In ADHD & Me: What I Learned from Lighting Fires at the Dinner Table , Parents of teens with ADHD will not only be informed but encouraged by this book written by Blake Taylor, a college freshman at UC Berkley.  It provides a personal insight into the struggles, and success of a teenage boy with attention deficit hyperactivity disorder.

Blake's memoir, written when he was 17, offers, for the first time, a young person's account of what it's like to live and grow up with this common condition. Join Blake as he foils bullies, confronts unfair teachers, struggles with distraction and disorganization on exams, and goes sailing out-of-bounds and ends up with a boatload of spiders. It will be an inspiration and companion to the millions of others like him who must find a way to thrive with a different perspective than many of us.

Blake's mother first suspected he had ADHD when he, at only three years of age, tried to push his infant sister in her carrier off the kitchen table. As time went by, Blake developed a reputation for being hyperactive and impulsive. He launched rockets (accidentally) into neighbor's swimming pools and set off alarms in museums. Blake was diagnosed formally with ADHD when he was five years old. In this book, he tells about the next twelve years as he learns to live with both the good and bad sides of life with ADHD.

Summer is that time every kid looks forward to.  It is the "light at end of the tunnel" of a long school year.  It is a time to "let loose" and have a great time.  For kids with ADHD this is a big change.  The day to day structure goes away, the daily routine is gone. 

 

In just a few days or weeks, this long anticipated break can become a potential nightmare for kids with ADHD.  It becomes a time when these kids are going around whining and saying, "I'm bored."  They come in complaining about an argument with peers or they are tormenting their siblings.

 

With a little planning ahead these and many other events can be avoided.  Kids with ADHD still need structure, although it can be more relaxed than during the school year.  Use a calendar that shows upcoming activities.  Make a collage of things they can do when there is no planned activity (like games, toys, books, etc) and tell them when they are bored they need to check it and select an activity and do it.

 

Plan intermittent structured activities such as day camp, vacation Bible school, various recreation programs (like tennis lessons, swimming lessons, computer workshop or drama club and summer sports leagues) provided by schools, churches, and community recreation departments.

 

Think about summer camp.  If decide this is a good idea, make sure the camp can handle ADHD kids and are willing to administer medications if your child takes them during the summer.  Check out the list of Summer Camp Programs from CHADD which provide structure, fun and skill building.  For other possible camp suggestions please visit the American Camp Association website.

 

Make this family fun time.  When parents get home from work, devote a half hour or so to play time.  Play around your home; go to a park or some other fun spot.  Have a family game night or movie night.  Enjoy a hobby together.  Check out the Family Activities page from my website for more suggestions.

 

No matter what the situation, you can make it enjoyable and productive for your ADHD child by thinking ahead and providing a little guidance and structure to curb impulsivity and teach them how to create their own fun time.

A May 5, 2008 Associated Press article reports that a study conducted at Cincinnati Children's Hospital Medical Center estimated that lead levels of more than 1.3 micrograms per deciliter may account for more than 500,000 cases of ADHD among children ages 8 to 15 nationwide.

This research is consistent with previous findings.  A recent article in Science Daily on a smilary study conducted in 2007 by Michigan State University provides additional information on this topic.  Parents who suspect their child may have been exposed to lead around their home or some other location should share their information with their child's physician.

Children with ADHD experience one or more neuropsychological impairment of functions such as concentration, memory, impulse control, processing speed or ability to follow directions.  These impairments are no different from those caused by head injury or neurological disease.  It has been standard practice for trauma or neurology patients to go through cognitive rehabilitation to restore functioning.  Recently, research has shown that children with ADHD may also experience improvement in neuropsychological functioning through a similar process.  Also, this procedure is now being recommended for middle age adults to improve and/or maintain cognitive functions as the progress into later stages.

 

For years it was thought that each of us was born with a generous supply of brain cells but we could not produce additional cells or changes in how they function.  Fairly recently neuron scientists discovered the presence of neuroplasticity which enables the brain to grow additional cells or modify the function of existing cells.  Cognitive exercises have been found to produce desired changes in not only how the brain works but how it looks.

 

Total Focus includes step by step instructions for a number of cognitive exercises designed to improve specific functions that are often compromised in children with ADHD.  The exercises are presented as games and are actually fun.  Scores are kept after each practice session to track progress.   In addition to the exercises in the workbook, additional activities including some common games and links to computer games are provided.

