative. You may want to provide
them with things like craft supplies.
ACCEPT YOUR CHILD'S LIMITATIONS, RECOGNIZE STRENGTHS, AND HELP
OTHERS DO THE SAME -- Undue criticism or attempts to change the
energetic youngster into a "model" child, may cause
more harm than good. Since many ADD behaviors are not
intentional, do not expect to completely eliminate them--just try
to teach reasonable control. Nothing is more helpful for the
child with ADD than having a tolerant low-key family who respects
the child and allows the child to respect himself.
IN MANY CASES, PARENTS SHOULD NOT TUTOR THEIR OWN CHILD
-- It
is helpful for a youngster to have a family member read to him or
discuss some ideas. An attempt to teach phonics or math is
usually unsuccessful. The child profits more from showing what he
has already mastered, than from the strained relationship that
may result from parental tutoring. Provide a study area and a
study person whenever possible.
PRAISE OR PUNISHMENT MUST BE IMMEDIATE -- The longer the
interval between the child's behavior and the time he gets
feedback, the more opportunity there is for him to skip to
another event and fail to make the feedback relevant. The
cardinal rule is to focus on the behavior and not the child or
the child's self-esteem. Since these children can not handle many
rules, the family needs a few clear consistent ones. Punishment
should be short in duration. An occasional slap on the behind
may be part of normal child rearing, but beyond that it becomes
ineffective and often creates more problems especially for the
child with ADD. These children need adult models exhibiting
control and calmness in order to decrease their own aggressive
behavior. Avoid situations that may encourage inappropriate
behaviors.
APPROPRIATE BEHAVIORS SHOULD BE REWARDED BUT NOT BOUGHT
-- Reward appropriate behavior with such things as special time or
privileges with parents or another favorite person. If he gets up
15 minutes late, then he should be required to go to bed 15
minutes early that night. The more tangible rewards such as
money, toys, and candy can be used as a starting place to get the
child's attention; they should soon be replaced by social and
personal rewards.
BE OBSERVANT - KEEP IN MIND WHAT WORKS - USE IT OVER AND OVER.
-- Avoid negative comments. Do not assume that the child understands
what you want. Make an effort to explain clearly what is expected
so the child can comply. "Put the clothes in the dryer and
then you can watch TV, or the TV will be turned off ."
Define what a "clean room" is or what "Be good in
the store" means. The child with ADD can direct himself
toward appropriate behavior if someone helps him understand what
is expected.
PERIODICALLY GET AWAY FROM IT ALL -- Parents must take time
away from their child often enough to recharge. Coping with some
of these children for 24 hours a day can be very stressful.
Families must get through the difficult times without being torn
apart. It is important to protect the basic relationships in your
family. Learn to maintain a balanced point of view. Separate the
essential issues from the non-essential ones. Be as calm as
possible, do not over-react, keep your eye on the future and most
importantly, get every ounce of energy from your sense of humor.
Information taken from a handout by Dan Steinfink, M.D. and
Harvey Oshman Ph.D.
A summary of the common behaviors, plus possible interventions, discussed in this chapter is provided, Most teenagers with ADD will have some but not all of these behaviors. More information on particular behaviors and interventions can be found on the pages noted below. As you become more familiar with using these strategies, you will find that you can often use them to handle more than one problem situation.
| CHALLENGING BEHAVIORS | POSSIBLE INTERVENTIONS |
| Seek independence and freedom |
|
| Disobey/Conflict with adults |
|
| Act younger |
|
| Act impulsive |
|
| Difficulty paying attention/don't seem to listen |
|
| Forgetful/Don't do chores |
|
| Disorganized/loses things/messy room |
|
| Lack of awareness of time/they're late |
|
| Difficulty planning ahead |
|
| Difficult to discipline |
|
| Low frustration tolerance/irritable/emotional |
|
| Argue/talk back |
|
| Don't accept responsibility for actions |
|
| Dishonest |
|
| Difficulty with family events |
|
| Difficulty participating in sports |
|
| Restless/easily bored |
|
| Seek material possessions |
|
| Self-centered |
|
| Break things or have accidents |
|
| Daring/have accidents/climb the unclimbable do harrowing stunts/breaks bones |
|
| Sleep disturbances/can't fall asleep |
|
| Can't wake up |
|
| Difficult morning routine |
|
| Birds of a feather, flock together |
|
| Lethargy/apathy |
|
| Absent-minded / spacey |
|
| Slow Processing |
|
| Attention seeker |
|
| Intrusive |
|
| Difficulty relating to others |
|
Permission granted by Chris A. Ziegler Dendy, M.S. to reprint this information from Teenagers with ADD A Parents Guide.
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