Behavioral Problems Beyond the Norm - ADHD - Attention Deficit Hyperactivity Disorder

As the parent of two children who have bothand through adulthood. Some small percentage of
been diagnosed with Attention Deficitchildren may outgrow this condition, but most
Hyperactivity Disorder (ADHD), I have learnedsimply become adults who continue to wage an
much about the character of my children, andon-going battle with their ADHD.
perhaps as importantly, I have learned muchAs noted in the summary above, changes in
about my own. Some of these realities can bedefinition and focus have occurred in recent years
frightening at times, but most can be addressedas a result of ongoing ADHD research and testing.
and handled in a positive and meaningful way soToday, it is no longer appropriate to simply view
the children are not constantly under the gun withthis disorder as an "attention" issue. The condition
unrealistic expectations for their behavior andis more accurately identified as a lack of
accomplishments.self-regulation, or "How the self comes to manage
Sometimes "average" can be an excellentitself within the larger realm of social behavior."
achievement. This is not to say that we do notTo label it a disorder of attention trivializes the
give our children every chance to excel, but theydisorder, since it grossly understates the
must do so with guidance and support fromsubstantial and dramatic problems these children
parents, teachers and counselors. They are notface in trying to meet the challenges of their daily
oh so different from other kids, but their actionslifes and the increasing demands of their families,
are magnified by their impulsivity, an inability to tellschools, and society to regulate themselves as
the truth for even the most inane issues, theythey mature. [Preface, pg xi, Taking Charge of
tend to blurt out words or make statements thatADHD, Revised edition,© 2005 by Russell A.
no normal thinking person would dare say andBarkley, PhD.©.]
they often regret their behavior but are typicallyToo often people doubt the existence of this
not able to control themselves without some help.disorder and instead put the onus for a child's
The scary part for me is their near total lack ofbehavior on a lack of parenting or improper
fear. This results in lots of little and sometimesparenting, and insist that better discipline is the
major accidents where they injure themselvesway to resolve this problem. And I will bet you
and sometimes others.that none of these people have ever had the
I first learned of my son's disorder when he wasopportunity themselves to raise a child afflicted
nearly five years old. I did not receive thiswith this condition for which two genes have been
assessment with open arms, but when I reflectedreliably identified in the molecular genetics of
upon my son's behavior and the trouble he hadADHD.
developing social skills, staying on task or simplyMany parents fall prey to information that has no
blurting out words that could bring lawsuits in anscientific basis and yet has die hard adherents.
adult context, many of the pieces of the puzzleSimply saying something isn't so in no way
began to fall into place. He was, and still can be,reduces the stress and strain this condition has on
very impulsive. Many children are. He becomesa child or the family as they battle day to day
very angry from time to time. Well, I canand hour to hour to find the means for helping a
understand that, too. Afterall. in his eyes hisyoung one who in one moment is an angel and in
mother has abandoned him and left him and histhe next a rambunctious terror. And when you
baby sister to live with their father, while sheawaken to the sounds of crying from your child
went off to live her own life. This will likely be awho cannot understand why they do what they
sore point for both my children if their motherdo and often cannot do much but shrug their
continues to live as if she only needs to beshoulders in response to the question, Why? Or,
available to them when she chooses.what did you hope to gain from the destruction
School is where the biggest problems haveof that toy or game? You come to realize that
occurred. My son was disruptive in class andyour child or children truly are victims of a
confrontational with students and even teacherscondition they have no control over. If you have
and administrators from time to time. I haveever lived with anyone who is suffering from
spent a lot of time working with my son toADHD, you know it is real because no human
explain to him ad nauseum that actions andbeing could manifest such divergent personality
behaviors have consequences. Thankfully, I havetraits without a medical or psychological condition
also learned from the lessons I continue tobeing involved.
impress upon my son, and in time he hasChildren or adults who suffer from this malady
developed a cursory understanding that it is morehave
important to think about what you intend to say"... a disturbed sense of time.... They do not use
before you open your mouth, than to simply blurttheir sense of time to guide their behavior as well
out whatever comes to mind and then pay theas others, and therefore cannot manage
price for having done so. His lack of impulsethemselves relative to time, deadlines, and the
control has cost him dearly on several occasions,future generally as well as others are able to do.
however, each event was also a life lesson thatThis includes intervals as short as 10-20 seconds.
we both reviewed and talk about. We do this notTime escapes them and they are never as able
to keep old wounds open, but the reassert theto deal with it as effectively as others of their
true lesson and keep it in mind to enable him toage group do." [Preface, page xi.Taking Charge of
avoid repeating it. And when he stops himself, it isADHD...],
an event worth celebrating because this.
