06 Feb 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 below SUPPLEMENTS (in order of evidence)
- Fish Oil- eicosapentaenoic acid (EPA (3X) and docosahexaenoic (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. Aspartame 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, trans fats 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.