Showing posts with label ADDitude Magazine. Show all posts
Showing posts with label ADDitude Magazine. Show all posts

Tuesday, April 14, 2009

Sue Scheff: ADHD Medications


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.

Tuesday, July 8, 2008

Sue Scheff: Building Social Skills for your ADHD Child


By ADDitude Magazine

Role-playing strategies to help your child get along with others—even bullies.

Making eye contact. Not interrupting. Taking turns. If your child with attention deficit disorder (ADD ADHD) needs help with these and other social skills, you may want to give “role-playing” a try. By testing out various personas, he can see how simple changes in what he says and does can help him get along better with friends and family members.

Role-playing works with almost any child who is old enough to talk. It’s especially good for teaching children how to deal with teasing — a problem familiar to many kids with ADHD.

Consider the case of Joe B., a nine-year-old I recently treated. Joe’s parents sought my help because he kept overreacting to playful (but sometimes hurtful) verbal banter that came his way during recess. On one such occasion, after Joe did something silly, a playmate laughed at him and called him a “turkey head.” Enraged, Joe shoved the boy and burst into tears. He looked like a crybaby.

Joe acknowledged shoving the other boy, but said to me, “He started it.” Joe felt it was the other boy who needed to change. I explained to Joe that he couldn’t always control what other people did, but that he always had a choice about how to react. “You’re the boss of yourself,” I told him.

Talking things over made Joe feel better, and I decided that role-playing might help Joe avoid future incidents. Here are the basic steps I used with Joe that you might try with your own child:

Define the problem. Talk things over until you understand the exact nature of the problem facing your child. Joe’s problem, of course, was that he felt angry and sad when kids called him names—and couldn’t stop himself from lashing out physically.
Acknowledge bad feelings. Let your child know that it’s normal to be upset by teasing. Joe’s parents and I made sure that he understood that—and that it was not OK for children to pick on him.
Discuss alternative ways to respond. Explain to your child that there are many ways to respond to teasing, some good and some not so good. Shoving the teaser was a bad choice. Joe and I explored better options, including walking away from the encounter and saying “I don’t care” over and over, until the teaser got bored. Ultimately, Joe decided he’d simply say, “Please stop it.” He said that gave him a sense of control over the situation.
Reenact the situation. Once you’ve armed your child with socially acceptable ways to respond, let him play the role of the child being teased while you play the teaser. Then switch roles, varying the “script” to explore the different ways in which the scenario could play out. You might videotape the role-playing sessions and review the tapes at a later time with your child to reinforce appropriate behavior.
Celebrate success. If your child comes home announcing that he has used the lessons learned in role-playing, congratulate him. Give him a high-five, and tell him how proud you are — even if he didn’t do everything you had practiced. This is not the time to nit-pick.
Role-playing didn’t help Joe right away. But one day, a few weeks after we began our sessions, Joe was beaming when he came into my office. Once again, a playmate had teased him, but this time Joe hadn’t struck back. “I told him I didn’t care what he thought,” Joe explained.

Over time, as we continued our sessions, Joe got even better at controlling his behavior on the playground. Other children accepted him as one of the gang, and that made him feel good about himself.

Saturday, June 28, 2008

Parents Universal Resource Experts (Sue Scheff) Building Social Skills for ADHD Children

By ADDitude Magazine

Role-playing strategies to help your child get along with others—even bullies.

Making eye contact. Not interrupting. Taking turns. If your child with attention deficit disorder (ADD ADHD) needs help with these and other social skills, you may want to give “role-playing” a try. By testing out various personas, he can see how simple changes in what he says and does can help him get along better with friends and family members.

Role-playing works with almost any child who is old enough to talk. It’s especially good for teaching children how to deal with teasing — a problem familiar to many kids with ADHD.

Consider the case of Joe B., a nine-year-old I recently treated. Joe’s parents sought my help because he kept overreacting to playful (but sometimes hurtful) verbal banter that came his way during recess. On one such occasion, after Joe did something silly, a playmate laughed at him and called him a “turkey head.” Enraged, Joe shoved the boy and burst into tears. He looked like a crybaby.

Joe acknowledged shoving the other boy, but said to me, “He started it.” Joe felt it was the other boy who needed to change. I explained to Joe that he couldn’t always control what other people did, but that he always had a choice about how to react. “You’re the boss of yourself,” I told him.

