Attention Deficit/Hyperactivity Disorder (ADHD) is the most common disorder affecting children, according to the American Psychiatric Association. It affects approximately 10% of children worldwide, and about 2.5% of adults. ADHD is caused by both environmental and genetic factors, and it is believed that this is why the incidence of ADHD is higher in adopted individuals than the general population.
The environmental factors contributing to ADHD include prenatal alcohol or drug exposure, prenatal maternal smoking, low birth weight and lead poisoning. Approximately 40% of children with ADHD will have a parent with ADHD, generally the father; however, not all children born to parents with ADHD will have ADHD. For children adopted from group home settings such as an orphanage, there is a greater risk of being diagnosed with ADHD.
When symptoms resembling those of ADHD are observed, it is important to speak with a professional to rule out other medical problems that may be the cause, such as hearing problems.
Remember as well that all children daydream, are over active, and have emotional outbursts from time to time. It’s part of growing up. With a child who has ADHD, these symptoms occur more often and can be harder to deal with and last longer. That is why it is so important to implement effective discipline techniques and help your child build skills to manage their behavior.
Here are 5 Tips to best support your child:
1. Give Reminders to Manage Transitions
Transitions during the day can prove to be a struggle for all children, but those that have adoption as part of their history and those with symptoms of ADHD can have a particularly challenging time. To help children better manage the transitions during the day, remember to give reminders of upcoming transitions. For example, “In 15 minutes we are going to put pajamas on to start getting ready for bed!” Children with ADHD can benefit from having a consistent schedule. Remember to give fair warning when the schedule will be different.
2. Use Eye Contact
When giving directives to your child, kneel to their level, get eye contact and talk to them. Check in to make sure they are clear about what is happening next. This ensures you have their attention and they have heard what you said. It also helps to avoid a situation where you need to yell or raise your voice to communicate your message.
3. Acknowledge and Label Feelings
Not knowing what to do when big feelings come on can be tough for kids who will be quick to act. As a parent, you can help by teaching feelings and labeling them when you see them. Acknowledge the feeling you see in your child first, then you can work with them to address the behavior.
4. Using Time Ins (Not Time Outs)
A Time Out is when a child is told to go somewhere alone (to face a wall or go to a different room) for a period of time to cool down. Traditionally, parents are told to withhold attention from their child during the duration of the Time Out. During a Time In, a caregiver kindly asks a child that is going through a stressful or difficult moment to sit with him/her in order to process feelings and cool down.
Both Time Ins and Outs are used to give a child a moment away from whatever troubling situation occurred to compose themselves, reflect and prepare to re-join. The benefits of Time Ins are that they allow the caregiver to model and coach the child through calming down. For children who join their family through adoption, this difference is important as it does not require them to be physically (and emotionally) separated from a caregiver or re-experience feelings of loss or rejection. For children with ADHD, Time Ins give them the support with emotional regulation – something they often are not able to do on their own. Remember Time Ins are a time for quiet and calm discussions about the misbehavior can come later when everyone is calm.
5. Take Responsibility for Mistakes
Children have their mistakes pointed out all the time. Model for them what it looks like to take responsibility for a mistake. Think back to those times when you didn’t handle your big feelings the way you would have liked or when transitions (getting everyone out of the house on time in the morning) made you angry or frazzled. Give yourself a chance to do it differently the next time and give your child the opportunity too.
Spence-Chapin provides a holistic and personalized ADHD treatment plan for your child by partnering with parents, educators, school psychologists, and school counselors. We can help transform your child’s behavior and strengthen your entire family.
Call us at 646-539-2167 or e-mail [email protected] to schedule a free consultation.