Through my blog, I help parents who have children with ADHD and teachers who work with these children. I discuss social skills as well as executive function skills, such as organizational skills. Through my private practice, I teach children with ADHD to obtain positive social skills as well as to learn more effective executive function skills, such as how to plan their academic work by developing efficient organizational skills.
Sunday, November 20, 2016
Thursday, November 3, 2016
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
estamrapoport@gmail.com
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…
Tuesday, April 30, 2013
Should you Negotiate with your Child who has ADHD?
Let me give you an example:
You are walking your dog with your child with ADHD.
As you are walking, you stop from time to time to chat with your neighbors. As
you are conversing, your child swings from a branch on your next door neighbor’s
property. You are ready to begin walking home, and you say to your child “Okay,
let’s go. We need to get home.” He says, “Can I swing a little more?” You say
“Yes” but then you also say, “We really have to leave in a minute.” The next
time you tell your child that both of you have to leave, he refuses.
You should never negotiate with your child with ADHD
because you will end up battling with a child who is trying to manipulate you. You cannot get your child to move off of that
branch. What could you have done?
You will not get the results that you want from your
child with ADHD unless you give them a choice. What you could have said,
depending on how close you were to your home, the age of your child and his
related independence was to say, “You can either come with me right now or come
back by yourself in five minutes.” (This strategy depends, however, upon
whether your child has a watch with an alarm that can be set or if he can tell
time.)
You could also have said “We can leave now or in
five minutes.” Have the child make a choice as to when he wants to leave within
your parameters. If he says five minutes, then time him and in five minutes say,
“Okay, the five minutes is up. Let’s go.”
This strategy typically works. The most important
thing is to give your child a choice according to your own parameters of when
you need something done. Please let me know if you tried this technique, if it
worked and the degree to which it worked.
Monday, April 22, 2013
How should you Talk to Young Children with ADHD about the Bombings in Boston?
Young children with ADHD in most cases will not
understand the nuances and the ramifications of the bombings in Boston.
However, they will feel a sense of anxiety and fear based upon what they have
heard from others, as well as what they have viewed on television. What might we do to calm these children’s
fears and anxieties?
The first thing to do is to sit down and listen to
what the children are saying about the bombing. What do they think happened?
What do they know that are facts? What do they know that are rumors? Answer
their questions while reassuring them. You will be able to generalize some but not all of the details of the
Boston bombings, depending on the age and maturity of the child with ADHD. Remember,
do not only make general statements. Upon discussing the details, however, do
not talk about any specifics that might make them more fearful and anxious. However,
tell these children the truth so that what you are telling them is valid.
The second thing you want to tell young children
with ADHD is that you were afraid as well. In that way, you will be able to
validate the fact that other people were fearful in addition to them. In fact,
they will see that it was acceptable to be fearful. Go over and over the fact
that the bombing suspect is in custody and since what he did was illegal, the
authorities will keep him in jail. You should also explain to these young
children with ADHD that events of this type, i.e., bombings of cities in the
United States, are very, very rare.
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