Diagnosing ADHD in Your Child, an Introduction
Everyone in a private practice setting who works with children or adults is going to have their own opinion on how Attention Deficit Hyperactivity Disorder - ADD or ADHD - should be diagnosed. Some clinics take the perspective that "more is good," and will recommend a large battery of tests, often costing many thousands of dollars. Other clinics, typically with hurried physicians, will simply give a brief rating scales to the parents and then make a quick diagnosis and prescribe treatment, usually a medication.
Unfortunately neither of these extremes is in the patient's best interest.
If you are the parent of a child or teenager who is struggling in school, and perhaps at life in general, you should be familiar with what makes this disorder we call Attention Deficit Hyperactivity Disorder.
First, the symptom of inattention. The person has trouble with focusing on the right thing, long enough to get it done. A lot of people, including his parents, complain that he just doesn't seem to listen when spoken to. Because of not sustaining attention, or because of acting like a "space cadet," he doesn't finish his chores or homework. He can't keep his mind on what he's doing for very long unless it is very exciting, or very entertaining, and he doesn't pay close attention to what he's doing, so he makes a lot of careless mistakes. Video games are an exception because they give immediate feedback, they are exciting, and they are fun. Chores and homework are not.The inattention is seen most with homework, chores, and other boring things that you want him to do.
He's really disorganized. Most commonly this is seen in spending three hours to finally finish his homework, then losing it at school (it's in his backpack), or forgetting to turn it in. He really tries to avoid doing homework or chores. He gets distracted easily, or pays attention to the wrong thing at the wrong time. He is often forgetful and has to be reminded to do things often.
The great majority of people diagnosed with ADHD have problems with inattention.
The next classic symptom is poor impulse control, or a lack of self-control. Not all people with ADHD have this problem, but many do. He often blurts out answers in class.
He can't wait his turn when he is playing games or at school, and pushes ahead in lines. He interrupts others a lot, he just doesn't wait well. He tends to do things without thinking about them first, and says things he doesn't think about first. He does not consider the consequences of his actions.
About half of those diagnosed with ADHD are hyperactive. Since the word "hyperactive" is in the name itself you might think that everyone with the disorder must be hyperactive, but such is not the case. There are probably five or six types of ADHD, each one different from the other in terms of brain function. You can learn more about the different types of ADHD at the ADHD Information Library.
How do you know if your child or teen is hyperactive?
He has happy hands and feet which fidget and squirm a lot. He just can't stay in his seat for very long when he's supposed to at school or the dinner table. He may run around too much, or climb on things he's not supposed to. He is often just too loud. He is "On the go" as if he is "driven by a motor." He talks too much. He leaves footprints across the ceiling.
It is important to note that at least some of these symptoms must have been seen before the age of seven. Also, that at least some of the symptoms are seen both at home and at school. Also, that these behaviors are really a problem. Not just a little bit, but a lot.
Please be aware that there are several reasons why a child could have these symptoms besides Attention Deficit Hyperactivity Disorder. For example, thyroid problems, depression, anxiety disorders, hearing problems, and so on. Please do not attempt to "diagnose" your child. See your doctor, or go to a qualified mental health professional. This web site is no substitute for talking with an expert.
Keep in mind that over-diagnosis of Attention Deficit Hyperactivity Disorder is a big problem. There are some children who are diagnosed as having ADHD that do not have it. It is not uncommon for someone with depression, or anxiety, specific learning disabilities, early onset bi-polar disorder, or Tourette's Syndrome, to be diagnosed as Attention Deficit Hyperactivity Disorder. This is often the result of a diagnostic "work-up" which is too brief and does not take into account the many reasons why a child might be inattentive, impulsive, or over-active.
But over-diagnosis of Attention Deficit Hyperactivity Disorder is not the only problem.
