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eBook: ADHD, Friends, & Families
How to Improve Social Skills & Strengthen Relationships
Social skills and building relationships can be a challenge for children and adults with ADHD.
Issues with social skills usually stem from the fact that they lack the ability to pay attention
long enough to pick up the social cues, that others take for granted. They also are
challenged with impulsivity that leads to a multitude of difficulties, from hurting someone’s
feelings unintentionally to acting out in a physical manner. These challenges can cause
turmoil in the school, home, and workplace.
The good news is that social skills can be learned. With practice, these skills will become
lasting and lead to successful peer relationships. There are also steps parents can take to
help foster positive relationships within the home. If you are an adult struggling with
friendships and marriage, we have some tips for you as well!
We hope you will enjoy this eBook and learn some strategies to help build new and lasting
friendships,
- Your Play Attention Team
Our Attention is Focused on Your Future
800-788-6786
www.playattention.com
Copyright © 2015 Unique Logic and Technology, Inc. All rights reserved.
1
Index:
Page 2. Why People with ADHD Struggle in Relationships
Page 4. The Importance of a BFF
Page 6. Making Friends, What’s the Secret for ADHD Kids?
Page 8. Social Skills & ADHD
Page 9. Social Skills at a Restaurant
Page 11. Social Skills at Camp
Page 13. Social Skills in the Classroom, The Fourth R
Page 15. Social Skills During the Holidays
Page 16. Adult ADHD & Relationships
Page 20. Adult ADHD & Public Gatherings
Page 22. Family Support
Page 24. ADHD & Your Child, Parenting Tips
Page 30. Parent “Nagging” May Prolong ADHD
Page 32. Tips to Help Stop the Nagging
Page 34. Building a Strong Relationship with Your Child
Page 36. Sibling Relationships
2
Why People with ADHD Struggle in Relationships
Perhaps you are in a relationship as an adult with ADHD, or you are in a relationship with
someone who has ADHD. You may even be a parent trying to help your ADHD child with
friendships. All of these situations can be very challenging.
Children with attention challenges generally struggle with keeping friends. They are not
always able to pick up social cues that allow them to have successful friendships. For
instance, your ADHD child with may say
something to hurt another child’s feelings, but
lacks the attention to see the sadness on the
other child’s face. Therefore, your child has
no idea he has offended someone. No
learning takes place, and this behavior
continues. Before you know it, your child is
coming home complaining that he does not
have any friends. And he has no idea why or
how to fix it. He simply thinks everyone is
against him.
Play Attention, a cognitive feedback based
program, has an activity that directly addresses teaching social skills[1]. Through a series of
attention enhanced activities, a child or an adult can start simply by paying attention to a
blank card. Once the student is fully attentive, the card will be completely exposed. If the
student loses attention, the card begins to disappear. Once the student is fully attentive, the
expression on a person’s face is seen. The student must match the feeling associated with
the expression. For example, the picture may be of a little girl smiling with three word
choices: happy, sad, angry. The steps get incrementally more challenging and will
eventually teach the student how to respond if a person has a certain expression on his/her
face.
While simplistic at the onset, teaching social skills requires foundational practice. Teaching
an ADHD child or adult to slow down long enough to actually see the expression on social
cues. The next steps are to teach them to understand the expression and then properly
respond.
3
What happens to those of us who were not taught social skills as a child? Many struggle
with relationships as an adult as a result. Whether you are the person with ADHD, or you’re
in a relationship with someone with ADHD, you are bound to face many challenges.
Attitude Magazine recently ran an article, “10+ ADD Relationship Tools for Lasting Love[2],”
which explores the tools needed to have a loving relationship with someone struggling with
attention issues. In this article author, Jonathan Halverstadt, states that in the beginning
there are “strong and wonderful feelings — but you need much more to make an ADD
relationship[3] last.” Instead of falling into an “all you need is love” scenario, Halverstadt
offers suggestions for your relationship “tool box.”
One of the first things that he explores is managing the symptoms. In the relationship, the
ADHD person must take ownership of the symptoms and actively manage them. Many of
the skills he talks about are addressed with the Play Attention[4] program.
If you are a parent, or an adult, or love someone who struggles with attention, we
encourage you to attend an informational webinar[5]. The webinar is FREE and your
questions and concerns about ADHD relationships will be addressed.
[1] http://www.playattention.com/social-skills/
[2] http://www.additudemag.com/adhd/article/7504.html
[3] http://www.additudemag.com/topic/adult-add-adhd/friends-relationships.html
[4] http://www.playattention.com/adults/
[5] http://www.playattention.com/speed-webinar/
4
The Importance of a BFF
Everyone wants to have friends. At an early
age, forming friendships allows a child to
develop a multitude of skills needed
throughout life: teamwork, cooperation,
sharing, dealing with conflict, competition, etc.
If your children or clients are struggling with
ADHD, they may need your guidance to help
develop successful, long-lasting friendships.
Here are some tips to help.
* Keep Play Groups Small – One or two
friends at a time will allow your child to be
successful without being overwhelmed.
* Form Friendship Groups – Team Esteem is an organization based out of New York. Run
by social workers and psychologists, their goal is to create an environment for children with
behavioral, social, and academic challenges. Attitude Magazine says that if your child is
having a difficult time forming friendships, a friendship group may be the answer. The
article also cautions parents that running the group themselves is not the best answer and
should be left to professionals.
* Plan Play Dates – Scheduling specific dates for playtime allows your child with ADHD to
prepare for the event. It gives you an opportunity to discuss and role-play different
scenarios. It also gives you an opportunity to plan what will happen during the play date.
While not completely controlling the event, you’ll want to have some clear ideas on what will
occur during the play date.
* Control The Environment – Your child may be bursting with energy. Let them exhaust
some of that energy during the play date by kicking a soccer ball with their friend, playing
an informal game of basketball, or swimming in the pool. Then, after the little tikes are
worn out, provide a snack and a quiet movie. This will help them transition into the next
activity calmly.
* Deflect Boredom – Play dates that are too long can lead to boredom. It’s important that
these end on a high note for everyone involved. An hour after school is certainly adequate
5
to get in some socialization without throwing nightly routines off. You can increase that time
to a couple of hours on the weekend. Making an entire day of a play date may lead to
disaster by forcing your child with ADHD to be on their best social behavior for far too long.
* Positive Reinforcement – After friends go home, talk to your child about the play date.
What did they like? What didn’t they like? What made them feel good about their friend? Be
sure to provide positive reinforcement for things they did well. “I liked it when you shared
your bike with Jimmy and let him ride it first.”
In his book, The Friendship Factor, Dr. Kenneth Rubin explores the impact of friendships on
a child’s emotional, social, and intellectual growth. After 25 years of research, Dr. Rubin put
his findings on paper to better prepare parents with helping their children form friendships.
If you’re looking for a children’s book, check out Making Friends. Written by American
icon, Fred Rogers this book is intended to teach preschoolers about friendships and social
skills.
Learn how Play Attention can help your child develop better social skills. You may want to
consider incorporating the social skills component into your Play Attention program. Starting
with simply identify facial expression and working to complex situation of body language
and voice tone, the social skills component of Play Attention will provide the help needed to
form friendships and keep them. Call one of our educational support advisors to discuss
your particular needs, so we can help you develop a Play Attention program to help. 800-
788-6786.
6
Making Friends, What’s the Secret for ADHD Kids?
A few good tips
Tip 1:
Ever hear statements like, “Nobody likes me. They’re all after me!”
By middle school, you hear things like, “I hate school. They all think I’m weird. I don’t get
invited to parties.”
Your child gets a rare invitation to a birthday party and you’re horrified when your child
shouts, “This is boring!” in the middle of the cake cutting. You now realize this is why
invitations are so rare.
ADHD children often lack social skills; they lack the ability to filter thoughts before they say
them. This often hurts the feelings of people around them. When carried into adulthood,
spouses often complain of insensitivity and employers complain of your lack of control.
Additionally, ADHD children often overlook common gestures, facial expressions, or social
dynamics.
Social skill instruction is critical and should be taught sequentially. For example, before you
go to a birthday party, you should model boring scenarios. You and your child practice what
he or she should say when they become bored. Instead of saying, “This is boring,” you’ll
instruct your child to say, “Want to go outside and play?”
That’s a good beginning that you can praise, but it’s only the first step. What happens if the
child they ask to go outside doesn’t want to go? You must model that as well. Instead of
saying, “You’re stupid,” say, “OK, I’ll be outside playing if you want to come.”
Tip 2:
Ever wonder why your ADHD child likes to play with younger children? Why they can get
along with younger children but not kids their own age?
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ADHD children often develop social skills more slowly than their peers. Since they lack the
maturity of their peers, they are far more comfortable playing with younger children.
Is there anything wrong with this? Not really. The social dynamics are quite interesting.
Younger children often admire the older child in the group. This in turn may boost the self-
esteem of your ADHD child. However, as your child develops social skills, the dynamics will
likely change. Your child will tend to drift toward kids his own age. This can be considered a
highly positive step in personal development.
So consider the interaction with younger children a transition; a step toward developing
social skills and self-confidence that will progressively lead him to successful interaction with
his peers provided you are teaching and guiding him to social maturity.
Tip 3:
Play dates are good ways to make friends provided you practice and model appropriate
behaviors ahead of time. Inappropriate behaviors should also be coached as well so your
child learns boundaries.
Start with only one friend on your play dates. If you invite two or more friends, they will
often pair off sometimes leaving your child alone.
It’s also a good idea to be a casual, quiet observer during the play date. Most parents
experience great success by intervening only when their child approaches a boundary.
Parents calmly intervene at that time to redirect and subtly (sometimes not so subtly)
remind their child of boundaries that make good friendships.
Obviously, this is training that should allow your child to face social situations on his or her
own as they mature and learn social skills.
8
Social Skills & ADHD
Making friends and keeping friends can be difficult for children with ADHD. Positive peer
relationships are critical to your child’s development and self-esteem. What may be second
nature to you, must be learned and practiced by someone who has attention challenges.
You may notice that your child misses social cues, gets quickly bored with the games the
other children are playing, or simply acts too impulsively when in social situations. It’s not
to say that the child wishes to act out or hurt other’s feelings, it’s just that they haven’t paid
attention long enough to pick up the social cues.
There are some steps you can take to help your child develop these essential social skills.
Developing Social Skills
Discuss People’s Feelings: Look at pictures of different
people in a magazine. Ask your child how he thinks that
person is feeling and how he came to that conclusion. You
may also prompt him to tell you what he thinks might have
happened before the picture was taken that caused the
emotion.