Talking things over made Joe feel better, and I decided that role-playing might help Joe avoid future incidents. Here are the basic steps I used with Joe that you might try with your own child:

Define the problem. Talk things over until you understand the exact nature of the problem facing your child. Joe’s problem, of course, was that he felt angry and sad when kids called him names—and couldn’t stop himself from lashing out physically.
Acknowledge bad feelings. Let your child know that it’s normal to be upset by teasing. Joe’s parents and I made sure that he understood that—and that it was not OK for children to pick on him.
Discuss alternative ways to respond. Explain to your child that there are many ways to respond to teasing, some good and some not so good. Shoving the teaser was a bad choice. Joe and I explored better options, including walking away from the encounter and saying “I don’t care” over and over, until the teaser got bored. Ultimately, Joe decided he’d simply say, “Please stop it.” He said that gave him a sense of control over the situation.
Reenact the situation. Once you’ve armed your child with socially acceptable ways to respond, let him play the role of the child being teased while you play the teaser. Then switch roles, varying the “script” to explore the different ways in which the scenario could play out. You might videotape the role-playing sessions and review the tapes at a later time with your child to reinforce appropriate behavior.
Celebrate success. If your child comes home announcing that he has used the lessons learned in role-playing, congratulate him. Give him a high-five, and tell him how proud you are — even if he didn’t do everything you had practiced. This is not the time to nit-pick.
Role-playing didn’t help Joe right away. But one day, a few weeks after we began our sessions, Joe was beaming when he came into my office. Once again, a playmate had teased him, but this time Joe hadn’t struck back. “I told him I didn’t care what he thought,” Joe explained.

Over time, as we continued our sessions, Joe got even better at controlling his behavior on the playground. Other children accepted him as one of the gang, and that made him feel good about himself.

Monday, June 23, 2008

Sue Scheff: Teens with ADD: Making the Transition in Adulthood




How to help your teenager with ADD make a smooth transition to an adulthood with greater responsibility.


Welcome to adulthood! Late adolescence and early adulthood are exciting times, bringing tremendous change and personal growth. From choices about higher education to decisions about a career and family, there is so much ahead that it may seem overwhelming. Take heart - every adult has faced these same decisions and met the same challenges. You'll do fine.
As a young teen with attention deficit disorder (ADD ADHD), however, be aware that you have some additional responsibilities and concerns to shoulder. As someone who has been there, let me outline six points to consider, and offer some advice and inspiration, as you enter the next phase of your life.
Read entire article here: http://www.additudemag.com/adhd/article/839.html

Saturday, June 21, 2008

ADHD Medication At School





If your child takes medication for attention deficit disorder (ADD ADHD), make sure it's administered on schedule and that it's working as intended. Along with the doctor, the classroom teacher and school nurse can be valuable allies in this effort. Include the following steps in your medication plan.


Make sure your child's symptoms are "covered" whenever necessary.Consider the possibility that he may need coverage beyond school hours—so that he can complete homework assignments and enjoy after-school activities and social relationships.Remember that the duration listed on a medication's package materials is only an approximation. A four-hour tablet might control symptoms for as few as three hours—or as many as five. A 12-hour form might last only 10 hours.

Monday, June 9, 2008

Sue Scheff: Parenting ADHD Children - Advice from Moms


By ADDitude Magazine


Moms' advice for parenting ADHD children, creating an ADD-friendly household and smoothing out daily rough spots


It’s the stuff attention deficit disorder (ADD ADHD) days are made of: You’re trying to get your daughter to finish her homework, but she insists on doing cartwheels across the living room. Or you’ve already had two big dustups with your son — and it’s only 9 a.m.


Sound familiar? Parents of ADHD children have a lot on their plates. And while doctors, therapists, and ADD coaches can offer helpful guidance, much of the best, most practical advice on parenting ADD children comes from those who have been there, done that. In other words, from other ADHD parents.


For this article, ADDitude asked members of support groups across the country (both live and online) for their tried-and-true parenting skill tips for monitoring behavior problems, disciplining and smoothing out the daily rough spots. Here’s what they said.

Friday, May 16, 2008

Sue Scheff: Cutting Back on Sugar to Treat Symptoms in Children




Simple changes in diet, like cutting back on snacks with sugar, could bring out the sweeter side this holiday season in your child with attention deficit disorder (ADD ADHD).


Chances are, you’ve had the following chat with the doctor of your child with attention deficit disorder (ADD ADHD) — probably just before the holidays: “Every time Johnny eats lots of sugary foods, his symptoms of ADHD worsen, and he becomes irritable and hyper. I dread this season because Johnny turns it into unhappy days for everyone.”
Your doctor leans back in his leather chair and says, “What your child eats has nothing to do with his behavior! There is no research that supports this idea.”