 

If you would like to try this process out with your child to see how it works, here are a few simple suggestions.  Kid games such as Memory  or Simon are great ideas.  Also, here are some free computer games I found on the internet that can improve concentration or memory:  Memory, Mosquito Killer and Memorizer.  For older children and adolescents, check out the cognitive exercises provided by Lumosity.

Other possibilities are crossword puzzles to improve attention for words and sequencing ability while picture puzzles in which the child has to look for things that are wrong in the picture or look for hard-to-find objects also improve attention and concentration.  

Parents should work together with the child serving as a coach to provide encouragement and track progress.  This type of activity also improves parent/child relationships.  Go ahead.  Have some fun.  Do the exercises along with your child and who knows, you may find your brain too will work a little faster or smarter.

Other activities that are beneficial to kids with ADHD are physical activity.  Playing a sport is great.  Individual sports such as tennis or swimming are better that team sports for kids with major problems with frustration.  Two great activities that I have recommended are karate and yoga.  These definitely help improve attention, concentration and impulse control. 

These suggestions are provided as activities to supplement medical and/or psychological treatment provided under the guidance of a physician or psychologist.  They will enhance the benefits of the treatment but will not on their own resolve serious symptoms for a child who has been accurately diagnosed with ADHD.

Science Daily (May 3, 2008) -- Ripping out and tearing down to create a divinely designed home, a la HGTV, is all the rage today -- and the economic downturn may be leading more families to renovate rather than relocate. But a new study has found that parents need to be aware that all this interior renovation can put their children's health at risk due to exposure to lead.

A study published recently by researchers at Cincinnati Children's Hospital Medical Center found that this process can increase children's exposure to lead.  Abnormal lead levels have been found to result in ADHD symptoms.  If parents have any concern regarding their child's exposure to lead, they should discuss it with their child's physician.  A simple laboratory test can determine the presence of lead toxicity.  If you are considering renovating your house, you can learn more from the Science Daily article.

On April 21, 2008 The American Heart Association published a Scientific Statement recommending screening of children and adolescents for possible heart disease prior to the administration of medications for the treatment of ADHD.  This was prompted by incidents of sudden cardiac deaths (SCD) involving ADHD medications and the belief that ADHD children may be more prone to heart disease which may result in SCD.  The statement was based on a review of research literature in which findings are suggestive but not conclusive and in some cases contradictory.  Some of the articles reviewed were actual research studies while others were case studies.

In general ADHD medications have been prescribed for over 5 decades with only a 4% of serious side effects and most of those were not significant life threatening consequences.  They have been found to be extremely effective when properly prescribed to individuals accurately diagnosed with ADHD.

Essentially the statement calls for four precautionary steps to be taken by prescribing physicians:

1.       A complete patient and family history to include detailed information regarding cardiovascular disease.

2.      Physical examination which should include thorough evaluation for cardiovascular disease.

3.      A screening electrocardiogram (ECG) to rule out any cardiac irregularity.

4.      Referral to a pediatric cardiologist to review and abnormal or questionable findings from 1-3.

 

Parents should not be disturbed by this statement but should discuss this information with their child's physician.  For more information please see the American Academy of Pediatrics Q&A on ADHD Medication.

In a major research project conducted by the National Institute for Mental Health, 30% of children assigned to behavioral treatment only showed significant improvement at the 14months evaluation period and after 3 years there were no significant differences in level of improvement between those receiving medication and those receiving behavioral treatment,

Professional guidelines recommend that children with mild to moderate ADHD symptoms try behavioral treatment first.  Research indicates that behavioral treatment may lower the dose required to produce improvement for those with more severe symptoms warranting medication.

Behavioral treatment is often overlooked due to expense of difficulty in accessing appropriate professional care.  Total Focus is a comprehensive behavioral treatment that is evidence based, affordable and easy to implement for busy families.  This program can be used with or without medication and should be considered by parents and physicians when developing a treatment program for children diagnosed with ADHD.

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Welcome to Kids ADHD!  This blog is an extension of our efforts to provide timely and useful information for parents, teachers and clinicians that we have been providing on our website pages related to ADHD.  We will be posting original articles covering a broad range of topics.  We will also post news items and research articles and provide our comments.

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