Role Play Social Situations: Act out different scenarios
with your child. “Let’s pretend you are meeting me for the first time.” Or “Let’s pretend you
see a group of children playing and you want to join in.” Role playing will allow you to model
appropriate social behavior.
Positive Feedback: When you see your child display good social behavior, be certain to
provide immediate positive feedback. “I liked how you helped John up when he fell. That
was so kind.” Or “Thank you for holding the door open for me. That is so polite.”
9
Social Skills at a Restaurant
Whether you’re on a family vacation or it’s just too hot to cook, a restaurant may be the
answer for mealtime. It is understandable that you sometimes try to avoid bringing your
child to a nice restaurant. A child with ADHD may have a difficult time riding in the car
straight to a restaurant where he will have to sit even longer and adjust his behavior to this
new social setting. This can be a recipe for disaster! However, you can take some steps to
make your restaurant experience an enjoyable event.
Set Expectations – No parent should expect their child to understand how to act in a
restaurant. After all, at home, things are completely different. In most cases, children are
busy playing while their meal is being prepared. It’s important that you explain the
differences to your child so they can understand what is expected.
Explain Restaurant Etiquette – When setting expectations, explain to your child that
everyone in the restaurant wants to have a good time. Also, explain what is appropriate so
they understand that unpleasant behavior affects everyone’s experience, not just theirs.
Start Simple – When introducing this new concept to your child, start simple. Maybe
you’ll begin with a quick trip to the ice cream store where the wait time isn’t as long. Or
perhaps you’ll start with lunch, which is usually served quicker than dinner. In any case,
you want to be wise when picking where you’ll start so that your
trip will be successful.
Arrive Prepared – Some restaurants provide crayons and
coloring placemats to keep your child entertained during wait times.
It’s best that you come prepared with your own arsenal of
restaurant-friendly activities for your child. Keep a bag in the family
car so that the contents stay new by only using them for restaurant
outings.
Choice Matters – Choose restaurants that are kid friendly.
Many reputable chain restaurants offer play areas and outdoor eating areas for kids, which
gives them an opportunity to move about. Don’t expect your six-year-old to be content in a
high-class restaurant where dining can be a lengthy event.
When needed, move – Since you know there is a hyperactive aspect to some children
with ADHD, you’ll have to take this into consideration. When you see your child start getting
antsy while waiting for food to arrive, create a distraction. Have someone in the party take
the child for a walk. Maybe you’re in a seafood restaurant that has a big tank that you can
visit. Or maybe you’re visiting an outdoor restaurant on a boardwalk where a quick walk can
take up some time.
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Diet Considerations – Most restaurants can accommodate diet restrictions. Don’t be
afraid to order food the way your child likes it. Also, encourage your child to try new things,
but have a backup plan if their choice doesn’t pan out.
Dinner Conversation – Dinner with your child at a restaurant is not the time to have
an adult conversation. Because of wait times, be prepared to be a part of keeping your
youngster entertained. Whether it’s playing a game of tic-tac-toe or just chatting as a
family, it’s important that your child is not struggling for your attention. Keep adult
conversations for date night without your child.
Put Down the Cellphone – Cellphones have become an integral part of our lives. We
use them all day long. Dinner is a social outing. It’s a time to talk, learn, and bond. It’s
important to use dinner for this purpose. If you must use a cellphone, or if your ADHD child
uses a cellphone, set boundaries so that dinner can be a place of peace, quiet conversation,
and learning.
11
Social Skills at Camp
Whether it’s summer camp that you’re sending your child off to or a camping trip with
friends and family, this outdoor setting poses some unusual circumstances for those with
ADHD. Safety, meeting new people and different routines can all be challenging. Let’s look
at some simple solutions to each of these areas so your child’s camping experience will be
enjoyable.
Safety -
Campfires – Be specific about rules and the consequences if the rules are broken. Some
suggestions would be:
- No running around the fire.
- Only roast marshmallows while sitting.
- Never be around a fire when an adult is not present.
Water Safety – Most summer camps have certified lifeguards on staff so that campers can
safely swim in lakes or pools on campus.
- Discuss safety precautions they take for non-swimmers.
- Look at the lifeguard-to-swimmer ratio. Is it realistic? Most should have one lifeguard
for each 25-30 swimmers.
- Is the lifeguard is in an elevated chair? Elevated chairs allow the lifeguard a better
vantage point to scan the swimming area from higher up.
Hiking Trails – Who doesn’t love a great hike during a summer camping trip? It’s a great
way to unplug, relax, and enjoy nature. It’s important that you talk about hiking safety
before you hit the trail. Topics for discussion should include:
- Staying together (perhaps a buddy system)
- Not running to avoid twisting ankles on unpredictable terrain
- Wearing the right shoes and clothing
- Stopping for rest breaks, drinking fluids
- Not leaving a footprint (i.e. environmental awareness)
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- What to do if someone gets lost (The general rule of thumb is for the person to sit in
a shady area until found. If the lost person continues to move around it will be
harder for searchers to retrace steps).
Meeting New People – Most kids with ADHD love meeting new people. It’s what
happens during those initial meetings that can make or break the encounter. Kids are
intuitive and can usually get through the first awkward moments much quicker than adults.
Having an activity to do will break the ice, so make sure your child has their favorite
outdoor game with them. A tennis ball and two Velcro paddles will ease even the situation.
Try not to intervene too much; let nature takes its course when your child meets someone
new. Be there for support, but don’t orchestrate the encounter.
Different Routines – We know that when we map out situations for someone with
ADHD there is a better likelihood for success. Even though they are impulsive by nature,
structure keeps them in balance and much happier. Therefore, it’s important that you take
the time to explain what will be different about routines. If your child will be attending
summer camp or going on the family camping trip, spell things out for them. With so much
stimulation, it’s important to build in safety-net strategies should things start to go downhill
(i.e. alone time after lunch.)
When going on a camping trip, make time before heading into the woods to talk to your
child about what to expect. Answer as many of their questions as you can so they’ll know
what to expect. Most of all, relax and have fun. Family time is precious, so don’t miss an
opportunity to truly enjoy that time.
13
The Fourth R, Social Skills in the Classroom
Tips for teachers
Reading, writing, and arithmetic? There is so much more to be taught in our classrooms
today. After all, as teachers prepare students for the real world,
the three R’s won’t get them very far if they can’t contribute as
supportive problem-solvers on a team. Because teachers are
with students as they encounter many different situations, they
are in a unique position to help children develop healthy social
interaction skills.
The very first minute of the first day is about establishing a warm, safe, happy environment.
Enthusiastic teachers share their excitement!
 Greet your students by name and find some connection to them. You might
compliment children for anything and everything-– double dimples, cute pigtails,
colorful soccer shoes, a favorite team t-shirt, neatness, patience, or good listening
manners. Students will feel welcome and appreciated, and you will be modeling the
kindness you expect from them.
 Conduct brief team meetings each month and ask volunteers to compliment a
classmate. You might start the process to set the standard. Help students recognize
how good they feel simply by giving a compliment and point out how powerful their
actions are.
 By November, when you all know each other well and are feeling especially thankful,
use these talents to create Wordle keepsakes. Begin by putting a piece of a paper on
each child’s desk. Classmates rotate around the desks writing an encouraging
adjective or phrase on each student’s paper. Visit this website to create a finished
product: http://www.wordle.net/
 Making conversation with new friends is an art to be cultivated. Often, students are
nervous, uncomfortable, and struggle to find the right things to say. Let students
know adults feel the same way they do at times, and then give them the tools they
need.
14
 With your class, generate a list of questions they might ask a new acquaintance.
“What are you doing this weekend?” “Have you seen a good movie recently?” “What
do you like to do after school?”
 If you’re working with young students who are self-conscious with the opposite
gender, tell them you’ve activated the invisible “cootie catcher” over the door, and
that there are no boy or girl germs to worry about in your room. Then mix them up
for partner work! Make sure they understand that the only acceptable reaction to the
buddy assignment is a kind one.
 Challenge your students to sit with different classmates at lunch and to try playing
with a new group at recess. Before starting a lesson, recognize a student you’ve
seen accepting the challenge to reinforce more success.
 So often, we could prevent problems from arising simply with better communication.
That is true on the kindergarten playground and on a global scale.
 So, empower children with the right words. Elementary students need to know how
to say, “I’m sorry. I didn’t mean to do that. Are you okay?” Practice it as a group and
role play when appropriate. Older children may need to say,” I didn’t mean to say
that. I’m sorry I hurt your feelings.” These important words need to be said quickly
and loudly enough to be heard.
 When you see a student making poor choices, find a private moment to help them
see how they may have been perceived and make a suggestion for improvement.
 Children often need to learn how to read faces and how to react accordingly. If a
situation arises, you might ask the offender to look at his classmate’s face to point
out the results of his words or actions. “Look at Hannah’s face. Does she look sad?
Why do you think she is sad?”
 When you see students working through problems, whether big or small, praise them
out loud. Show your appreciation for them and others will take notice.
 Children need to know that we are all building our characters as we have learning
experiences in our lives. They should set goals to make changes or improvements.
Ask students to think of someone they like to be around. Then ask them to describe
that person. What is it that makes them special? How are they like that person, and
what might they do to improve themselves? Reiterate that interacting and
communicating well are skills that must be taught and practiced before we expect
mastery, just like the skills in reading, writing, and arithmetic.
15
Social Skills During the Holidays
Holiday Dress Rehearsal
Practice behavior and manners before your visit
You hope that all will go well on the way to grandma’s house. Things go well in the car, but
as the door opens at her house, your child turns into a Tasmanian Devil! A whirling dervish
of mayhem that grates on family members and causes you unneeded embarrassment and
stress. Here are some tips that can help prevent your child turning into a Tasmanian Devil.
1. Schedule, schedule, schedule. You and your child can sit together in a quiet place and
draw a timeline with pictures. Start with a drawing of your car at your house with the time
you’ll be leaving placed just below the car. Mark a point on the timeline where snacks will
be eaten, where you’ll stop for lunch, take a restroom break, etc. Encourage your child to
document your trip on the timeline including sights along the way, unique cars they see,
towns you pass, etc. This gives your child structure, a sense of participation, and keeps him
occupied.
2. New or different environments can cause rambunctious behavior. It can be
difficult for your child to control himself with the added excitement of the holidays. To
minimize inappropriate behaviors and maximize holiday cheer, rehearse the event
beforehand. Assign family members a part in the rehearsal; you and your child will play
yourselves. Select one other family member to play the role of the friend or family member
whose house you’ll be visiting. Brainstorm with your child Act I, Act II, Act III, and Act IV.