Under-diagnosis of Attention Deficit Hyperactivity Disorder is also a problem. This happens most often in the school setting where the school psychologist writes his report perfectly describing an individual with ADHD, then refuses to use the label "Attention Deficit Hyperactivity Disorder" in his report anywhere.
It also often happens in therapist's offices where the therapist is not familiar with the neurological aspects of Attention Deficit Hyperactivity Disorder, and only sees the characteristic behaviors as "acting out behaviors" due to family problems, rebelliousness, and so on. Therapists operating entirely from a "Family Systems" orientation are especially at risk for making this mistake, as I admit I did for my first two years in practice.
Some studies suggest that only one out of three people who have Attention Deficit Hyperactivity Disorder will ever get help. Two out of three people who have ADHD will never receive a diagnosis or treatment. They will never really know what it is that's bothered them through their life. So we have two problems. One is the over-diagnosis and the other is the under-diagnosis of Attention Deficit Disorder. Douglas Cowan, Psy.D., is a family therapist who has been working with ADHD children and their families since 1986. He is the clinical director of the ADHD Information Library's family of seven web sites, including http://www.newideas.net, helping over 350,000 parents and teachers learn more about ADHD each year. Dr. Cowan also serves on the Medical Advisory Board of VAXA International of Tampa, FL., is President of the Board of Directors for KAXL 88.3 FM in central California, and is President of NewIdeas.net Incorporated.
Related News
Struggles of single parenting - Waseca County News
Waseca County News |
Struggles of single parentingWaseca County News, MN -6 hours agoBjerklie’s parents, who live in Bjerklie’s hometown of Fergus Falls, Minn., have a tight-knit relationship with Hannah, and Bjerklie also has brothers who ... |
Faith and Spiritual Life: Outreach - HeraldNet
Denver rules: A guide to parenting, the Democratic Convention way - Globe and Mail
Sarah Palin's Feminists for Life Membership Points to Pro-Woman ... - LifeNews.com
Amherst Center: Lessons for town in kids' allowance debate - Amherst Bulletin
Father to gallery: leave parenting to parents - Canada.com
Father to gallery: leave parenting to parentsCanada.com, Canada -Aug 25, 2008"I am appalled that an agency of the federal government would think it had the right to tell a parent how they can hold their child, that they are going to ... |
The Observer - Sarnia Observer
Man sentenced to 18 months for cat stabbing - WTHI
What it takes to be a good parent in today’s culture - The Prairie Star
Parish needs more foster parents - Natchez Democrat
Parish needs more foster parentsNatchez Democrat, MS -3 hours agoIn that same region, there are approximately 200 foster parents. In Concordia Parish, there are only 10 foster parents, but there are 30 foster children in ... |
|
|
 |
|
|
RELATED ARTICLES
Classic Parenting: Encouragement, Praise, Acceptance, and Responsibility
Encouragement comes when you focus on your child's assets and strengths in order to build his/her self-confidence. It comes from seeing the positive. Even failures can be outstanding learning experiences. Encouragement sounds like this, "I like the way that you did that," or "I know that you can do it," or, "It looks like you worked very hard at that."
Teaching Problem Solving Skills to Children with ADHD
Even though the "Stop and Think" movement in ADHD treatment has lost some momentum lately, the basic strategies and techniques are still worth teaching your children. My favorite version of the technique it the "Five Step Problem Solving Strategy," and it goes something like this. . .
The Free Ride In Public Schools
To protect children's self-esteem or deflect complaints by parents, many public schools today automatically advance failing students to the next grade level. In other schools, some students are left back a maximum of one year, then promoted again regardless of their academic skills.
The Importance of Mothers
Moms, did you ever question your value as a role model, caretaker, administer of hugs and Band-Aids? I think we all have in today's climate of "do more, get more, have more." Many of us work to bring home a paycheck and others work for our sanity. Have you ever wondered if your children were better off with the baby sitter than you? Scientific studies are beginning to point to the overwhelming value of a mother's love, hugs and support. Nannies, baby-sitters and relatives are terrific. They just aren't as terrific as Mom.