Sunday, May 11, 2008

Sue Scheff: Standing Up for Your Child’s Educational Rights




Learn your child's educational rights to get him the support he needs in the classroom.

In an ideal world, teachers and school administrators would be as eager as parents to see that children with ADD get what they need to succeed in school. Unfortunately, teachers are pressed for time as never before, and school districts are strapped for cash. So it's up to parents to make sure that their kids get the extra support they need.


"The federal government requires schools to provide special services to kids with ADD and other disabilities, but the school systems themselves bear much of the cost of these services," says Susan Luger, director of The Children's Advisory Group in New York City. "Though they'll never admit it, this gives the schools an incentive to deny these services. The process of obtaining services has become much more legalistic over the past 10 years."

Thursday, May 1, 2008

Sue Scheff: Parenting Kids with ADD/ADHD



12 Parenting Strategies That Work for ADD Kids by ADDitude Magazine



Most parents are good parents. But if your son or daughter has attention deficit disorder (ADD ADHD), "good" may not be enough. To ensure that your child is happy and well-adjusted now and in the future—and to create a tranquil home environment—you've got to be a great parent.

Tuesday, April 29, 2008

Sue Scheff: Better Discipline for ADHD Children




Tired of nagging and yelling at your children? Here's an easier way to discipline children with ADHD.


Like all kids, children with attention deficit disorder (ADD ADHD) sometimes make bad choices regarding their own behavior. No surprise there. But to make matters worse, parents often err in the way they discipline misbehavior from children with ADHD. Instead of using firm, compassionate discipline, they move into what I call the ignore-nag-yell-punish cycle.

First, the parent pretends not to notice the child’s misbehavior, hoping that it will go away on its own. Of course, this seldom works, so the parent next tries to urge the child not to do such and such. Next, the parent starts yelling and scolding. When this doesn’t produce the desired result, the parent becomes extremely angry and imposes harsh punishments. I think of this fourth stage as the parent’s temper tantrum.

This four-part strategy (if you could call it that) isn’t just ineffective. It makes life needlessly unpleasant for every member of the family.

How can you avoid it? As with any other pitfall, simply being aware of it will help you steer clear of it. At the first sign of starting on the wrong path, you can stop what you’re doing and make a conscious decision to try something else. Take an honest look at how you respond when your children misbehave. What specific situations are likely to cause you to go down this path? How far down the path do you typically proceed? How often?

Let’s examine the ignore-nag-yell-punish strategy more closely to see why it doesn’t work — and come up with some strategies that do.

Why ignoring doesn’t work
By ignoring your child’s misbehavior, you send the message that you neither condone nor support his misbehavior. At least that’s the message you hope to send.

In fact, your child may read your silence as “I won’t give you my attention or concern” or even “I reject you.” That can wound a child. On the other hand, your child may assume that your silence means that you approve of his behavior or will at least tolerate it. “Mom hasn’t said I can’t do this,” he thinks, “so it must be OK.”

Even if your child correctly interprets the message that you’re trying to send by ignoring him, he has no idea what you want him to do instead. In other words, ignoring your child doesn’t define better behavior or provide guidance about how your child should behave next time.

Instead of ignoring him when he does something you disapprove of, I recommend another “i-word”: interrupting. That is, quickly move people or objects so that your child is unable to misbehave.

For example, if Alex and Maria start quarreling over a toy, you might say, “Alex, sit over there. Maria, stand here. I’ll take this and put it up here.” Similarly, if your teen comes for supper with dirty hands, immediately take his plate off the table and silently point to his hands. If you feel the need to tell your child what you expect of him, tell him once, very clearly. Then stop talking.

Saturday, April 26, 2008

Sue Scheff (P.U.R.E.) Single Parents: How to Raise ADHD Children – Alone


Seven expert strategies to help single parents raise confident, successful children with ADHD.



ADDitude Magazine offers great information for parents and adults of ADD/ADHD. As a single parent with an ADHD child, this article offers a lot of insight.

Sunday, April 20, 2008

Parents Universal Resource Experts (Sue Scheff) Understanding ADHD


Understanding your Diagnosis: Medical Information about ADHD



An ADHD doctor talks about the common symptoms, causes, misconceptions and treatments associated with an ADHD diagnosis.