Act I, driving to person’s house. Act II, being greeted at the door and spending time with
the host prior to dinner. Act III, dinner. Act IV, activity after dinner and goodbyes. For each
Act, discuss expectations and timelines. After this discussion, you should act out and
rehearse each part of your ‘play’. Take the opportunity to redirect when behaviors are
inappropriate and provide positive feedback when your child displays desired behaviors
during your rehearsal. An interactive dress rehearsal will allow your child to develop a clear
understanding of expectations over the holidays.
3. Use a secret code. A word like “snowball” or a gesture like touching the tip of your nose
can be your secret code to your child that means they need to adjust their current behavior.
Allowing your child to practice this during your dress rehearsal can be fun and will keep you
from having to yell or discipline your child in front of family.
4. Make the most of your child’s talents. Recite a poem, do magic tricks, take care of a
younger child, present the host with some artwork they did while waiting for dinner, set the
table, or sing holiday songs.
5. Prep other family members you’ll see over the holidays, and ask them to provide
positive praise for good behavior. This can make a world of difference.
Remember this is a very exciting and stimulating time. If you have a child that is easily
overexcited, the holidays can easily exacerbate this. A little preparation clearly defining your
expectations can lead to a far merrier and less stressful holiday season.
16
Adult ADHD & Relationships
Symptom, signs and relationships . . .
Forget your keys again? Was it your turn to pick the kids up? Did you find yourself spacing
out while the boss was talking to you and you’re way behind on that project? You are not
alone . . .
How do you know you have ADHD?
“Many times it is normal to forget your keys but when you never can find your keys, that’s
the problem, says Patricia Quinn, M.D., a developmental pediatrician and co-founder and
director of the National Center for Girls and Women with ADHD in Washington D.C..
How else do you know if you have ADHD?
The basic adult ADHD symptoms are the same for men and women: inattentiveness,
impulsivity and hyperactivity. You have to have them for at least six months. They’re
usually pervasive and affect you throughout the day. We also look for family history.
For men, it tends to be external motor activity; for girls, it’s more fidgeting and twirling
their hair. With females, [you see more] hyper-talkativeness.”[1]
Being Married to ADHD
“A study published in the Journal of Attention Disorders (August 2004 vol. 8 no. 1 1-
10) analyzed marital adjustment and
family relationships of adults with
Attention-Deficit/Hyperactivity
Disorder (ADHD). In the study, the
marital adjustment and family
functioning of 33 married adults with
ADHD and their spouses was
compared to 26 non-ADHD control
participants and their spouses. Results
revealed that married adults with
ADHD reported poorer overall marital
adjustment on the Dyadic Adjustment
Scale (DAS; Spanier, 1989) and more family dysfunction on the Family Assessment Device
(FAD; Eptein, Baldwin, & Bishop, 1983) than control adults. (These scales/devices (DAS and
FAD), are commonly used in the diagnosis of ADHD). The spouses of adults with ADHD did
not differ from control spouses in reports of overall marital adjustment and family
dysfunction. A greater proportion of their marital adjustment scores, however, fell within
the maladjusted range. The ADHD adults’ perceptions of the health of their marriages and
families were more negative than their spouses’ perceptions.”[2]
“Indeed, the divorce rate is nearly twice as high for people with ADHD, which affects
roughly 4 percent of adults, as it is for other couples, says marriage consultant Melissa
17
Orlov, author of The ADHD Effect on Marriage. Symptoms include trouble staying focused
and paying attention, difficulty understanding or following instructions, and hyperactivity, or
fidgeting frequently and talking excessively. In adults, ADHD usually isn’t diagnosed until
symptoms persist and spread into multiple aspects of daily life, from success at work to the
ability to form romantic relationships.”
“ADHD is typically missed or overlooked when couples are dating. The partner with ADHD is
often hyper-focused, sending flowers, checking in with frequent phone calls, and showering
the significant other with loving attention. The excitement is stimulating—a feel-good self-
medication of sorts, Orlov says. The transition to marriage can be jarring. Once the
relationship becomes familiar, the frenzy of attention is likely to ebb. The partner without
ADHD, bewildered by the abrupt change, may start to feel unloved or unattractive—
interpreting a distracted spouse as an uninterested spouse.”
“As time passes, tensions can build if the condition isn’t recognized or its symptoms and
motives are misunderstood. The trademark impulsivity could translate into rash financial
decisions. Or a husband might habitually interrupt his wife because he “doesn’t have the
brakes to stop” and is afraid of losing his skittery thoughts if he waits, says Orlov. To the
non-ADHD partner, the interruptions are disrespectful.”
“When all these ADHD behaviors collide, the non-ADHD spouse usually experiences a sense
of loneliness, exhaustion, feeling ignored, anger and a sense of hopelessness.” [3]
“What’s the secret to a healthy ADHD marriage? It may be in the way couples communicate
when they fight — and how quickly they forgive and move on afterward”.
The following are strategies to help maintain a healthy relationship with your ADHD partner:
“1. Start with a complaint, not a criticism. “I’m concerned that the garbage isn’t getting
taken out regularly” is a complaint. “You never take out the garbage like you promise” is a
criticism. Complaints work better; they are more respectful and don’t put the listener on the
defensive so quickly.
2. Use a soft start — or ease into a topic. Soft starts show respect for the other person
by not making assumptions. They usually include an observation, and they focus on
feelings. Here’s an example of a soft start: “I really miss you. We aren’t spending enough
time together these days.” The hard-start version of this is “You never pay attention to me!”
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3. Be respectful. No matter how difficult the topic, or how upset you are, your partner always
deserves respect. Don’t justify screaming or belittling. Treat your partner as you would like
to be treated.
4. Use non-threatening words and don’t bully your partner. If you become flooded with
emotions and feel you can’t help yourself, try to let your partner walk away from the
argument.
5. Use clarifying phrases, such as, “If I understand correctly, we both think….”
6. Talk calmly. This is hard when things are emotional. Mindfulness training and deep
breathing help.
7. Use verbal cues to de-escalate your interactions. In the Orlov household, if one of us
gets too emotional — it happens to both of us — we may use the pre-agreed-on verbal cue
“aardvark” to suggest we both need to take a break. We will return to the conversation
later.
8. Look your partner in the eye. This serves the dual purpose of communicating effectively
how you feel and ensuring that you have your partner’s attention.
9. Look for common ground. You are more likely to stay constructively engaged if you focus
on similarities and shared concerns. Redirect an argument over bedtimes with “I know we
are both trying to figure out the best balance between enough sleep and time with the
kids…,” putting you both on the same problem-solving team.
10. Ask open-ended questions. The best fights are conversations in which you happen to
disagree. Don’t lecture your partner. Instead, invite him or her in. “Do you see it that way?”
or “What do you think?” can help. Listen to your partner’s response.
11. Use affirming statements. Even if you disagree with your partner, you can still make sure
your partner’s opinion gets heard. “I understand that you feel I should be doing more
chores, but I’m not sure I have enough time. We need to talk further” is more constructive
than “I’m busy.” You may still not take on more chores, but you have shown that you hear
your partner’s concern.
12. Accept the legitimacy of negative emotions. Rather than fighting against negative
emotions, commiserate with your partner. This is important if your partner is feeling grief.
You may be ready to “move on” but you will help your partner heal if you respond with “I’m
so sorry we’ve been through all of this. It’s been hard.”
19
If these strategies seem obvious, ask yourself if you are using them consistently. Probably
not. It takes thought and practice to use affirming statements and ask open-ended
questions when you are angry. It’s not just the words, it is the emotions behind them that
count.”[4]
There is Hope . . .
“With understanding and knowledge, one can transcend these feelings and find a new way
of being in the relationship. Learning all you can about ADHD and how it affects your
partner is vital. It is important to remember that even though your partner may no longer
be hyper-focused on you and your relationship, it does not mean he/she does not still love
you.
When both partners understand the way ADHD symptoms are impacting the marriage, you
can avoid patterns of frustration and anger. You must learn different behaviors to heal these
kinds of wounds through education, communication and counseling.”[5]
Learn how you and your loved one can better deal with the difficulties ADHD presents by
attending one of Play Attention’s free Speed
Webinars: http://www.playattention.com/speed-webinar/[6] Play Attention integrates
feedback technology with cognitive skill training and behavior shaping:
http://www.playattention.com/[7].
Complete our short survey and help us customize a Play Attention program that will address
your specific needs. To learn more: http://www.playattention.com/learn-more/.[8]
[1] http://www.lifescript.com/health/centers/adhd/tips/doctor-
recommended_tips_for_women_with_adhd.aspx
[2] http://jad.sagepub.com/content/8/1/1.short
[3] http://health.usnews.com/health-news/family-health/brain-and-
behavior/articles/2010/09/28/can-your-relationship-survive-adhd
[4] http://www.additudemag.com/adhd/article/10830-2.html
[5] http://www.yourtango.com/experts/leslie-rouder/add-marriage-how-be-happily-
married-your-add-spouse
[6] http://www.playattention.com/speed-webinar/
[7] http://www.playattention.com/
[8] http://www.playattention.com/learn-more/
20
Adult ADHD & Public Gatherings
It isn’t hard to understand why adults with ADHD have a difficult time with public
gatherings. Often times they lack the social skills that many expect from them such as
being able to listen or be polite. So if you’re an adult wanting to be part of social gatherings,
what can you do? Here are some suggestions.
Practice Makes Perfect – As we’ve talked about in other blogs on social skills, it’s
important to practice this skill before the big event. Social skills requires one to pay
attention long enough pick up queues that those without ADHD take for granted. Your local
public park is the perfect setting to practice. Sit on a bench and spend some time looking at
the people around you. Watch their facial expressions and body language. If close enough,
listen to the tone of their voice. Then decide if this person happy, sad, or perhaps even
mad.
Partner with a Friend – A close friend can be your best advocate when trying to become
more public-friendly. They will be honest with you. Have a friend help you with listening
skills. To practice, have your friend tell you a story. At the beginning, you may even want to
take notes as the story unfolds. Then have your friend ask questions to test your listening
skills. Keep the story short, about five minutes, which will likely
allow you to get through a typical conversation.
Learn not to interrupt – This can be a challenge for adults
struggling with ADHD. Without the attention needed to have a
successful interaction, interruptions are typical. Again, solicit the
help of a close friend and practice having a conversation so you can
practice your conversation skills. Be sure to tell your friend that
they will need to clue you in when you interrupt. Don’t take it
personally. Consider this training like learning to play the piano; if
you hit a wrong note, you’ll want to practice more until you get it right.
