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What is ADHD and How do You Manage it?

By: Dr. Noel Swanson

There are some children who suffer from Attention Deficit Hyperactivity Disorder (ADHD). The symptoms exhibited by these children are:

1) Poor concentration and attention span 2) Poor memory 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) Participating in healthy activities at home such as getting chores finished, maintaining cordial relations with siblings, maintaining a modicum of efficiency and getting things done on time.

c) socially (unable to take turns or wait in line, bossy and overbearing, easily frustrated leading to temper outbursts and aggression, impulsive, so often in trouble for doing antisocial actions e.g. unwise "practical jokes").

ADHD is not a malfunction of any body part as it is in conditions like asthma or diabetes. This condition of ADHD happens because parts of brain are not working at full efficiency

ADHD can be called a hereditary condition, where parents and children show similar symptoms. The symptoms and the ADHD condition does not go away in short span of time and takes a long time to get under control. Sometimes children suffer from ADHD through their teens into their adulthood also.

HOW IS ADHD MANAGED?

What bothers children suffering from ADHD is the danger and fear of long term implications and complications. For example:

a) Score poorly or fail in school because of lack of concentration.

b) Are constantly in trouble because of their impulsive behavior

c) Their fear of taking recourse to anti-depressants such as drinks, drugs, crime etc to avoid getting anxious and depressed.

These fears are what bother these children as these factors could influence their attitude and performance in adult life too.

What you cannot beat has to be managed, and the goal of good management is to avoid complications. Since the process of management is a long term commitment, the only people who can effectively ensure its putting into place are the parents. The parents who live with the child, understand his needs and requirements and are the foremost people who are concerned with the well being of the child are the ones who need to take a proactive part in managing this difficulty. Unless parents themselves take the lead, all efforts of others shall go to naught. It is only when parents take an active part that the efforts of others shall bear fruit too. Some of the components of effective management of ADHD are:

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.

It is a known fact that children with ADHD do better in ORGANIZED, quiet and structured and low stimulation ENVIRONMENT, but become worse in chaotic, unorganized and busy homes and classrooms. As a loving parent and a well wisher you will want the child to be better adjusted. Hence it will be a good idea to reorganize your home so that it keeps the child with ADHD calm and less stressful. And if the same can also be done in the school for the ADHD children, then it will help these children to be better adjusted in life.

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.

SUPPORT FOR THE PARENTS. These children are hard work - even for the best of parents. This often produces a lot of stress. Often this can lead to marital breakdowns and parents getting depressed themselves. To prevent this you may need to consider getting help for yourselves - parent support groups, parent training groups, respite care, marital counseling, family therapy are all possible resources.

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.

There are several types of medication that are used. The most common are the "stimulants" (discussed on the next page), but increasingly common is the new medication atomoxetine, which seems to work very well with few side effects. Ask your doctor for full information.

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.

The person who has to cope with this is you and your family. Therefore, this is best addressed by you and the first step towards this is to learn as much as you can. Learning all you can results in better management and better results.

Article Source: http://www.simplepetcare.com/pet-articles

You can find many more of Dr. Noel Swanson free parenting tips on his website. Make sure you also get his excellent book: www.good-child-guide.com
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