Wednesday, October 11, 2017

ADHD Answers: Questions for Parents of Preschool Children with ADHD

ADHD Answers: Questions for Parents of Preschool Children with ADHD

Questions for Parents of Preschool Children with ADHD

I am writing a book for parents of preschool children with ADHD. If you could possibly answer my questions, I will incorporate those answers into my book in terms of describing preschool children with ADHD as well as creating interventions for their behavior.  NO NAMES WILL BE USED! Thank you so much in advance.

Dr. Rapoport

Questions for Parents of Preschool Children with ADHD

1      1.  As a four or five-year-old what symptoms or behaviors of ADHD do you remember your child exhibiting?

2      2. What type of ADHD was your child diagnosed to have, i.e., predominantly inattentive, predominantly hyperactive/impulsive or a combined presentation?

3     3. Did those symptoms make your child feel different than the other children?

4     4. If so, how did your child feel different?

       5.  How did you respond to your child’s behavior?

 6. How did teachers respond to your child’s behavior?

 7. How did peers respond to your child’s behavior?

 8. If your child had siblings, how did they respond to your child with ADHD’s behavior?

 9. Did your child have friends as a young child?

 10. How was making friends difficult for your child?

 11. How did the symptoms of ADHD affect your child’s academics?

 12. How did the symptoms of ADHD affect your child’s social skills?

 13. What kind of treatment did your child receive?

 14. If your child received medication, how did it help him/her?

 15.  If your child received behavior therapy, what type did he/she receive?

 16. If so, how did the behavior therapy help your child?

Wednesday, April 6, 2016

Preschool Children with ADHD: How to Manage their Behavior

If you have a toddler or a preschool child, you know about the difficulty of managing his/her behavior. What behaviors have you observed? Preschool children can be stubborn and rigid at some point and funny and flexible the next moment. They can also be unfocused one moment and not responding when you give them an instruction and the next moment, be hyperfocused on building a tower.

When we add ADHD to the picture of a toddler, or to a preschool child at risk of ADHD, things spiral out of control exponentially. Do you find yourself bribing your child one minute and yelling the next moment? Sometimes, arguably, do you have difficulty managing your own emotions and behavior?

Here are a few suggestions to be found in my upcoming book on preschool children with ADHD:

1.      Keep your home routine structured and organized so that your preschool child with ADHD or at risk for ADHD knows what to expect at all times. He/she may not know how to tell time, but they certainly know that after they play outside they wash their hands and have dinner. They certainly know that when you are cleaning up the dishes they go to their reading corner to look at books. Now if you have two toddlers, that is indeed another issue but no matter how many children you have a structured routine always works best.

2.      Another suggestion is to give preschool children with ADHD or preschool children at risk for ADHD single, simple instructions. Preschool children with ADHD or at risk for ADHD can be easily overwhelmed by several instructions. The instructions such as go wash your hands, brush your teeth and get a book for me to read to you somehow get lost along the way. Always give one single, simple instruction at a time. Go to wash your hands. When you see that they have accomplished that task, praise and give the next instruction. Okay now brush your teeth. Praise and then give the last instruction. Good job. Now find a book that you would like me to read to you. Trust me, they will feel much more successful at listening to your instructions and you will feel much les frustrated because you do not have to tell them what to do more than once.

3.      One of the most important things that you can do is the phrase catch them being good. I certainly did not make up that phrase, but I find myself trying to do so each and every time that I am with       a preschool child with ADHD or at risk of ADHD. When you see these children exhibiting a positive behavior, praise them for behaving in that way. They will develop pride and positive self-esteem in the fact that they pleased you and exhibited the appropriate behavior.

4.      Along the same philosophy but expanding it a bit, try to ignore the child’s negative behaviors and positively reinforce the child’s positive behavior. When we pay attention to the negative behaviors we oftentimes find those behaviors increasing. Please do not think that ignoring the negative behaviors is an easy thing to do. It is a difficult thing to do. However, somehow you want to get your child to ascertain that specific behaviors please you and are appropriate. If you continue to accentuate your child’s positive behaviors amidst all of his/her negative behaviors, your child will learn to exhibit appropriate behavior.