Limit You Time – To be successful, you may want to limit the time you spend at a public
gathering. If an hour or two is the most you can handle to stay focused, then leave when
you need to. It’s better to explain that you’ll need to leave then to stay too long and blow it.
Pick and Choose Events – Social gatherings that are casual allow you to be a more
successful setting. The ability to move around and jump from conversation to conversation
will give you some flexibility with your inherent ADHD symptoms (i.e. hyperactivity,
inattentiveness, etc.). Choosing to attend a formal dinner that requires you to sit and
converse with the same people for long periods of time could lead to disaster.
Be the Host – What better way to ensure that you are successful at a public gathering than
to host the event. Since you know where you’re the most successful, why not set up a
gathering that you know will work for you. Think outside the box. Maybe your outing is a
21
rafting trip and a picnic lunch after, or maybe a pick-up game of basketball with friends, or
a group trip to the movies and dinner afterwards. Any of these will allow time with friends
and the activity that you need.
Social skills can be taught, and with practice they can become as second nature as walking.
To help with practice, your Play Attention program will address this directly. Not only will
Play Attention offer you the ability to learn to pay attention for longer periods of time, but
also the program provides a specific training for social skills. Starting with simply identify
facial expression and working to complex situation of body language and voice tone, the
social skills component of Play Attention will provide the right platform to transform you
from publicly challenged to a social butterfly.
22
Helping Hands Provide Family Support!
Family Support
– It takes a village to raise a child.
When you read this ancient African proverb, you can appreciate
the sentiment that a child needs more than just the parents’
direction when growing up. It is important that the entire
society is involved to nurture and meet the needs of the child.
Family support comes in many forms. It may come from a
spouse, older siblings, a grandparent, teachers, a pastor, or a
licensed professional. Parents need to feel they can reach out
for help.
If you are a parent raising a child with ADHD, it’s even more important to ask for help when
you need it. Here are some strategies to use when thinking about support:
 Family units need to remain strong. If you’re in a marriage, divorced, or raising a
child as a single parent, your family can be the greatest source of strength. Be sure to
include friends, immediate family, and extended family members in your support circle.
Even the smallest thing like an older cousin taking your child out to play basketball while
you clean the house is a huge help. While you’re tidying up, your child is exerting some of
that never-ending energy and forming another family bond.
 Daily support – Find support from a spouse or friend. This person should be someone
you can talk to on a variety of difficult issues. It may be someone who is also raising a child
with ADHD. Even if they’re not, it’s helpful to have someone to share your thoughts.
 Divide and conquer – Don’t be afraid to divvy up responsibilities. Solicit the help of
an older sibling, or a friend’s high school student to help with homework. Have a
grandparent come over while you take a walk or go to the gym.
 Keep things simple – To offset crazy schedules and hectic lives keep things simple
whenever possible. For instance, once a week, serve a nutritious meal of “make your own
23
sandwich,” along with a salad, served on a recycled paper plate. This simplifies at least one
evening meal.
 Support from school – Talk to your child’s teacher often. Take time to discuss your
child’s progress in the class and strategies you can use at home. A classroom teacher deals
with many students with attention challenges. You can learn from their expertise.
 Spiritual Guidance – You may choose to ask for guidance from a pastor or rabbi that
you have a relationship with. Meditation may also offer a way to de-stress and keeps one
grounded.
 Consult a professional – When a child or adult is diagnosed with ADHD, professional
counseling may be recommended. When looking for a professional, be certain that person
understands your outlook on ADHD. Look for a counselor who specializes in ADHD and is
willing to help the whole family. Since we know that it takes a village to raise a child,
getting the entire family involved will lead to a greater understanding and a better chance of
success.
24
ADHD and Your Child
Parenting Tips and Tricks…
Understanding ourselves, understanding our ADHD child . . .
According to www.childdevelopmentinfo.com, “Handling our ADHD children’s anger can be
puzzling, draining, and distressing for adults. In fact, one of the major problems in dealing
with anger in ADHD children is the angry feelings that are often stirred up in us. It has been
said that we as parents, teachers, counselors, and administrators need to remind ourselves
that we were not always taught how to deal with anger as a fact of life during our own
childhood. We were led to believe that to be angry was to be bad, and we were often made
to feel guilty for expressing anger.
It will be easier to deal with ADHD children’s anger if we get rid of this notion. Our goal is
not to repress or destroy angry feelings in children–or in ourselves–but rather to accept the
feelings and to help channel and direct them to constructive ends.
Parents and teachers must allow ADHD children to feel all their feelings. Adult skills can
then be directed toward showing children acceptable ways of expressing their feelings.
Strong feelings cannot be denied, and angry outbursts should not always be viewed as a
sign of serious problems; they should be recognized and treated with respect.
To respond effectively to overly aggressive behavior in children we need to have some ideas
about what may have triggered an outburst. Anger may be a defense to avoid painful
feelings; it may be associated with failure, low self-esteem, and feelings of isolation; or it
may be related to anxiety about situations over which the child has no control.
Angry defiance may also be associated
with feelings of dependency, and
anger may be associated with sadness
and depression. In childhood, anger
and sadness are very close to one
another, and it is important to
remember that much of what an adult
experiences as sadness is expressed
by a child as anger.
25
Before we look at specific ways to manage aggressive and angry outbursts, several points
should be highlighted:
 We should distinguish between anger and aggression. Anger is a temporary
emotional state caused by frustration; aggression is often an attempt to hurt a person or to
destroy property.
 Anger and aggression do not have to be dirty words. In other words, in looking at
aggressive behavior in ADHD children, we must be careful to distinguish between behavior
that indicates emotional problems and behavior that is normal.
 In dealing with angry ADHD children, our actions should be motivated by the need to
protect and to reach, not by a desire to punish. Parents and teachers should show a child
that they accept his or her feelings, while suggesting other ways to express the feelings. An
adult might say, for example, “Let me tell you what some children would do in a situation
like this…” It is not enough to tell children what behaviors we find unacceptable. We must
teach them acceptable ways of coping. Also, ways must be found to communicate what we
expect of them. Contrary to popular opinion, punishment is not the most effective way to
communicate to children what we expect of them.
Good discipline includes creating an atmosphere of quiet firmness, clarity, and
conscientiousness, while using reasoning. Bad discipline involves punishment which is
unduly harsh and inappropriate, and it is often associated with verbal ridicule and attacks on
the child’s integrity.
As one fourth-grade teacher put it: “One of the most important goals we strive for as
parents, educators, and mental health professionals is to help children develop respect for
themselves and others.” While arriving at this goal takes years of patient practice, it is a
vital process in which parents, teachers, and all caring adults can play a crucial and exciting
role. In order to accomplish this, we must see children as worthy human beings and be
sincere in dealing with them.”[1]
“Neurofeedback is designed to help the brain regulate itself better, it is often used to help
people with rapidly shifting moods, or intense moods, such as anger and rage. This is
usually done in a way that helps lower the arousal or activation level of selected parts of the
brain, or helps two parts of the brain change their way of working together.”[2]
“Proponents of neurofeedback claim that this form of self-regulating training is better than
using prescription medication which comes with a host of issues of their own.
26
Neurofeedback for ADHD children appears often in the form of video games that help
moderate brain activity in the child. These therapy sessions are therefore seen as fun.”[3]
“Computer-based neurofeedback can produce significant and lasting improvement in
attention and focus in children with attention-deficit/hyperactivity disorder (ADHD) and is
superior to computer-based cognitive training (CT), new research shows. Results from a
randomized controlled trial showed that children who received computer-based
neurofeedback made faster and greater improvements in ADHD symptoms, which were
sustained at the 6- month follow-up, than their peers who received computer CT.
“Sustainability of improvements after a behavioral intervention is not usually found, and an
important finding,” Naomi Steiner, MD, of the Floating Hospital for Children at Tufts Medical
Center in Boston, Massachusetts, told Medscape Medical News.”[4]
Read the controlled studies performed by Naomi Steiner, MD, where she used Play Attention
as the learning tool for the Neurofeedback group.
Read Peter’s Play Attention success story. His behaviors improved incredibly through the
Play Attention training. He was actually able to graduate from a self-contained behavior
classroom to the regular classroom! http://www.playattention.com/adhd-success-
stories/pj/[5]
How to Teach Positive Behaviors to Your ADHD Child
“Some children, especially those with severe ADHD symptoms, benefit from behavioral
therapy along with medication; for others, the training may make enough difference to
enable them to succeed in school and function well at home without medication.
One important reason for kids to participate in behavioral therapy (whether or not they also
take medication) is that ADHD medications stop working when you stop taking them, while
behavioral therapy can teach children skills that will continue to benefit them as they grow
up.” [6]
Play Attention integrates feedback technology with cognitive skill training and behavior
shaping. http://www.playattention.com/solution/behavior/[7]
“Take the High Road – Be Positive –
By the time a parent is sitting in that chair in front of me, they are usually at wit’s end. That
end usually comes when they are threatening to pull their hair out and are so angry that
they yell at the kid and make demands. Sometimes, they are so angry, they admit to
27
feelings of wanting to “just hurt him, because of the hurt he’s caused me”! Of course, the
more demands made and the more threats promised, the less likely the child will cooperate.
A vicious cycle is usually set when a child becomes “resistant” to his or her parent’s threats,
yelling and screaming. That’s when they seem to just “tune you out” or develop what I call
the “duh syndrome”. Tuning you out is the way an ADHD child remains in control.”[8]
 “Always start your conversations with an expression of your love and concern for
your child’s safety. For example, “Billy, I was really worried when I heard the front window
break.” “Did you get hurt when your ball went through the glass?”
 Displaying a positive caring and non-judgmental concern into any negative
circumstance tends to make the “pill” of telling the truth a lot easier for the child to swallow.
Indicate your primary concern is the child and not the event.
 Don’t accuse your ADHD child of wrong doing before you clearly first obtain his or
her side of the story and only then secondly get everyone else’s. You teach the positive
attitude of fairness and justice for all, when you set this example.
 When it’s obvious they have “tuned you out”, don’t argue with them. Instead, allow
them a cool down period and once they are receptive to further discussion of “whatever set
them off”, just calmly point out that you understand their need to think about what
happened before talking about it.
 Let your child catch you saying nice things about others, instead of derogatory
remarks. I often hear parents say, “Take a look at that kid with the long hair and ring in his
nose.” “That makes him just plain ugly and I bet he’s dumb as a mule, too!” How can your
kids hope to be unique individuals in the face of such unproven, unfounded accusations?
Nothing impresses an ADHD child more than to hear a compliment about one of their “cool
friends” or someone they value coming from you, instead of criticism. This really teaches
that they can form non-judgmental opinions about others, without “buying into” their
attitudes or culture. You are in essence teaching the positive attitude of respecting other’s
rights.