Puberty - Get Ready to Play the Puberty Game
Puberty can be a difficult time for children. Not quite kids anymore and not really adolescents they are caught in the middle in type of limbo. It is a sad time for many young people too. Many look back at their childhood and realise that they can never really act the same way yet they look ahead and realise that adolescence will present them with its own peculiar challenges.
Children and Mom and Paper
Memorabilia ? Children can create enough artwork for an entire gallery in a few short weeks. The key here is choices; establish a particular place-e.g., basket, drawer, or shelf ? for each child to put artwork. When that space is full, have one-on-one time with Mom and select your "three favorites". This is a lesson in life, which is continually full of choices. Then create a Memorabilia Box for each child where the favorites are kept. Keep the box in a convenient place, with the lid off, so it's easy to add new items. Use the same approach for photographs. A great parent-child activity is "scrap booking" ? have your child help make a family album, or get double prints, and let the children make their own. If you're not into albums, use attractive boxes. If you're on a tight budget you can use shoeboxes. Label the outside of each packet with the contents (e.g., Lee's 5th birthday, Mary's soccer outfit, etc.) with the date. At the end of the year, store your calendar with the photos in case you decide you want to create albums when the children are grown and you need to retrieve more specific dates. The key here is "Less is more." A few great photos are far superior to boxes of unidentified ones! One of the biggest causes of clutter ? and family disagreements -- is paper. Create a filing system for important papers. Create one file for each child for each area. For example, Medical Records ? Mary, St. John's High School ? Tom. Children can begin their own filing systems as soon as they start school. The key to any effective filing system is a File Index. This can be a handwritten list, a word processing document, a spreadsheet, or you can use Taming the Paper Tiger software (see below). A File Index will help you avoid making a file for "Summer Camp" when you already have one for "Camp Wesley." Here's a sample of some other file headings for information that children might like to file: Cartoons I like English Homework Family Information Friends Fun Things to Keep Gift Ideas for me Gift Ideas for others Hairstyles I like Math Homework New Year's Resolutions Phone Numbers/Addresses Recipes I can make Savings Account Scouting Information Summer Camp Information
Raising Strong Daughters
When my daughter was born, I must admit there was
a distinctly different feeling to it. Part of me
was thrilled, but part of me was unsure of how to
deal with a gender I still couldn't quite understand.
Legacy to Your Children
John Bishop's Goal Setting for Students.com
From Good to GREAT: Secrets On Becoming A Better Dad
While most fathers aspire to become the best Dads they can, all too often life just seems to get in the way. Missed soccer games and bedtime stories, always "In a minute" or "Later" when asked to play. The years pass, and many are left to wonder why their kids don't seem to make time for THEM any more.
Parents Need to Vent Anger! Try These 4 Steps to Serenity
Parents are losing their self-control to anger. A friend called me today and told me a very troubling story. She told me on a T.V. news program she heard of a mother who was driving with her four year old child. The mother became angry with her child and couldn't cope anymore with her child's misbehaving. Finally the mother abruptly braked, stopping the car on a busy highway. She pulled over to the side of the highway, opened the door and pushed her child out of the car, slammed the door and just drove away! Luckily, someone saw this poor kid on the side of the highway, stopped and spoke to the child, had the police come by and the mother was eventually found. Unbelievable ? dropping your child off on a busy highway because you can't cope with a four year old's misbehaving or with your own anger!
Teaching Reading: Part One
One of the biggest milestones in our children's education is when they learn how to read. You've probably asked yourself, "When is the best time to teach my child to read?" You can research this until you are blue in the face, but the answer is really very simple. You've already started, because from the moment your child is born, you are teaching him. We talk to our babies. We read to them. We sing to them. We recite silly little verses while we change their diapers or put them in their car seat. We hug and cuddle our children. We play with them. We laugh with them. We read to them.
