Re: Are doctors more informed about ADHD now?

[Anonymous]

lulledwinds:

I really like your thoughts on positive reinforcement and rewarding for good behaviour! We have worked with kids for 20-something years in a variety of settings, and I never get tired of seeing the expression on their faces when they’re told how well they’ve done! One tangible (and non-edible) method may be to set short-term (daily) goals, then make up a longer-term (weekly) goal using a chart: each day that you get out the door and in the car without incident, a star goes up, then, when there are several stars (you can negotiate on 3-4 days, or a full week – whatever seems appropriate), a bigger treat is in store – maybe a movie night? And don’t forget to reward yourself, too; every few days, take some time and do something that YOU will enjoy – a good book or new CD, a mini-spa treatment (like a manicure or a facial), a 30-minute massage – whatever works. Some days will be tougher than others, so these little rewards can really help smooth out the rough edges. You’ve earned it!

Ivriniel:

What a godsend you must have been for those parents! This is exactly the type of feedback that is required (and is asked for on the questionnaires), and it is especially helpful to include observations from several different teachers. The formal evaluation often compares teachers’ observations with those of the parents, and in older youth, the children themselves, as it helps to see the big picture (ie does the child behave the same way at home and at school). By including the academic performance as well as the social interaction, you have touched on many different aspects that would allow a competent psychologist to prepare a more complete evaluation, and therefore, a more accurate diagnosis.

I would like to point out that the observations you have described are very typical of a child with ADD (hyperactive); in our case, while J. showed difficulty in focus and concentration, he was never disruptive, stayed seated, etc., and did not display behaviour issues. Because of this, he flew low on the radar and was in danger of slipping through the cracks; ultimately, his diagnosis was ADD inattentive subtype, which is often overlooked and while it presents much differently than the stereotypical “hyperactive” child, it is no less a challenge.

We have been lucky in that any time we wanted to discuss J. with our GP and/or our paediatrician, they have been supportive and resourceful and have no qualms about referring us to specialists if/when deemed necessary. They are as much a part of J.’s team as we are, an outlook that helps us put a positive spin on the situation.

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