What treatments are available? The ADHD.org.nz child of the week
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Parenting a child with ADHD is (too say the least) difficult. It is sometimes impossible to be a role model parent when after a long day at work, your child's behaviour is beginning to annoy (as their medication wears off). While we are not about to tell you how to parent your child, we would like to offer some supportive ideas. Such as, you may like to think about the 7 steps to making ADHD parenting easier (outlined by Dr Christopher Green and Dr Kit Chee, in their book "Understanding ADHD"):
(1) Accept your child as they are.Remember that ADHD is a very real problem. And like other "real" problems (such as Asthma), no amount of parental aggression will get rid of the problem. Remember that it is not your child's fault for being what they are. Equally, it is not your fault (eg. bad parenting). Understand this at all times. But, also appreciate that while your ADHD child is different to their brothers, sisters and classmates, that doesn't mean they have a license to cause trouble. Don't let them get away with murder, but make allowances.
(2) Pursue the peaceful path."Calm creates the environment which is most conducive to keeping relationships close and children under control" (p.65). 'This is easy to say, but try implementing it', is what you are thinking. But what Green and Chee (1994) are suggesting is that you filter out the little things that eat away at your nerves and focus on the big problems. There is little point in destroying your relationship with your child by screaming at them over "spilt milk". The noise and chaos will only make them more erratic. Create a calm environment around you (it'll help you as well as the child), and do your best to maintain it when trouble visits.
(3) Implement Routine.We know. This sounds like a strange one. Routines? For these children that seem to be deaf to any sort of discipline? However, it is true. The behaviour of children with ADHD will deteriorate faster in unorderly, chaotic situations than it would in a structured setting. They need routines. They need to know what will happen next. Anything unexpected will generally throw the equilibrium out and set them on a course of disruption and destruction. They need to feel like there is a framework to their day which directs them. This will make both their day and your day a lot easier. And for most of us, routines are a way of life - we get up, we have a shower, we get dressed, we have breakfast, we go about our day,... Thus, this (the third) step shouldn't be too difficult to implement.
(4) Communicate Clearly.When we say "clearly" we do not mean work on the articulation of your words as you yell at your child for being naughty.
Communication is such an enormous aspect of life that most of the time we take it for granted. Sometimes we forget some of the fundamentals:
Gaining eye control demonstrates sincerity and commands "the truth". Also, think about about the words you are using. The words we use in communicating with another person will influence that person's impression of us.
(5) Spot triggers and detonators.Parents generally learn very quickly which situations are "dynamite to discipline".
Learn to spot these situations or precursors and try to avoid them. Usually you can not avoid many of these situations, so work on strategies that help to render the situation harmless and make things easier.
(6) Be positive - boost the good.Children with ADHD will suffer from esteem problems. It is important for us to help raise their self esteem. Every parent knows this in theory, but (again) after a long day at the office it is easier to slip into the role of "negative nagger". It is important to understand that every encounter all children have influences their belief systems about who they are. If they are consistently told that they are stupid - guess what - they will think they are stupid. But more importantly, this effect is doubled if they never hear words to the contrary (eg. encouragement for a good mark). The aim is to be a positive parent. Boost good behaviour and achievement, reward excellence. Use praise, attention and privileges to reinforce positive behaviour. This will help in building a positive self esteem. (7) Think "safety valves".When your child is behaving badly and things start to esculate out of control (as they always do with ADHD), it is time to apply "safety valves". Time-out is the most common "safety valve". This simply involves removing the child from all attention and audience. Most behaviourists suggest a quiet corner, a "time-out" chair, or simply a period of isolation in the bedroom. The child remains there for 1 minute for every year of age. And only when the child is quiet are they allowed to come back. If the situation gets completely out of control - simply get up, walk away and ignore the child. This one is not just for your kids, but for you too!
Dealing with a low self-esteem.Here is a list of ways to improve self-esteem in children who have ADHD.
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