NAMI PA Main Line Forum - ADHD in Children
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Created September 2013 ADHD in Children Presented by NAMI PA, Main Line, an affiliate of the National Alliance on Mental Illness Presenter: Aita Susi MD AITASUSImd.com 610 308 8454 Please view the final slide for NAMI PA, Main Line contact information and the link to the complete YouTube video of this PowerPoint with narration.
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Here are slides used in this talk given on September 9, 2013.
Transcript of NAMI PA Main Line Forum - ADHD in Children
Created September 2013
ADHD in ChildrenPresented by NAMI PA, Main Line,
an affiliate of the National Alliance on Mental IllnessPresenter:
Aita Susi MDAITASUSImd.com
610 308 8454
Please view the final slide for NAMI PA, Main Line contact information and the link to the complete YouTube video of this PowerPoint with narration.
History
The video that launches after this slide provides narration for the History of ADHD.
Diagnosis
Need 6 criteria in 2 different settingsEx. School and home
Onset before age 7
Evidence of problems in daily living
2 basic varieties: inattentive and hyperactive
Many ways to diagnoseWho How
The video that launches after this slide provides narration for the Diagnosis of ADHD.
Inattentive
Difficulties with
details sustained attention
follow through listening
organization loosing things
distractions boring tasks
remembering
Hyperactive
Difficulties with
fidgeting staying in your seat
climbing quiet play
excessive talking taking turns
interrupting blurting out answers
“on the go” all the time
Over diagnosis
Normal childhood behavior is diagnosed as illness
Behavioral problems are diagnosed as illness
Other conditions the can look like ADHD are misdiagnosed as ADHD (anxiety, depression, mania)
Provider inexperience
Under diagnosis
“That’s just the way she is”
Daydreaming doesn’t catch attention
Chaos in the household due to parental or sibling mental illness, divorce, or other difficulties can pull attention away from a child with ADHD
Shame
Provider inexperience
Multiple diagnoses
Difficult aspects of ADHD
Excessive talking Disturbs others (can’t sit still, hits) Inappropriate comments Doesn’t listen Lose things Homework difficulties 1-2 yrs delayed socially because don’t know how to
read social cues Engage in risky, impulsive behaviors Risk of MJ and alcohol use if ADHD is untreated
The video that launches after this slide provides narration for the Features of ADHD.
Parental stress
Managing calls from the school about behavioral problems
Handling homework that takes a very long time to complete
Books, papers, hats, etc get lost Needing to repeat yourself Difficulties with social interactions What if the parent has ADD too?
Take-home message: Be patient
Positive aspects of ADHD
Creativity
Smart
Spontaneous
Works quickly
Good at problem solving
Emotional sensitivity
Exuberance
Some famous people with ADHD
Robin Williams
Walt Disney
John Lennon
Russell White
Greg Louganis
Thomas Edison
Dustin Hoffman
Michael Phelps
Leonardo da Vinci
Albert Einstein
Galileo
Henry Winkler
Henry Ford
Jason Kidd
Dwight D. Eisenhower
Salvadore Dali
Myths vs facts
Caused by poor parenting Biological and often genetic
If 1 child has it, all of my children will Not all children in a family will have it
ADHD is not a disability ADHD is recognized as a disability by ADA and IDEA
Medication is the only treatment There are several treatment options
Kids with ADHD want to behave badly Kids with ADHD cannot be consistent in their behaviors
ADHD treatment
Get the ADHD brain “on line” with medications that stimulate the brain
Provide behavioral modifications via rewards that stimulate the brain
Teach family members and teachers how to work with an ADHD brain to get the best results possible
Take-home message: The ADHD brain needs to be stimulated
The video that launches after this slide provides narration for ADHD Treatment.
MTA study
14-month study with 500+ children ages 7-10 4 groups of children
- Medication - Behavioral therapy- Combo - Usual community care
(2/3 received some meds)
All 4 groups had a reduction of ADHD symptoms Significantly greater improvement in the medication
and combo groups with those in the medication group doing a little bit better
Take-home message: Medication is the best
MTA follow-up
2 yrs after the end of the study Symptoms remained better than baseline in all groups
There were no differences in symptoms between any of the groups
Take-home message: It doesn’t matter what you do, but do something
Risks of not treating
Poor academic performance
Low self-esteem
Less emotional stability
Less success in the future
Physical injury
Higher rates of substance abuse
Take-home message: Less chances of living to their full potential
Medications
Short acting and long acting
2 basic types Amphetamines (ex. Vyvance, Adderall)
Methylphenidate (ex. Conterta, Methadate)
Used less often Atomoxetine (Stratera)
Alpha agonists (Clonidine, Guanfacine)
Behavior modifications
Behavior breaks down when the demand placed on a person exceeds their ability to complete the task
Want your child to develop skills to master life
Learned helplessness can be the result of not taking the time to teach a child how to master life with an ADHD brain
Take-home message: Pills don’t teach skills
What you as a parent can do
Pick 2 or 3 key areas to address
Discuss these with your child and set clear boundaries with clear consequences
Remain neutral when there are violations and simply institute the agreed upon consequences
Maintain a loving relationship with your child
Take-home message: Clear consequences delivered with neutrality
The video that launches after this slide provides narration for Advice.
Tips and ideas
Use a timer
1 instruction at a time
Frequent praise (ratio of 3:1 at least)
Charts to check off items
Rewards to stimulate the brain
Provide choices
Give reminders and support
Take-home message: Be creative, be patient
Other points to keep in mind
All looks normal on the outside - inside there are things going on/not going on that we can't see
Keep your cool. When there's a problem - no raised voices, no pointing
ADHD kids are very needy. Recognize that & adjust to it but don’t judge
Get help for yourself when you need it
Take-home message: Be patient and stay calm, remember your love for your child
Resources - Books
Raising Boys With ADHD: Secrets for Parenting Healthy, Happy Sons by Mary Anne Richey and James Forgan
The ADHD Workbook for Teens: Activities to Help You Gain Motivation and Confidence (Instant Help Book for Teens) by Lara Honos-Webb
The Survival Guide for Kids with ADD or ADHD by John F. Taylor Ph.D.
Taking Charge of ADHD: A Complete Authoritative Guide for Parents by R. Barkley
1-2-3 Magic Effective Discipline for Children 2-12 by Thomas W. Phelan, Ph.D.
Resources – Web sites
Children and Adults with ADHD www.chadd.org/
Jim Forgan Ph.D. http://jimforgan.com/
A magazine with tips for parents http://www.additudemag.com/
Further questions?
Feel free to contact me
Aita Susi MD
610-308-8454
The video that launches after this slide provides narration for the Q&A.
Created September 2013
Presented by NAMI PA, Main Line an affiliate of the National Alliance on Mental Illness
The PowerPoint presentation for this document can be found at:www.NAMIpaMainLine.org/info-resources/info-on-mental-illness-coping/
The full YouTube presentation can be found at:https://www.youtube.com/watch?v=B65vP0hyVwQ&list=UUz6Wc-
NdgxpG0zb6oBSLowA
All information is current as of publication date; please let us know if you encounter broken hyperlinks.