reinforces his belief that he can do it. When a childAgain, referencing the revised edition of Taking
believes they can accomplish a task, most anyCharge of ADHD... . In the introduction Dr. Barkley
task, it is good for their psychological growth andprovides a philosophy for the parents of children
for a child afflicted with ADHD, it can be a gamewho are diagnosed ADHD and it essentially
changer.involves viewing our responsibilities as a three
School has become an ever larger part of mylegged stool. The individual legs are:
son's life and he is on his way to junior high school- Becoming a Principle-Centered Parent - the
next year. But as he advanced through gradebottom line is that we have to hold ourselves to a
school it was apparent that he was not going tohigher standard because we have control over
be able to keep up with the level of work eachthe outcome and the freedom to act to change
grade required. His socialization skills havewhat happens.We must be bigger and better than
improved dramatically, but that was not the casewe were before we became parents to ADHD
when he was five or six or even seven or eightafflicted children. We are the one person a child
years of age.must know they can turn to regardless of the
Early on the sight vocabulary words wereissue.
impossible for him to read and recall, his- Becoming An Executive Parent - Here we are
vocalizations were often unintelligible, and hethe life case managers for our children. We need
became angry with me on more than oneto educate ourselves and ask questions. Be the
occasion because I would ask him to repeatexecutive case manager for your child and keep
himself. An IEP, (Individual Education Program) wascontrol in your hands. Often this is a position we
established for him when he entered first gradewill maintain for most of our children's lives, even
and these individually designed learning programsinto adulthood, thus the term "life case managers".
have been updated annually since that time. This- Becoming A Scientific Parent - Question
tool, or road map, is one of the best ways toeverything, be open to new information, but
track a child's progress through his or her schoolremain skeptical. Experiment but allow for
career. And when used in conjunction with reportrevisions and make changes based on results.
cards and notices from teachers orAs previously noted, I am a parent working with
administrators, I can keep up to speed with mytwo children diagnosed with ADHD and I know
children's progress and provide incentives to helpwith no one else having to tell me that my
keep my children motivated.children have an issue and it is not of their doing.
An IEP allows accommodations to be allocatedRaising children is always a challenge and there are
based on what grade level the child is working atmany, varied perspectives on how to properly
presently, what goals need to be achieved andaccomplish that task, but having children with this
through what means. Every child with a learningdisorder provides me an opportunity, and this
disability should have one of these developed forbook, Taking Charge Of ADHD, revised edition by
them and it should be kept current. I attend aRussell A. Barkley, PhD., is serving well as an
meeting every year to review my children'sexcellent and authoritative guide for me to follow.
growth. Have they met or exceeded the criteriaThere are many other books out in the
established for them? Is there still a problemmarketplace that can provide you with
area? If so, additional resources can be allocatedperspective and high quality information regarding
to assist a child and help bring them up to classthis condition and a few I would recommend to
level. These resources might include one on oneany parent include:
instruction with a special education teacher, orDelivered From Distraction,© 2005,by Edward M.
extra time to take a test - the same test allHallowell, M.D., and John J. Ratey, M.D
other students take, but special attention may beDriven To Distraction, ©1994, by Edward M.
required to ensure the ADHD child understandsHallowell, M.D., and John J. Ratey, M.D
what a test question is asking. Or, if a child simplyAttention Deficit Disorder - A Different
needs to talk to someone, they have a counselorPerception, © 1993, 1997, by Thom Hartmann
or a social worker they are provided access to.You can never have too much information or
There are many possibilities and an annual reviewinsight into this life changing condition. It is
is but one way to ensure that the parent orcontrollable with medication if the dosage is
parents, the teachers and staff are all on thecorrect for your child's body size, metabolic rate
same page. Further, if I notice a problem orand attitude. But working with such children itself
positive growth in any area I, as the parent ofrequires a diplomatic mind set and a willingness to
children for whom IEP's have been developed andavoid unnecessary confrontations.
put in force, have the option to ask that aThis is one case where I find that I must pick and
meeting be scheduled outside the normaltimechoose which battles are most important for my
frame of an annual review to address thechildren's healthy growth and maturation. The
problem area specifically, or to remove ansteps seem always to be incremental when
accommodation that is no longer needed. Theremoving toward the positive and horribly extreme
are federal laws in effect that provide both thewhen the negative infiltrates the relationship
children and the parents of those children the rightbetween an ADHD child and a parent. Our
to have special needs assessed and a plan ofresponsibility is great, raising any child is a great
action developed to enable such afflicted childrenresponsibility. Raising a child, or children, with ADHD
the opportunity to succeed.provides us with the opportunity to be more than
Such programs in no way reduce the responsibilitywe otherwise might be have been. Take the
a child has for trying to do his or her best andchallenge as we ask our afflicted children to do
make a concerted attempt to succeed. And hasthe same. We cannot expect more of them than
been shown over time very, very few childrenwe ask of ourselves.
intentionally start out with the idea that failure isI welcome your input and am open to any
an option. These children want very much tocomments or discussion you may wish to initiate
succeed, but they have a hurdle that must berelative to ADHD, the behavior of the next
dealt with literally around the clock, and often intogeneration or our responsibility as their parents.