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by: Dr.NoelSwanson
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Children with Attention Deficit Hyperactivity Disorder (ADHD) show the following symptoms:

1) Poor concentration and attention span

2) Their memorizing powers are low and they have poor concentration.

3) Impulsivity - doing things without thinking first

4) Their frequent temper tantrums and outbursts are a result of easy frustration

While most children as well as adults face similar difficulties during daily routine, those children who suffer from ADHD have a far larger frequency of these difficulties. The extent is so acute that they are unable to undertake tasks such as:

a) at school (they are not able to pay attention or finish their work in time or they can be disruptive and destructive in class, may be talking excessively in the class )

b) at home (are not able to finish chores, are clumsy, get into fights with siblings and more)

c) Participate and contribute actively in social activities such as being tolerant and accommodating of others, controlling temper and aggression, not playing practical jokes on others etc.

ADHD is not a disease or illness in the sense that it is caused by germs, by injury, or by a clearly defined physical malfunction (such as asthma or diabetes). It is simply the result of parts of the brain not working at full efficiency.

What is clear is that ADHD does run in families and is at least partially genetic - often a parent has the same symptoms. What is also clear is that the symptoms, and therefore the problems, are long term. They are not going to go away or be cured in a short period of time, but are almost certainly going to continue through into the teen years, and probably even into adulthood.

HOW IS ADHD MANAGED?

What bothers children suffering from ADHD is the danger and fear of long term implications and complications. For example:

a) Score poorly or fail in school because of lack of concentration.

b) They fear of being thrown out from school and landing into trouble with the police only because of their impulsive attitude.

c) Their fear of taking recourse to anti-depressants such as drinks, drugs, crime etc to avoid getting anxious and depressed.

These fears are what bother these children as these factors could influence their attitude and performance in adult life too.

What you cannot beat has to be managed, and the goal of good management is to avoid complications. Since the process of management is a long term commitment, the only people who can effectively ensure its putting into place are the parents. The parents who live with the child, understand his needs and requirements and are the foremost people who are concerned with the well being of the child are the ones who need to take a proactive part in managing this difficulty. Unless parents themselves take the lead, all efforts of others shall go to naught. It is only when parents take an active part that the efforts of others shall bear fruit too. Some of the components of effective management of ADHD are:

COMMITTED PARENTS who are ready to support their child in full. Through the information available to the parents through the books, videos, Cds and internet, the parents should be able to help their ADHD afflicted child. A word of caution here is that along with all the information, there is a lot of mis-information also available on the net and other sources. This skewed information might cause a problem in understanding the condition of ADHD. There is no magic cure available for ADHD, anybody who claims to have a magic cure is lying!

GOOD COMMUNICATION between home, school and other professionals. This especially applies to home and school, so do all that you can to meet regularly with the school to work together on solutions for your child.

It is a known fact that children with ADHD do better in ORGANIZED, quiet and structured and low stimulation ENVIRONMENT, but become worse in chaotic, unorganized and busy homes and classrooms. As a loving parent and a well wisher you will want the child to be better adjusted. Hence it will be a good idea to reorganize your home so that it keeps the child with ADHD calm and less stressful. And if the same can also be done in the school for the ADHD children, then it will help these children to be better adjusted in life.

CLEAR BEHAVIORAL MANAGEMENT STRATEGY Children with ADHD have to be given clear and exact instructions and expectations. If they are clear on the reward and punishment system then they will adjust their behavior accordingly. The support or the social worker can help you devise strategies for a Clear behavioral management program to help your child.

SUPPORT FOR THE PARENTS. Looking after children with ADHD can be very stressful for the parents. Bringing up these children can be very taxing. At times it may lead to depression and marital breakdown in parents. To help the parents to cope with the stress of bringing up a ADHD child, the parents should also consult the parent support groups and parents training groups, marital counseling, and family therapy etc.

MEDICATION for ADHD should be such that reduces the symptoms and lets the child the opportunity to learn academic, social, and other life skills. The aim here should be to get the correct medicine in the right dosage. child the opportunity to learn academic, social, and other life skills.

There are several types of medication that are used. The most common are the "stimulants" (discussed on the next page), but increasingly common is the new medication atomoxetine, which seems to work very well with few side effects. Ask your doctor for full information.

Health professional can only help the parents solve particular problems of your child, but they can not bring up your child for you. They will also help you clear your doubts on how to handle certain situations.

But, in the end, it is you and your family who have to live with it, and so the more you learn about it, and the more you learn the best ways to manage it, the better your chances of a good outcome.

About the Author

Find more articles about ADHD and for his highly acclaimed book, check out Dr. Noel Swanson's child behavior website? He also does a free newsletter which is highly acclaimed.

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