5.      Make sure that your child goes to bed early enough to get the proper amount of sleep. Fatigue only increases meltdowns. Seemingly, it may be an easy problem to avoid.

6.      Model positive behavior. Many parents do not know that their child observes and imitates their behavior as well as picks up on their emotional state. If something happens and a parent becomes frustrated or angry, the child may often model that behavior. Leaning to control your own behavior is also not easy to do but absolutely necessary when you are around your toddler with ADHD. Have you noticed that when you get angry your preschool child arguably becomes angry?  Have you noticed that when you yell your toddler arguably yells?

Try very hard to be aware of the times in the day when you become anxious and pressured and monitor your behavior. What could you do if you find yourself unable to modulate your behavior? If there is someone else in your house with you, walk out of the room. If you are with your children alone, find some music that you like on your phone or on your computer and play it until you calm down. Deep breathing works as well.

So much more to come!!!Be on the lookout!

Friday, January 29, 2016

How Do You Respond to your Child with ADHD’s Behavior?

There are many comments that have been written about how to manage children with ADHD. However, parents need to know how to respond appropriately to their children’s unfocused and/or hyperactive behavior as well.

The only way to respond to a child with ADHD’s “annoying” behavior (as parents have expressed to me) is to respond and NOT to react.  I spend a lot of time talking to parents and explain to them that they must think ahead of time about how they think their child will behave in the future. Why? If they are prepared for their child to behave in a specific way they can then plan how they will respond to their child’s behavior.

It is imperative to deal with your child’s behavior in an intentional and predictive way instead of just reacting to their behavior. When a parent reacts to their child’s behavior, their behavior, therefore, may be as uncontrolled as their child’s behavior.

You should have a prescribed set of responses that you can call upon at all times. For example, think about how you would want to respond before your child with ADHD does the following:

§  Your child hits you
§  Your child pushes his younger sibling down
§  Your child runs away from you when you get out of your car in the driveway into the street
§  Your child runs continuously in your house sliding on the floor
§  Your child whines in the grocery store
§  Your child throws his/her toys on the floor and laughs

Thoughts?  Social Skills Training Services

Wednesday, May 22, 2013

What is the effect of permitting your child to use social media? Is it possible that when your child uses social media it interferes with their learning of social skills and/or doing their homework in an efficacious way?

Social media has changed communication in positive ways. However, as positive as the benefits are, there are some negative components, as well. How many of you walk the streets of the city in which you live? Have you noticed that instead of walking looking forward so that you are able to nod or to say hello to passers-by, almost everyone has their head down looking at some device? Why is that bad? Communication between individuals is based on eye contact. If people do not maintain eye contact, they therefore, cannot communicate. I am always amazed that people who walk with their heads down do not trip and fall more often!

Why are people arguably unable to put their cell phones down for a few minutes to walk looking ahead of them, nodding their head to approaching individuals or saying hello? There appears to be a sense of immediacy and almost desperation about finding out what someone has written to them on Twitter, Facebook, email or text. Unfortunately, due to the lure of social media, and the gravitational pull that it has on people, they are unlikely to want to delay gratification. In fact, that is why people text message as they are driving, which has caused many, many accidents across the United States.

How does being so dependent and arguably addicted to social media negatively affect your child? One mother told me that it takes her son twice the time to do his math homework, while making many errors. Why does that happen?  He checks YouTube while he is doing his homework!

I went to a restaurant recently and a family sat next to us who had a four year old child with them. The child watched a movie on their I Pad the entire meal, barely eating and certainly not interacting with anyone at their table. I have no argument with parents wanting a little peace and quiet while they eat. However, couldn’t they have made a judgment on their child’s misbehavior as it was happening, instead of avoiding any social interaction with their child?

So, in answer to my own question, “What is the effect of permitting your child to use social media in public?”, I would say that if you have a child who is young and needs to learn social skills by interacting with you and/or if you have an older child who’s use of social media is interfering with his homework and/or interacting with you, it is essential to change when you permit your child to use social media and for how long.

More tomorrow…