ADHD Interventions

ADHD Interventions

ADHD Interventions

  • ADHD Interventions
  • Predictors of ADHD
  • Family History, large heritability factor
  • Prenatal issues e.g. exposure to lead, tobacco, substance abuse, poor prenatal care
  • Perinatal issues e.g. anoxia from cord, fetal distress, LBW, prematurity
  • Stress and cortisol
  • IS ADHD Overdiagnosed, Misdiagnosed and Underdiagnosed…Yes Yes and Yes

Over-Diagnosed

  • Overactive boys, common behavior problems, poor parenting

Mis-Diagnosed as….

  • Bipolar, Anxiety, CAPD, ODD, LD, SPD, Sleep, PTSD, youngest kids in their kindergarten class

Under-Diagnosed

  •  Well-compensated girls
  • Parenting the ADHD child
  • Avoid Negative Reinforcement
  • Immediate not delayed consequence
  • Work Detail
  • Cold Shoulder
  • Job Grounding
  • ADHD children have visual attention span relative to verbal attention, therefore….words should be minimized and visual presentations should be valued
  • Natural consequence or Positive Practice
  • Reading about ADHD together

Recommend..ADDitudemag.com

  • HANDLING TANTRUMS
  • Rule 1 Give them no negative or positive attention. Let them tantrum privately
  • Nonverbal and negligible reaction to bad behavior
  • Calmness in face of noncompliant behavior
  • No verbal explanations while tantruming
  • Let them expire with no negative or positive attention

 

  • ADHD CLASSROOM HINTS
  • Use Highlighters
  • INCORPORATE MOVEMENT INTO THEIR CLASSROOM DAY OR DESK:
  • Stand at desk
  •  Children to earn USE OF easel

Or stability ball use.

  • Chairs that allow slight rocking
  • Gum actually helps focus
  • See Alternative Therapies for ADHD belowSUPPLEMENTS (in order of evidence)
  • Fish Oil- eicosapentaenoic acid (EPA (3X) and docosaahexaenoic (DHA) acid
  • Zinc  20 – 100 mg
  • Iron   80 mg/day for Elementary age
  • Magnesium     6 mg/kg/day
  • B-6    1 mg/kg/day  for Elementary age
  • Thiamine (really B1)
  •  Carnitine 100mg/kg
  • Pycnogenol  1 mg/kg/day
  • High Quality Omega 3 EFA sources
  • Omegabrite.com
  • Zoneliving.com
  • Nordicnaturals.com
  • Barleans.com makers of the Omega Swirl Smoothie
  • Coromega from Kirkmanlabs.com

  ADHD DIETS

  • Gluten-Free Caesin-Free: carbs/milk

 

  • Food Elimination: food sensitivities

 

  • Diets compensate for body’s inability to process a food’s ingredients or food proteins

 

  • Specific Food Reaction Diet
  • Remove and bring back these foods to evaluate their effect…and keep a diet diary!
  • 1. wheat      7. chocolate
  • 2. dairy        8. yeast
  • 3. eggs        9. tree nuts
  • 4  peanuts   10. fish and shellfish
  • 5. corn  11. Citrus  12.  Tomatoes
  • 6. soy   13. Aspartane MSG  14. Vinegar
  •         15.  Strawberries
  • Feingold Diet means watch phenols
  • Agitated and Hyperactive children are likely to be affected by Phenols:
  • – Apples, tomatoes, oranges, cocoa, red grapes, and bananas.
  • Diets to treat ADHD
  • High-protein, low carbohydrate, sugar-free
  • Avoid empty calories
  • Management of Food Sensitivities in ADHD
  • February 2011 Lancet study first to prove diet effectiveness in ADHD
  • “Effects of the Elimination Diet on ADHD Children”
  • Including Tomatoes, Dairy, Wheat, Eggs
  • Food Dyes
  • Dyes such as sunset yellow (yellow #6) found in fruity drinks, blue #2, red coloring (#40) in jams and drinks, tartrazine (yellow #5) in lollipops and carbonated drinks… increase hyperactivity

 

  • Common Sense Eating
  • Add fruit and vegetables to diet
  • Reduce soda and sugar (30g/day)
  • Avoid anything fried, transfats and buy organic
  •  Eat Protein with frequency
  • Consume water
  • Diet Tricks and Tips
  • Chinese or Indian ethnic food maybe GFCF
  • Gelatin helps digestion
  • Sometimes or often the whole family eats the diet food
  • Slow introduction of the diet
  • Keep a diary

SLEEP

  • *2012 JPediatrics/McGill..30 min. sleep improve behavior and reduce restlessness in school…and basketball too
  • Do not sleep with a child (exceptions:  emotional trauma, illness)
  • Crisply leave their room after saying goodnight
  • No electronics within 1 hour of bedtime
  • Additional sleep aids…
  • Melatonin
  • Sleep Mask
  • White noise
  • Cool Pillow
  • Milk and Cookies (here carbs are helpful)

 

  • Alternative Therapies for ADHD
  • Movement (breaks, stretching)
  • Meditation
  • Nutrition
  • Weight (vest and heavy work)
  • Working Memory Training
  • Biofeedback
  • yoga
  • Exercise
  • Exercise turns on the attention system
  • 2012 Journal of Pediatrics ..20 min. exercise improved math/reading scores, less impulsive
  • Improves Endorphins, dopamine, norepinephrine and serotonin levels
  • Exergaming improves focus more than cognitively engaging games  81.
  • .
  • IEPs, 504s and OHIs
  • Failure to complete RTI process is not grounds to not start and evaluation
  • Assertive parents are needed to ADVOCATE for their child.
  • RULES
  • Everything in writing
  • Collect data including grades, marks, behavior incidents, faculty comments
  • Wrightslaw.com
  • The top advocacy website in USA
  • Includes Yellow Pages for Children broken down by state
  • Emotions to Advocacy written by Pam and Peter Wright
  • The squeaky wheel gets the grease.
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