Showing posts with label Parenting Articles on ADHD. Show all posts
Showing posts with label Parenting Articles on ADHD. Show all posts

Wednesday, April 15, 2009

ADHD Medications and Alternatives


As many people know, I have an ADHD son. Way back when he was diagnosed, it was something we didn’t quickly decide. There are alternatives to medications, such as The Feingold Program, and depending on each family and their lifestyle, it is a personal decision. For us, medication worked the best, however I am very open minded that each child is different and if this is something you are contemplating, take your time to do your research. My son is older now and doesn’t take the medication any longer, so in our case, he did grow out of it. By his first year of college, he discovered he was able to continue his studies without medication. He will be finishing his 4 year degree next year and continuing to medical school. I say this as a proud mother, but also to let you know that whatever your decision is right for your family, they can be success.




Making the decision can be tough… Consider this expert advice when determining whether ADHD medication or an alternative treatment is right for your child.



After a child is diagnosed with attention deficit disorder (ADD ADHD), one of the most difficult decisions for a parent to make is whether to start him or her on medication. I’ve been there myself. Two of my three children have ADHD, and, although my wife and I eventually decided to try medication — which, by the way, has helped both of them immensely without any side effects — arriving at that decision took careful reflection.


When it was suggested that my kids try medication, I had my concerns. I know that ADHD drugs are safe and effective, but I worried that perhaps, for some unknown reason, they might harm my children’s health. Although stimulant medications have been with us for more than 60 years, I wondered if some new side effect might emerge.


I countered those concerns by worrying about the potential “side effects” of not taking the medication: namely, my children struggling to stay focused and getting frustrated when they couldn’t. After envisioning that scenario, the decision became far less difficult.


Take your time


Each parent — and child — comes to the question of medication with different assumptions. My strong advice is to take your time, honor your feelings, and find a doctor who will remain patient, a professional who will provide information — not hurried commands — as you wrestle with your decision.


From a medical standpoint, the decision is obvious. Medication is by far the most proven, safe, and effective treatment for ADHD. Careful, controlled studies have established that a trial of medication makes sense once the diagnosis is made. Remember that a trial of medication is just that — a trial. Unlike surgery, it can be undone. If the medication doesn’t work or if it produces side effects, the physician can reduce the dosage or discontinue it. No harm done. But unless your child tries the medication, you will never know if it can benefit him or her as it has other children and adults.


Do some fact-finding


From a personal, parental standpoint, though, the decision is anything but easy. It takes time and requires talking with your doctor and other experts. You might want to research the medication online and find out what the latest studies conclude about it. Get all the facts, and make a scientific, rather than a superstitious, decision. But I urge you never to start your child on medication until you’re comfortable doing so. Don’t feel that you’re trying your doctor’s patience or that your questions are foolish. Nothing done out of love for your child is foolish.
However, I also urge you not to reject medication out of hand. Many parents have heard so many bad things about ADHD drugs that they’re willing to travel to Tibet to find an alternative treatment before giving medication a try. It’s very important to do your homework and separate the facts from the myths before dismissing the treatment.


Honor your feelings


When I give lectures, people often ask me if I “believe in” medication for children and adults with ADHD. My reply is that medication isn’t a religious principle; it’s a medical treatment. My feelings about ADHD medications are similar to those about medications in general: They’re great when they’re used properly, and they’re dangerous when they’re not.
Sometimes it takes months or even years before parents decide to put their child on medication. Every parent has his or her own timetable. Stick with yours.

Saturday, May 24, 2008

Sue Scheff: Helping ADHD Children with Impulse Control: Smart Discipline




Help children with ADHD think before they act by establishing clear expectations, positive incentives, and predictable consequences for good or bad behavior at school and home.
For children with attention deficit disorder (ADD ADHD) ruled by their impulses, calling out in class or pushing to the front of the line comes naturally. These kids live in the moment, undeterred by rules or consequences. Even when they are rude or unruly, they may not recognize that their behavior is disturbing to others.


Lack of impulse control may be the most difficult ADD symptom to change. Medication can help, but kids also need clear expectations, positive incentives, and predictable consequences if they are to learn to regulate their behavior.
Click here for entire article.

Tuesday, April 29, 2008

Parents Universal Resource Experts - Sue Scheff - ADHD Teens and Puberty



By ADDitude Magazine

What parents of ADHD boys should watch for as their sons pass through adolescence.



Until he was 10 or 11, Robert was cheerful and lively, if sometimes distractible and hyper. Then came 12 and 13. “He alternates between couch potato and monster,” says his mother, Anne. “What happened to my sweet little boy?”

What happened were puberty (physical changes) and adolescence (psychological and social changes), which occur when children begin maturing into adults. Some kids begin to “act” like adolescents before puberty; others may not accept the role of adolescent until long after puberty. Whenever they happen, you’re in for a bumpy ride.

Fortunately, boys with attention deficit disorder (ADD ADHD) don’t seem to have more difficulty coping with puberty than others. However, their particular problems and stresses may differ somewhat. Here are some issues to consider.

Refusing medicine
“Raging hormones” can cause intense physical and psychological changes. Teens often find body changes distressing and desperately want to fit in. That’s why many kids who cooperatively took medication in elementary school begin to protest and rebel in their teens; they don’t want to be singled out by going to the school office or health room.

Try to understand and help. If you can find an appropriate medication in a long-acting formulation, your child won’t have to take medicine in school. You can even allow a short trial off medication which may help your teen understand the need to continue taking it. Before discontinuing medication, consult with your family doctor or a mental health professional.

Peer pressure
All children need to feel accepted by their peer group. If the years of having ADHD (and possibly a learning disability) have resulted in poor social skills and limited success with friends, early adolescence may be painful.

The danger for some kids is that they may seek out any peer group that accepts them. Socially rejected ADHD boys frequently latch on to other “misfits” who do not do well in school or sports. The combination of a misfit peer group, the need to be accepted, and low self-esteem places ADHD teens at great risk of alcohol and drug use. Get educated and if you suspect these problems, get help.

Lack of supervision
Experimentation with alcohol, drugs, and sex doesn’t take place on weekend nights. The riskiest hours are between 3 and 6 P.M. on school days. Kids are often unsupervised because both parents work. They frequently visit friends’ houses with no adult present.

Be proactive. If you can’t supervise your teens after school, make sure they’re involved in sports, arts, community service or other activities that are supervised by adults. Keep tabs on where they are and what they’re doing at all times.

Comorbid disorders
People with ADHD are at increased risk of comorbid disorders (two or more conditions that occur at the same time). Depression and anxiety disorders often first show up between the ages of 8 and 12, and again in early adolescence. Watch your child for symptoms, and seek help if you think there’s a problem.

Also watch for signs of Conduct Disorder and Oppositional Defiant Disorder, which are marked by antisocial, hostile, and unusually oppositional behavior. These disorders frequently place impulsive ADHD boys in dangerous, even criminal situations. Intervention is imperative.

Medication changes
Most boys on medication for ADHD do not need to change medication as they enter puberty. Even significant weight increases may not warrant an increased dose. If the dose used earlier in life still works, don’t change it.

The good news is that about half of ADHD kids improve significantly after puberty. Many no longer need medication. The rest will probably need medication through adolescence and possibly into adulthood.

On balance, most ADHD boys pass through adolescence with no more difficulty than others. Becoming a couch potato is not a disorder. However, seek professional advise if your son seems unusually sad, withdrawn, angry, or anxious. Don’t wait for a problem to escalate into a crisis. Even if your concerns are unfounded, it’s better to discuss them with a mental health professional than to wish you had acted sooner.