Often parents struggle with their children as they note their unusual behavior, and try to help them fit in. The child is of normal or above normal intelligence, yet is failing in many classes. They do not seem to hear directions even though their ability to hear is fine. There is frustration, disciplinary actions, and denial on the parents part. The child experiences confusion, isolation, and low-self esteem. Ultimately it becomes clear the diagnosis is Attention Deficit Disorder (ADD). Dealing with this process is painful for all parents, but the road can be made smoother, if individuals are aware of options, and educated about how to deal with this disorder.
If you are worried about your child’s behavior and believe ADD may be the problemm, there are some avenues to explore before having your child tested. Sometimes children will experience a stress reaction that will make them unable concentrate and follow through on projects. If a child is in a strenuous schedule, and does not have time to relax at home, problems may occur. According to Barbara Kuczen’ book, Childhood Stress, many life events such as changing schools, divorce of parents, death of a grandparent, mother going back to work, or birth of a sibling can make a child more vulnerable to physical mental, or emotional illness. Eliminating any possible sources of stress is an important first step in helping your child.
Another possibility for behavioral problems could be an unknown allergen. If a child is allergic to chemicals or food products the outcome may take the shape of a behavioral problem. Seeking allergy testing, and changing the child’s diet is often more preferable to medicating a child. Exploring the least objectionable solutions first will make the parent more comfortable the ultimate path chosen. It is important for most parents to feel they have explored all the options when helping their child.
After physical problems, and allergies have been ruled out, it is time to seek a professional evaluation for the child. This is a difficult step for parents, because a parent often feels like a failure. The problems of the child have exceeded the means available to the family. There is a loss of control, and a great deal of anxiety surrounding this action. Knowing what constitutes ADD can be helpful for a parent entering this difficult process.
According to the Diagnostic and Statistical Manual of Mental Disorders in order for an individual to be diagnosed with ADD they must have six or more of the following symptoms that last for at least six months. These symptoms must interfere with the child’s ability to perform at an appropriate developmental level.
· Fails to pay attention to details, exhibits carelessness in work quality
· Has difficulty in concentrating in play or other activities
· Frequently does not listen when spoken to directly
· Does not follow through on instructions
· Has problems organizing tasks and activities
· Dislikes and avoids in projects that require sustained mental effort
· Loses things necessary for activities (e.g. pens, markers, toys, school assignments, etc.)
· Is easily distracted by miscellaneous stimuli
· Appears to be extremely forgetful in daily activities
When this criteria is met in a child, the teacher will often recognize the pattern. The school staff may suggest an evaluation, or possibly administer an inventory that will suggest a possible diagnosis. In some situations a parent may wish to consult with the school before going on to other professionals. The school will need to evaluate the child in order to offer special services. Many parents do not want their child in special education programs. If this is the case, and the parents can afford an outside evaluation, it is advisable to seek an evaluation outside the school system. A psychological clinic will provide the parent with information to present to the school. In this way the parent will feel more empowered when dealing with the school system.
This is an opportunity for the parent to express concerns. This gives the examiner a chance to explore options with the parent, and allay anxiety that may be have been generated by misinformation. It is a chance to clarify what to expect in dealing with the disorder, and how to best ensure the success of the child.
The outcome of the results will be presented to the parent at a later date. This will also require a parent interview, so the examiner can explain the results and discuss the treatment plan. Not all kids diagnosed with ADD are medicated. Professionals may try cognitive and behavioral therapy first. Parents are encouraged to make contracts with teachers to write down all assignments, so the child can be assisted in following through on activities at school. Parents may be asked to participate in family therapy so relationship strategies can be examined and improved. All of these things may be incorporated into the process of dealing with ADD.
Ultimately, the child’s treatment may include medication. If your doctor recommends a medication trial parent should ask many questions about the drug prescribed. Since many parents are nervous about their children being a medication for extended periods of time, a good practitioner will take the time to answer a parent’s questions, and will be available to questions in the future.
There are continual demands on the parent of a child diagnosed with ADD. This requires patience, and continual communication with the professionals involved. Once the diagnosis is made, and the treatments are in place the child should begin to improve in school, and in their behavior. The path to dealing with this disorder is well worth the journey when the child starts to see their success, and their self-esteem grows. Many children will realize academic achievements, and relationship improvements when the disorder is under control. ADD does not have to limit a child. Once treated, the ADD child can excel at home, at school, and throughout their life.
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