 Set the example you want your child to follow. If you smoke, expect they will
probably smoke. The same is true of alcohol and drugs, cursing, promiscuous sex -- you get
the picture. You must be the pattern that you expect your children to follow. Or, would you
rather they follow someone else’s lifestyle and attitude mindset? Children with ADHD tend to
be weak in what we call “executive functioning.” Executive functions are the self-regulating
skills that we all use to accomplish tasks, from getting dressed to doing homework. They
28
include planning, organizing time and materials, making decisions, shifting from one
situation to another, controlling our emotions and learning from past mistakes. “[9]
“Dr. Naomi Steiner[10], an expert in this field, states that individuals with ADHD have a
problem with executive functioning skills, of which Emotional Self-Regulation is a key
component. This, along with a lack of will, says Steiner, contributes to the “blow ups” and
outbursts individuals with ADHD display.”
Dr. Steiner was recently interviewed on CNN, of which, Play Attention was the intervention
she used:
http://www.cnn.com/videos/living/2015/10/05/brain-training-to-help-with-anxiety-and-
adhd.cnn[11]
“Play Attention was developed to deal with these kinds of difficulties in the executive
functioning areas of the brain through the development of cognitive skill sets. To learn
more, peruse our website and check out our cognitive games[12] Play Attention integrates
feedback technology with cognitive skill training and behavior shaping.
You may learn more about Play Attention at one of our upcoming Speed Webinars,[13]. At
the webinar you can learn how Play Attention can help your child develop coping skills that
will last a lifetime.”
“Parenting kids with ADHD can feel like a frustrating—and sometimes unfeasible—task. But
“Don’t let ADHD rob you of the joy of being a parent,” Palladino says.
When parents are at their wits’ end, they can do a few things to help. For instance, she
suggests a parent “cradle your arms and remember what it felt like when your child was
born.”
If you’re “correcting your child too much, turn your ring or put your wristwatch on your
other hand, and don’t put it back the right way until you’ve thought of and said something
positive or caught your child being good,” she says.[14]
Your attention experts are at playattention.com[15]. Chat with us from that site, or call us
at 800.788.6786 to learn how Play Attention can help develop coping skills, reduce
disruptive behaviors, and improve impulse control.
[1] http://childdevelopmentinfo.com/how-to-be-a-parent/angry_child/
[2] http://jacobsassociates.org/id27.html
29
[3] http://www.help-your-child-with-anger.com/neurofeedback-for-adhd.html
[4] http://www.medscape.com/viewarticle/821113
[5] http://www.playattention.com/adhd-success-stories/pj/
[6] http://www.childmind.org/en/posts/articles/2014-1-21-behavioral-treatment-kids-adhd
[7] http://www.playattention.com/solution/behavior/
[8] http://adhdbehavior.com/index/?p=170
[9] http://www.childmind.org/en/posts/articles/2014-1-21-behavioral-treatment-kids-adhd
[10] http://www.additudemag.com/RCLP/sub/11451.html
[11] http://www.cnn.com/videos/living/2015/10/05/brain-training-to-help-with-anxiety-
and-adhd.cnn
[12] http://www.playattention.com/play-attention-cognitive-games/
[13] http://www.playattention.com/speed-webinar/
[14] http://psychcentral.com/lib/parenting-kids-with-adhd-16-tips-to-tackle-common-
challenges/2/
[15] http://www.playattention.com/
30
Parent Attitude May Prolong Childhood ADHD
Tired of ‘nagging’ all the time?
A recent study conducted by Florida International
University measured how children’s’ ADHD symptoms
changed and how this was related to their parents’
levels of criticism and emotional involvement.
“The study, which was funded by the National
Institute of Mental Health, aimed to try to provide
some insight into the perplexing question of why the
trajectory of kids with ADHD seems to diverge during
the teenage years. About half of kids with ADHD see
their symptoms drop off at that time, while the other
half do not. Previous studies also have shown that
about a fourth of teens lose their diagnosis by the
time they reach young adulthood. For those whose
symptoms persist, the consequences can be serious
and include drug abuse and addiction, school
dropout, criminality and antisocial behavior.
In order to characterize a parent’s relationship with a
child, the researchers used what’s known as a five-minute speech sample. Parents were
asked in a very open-ended way to ‘tell us about your child and relationship with your child’
for an uninterrupted period of time. Those descriptions were recorded and researchers went
back and assigned codes to various words, phrases and other patterns. A comment that
“Charlie is a really bad kid. He’s always getting into trouble” would merit a higher score for
being critical than, say, ‘Charlie sometimes does bad things.’”
The analysis of the data, published in the Journal of Abnormal Psychology last week, had
some surprises. It showed that sustained critical parenting — which was defined as high
levels of harsh, negative statements about the child — appeared to be associated with the
continuance of ADHD symptoms. The author, Dr. Musser said that this finding, if confirmed,
could lead to new types of interventions that focus on family well-being as a way of treating
the disorder, which impacts an estimated 6.4 million children in the United States.”[1]
31
Kids who have ADHD tend to become defiant when they are expected to do homework, go
to bed, stop playing a game, sit down and eat dinner. These situations are difficult for them
to tolerate because of inherit deficits in paying attention, tolerating a boring situation,
reining in impulses, transitioning from a fun activity, and controlling their activity level.
Since these situations are really hard for them—more aversive than they are for typical
kids—over time, they try to avoid them. [2]
[1] http://www.santafenewmexican.com/life/family/study-parents-nagging-may-prolong-
kid-s-adhd/article_17fe28d7-7f4e-57d4-899d-7b3eb8dbeed5.html
[2] http://www.childmind.org/en/posts/ask-an-expert/2014-1-3-son-with-adhd-defiant-
emotionally-overreactive
32
Parenting an ADHD Child
Self-Help Tips to Stop the ‘Nagging’…
Kids who have ADHD tend to become defiant when they are expected to do homework, go
to bed, stop playing a game, sit down and eat dinner. These situations are difficult for them
to tolerate because of inherit deficits in paying attention, tolerating a boring situation,
reining in impulses, transitioning from a fun activity, and controlling their activity level.
Since these situations are really hard for them—more aversive than they are for typical
kids—over time, they try to avoid them. [1]
Below are four useful self-help steps to get away from lecturing, nagging and punishing that
will help you move toward having a healthier relationship with your ADHD child.
1. “Put the lecture on ‘pause.’ When
you’re worried about your child’s
irresponsibility and you’re about to lecture
and preach, stop for a moment and breathe.
The moment between your child’s action and
your response is your most important
parenting moment. It is in this space that you
can choose to respond from a knee-jerk
reaction or from a more thoughtful place. The
knee-jerk response often calms you down
momentarily, but it’s the start to becoming a
nag. When you pause and think about the bigger picture, you can make a better choice: the
choice to stay out of your child’s box and to remain emotionally separate. Without the
pause, it’s easy to let your emotions lead you astray.
2. Shift your gaze off of your child—and onto yourself. Confront yourself with the
important questions. Ask yourself, ‘What would a responsible parent do in this situation?
What are my options if my child is not acting responsibly—and which option do I want to
choose? And am I willing to live with the possible consequences of that choice?’
First, stop and ask yourself, ‘Is there any way I might be contributing to my child’s
irresponsibility? Have I set myself up to be the nag, or am I over-functioning for him?’
You’re taking the obligation off of him because you’re serving as a constant reminder about
what he should be doing. This gets in the way of your child being able to hear his own voice.
Now, instead of learning responsibility, he’s learning to function in reaction to you.
It is more effective to determine what your bottom line is, and then give consequences
when your child doesn’t do his job. Always go back to, ‘What’s my responsibility here, and
what’s my child’s?’
33
3. What does my child need? Understand that kids with ADHD, ADD or other learning
disabilities may need a different kind of guidance from parents. Perhaps they often forget
homework at school or neglect to hand it in, even when they’ve done it. If this is the
situation in your family, your job is to help your child create a structure for himself. You will
likely have to stay more involved and check in more often. Another thing to ask yourself is,
‘What does this child need?’ Not, ‘What do my kids need,’ but ‘What does this particular kid
need?’. And then determine what your responsibilities are and aren’t.
4. Know when you’re in your child’s box. Most of the time we’re not necessarily aware
that we have crossed boundaries. There are usually signs that you have stepped into your
child’s box. It might be when you’re feeling frazzled, at the end of your rope, and frustrated.
On the other hand, when you feel calm and engaged in your own interests, that may
indicate that you’re in your own box. Know what the triggers are that cause you to jump
from your box to his. Try to increase your awareness of yourself.
Most of us think we’re teaching our kids responsibility. But truth be told, we’re really
preaching it. And guess what? This only creates more dependency. Dependency in
relationships doesn’t encourage kids to be responsible for themselves—quite the opposite, in
fact. The more you act in ways that respect your own values and principles, the more you
will promote the necessary emotional separateness between yourself and your child. Why is
this important? The more emotionally separate you are, the freer your child is to see you
more clearly, with all your strengths and weaknesses—which allows him to see himself more
clearly. You’re no longer in his box or in his head, telling him what to do all the time. And
the more clearly or objectively your child sees himself and others and acts on that
awareness, the more responsible for himself he can become.”[2]
Play Attention can help improve memory, paying attention, finishing tasks, and behavior.
Play Attention allows the user to view the attentive state in real-time. Over time, Play
Attention individuals can learn to increase focus and concentration. Attend one of our
FREE Live Speed Webinars to learn more: http://www.playattention.com/speed-webinar/.
Don’t have time to make the date? We are here to help, watch our Webinar on Demand at
your own convenience: http://www.playattention.com/demand-webinar/
[1] http://www.childmind.org/en/posts/ask-an-expert/2014-1-3-son-with-adhd-defiant-
emotionally-overreactive
[2] https://www.empoweringparents.com/article/irresponsible-children-why-nagging-and-
lecturing-dont-work/
34
Building a Strong Relationship with Your Child
The family unit, whether melded, a traditional, or single parent, consists of a group of
people who love and care about each other. The family is where we learn about values,
traditions, and behaviors. In order for the family unit to remain strong, we must nurture
and take care of it, but first we must create a sturdy foundation. Here are some tips to
building a strong family foundation.
Teach Values – We influence how our children see the world from an early age. Take time
to teach them the values you want to instill in them. They will then take those values out
into the world. Surround your child with good examples that will help them navigate
through life. Teach by example.
Create Family Loyalty – Family loyalty goes a long way when building a strong
relationship. Your support during challenging times as well as joyous times will help create a
solid bond able to withstand any storm. Celebrate the wins and provide shelter during bad
weather.