When Your Childs Adoption Story Changes: Nothing But the Facts or is It Nothing are the Facts?
Elana, born in Russia, was told "We really don't know why your birth family couldn't care for you.""
5 Great Tips For Choosing Safe Toys For Your Children
Every children in the world whishes to have toys and every parent trys to give them what they want. So until they grow-up children spend most of their time playing with different toys. If you are careful when you choose toys for your kids you can even consider that you are making an investment. But you have to know if you are making a good investment or not. There are many educative and safe toys. but you can also find many dangerous toys on the market this days. In this article you will find five tips for choosing safe toys for your children. After all every parent is concerned about their children safety.
Now, Theyre Bullying My Daughter In Our Home: Welcome To Cyber-Bullying
Last night Tom's daughter, Sue, came out of her room to see her dad and said, "I got another one of those instant messages. It says, 'tomorrow you had better not show up at school or else'." She has been getting messages like this now for weeks. The result of this is that she no longer likes to turn her computer on.
Is Your Child Learning Nothing?
You send your child to school and the teachers teach them. If that is what you think, you could be way wrong !
While most teachers are good at presenting information to a class, learning happens ONLY if kids actually want to learn. Teachers may have little time for individual work, and you can lead a horse to water but you can't make it drink.
And in many schoolrooms today a majority of the class see learning as not cool, with kids trying hard to not learn !
You may think that the school will tell you if your child is not learning, but you will probably be way wrong there.
School funding generally depends on the school saying how good they are at teaching children, so often they will say that all kids are doing fine even when many are learning nothing.
You may think that school inspectors will ensure that kids are learning well, but NO their job is only to ensure that teachers are teaching well.
So is your child learning nothing ? Well many parents today find out by setting their children their own school tests - as by using Math Sheets that come with the answers. It can be made an easy fun 5-minute daily game "let's play our 'my school test' game".
Not only will you then know that your child is learning, but you should find that you showing a little regular interest in their learning will increase their learning motivation strongly.
You can stick to maths sheets only, or can vary your mini-school-test to science or other subjects using questions from their schoolbooks. Just keep it brief so it does not become a chore for them.
If you show a little regular interest in your child's learning then they will want to learn, and will not follow anti-learning classmates.
Then when the school says that your child is doing fine, it will happen to actually be the truth!
Ten Tips to Stimulate Your Newborns Senses
A number of scientific studies have shown the way a baby uses her senses in the early months of life is crucial to future development. A baby, whose senses are stimulated develop a sharper memory, inquisitiveness and a better concentration. Besides, babies who are stimulated attain developmental milestones earlier have superior muscle coordination, and a safer and sounder personality.
PG Rating Isnt What It Used To Be
If there are any parents reading this who are thinking of taking their under-10 year olds to see the PG rated Sisterhood of the Traveling Pants, please read the following from a ScreenIt.com review:
Pet Loss Can Be Just As Devastating!
'And all because of a damned cat! It's only a cat, for God's
sake!'
Book Review: How to Get Your Child to Love Reading
How to Get Your Child to Love Reading was conceived when author Esmé Raji Codell was staring at a shriveled potato that was sprouting eyes. She wondered, " . . . if I had a potato, nothing but a potato, how could I teach a classroom full of children? Well, I could cut a potato in half. (I can use the paring knife from my own kitchen, right?) We could review fractions. With one half, I could cut a design and do potato prints. We could plant the eyes from the other half of the potato (it can have eyes, right?) and grow more potatoes, charting their growth." The ideas cascade: writing a story about a potato, making a book of potato recipes or potato poems, making potato stamps of all the letters, teaching reading, getting books from the library about potatoes, talking about the Irish potato famine, writing letters to executives about potato chips or Mr. Potato Head.
Nanny 911 and Disciplining Your Child
Nanny 911 Interview with Montel Williams
|
