How to Parent Children with Attention Deficit Hyperactivity Disorder - ADHD/ADD
Children with attention deficit hyperactivity disorder - ADHD/ADD may be
difficult to parent. They may have trouble understanding important directions.
Children with attention deficit hyperactivity disorder - ADHD/ADD are usually in
a constant state of activity.
This can be a challenge to adults. You may need to change your home life a bit
to help your child. Here are some things you can do to help:
Organize your schedule at home. Set
up specific times for waking up, eating, playing, doing homework, doing chores,
watching TV or playing video games and going to bed. Write the schedule on a
backboard or a piece of paper and hang it where your child will always see it.
If your child can't read yet, use drawings or symbols to show the activities of
each day. Explain any changes in routine in advance. Make sure your child
understands the changes.
Set up house rules. Make the rules
of behavior for the family simple, clear and short. Rules should be explained
clearly. It's important to explain what will happen when the rules are obeyed
and when they are broken. Write down the rules and results of not following
them. Hang this list next to the schedule. The punishment fore breaking rules
should be fair, quick and consistent.
Be positive. Tell your child what you want rather than what you
don't want. Reward your child regularly for any good behavior--even little
things such as getting dressed and closing doors quietly. Children with ADHD
often spend most of their day being told what they are doing wrong. They need to
be praised for good behavior.
Make sure your directions are understood. First, get your
child's attention. Look directly into his or her eyes. Then tell your child in a
clear, calm voice specifically just what you want. Ask your child to repeat the
directions back to you. It's usually better to keep directions simple and short.
For difficult tasks, give only one or two directions at a time. Then
congratulate your child when he or she completes each step.
Be consistent. Only promise what
you will deliver. Do what you say you are going to do. Repeating directions and
requests many times doesn't work well. When your child breaks the rules, wan
only once in a quiet voice. If the warning doe not work, follow through with the
punishment that you promised. (Avoid physical punishment. This often makes
matters worse).
Make sure someone watches your child all the time.
Because they are impulsive, children with ADHD need more adult supervision than
other children their age. make sure your child is supervised by adults all day.
Watch your child around his friends.
It's hard for children with ADHD to learn social skills and social rules. Be
careful to select playmates for your child with similar language and physical
skills. Invite only one or two friends at a time at first. Watch them closely
while they play. Reward good play behaviors often. Most of all, don't allow
hitting, pushing and yelling in your house or yard. [Total Focus provides
multi-media materials for helping ADHD kids develop social skills].
Help with school activities. School
mornings may be difficult for children with ADHD. Get ready the night
before--lay out school clothes and get the book bag ready. Allow enough time for
your child to get dressed and eat a good breakfast. If your child is really slow
in the mornings, it's important to make enough time to dress and eat.
Set up homework routine. Pick a
regular place for doing homework. This place should be away from distractions
such as other people, television and video games. Break homework time into small
parts and have breaks. For example, give your child a snack after school and
then let him play for a few minutes. then start homework time. Stop frequently
for short "fun breaks" that allow your child to do something enjoyable. Give
your child lots of encouragement, but let your child do the school work.
Focus on effort, not grades. Reward your child when he tries to
finish school work, not just for good grades. You can give extra rewards for
earning better grades.
Additional pointers for parents of children with ADD and/or
learning disabilities:
Take the time to listen to your children as much as you can (really try
to get their "Message").
Love them by touching them, hugging them, tickling them, wrestling with
them (they need lots of physical contact).
Look for and encourage their strengths, interests, and abilities. Help
them to use these as compensations for any limitations or disabilities.
Reward them with praise, good words, smiles, and pat on the back as
often as you can.
Accept them for what they are and for their human potential for growth
and development. Be realistic in your expectations and demands.
Involve them in establishing rules and regulations, schedules, and
family activities.
Tell them when they misbehave and explain how you feel about their
behavior; then have them propose other more acceptable ways of behaving.
Help them to correct their errors and mistakes by showing or
demonstrating what they should do. Don't nag!
Give them reasonable chores and a regular family work responsibility
whenever possible.
Give them an allowance as early as possible and then help them plan to
spend within it.
Provide toys, games, motor activities and opportunities that will
stimulate them in their development.
Read enjoyable stories to them and with them. Encourage them to ask
questions, discuss stories, tell the story, and to reread stories.
Further their ability to concentrate by reducing distracting aspects of
their environment as much as possible (provide them with a place to work,
study and play).
Don't get hung up on traditional school grades! It is important that
they progress at their own rates and be rewarded for doing so.
Take them to libraries and encourage them to select and check out books
of interest. Have them share their books with you. Provide stimulating books
and reading material around the house.
Help them to develop self-esteem and to compete with self rather than
with others.
Insist that they cooperate socially by playing, helping, and serving
others in the family and the community.
Serve as a model to them by reading and discussing material of personal
interest. Share with them some of the things you are reading and doing.
Don't hesitate to consult with teachers or other specialists whenever
you feel it to be necessary in order to better understand what might be done
to help your child learn.
Parenting skills training ...gives parents tools and techniques for
managing their child's behavior. One such technique is the use of token
or point systems for immediately rewarding good behavior or work.
Another is the use of "time-out" or isolation to a chair or bedroom when
the child becomes too unruly or out of control. During time-outs, the
child is removed from the agitating situation and sits alone quietly for
a short time to calm down. Parents may also be taught to give the child
"quality time" each day, in which they share a pleasurable or relaxing
activity. During this time together, the parent looks for opportunities
to notice and point out what the child does well, and praise his or her
strengths and abilities.
This system of rewards and penalties can be an effective way to modify a
child's behavior. The parents (or teacher) identify a few desirable
behaviors that they want to encourage in the child—such as asking for a
toy instead of grabbing it, or completing a simple task. The child is
told exactly what is expected in order to earn the reward. The child
receives the reward when he performs the desired behavior and a mild
penalty when he doesn't. A reward can be small, perhaps a token that can
be exchanged for special privileges, but it should be something the
child wants and is eager to earn. The penalty might be removal of a
token or a brief time-out. Make an effort to find your child being good.
The goal, over time, is to help children learn to control their own
behavior and to choose the more desired behavior. The technique works
well with all children, although children with ADHD may need more
frequent rewards.
In addition, parents may learn to structure situations in ways that will
allow their child to succeed. This may include allowing only one or two
playmates at a time, so that their child doesn't get overstimulated. Or
if their child has trouble completing tasks, they may learn to help the
child divide a large task into small steps, then praise the child as
each step is completed. Regardless of the specific technique parents may
use to modify their child's behavior, some general principles appear to
be useful for most children with ADHD. These include providing more
frequent and immediate feedback (including rewards and punishment),
setting up more structure in advance of potential problem situations,
and providing greater supervision and encouragement to children with
ADHD in relatively unrewarding or tedious situations.
Children with ADHD need consistent rules that they can understand and
follow. If rules are followed, give small rewards. Children with ADHD
often receive, and expect, criticism. Look for good behavior and praise
it.
Parents may also learn to use stress management methods, such as
meditation, relaxation techniques, and exercise, to increase their own
tolerance for frustration so that they can respond more calmly to their
child's behavior.
[Above information excerpted from Attention Deficit
Hyperactivity Disorder a publication of National Institute for Mental
Health (2006) NIH Publication No. 3572]