Show Appreciation – Strong families show appreciation towards each other. A simple
“thank you” creates a positive foundation within a family. Appreciation is as vital to a strong
family as love is. Showing gratitude to all family members increases self-esteem and the
family bond. We commonly take for granted many of the things other family members do
for us. Demonstrating true appreciation for the meal prepared, bringing a glass of water,
turning off the light when appropriate, etc. pays great dividends for the entire family.
Nothing divides a family quicker than feeling under appreciated. Appreciation is also a great
value to teach.
Communicate – Communication is the key to building and
maintaining a strong relationship. Be open and honest in your
communication, but also be kind. The message you deliver can
strengthen the bond with your child, or it can start to chip
away at the mortar that keeps it together. Strong families
spend a lot of time talking things out, voicing and forming
opinions. When communication turns to disagreement, be sure
to attack the problem, not the person. Establish rules for
communication prior to discussion. That will help set limits and
keep feelings from becoming involved.
Create Spiritual Wellness – Spiritual wellness comes in
many forms. Whether they attend formal religious services or
not, strong families believe there is a greater good or higher
power. Spiritual wellness creates a positive outlook and helps families cope during difficult
times. It’s reciprocal; nurturing spiritual wellness among family members will increase your
35
personal spiritual wellness. It comes full circle; it starts with others and enriches every
member.
Start Traditions – Traditions are the roots of a family. Generational traditions are the
source of strong bonds with our ancestors. These should be cherished, but strong families
create their own traditions. Whether it is the menu at the holidays, or even which holidays
are celebrated, create your own traditions that your own children can look back on and
cherish.
36
Sibling Relationships
Being the sibling of someone with ADHD can be challenging. Children with ADHD are often
creative, energetic, and always out for a good time. About Health’s ADHD expert, Keath
Low, offers some great advice for helping form strong relationships with siblings. Low isn’t
far off the mark when she states, “ADHD has an impact on all family members. Living with a
brother or sister with ADHD can evoke a wide range of emotions in siblings.”
Here are some tips for helping sibling relationships:
 Take time out to spend quality time with your non-ADHD child. Let them know they
are special and helpful.
 Let your child learn about ADHD. Provide age-appropriate materials to help with
the learning process. Young children can learn a lot from Katy’s Secret, an ADHD
Story.
 Teach your child techniques on how to develop a good relationship with their ADHD
sibling. Practice role playing to help children learn how to cope. Keep it positive. Use
encouragement and kindness when
you see siblings getting along. Be
there when your child needs to vent.
 Keep home life structured. All
children flourish when things are
predictable. Predictability and ADHD
are like oil and water, so it’s much
more important that you adhere to
routines to keep consistent.
 Make sure all siblings follow rules. Rules should remain simple so everyone
easily recalls them. Making compensations for an ADHD sibling can cause resentment
and feelings of being treated unfairly.
 Be patient. If you are constantly on edge and irritated with your ADHD child, their
siblings may pick up on this behavior. If they see you helping in a kind and loving
way, they will learn the same.
 Find a support group. CHADD is a nationally recognized support group for anyone
struggling with ADHD. Social media weighs in with a multitude of ways to get
37
support. Communities like ADHD Kids Care provide support for parents and families.
Twitter holds its own with blasts about where to get help for ADHD.
38
Play Attention is here to help. Please call us at 800-788-6786 and speak with one of our
educational advisors. We can develop a customized program for you that will help develop
the skills that can lead to better attention, improved relationships, and a happier, more
successful life.
Transform you mind. Success awaits.
www.playattention.com

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Social skills e book

  • 1. eBook: ADHD, Friends, & Families How to Improve Social Skills & Strengthen Relationships Social skills and building relationships can be a challenge for children and adults with ADHD. Issues with social skills usually stem from the fact that they lack the ability to pay attention long enough to pick up the social cues, that others take for granted. They also are challenged with impulsivity that leads to a multitude of difficulties, from hurting someone’s feelings unintentionally to acting out in a physical manner. These challenges can cause turmoil in the school, home, and workplace. The good news is that social skills can be learned. With practice, these skills will become lasting and lead to successful peer relationships. There are also steps parents can take to help foster positive relationships within the home. If you are an adult struggling with friendships and marriage, we have some tips for you as well! We hope you will enjoy this eBook and learn some strategies to help build new and lasting friendships, - Your Play Attention Team Our Attention is Focused on Your Future 800-788-6786 www.playattention.com Copyright © 2015 Unique Logic and Technology, Inc. All rights reserved.
  • 2. 1 Index: Page 2. Why People with ADHD Struggle in Relationships Page 4. The Importance of a BFF Page 6. Making Friends, What’s the Secret for ADHD Kids? Page 8. Social Skills & ADHD Page 9. Social Skills at a Restaurant Page 11. Social Skills at Camp Page 13. Social Skills in the Classroom, The Fourth R Page 15. Social Skills During the Holidays Page 16. Adult ADHD & Relationships Page 20. Adult ADHD & Public Gatherings Page 22. Family Support Page 24. ADHD & Your Child, Parenting Tips Page 30. Parent “Nagging” May Prolong ADHD Page 32. Tips to Help Stop the Nagging Page 34. Building a Strong Relationship with Your Child Page 36. Sibling Relationships
  • 3. 2 Why People with ADHD Struggle in Relationships Perhaps you are in a relationship as an adult with ADHD, or you are in a relationship with someone who has ADHD. You may even be a parent trying to help your ADHD child with friendships. All of these situations can be very challenging. Children with attention challenges generally struggle with keeping friends. They are not always able to pick up social cues that allow them to have successful friendships. For instance, your ADHD child with may say something to hurt another child’s feelings, but lacks the attention to see the sadness on the other child’s face. Therefore, your child has no idea he has offended someone. No learning takes place, and this behavior continues. Before you know it, your child is coming home complaining that he does not have any friends. And he has no idea why or how to fix it. He simply thinks everyone is against him. Play Attention, a cognitive feedback based program, has an activity that directly addresses teaching social skills[1]. Through a series of attention enhanced activities, a child or an adult can start simply by paying attention to a blank card. Once the student is fully attentive, the card will be completely exposed. If the student loses attention, the card begins to disappear. Once the student is fully attentive, the expression on a person’s face is seen. The student must match the feeling associated with the expression. For example, the picture may be of a little girl smiling with three word choices: happy, sad, angry. The steps get incrementally more challenging and will eventually teach the student how to respond if a person has a certain expression on his/her face. While simplistic at the onset, teaching social skills requires foundational practice. Teaching an ADHD child or adult to slow down long enough to actually see the expression on social cues. The next steps are to teach them to understand the expression and then properly respond.
  • 4. 3 What happens to those of us who were not taught social skills as a child? Many struggle with relationships as an adult as a result. Whether you are the person with ADHD, or you’re in a relationship with someone with ADHD, you are bound to face many challenges. Attitude Magazine recently ran an article, “10+ ADD Relationship Tools for Lasting Love[2],” which explores the tools needed to have a loving relationship with someone struggling with attention issues. In this article author, Jonathan Halverstadt, states that in the beginning there are “strong and wonderful feelings — but you need much more to make an ADD relationship[3] last.” Instead of falling into an “all you need is love” scenario, Halverstadt offers suggestions for your relationship “tool box.” One of the first things that he explores is managing the symptoms. In the relationship, the ADHD person must take ownership of the symptoms and actively manage them. Many of the skills he talks about are addressed with the Play Attention[4] program. If you are a parent, or an adult, or love someone who struggles with attention, we encourage you to attend an informational webinar[5]. The webinar is FREE and your questions and concerns about ADHD relationships will be addressed. [1] http://www.playattention.com/social-skills/ [2] http://www.additudemag.com/adhd/article/7504.html [3] http://www.additudemag.com/topic/adult-add-adhd/friends-relationships.html [4] http://www.playattention.com/adults/ [5] http://www.playattention.com/speed-webinar/
  • 5. 4 The Importance of a BFF Everyone wants to have friends. At an early age, forming friendships allows a child to develop a multitude of skills needed throughout life: teamwork, cooperation, sharing, dealing with conflict, competition, etc. If your children or clients are struggling with ADHD, they may need your guidance to help develop successful, long-lasting friendships. Here are some tips to help. * Keep Play Groups Small – One or two friends at a time will allow your child to be successful without being overwhelmed. * Form Friendship Groups – Team Esteem is an organization based out of New York. Run by social workers and psychologists, their goal is to create an environment for children with behavioral, social, and academic challenges. Attitude Magazine says that if your child is having a difficult time forming friendships, a friendship group may be the answer. The article also cautions parents that running the group themselves is not the best answer and should be left to professionals. * Plan Play Dates – Scheduling specific dates for playtime allows your child with ADHD to prepare for the event. It gives you an opportunity to discuss and role-play different scenarios. It also gives you an opportunity to plan what will happen during the play date. While not completely controlling the event, you’ll want to have some clear ideas on what will occur during the play date. * Control The Environment – Your child may be bursting with energy. Let them exhaust some of that energy during the play date by kicking a soccer ball with their friend, playing an informal game of basketball, or swimming in the pool. Then, after the little tikes are worn out, provide a snack and a quiet movie. This will help them transition into the next activity calmly. * Deflect Boredom – Play dates that are too long can lead to boredom. It’s important that these end on a high note for everyone involved. An hour after school is certainly adequate
  • 6. 5 to get in some socialization without throwing nightly routines off. You can increase that time to a couple of hours on the weekend. Making an entire day of a play date may lead to disaster by forcing your child with ADHD to be on their best social behavior for far too long. * Positive Reinforcement – After friends go home, talk to your child about the play date. What did they like? What didn’t they like? What made them feel good about their friend? Be sure to provide positive reinforcement for things they did well. “I liked it when you shared your bike with Jimmy and let him ride it first.” In his book, The Friendship Factor, Dr. Kenneth Rubin explores the impact of friendships on a child’s emotional, social, and intellectual growth. After 25 years of research, Dr. Rubin put his findings on paper to better prepare parents with helping their children form friendships. If you’re looking for a children’s book, check out Making Friends. Written by American icon, Fred Rogers this book is intended to teach preschoolers about friendships and social skills. Learn how Play Attention can help your child develop better social skills. You may want to consider incorporating the social skills component into your Play Attention program. Starting with simply identify facial expression and working to complex situation of body language and voice tone, the social skills component of Play Attention will provide the help needed to form friendships and keep them. Call one of our educational support advisors to discuss your particular needs, so we can help you develop a Play Attention program to help. 800- 788-6786.
