Anonymous wrote:Lots of praise.
Lots of sleep.
Lots of exercise (swimming is really amazing for tiring a kid out) and outdoor time. Being outside helps regulate sleep cycles and improve mood.
Some child-directed play every day. 10 minutes in the morning and 10 minutes in the evening where you hand the baby to someone else and play exactly what and how he wants to. There's nothing that the other person can't manage for 10 minutes while you play.
way fewer toys out. I agree with the PP who says to box up at least half and rotate them.
consider cutting back on artificial colors and flavors.
All the books that were suggested are good too.
Anonymous wrote:yes, you need a developmental pediatrician...there can be a wait. You could start with your regular Ped.
OT could help...
Anonymous wrote:You admitted your parenting techniques are not that strong (spanking, ineffective toy taking away, etc.). Please consider enrolling in a PEP class. http://pepparent.org/classes-programs/class-schedule/
But, with an ADHD child, inappropriate behavior is not all about parenting skill. I have an ADHD kid, and I found that along with ADHD came significant weaknesses in both receptive/expressive language and social pragmatic language. It is very common for ADHD kids to have other issues in addition to ADHD. For example, a big part of why my kid had difficult getting along with teachers and peers is that he didn't always understand what they were saying and/or he couldn't really make himself understood. It was a subtle problem because he talked, but if you listened carefully to what he said, he was often off topic or not responding on point to questions, which frustrated his listeners. Because of his language weaknesses, he had great difficulty negotiating conflict in even the simplest verbal way, so he used other techniques like interrupting, being imperious, getting emotionally upset or angry, refusing to cooperate, and, sometimes, getting physical.
Speech therapy for both oral and pragmatic language was helpful. If you haven't already done it, I encourage you to get a speech and language assessment from a qualified SLP. IME, speech/language assessment from the neuropsych isn't as good. Even though they may use the same tests, their analysis of the error patterns is not as good as that of an SLP.
A full neuropsych evaluation is also helpful to see if there are any other issues. My DS has slow processing in addition to a diagnosed language disorder. This slow processing means that he has a difficult time keeping up conversationally, which is a root cause of what appears to be "impulsivity". He impulsively interrupts because he is often late processing in a conversation, so while everyone else has moved on a topic or two, he has only just figured out how to respond to what was said 3 points ago. He also knows if he doesn't blurt it out, he will forget it. He can't remember what he wants to say, and also process the ongoing conversation, and also figure out when or how to bring the conversation back to what he wanted to say 5 minutes ago.
Anonymous wrote:
What might be the source of his anger?
(Always address the source of the problem.)
Anonymous wrote:
What might be the source of his anger?
(Always address the source of the problem.)
Anonymous wrote:Call your pediatrician and see if they can help get you into a child psychologist before then.
In the meantime, read the Explosive Child by Ross Greene this weekend, and start to revamp your approach. Your partner / spouse needs to be 100% on board with this.
You need to get away from "discipline" for misbehavior and start to incentive positive behavior. It's hard, but what you've been doing is not working.
What happens at school when he hits?
Anonymous wrote:Anonymous wrote:
This is all really helpful advice. Thank you. I do think it helps for him to feel in control. I am pretty good about giving him lots of reminders and warnings when we are about to leave the house for example, and that seems to help for the most part. A schedule would probably also help (both of us, really, as I could use some daily organization). I do also think he seeks praise. Often, he will ask at the end of the day if he was good that day. It breaks my heart. We did get another appointment scheduled for Tuesday at a well reviewed center. I'll look up Child Find as well as the parent classes you suggested. Thanks again!
In addition to schedules, I would also encourage choices instead of orders - do you want to wear the green shirt or the blue shirt? do you want me to dress you or do you want to get dressed yourself? instead of get dressed! It can be a bit challenging to always come up with choices on the fly, but it gets easier the more you do it.
Also, including kids in the household jobs can keep them from being disruptive. My ADHD kid loved to help me cook at a young age. It really provides a lot of self-esteem. Was I good today? Can be answered with - yes, you helped me collect the trash (or whatever).
Anonymous wrote:
In the meantime, read the Explosive Child by Ross Greene this weekend, and start to revamp your approach. Your partner / spouse needs to be 100% on board with this.
You need to get away from "discipline" for misbehavior and start to incentive positive behavior. It's hard, but what you've been doing is not working.
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