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A ttention D eficit H yperactivity D isorder. Mary Beth Haley Lynden Robbins TE 803. Characteristics. Diagnosable, neurobehavior disorder
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AttentionDeficitHyperactivityDisorder Mary Beth Haley Lynden Robbins TE 803
Characteristics • Diagnosable, neurobehavior disorder • Must meet specific criteria for diagnosis including certain symptoms, which display an interference in at least two areas of person’s life. Additionally, behaviors are excessive and long-term. • 3 main types: o Predominantly hyperactive/impulsive o Predominantly inattentive o Combined
Symptoms • Predominantly hyperactive/impulsive • Constant movement/squirming, runs around often, interrupts, blurts out, butts in on other conversations, unable to complete quiet activities, etc. • Predominantly inattentive • Still, quiet, not paying attention, easily distracted, easily bored, slow pace, difficulty following, unorganized, day dreams, miss details, forgetful, etc. • Combined • Combination of signs of other types • Additionally: Impatience, blurting out, verbally/physically abusive, argumentative, ambivalence about consequences
Treatments • Medication • Behavior Therapy • Specific examples: • Positive behavior reinforcement with clear consequences for negative behavior. • Reward systems/token economies. • Behavior management/tracking chart individualized for student. • Maintain a consistent daily schedule for the student. • Clear, explicit rules and procedures to help reduce frustration and to work within attention span. • Limit distractions in environment to promote focused attention. • Provide independent space for child to either calm down from frustration/defiant behavior, or to work more successfully to surpass inattentive behavior. • One on one support to maintain attention. • Combination
Modification examples from field • For more inattentive students, modifications may resemble: • Shortened assignments, broken into smaller tasks to help sustain attention span (i.e. have student complete first two steps, rather than list of four, and conference in between) • Varying lessons and offering different instructional strategies (i.e. large group into small group, partner work, hands-on, etc.) to promote engagement • Taking breaks to redirect attention • One on one support to reteach or repeat directions • Consistent redirection • Strategic seating
For more impulsive/hyperactive students, modifications may resemble: • Behavior management charts for student to track behavior through day • Daily reports home on behavior • May be adapted to half day (am/pm) or even by subject/time of day • Time-out space to resolve frustrations/ Taking breaks • Modeled examples with concise instructions • Varied instructional strategies to minimize blurting out (i.e. popsicle stick method, writing answers, writing journals to relay blurted answers later, etc.) • Consistent redirection • Strategic seating
For students who fall under the combined section, any combination or variation of the previous modifications could suit them. • Any of these methods could be utilized for any student with ADHD.
Misconceptions/Concerns • ADHD is a fraud by psychiatric and pharmaceutical industries to make money. • Poor parenting, poor education, too much TV, food allergies, or excess sugar causes AD/HD. • AD/HD is caused by brain damage. • Children are being overmedicated and/or unnecessarily medicated. • Children are not being medically treated enough and symptoms are going undiagnosed. • ADHD doesn’t exist. • Stimulant drugs may cause dependency issues and/or be misused, or even abused.
Resources • www.ADHD.com • www.medicalnewstoday.com/info/ADHD/usefullinks.php • http://www.cdc.gov/ncbddd/ADHD/ • www.add.org • "Attention Deficit Hyperactivity Disorder (ADHD)." Health & Outreach. http://www.nimh.nih.gov/health/publications/attention-deficit-hyperactivity-disorder/complete-index.shtml • "Treatment of Attention-Deficit/Hyperactivity Disorder". US department of health and human services. December 1999. http://www.ahrq.gov/clinic/epcsums/ADHDsum.htm • Zwi M, Ramchandani P, Joughin C (October 2000). "Evidence and belief in ADHD". BMJ321 (7267): 975–6. doi:10.1136/bmj.321.7267.975. PMC1118810. PMID11039942 • http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=1118810.