  • 7. 6 Making Friends, What’s the Secret for ADHD Kids? A few good tips Tip 1: Ever hear statements like, “Nobody likes me. They’re all after me!” By middle school, you hear things like, “I hate school. They all think I’m weird. I don’t get invited to parties.” Your child gets a rare invitation to a birthday party and you’re horrified when your child shouts, “This is boring!” in the middle of the cake cutting. You now realize this is why invitations are so rare. ADHD children often lack social skills; they lack the ability to filter thoughts before they say them. This often hurts the feelings of people around them. When carried into adulthood, spouses often complain of insensitivity and employers complain of your lack of control. Additionally, ADHD children often overlook common gestures, facial expressions, or social dynamics. Social skill instruction is critical and should be taught sequentially. For example, before you go to a birthday party, you should model boring scenarios. You and your child practice what he or she should say when they become bored. Instead of saying, “This is boring,” you’ll instruct your child to say, “Want to go outside and play?” That’s a good beginning that you can praise, but it’s only the first step. What happens if the child they ask to go outside doesn’t want to go? You must model that as well. Instead of saying, “You’re stupid,” say, “OK, I’ll be outside playing if you want to come.” Tip 2: Ever wonder why your ADHD child likes to play with younger children? Why they can get along with younger children but not kids their own age?
  • 8. 7 ADHD children often develop social skills more slowly than their peers. Since they lack the maturity of their peers, they are far more comfortable playing with younger children. Is there anything wrong with this? Not really. The social dynamics are quite interesting. Younger children often admire the older child in the group. This in turn may boost the self- esteem of your ADHD child. However, as your child develops social skills, the dynamics will likely change. Your child will tend to drift toward kids his own age. This can be considered a highly positive step in personal development. So consider the interaction with younger children a transition; a step toward developing social skills and self-confidence that will progressively lead him to successful interaction with his peers provided you are teaching and guiding him to social maturity. Tip 3: Play dates are good ways to make friends provided you practice and model appropriate behaviors ahead of time. Inappropriate behaviors should also be coached as well so your child learns boundaries. Start with only one friend on your play dates. If you invite two or more friends, they will often pair off sometimes leaving your child alone. It’s also a good idea to be a casual, quiet observer during the play date. Most parents experience great success by intervening only when their child approaches a boundary. Parents calmly intervene at that time to redirect and subtly (sometimes not so subtly) remind their child of boundaries that make good friendships. Obviously, this is training that should allow your child to face social situations on his or her own as they mature and learn social skills.
  • 9. 8 Social Skills & ADHD Making friends and keeping friends can be difficult for children with ADHD. Positive peer relationships are critical to your child’s development and self-esteem. What may be second nature to you, must be learned and practiced by someone who has attention challenges. You may notice that your child misses social cues, gets quickly bored with the games the other children are playing, or simply acts too impulsively when in social situations. It’s not to say that the child wishes to act out or hurt other’s feelings, it’s just that they haven’t paid attention long enough to pick up the social cues. There are some steps you can take to help your child develop these essential social skills. Developing Social Skills Discuss People’s Feelings: Look at pictures of different people in a magazine. Ask your child how he thinks that person is feeling and how he came to that conclusion. You may also prompt him to tell you what he thinks might have happened before the picture was taken that caused the emotion. Role Play Social Situations: Act out different scenarios with your child. “Let’s pretend you are meeting me for the first time.” Or “Let’s pretend you see a group of children playing and you want to join in.” Role playing will allow you to model appropriate social behavior. Positive Feedback: When you see your child display good social behavior, be certain to provide immediate positive feedback. “I liked how you helped John up when he fell. That was so kind.” Or “Thank you for holding the door open for me. That is so polite.”
  • 10. 9 Social Skills at a Restaurant Whether you’re on a family vacation or it’s just too hot to cook, a restaurant may be the answer for mealtime. It is understandable that you sometimes try to avoid bringing your child to a nice restaurant. A child with ADHD may have a difficult time riding in the car straight to a restaurant where he will have to sit even longer and adjust his behavior to this new social setting. This can be a recipe for disaster! However, you can take some steps to make your restaurant experience an enjoyable event. Set Expectations – No parent should expect their child to understand how to act in a restaurant. After all, at home, things are completely different. In most cases, children are busy playing while their meal is being prepared. It’s important that you explain the differences to your child so they can understand what is expected. Explain Restaurant Etiquette – When setting expectations, explain to your child that everyone in the restaurant wants to have a good time. Also, explain what is appropriate so they understand that unpleasant behavior affects everyone’s experience, not just theirs. Start Simple – When introducing this new concept to your child, start simple. Maybe you’ll begin with a quick trip to the ice cream store where the wait time isn’t as long. Or perhaps you’ll start with lunch, which is usually served quicker than dinner. In any case, you want to be wise when picking where you’ll start so that your trip will be successful. Arrive Prepared – Some restaurants provide crayons and coloring placemats to keep your child entertained during wait times. It’s best that you come prepared with your own arsenal of restaurant-friendly activities for your child. Keep a bag in the family car so that the contents stay new by only using them for restaurant outings. Choice Matters – Choose restaurants that are kid friendly. Many reputable chain restaurants offer play areas and outdoor eating areas for kids, which gives them an opportunity to move about. Don’t expect your six-year-old to be content in a high-class restaurant where dining can be a lengthy event. When needed, move – Since you know there is a hyperactive aspect to some children with ADHD, you’ll have to take this into consideration. When you see your child start getting antsy while waiting for food to arrive, create a distraction. Have someone in the party take the child for a walk. Maybe you’re in a seafood restaurant that has a big tank that you can visit. Or maybe you’re visiting an outdoor restaurant on a boardwalk where a quick walk can take up some time.
  • 11. 10 Diet Considerations – Most restaurants can accommodate diet restrictions. Don’t be afraid to order food the way your child likes it. Also, encourage your child to try new things, but have a backup plan if their choice doesn’t pan out. Dinner Conversation – Dinner with your child at a restaurant is not the time to have an adult conversation. Because of wait times, be prepared to be a part of keeping your youngster entertained. Whether it’s playing a game of tic-tac-toe or just chatting as a family, it’s important that your child is not struggling for your attention. Keep adult conversations for date night without your child. Put Down the Cellphone – Cellphones have become an integral part of our lives. We use them all day long. Dinner is a social outing. It’s a time to talk, learn, and bond. It’s important to use dinner for this purpose. If you must use a cellphone, or if your ADHD child uses a cellphone, set boundaries so that dinner can be a place of peace, quiet conversation, and learning.
  • 12. 11 Social Skills at Camp Whether it’s summer camp that you’re sending your child off to or a camping trip with friends and family, this outdoor setting poses some unusual circumstances for those with ADHD. Safety, meeting new people and different routines can all be challenging. Let’s look at some simple solutions to each of these areas so your child’s camping experience will be enjoyable. Safety - Campfires – Be specific about rules and the consequences if the rules are broken. Some suggestions would be: - No running around the fire. - Only roast marshmallows while sitting. - Never be around a fire when an adult is not present. Water Safety – Most summer camps have certified lifeguards on staff so that campers can safely swim in lakes or pools on campus. - Discuss safety precautions they take for non-swimmers. - Look at the lifeguard-to-swimmer ratio. Is it realistic? Most should have one lifeguard for each 25-30 swimmers. - Is the lifeguard is in an elevated chair? Elevated chairs allow the lifeguard a better vantage point to scan the swimming area from higher up. Hiking Trails – Who doesn’t love a great hike during a summer camping trip? It’s a great way to unplug, relax, and enjoy nature. It’s important that you talk about hiking safety before you hit the trail. Topics for discussion should include: - Staying together (perhaps a buddy system) - Not running to avoid twisting ankles on unpredictable terrain - Wearing the right shoes and clothing - Stopping for rest breaks, drinking fluids - Not leaving a footprint (i.e. environmental awareness)
  • 13. 12 - What to do if someone gets lost (The general rule of thumb is for the person to sit in a shady area until found. If the lost person continues to move around it will be harder for searchers to retrace steps). Meeting New People – Most kids with ADHD love meeting new people. It’s what happens during those initial meetings that can make or break the encounter. Kids are intuitive and can usually get through the first awkward moments much quicker than adults. Having an activity to do will break the ice, so make sure your child has their favorite outdoor game with them. A tennis ball and two Velcro paddles will ease even the situation. Try not to intervene too much; let nature takes its course when your child meets someone new. Be there for support, but don’t orchestrate the encounter. Different Routines – We know that when we map out situations for someone with ADHD there is a better likelihood for success. Even though they are impulsive by nature, structure keeps them in balance and much happier. Therefore, it’s important that you take the time to explain what will be different about routines. If your child will be attending summer camp or going on the family camping trip, spell things out for them. With so much stimulation, it’s important to build in safety-net strategies should things start to go downhill (i.e. alone time after lunch.) When going on a camping trip, make time before heading into the woods to talk to your child about what to expect. Answer as many of their questions as you can so they’ll know what to expect. Most of all, relax and have fun. Family time is precious, so don’t miss an opportunity to truly enjoy that time.
  • 14. 13 The Fourth R, Social Skills in the Classroom Tips for teachers Reading, writing, and arithmetic? There is so much more to be taught in our classrooms today. After all, as teachers prepare students for the real world, the three R’s won’t get them very far if they can’t contribute as supportive problem-solvers on a team. Because teachers are with students as they encounter many different situations, they are in a unique position to help children develop healthy social interaction skills. The very first minute of the first day is about establishing a warm, safe, happy environment. Enthusiastic teachers share their excitement!  Greet your students by name and find some connection to them. You might compliment children for anything and everything-– double dimples, cute pigtails, colorful soccer shoes, a favorite team t-shirt, neatness, patience, or good listening manners. Students will feel welcome and appreciated, and you will be modeling the kindness you expect from them.  Conduct brief team meetings each month and ask volunteers to compliment a classmate. You might start the process to set the standard. Help students recognize how good they feel simply by giving a compliment and point out how powerful their actions are.  By November, when you all know each other well and are feeling especially thankful, use these talents to create Wordle keepsakes. Begin by putting a piece of a paper on each child’s desk. Classmates rotate around the desks writing an encouraging adjective or phrase on each student’s paper. Visit this website to create a finished product: http://www.wordle.net/  Making conversation with new friends is an art to be cultivated. Often, students are nervous, uncomfortable, and struggle to find the right things to say. Let students know adults feel the same way they do at times, and then give them the tools they need.
  • 15. 14  With your class, generate a list of questions they might ask a new acquaintance. “What are you doing this weekend?” “Have you seen a good movie recently?” “What do you like to do after school?”  If you’re working with young students who are self-conscious with the opposite gender, tell them you’ve activated the invisible “cootie catcher” over the door, and that there are no boy or girl germs to worry about in your room. Then mix them up for partner work! Make sure they understand that the only acceptable reaction to the buddy assignment is a kind one.  Challenge your students to sit with different classmates at lunch and to try playing with a new group at recess. Before starting a lesson, recognize a student you’ve seen accepting the challenge to reinforce more success.  So often, we could prevent problems from arising simply with better communication. That is true on the kindergarten playground and on a global scale.  So, empower children with the right words. Elementary students need to know how to say, “I’m sorry. I didn’t mean to do that. Are you okay?” Practice it as a group and role play when appropriate. Older children may need to say,” I didn’t mean to say that. I’m sorry I hurt your feelings.” These important words need to be said quickly and loudly enough to be heard.  When you see a student making poor choices, find a private moment to help them see how they may have been perceived and make a suggestion for improvement.  Children often need to learn how to read faces and how to react accordingly. If a situation arises, you might ask the offender to look at his classmate’s face to point out the results of his words or actions. “Look at Hannah’s face. Does she look sad? Why do you think she is sad?”  When you see students working through problems, whether big or small, praise them out loud. Show your appreciation for them and others will take notice.  Children need to know that we are all building our characters as we have learning experiences in our lives. They should set goals to make changes or improvements. Ask students to think of someone they like to be around. Then ask them to describe that person. What is it that makes them special? How are they like that person, and what might they do to improve themselves? Reiterate that interacting and communicating well are skills that must be taught and practiced before we expect mastery, just like the skills in reading, writing, and arithmetic.
  • 16. 15 Social Skills During the Holidays Holiday Dress Rehearsal Practice behavior and manners before your visit You hope that all will go well on the way to grandma’s house. Things go well in the car, but as the door opens at her house, your child turns into a Tasmanian Devil! A whirling dervish of mayhem that grates on family members and causes you unneeded embarrassment and stress. Here are some tips that can help prevent your child turning into a Tasmanian Devil. 1. Schedule, schedule, schedule. You and your child can sit together in a quiet place and draw a timeline with pictures. Start with a drawing of your car at your house with the time you’ll be leaving placed just below the car. Mark a point on the timeline where snacks will be eaten, where you’ll stop for lunch, take a restroom break, etc. Encourage your child to document your trip on the timeline including sights along the way, unique cars they see, towns you pass, etc. This gives your child structure, a sense of participation, and keeps him occupied. 2. New or different environments can cause rambunctious behavior. It can be difficult for your child to control himself with the added excitement of the holidays. To minimize inappropriate behaviors and maximize holiday cheer, rehearse the event beforehand. Assign family members a part in the rehearsal; you and your child will play yourselves. Select one other family member to play the role of the friend or family member whose house you’ll be visiting. Brainstorm with your child Act I, Act II, Act III, and Act IV. Act I, driving to person’s house. Act II, being greeted at the door and spending time with the host prior to dinner. Act III, dinner. Act IV, activity after dinner and goodbyes. For each Act, discuss expectations and timelines. After this discussion, you should act out and rehearse each part of your ‘play’. Take the opportunity to redirect when behaviors are inappropriate and provide positive feedback when your child displays desired behaviors during your rehearsal. An interactive dress rehearsal will allow your child to develop a clear understanding of expectations over the holidays. 3. Use a secret code. A word like “snowball” or a gesture like touching the tip of your nose can be your secret code to your child that means they need to adjust their current behavior. Allowing your child to practice this during your dress rehearsal can be fun and will keep you from having to yell or discipline your child in front of family. 4. Make the most of your child’s talents. Recite a poem, do magic tricks, take care of a younger child, present the host with some artwork they did while waiting for dinner, set the table, or sing holiday songs. 5. Prep other family members you’ll see over the holidays, and ask them to provide positive praise for good behavior. This can make a world of difference. Remember this is a very exciting and stimulating time. If you have a child that is easily overexcited, the holidays can easily exacerbate this. A little preparation clearly defining your expectations can lead to a far merrier and less stressful holiday season.
  • 17. 16 Adult ADHD & Relationships Symptom, signs and relationships . . . Forget your keys again? Was it your turn to pick the kids up? Did you find yourself spacing out while the boss was talking to you and you’re way behind on that project? You are not alone . . . How do you know you have ADHD? “Many times it is normal to forget your keys but when you never can find your keys, that’s the problem, says Patricia Quinn, M.D., a developmental pediatrician and co-founder and director of the National Center for Girls and Women with ADHD in Washington D.C.. How else do you know if you have ADHD? The basic adult ADHD symptoms are the same for men and women: inattentiveness, impulsivity and hyperactivity. You have to have them for at least six months. They’re usually pervasive and affect you throughout the day. We also look for family history. For men, it tends to be external motor activity; for girls, it’s more fidgeting and twirling their hair. With females, [you see more] hyper-talkativeness.”[1] Being Married to ADHD “A study published in the Journal of Attention Disorders (August 2004 vol. 8 no. 1 1- 10) analyzed marital adjustment and family relationships of adults with Attention-Deficit/Hyperactivity Disorder (ADHD). In the study, the marital adjustment and family functioning of 33 married adults with ADHD and their spouses was compared to 26 non-ADHD control participants and their spouses. Results revealed that married adults with ADHD reported poorer overall marital adjustment on the Dyadic Adjustment Scale (DAS; Spanier, 1989) and more family dysfunction on the Family Assessment Device (FAD; Eptein, Baldwin, & Bishop, 1983) than control adults. (These scales/devices (DAS and FAD), are commonly used in the diagnosis of ADHD). The spouses of adults with ADHD did not differ from control spouses in reports of overall marital adjustment and family dysfunction. A greater proportion of their marital adjustment scores, however, fell within the maladjusted range. The ADHD adults’ perceptions of the health of their marriages and families were more negative than their spouses’ perceptions.”[2] “Indeed, the divorce rate is nearly twice as high for people with ADHD, which affects roughly 4 percent of adults, as it is for other couples, says marriage consultant Melissa
  • 18. 17 Orlov, author of The ADHD Effect on Marriage. Symptoms include trouble staying focused and paying attention, difficulty understanding or following instructions, and hyperactivity, or fidgeting frequently and talking excessively. In adults, ADHD usually isn’t diagnosed until symptoms persist and spread into multiple aspects of daily life, from success at work to the ability to form romantic relationships.” “ADHD is typically missed or overlooked when couples are dating. The partner with ADHD is often hyper-focused, sending flowers, checking in with frequent phone calls, and showering the significant other with loving attention. The excitement is stimulating—a feel-good self- medication of sorts, Orlov says. The transition to marriage can be jarring. Once the relationship becomes familiar, the frenzy of attention is likely to ebb. The partner without ADHD, bewildered by the abrupt change, may start to feel unloved or unattractive— interpreting a distracted spouse as an uninterested spouse.” “As time passes, tensions can build if the condition isn’t recognized or its symptoms and motives are misunderstood. The trademark impulsivity could translate into rash financial decisions. Or a husband might habitually interrupt his wife because he “doesn’t have the brakes to stop” and is afraid of losing his skittery thoughts if he waits, says Orlov. To the non-ADHD partner, the interruptions are disrespectful.” “When all these ADHD behaviors collide, the non-ADHD spouse usually experiences a sense of loneliness, exhaustion, feeling ignored, anger and a sense of hopelessness.” [3] “What’s the secret to a healthy ADHD marriage? It may be in the way couples communicate when they fight — and how quickly they forgive and move on afterward”. The following are strategies to help maintain a healthy relationship with your ADHD partner: “1. Start with a complaint, not a criticism. “I’m concerned that the garbage isn’t getting taken out regularly” is a complaint. “You never take out the garbage like you promise” is a criticism. Complaints work better; they are more respectful and don’t put the listener on the defensive so quickly. 2. Use a soft start — or ease into a topic. Soft starts show respect for the other person by not making assumptions. They usually include an observation, and they focus on feelings. Here’s an example of a soft start: “I really miss you. We aren’t spending enough time together these days.” The hard-start version of this is “You never pay attention to me!”
  • 19. 18 3. Be respectful. No matter how difficult the topic, or how upset you are, your partner always deserves respect. Don’t justify screaming or belittling. Treat your partner as you would like to be treated. 4. Use non-threatening words and don’t bully your partner. If you become flooded with emotions and feel you can’t help yourself, try to let your partner walk away from the argument. 5. Use clarifying phrases, such as, “If I understand correctly, we both think….” 6. Talk calmly. This is hard when things are emotional. Mindfulness training and deep breathing help. 7. Use verbal cues to de-escalate your interactions. In the Orlov household, if one of us gets too emotional — it happens to both of us — we may use the pre-agreed-on verbal cue “aardvark” to suggest we both need to take a break. We will return to the conversation later. 8. Look your partner in the eye. This serves the dual purpose of communicating effectively how you feel and ensuring that you have your partner’s attention. 9. Look for common ground. You are more likely to stay constructively engaged if you focus on similarities and shared concerns. Redirect an argument over bedtimes with “I know we are both trying to figure out the best balance between enough sleep and time with the kids…,” putting you both on the same problem-solving team. 10. Ask open-ended questions. The best fights are conversations in which you happen to disagree. Don’t lecture your partner. Instead, invite him or her in. “Do you see it that way?” or “What do you think?” can help. Listen to your partner’s response. 11. Use affirming statements. Even if you disagree with your partner, you can still make sure your partner’s opinion gets heard. “I understand that you feel I should be doing more chores, but I’m not sure I have enough time. We need to talk further” is more constructive than “I’m busy.” You may still not take on more chores, but you have shown that you hear your partner’s concern. 12. Accept the legitimacy of negative emotions. Rather than fighting against negative emotions, commiserate with your partner. This is important if your partner is feeling grief. You may be ready to “move on” but you will help your partner heal if you respond with “I’m so sorry we’ve been through all of this. It’s been hard.”
  • 20. 19 If these strategies seem obvious, ask yourself if you are using them consistently. Probably not. It takes thought and practice to use affirming statements and ask open-ended questions when you are angry. It’s not just the words, it is the emotions behind them that count.”[4] There is Hope . . . “With understanding and knowledge, one can transcend these feelings and find a new way of being in the relationship. Learning all you can about ADHD and how it affects your partner is vital. It is important to remember that even though your partner may no longer be hyper-focused on you and your relationship, it does not mean he/she does not still love you. When both partners understand the way ADHD symptoms are impacting the marriage, you can avoid patterns of frustration and anger. You must learn different behaviors to heal these kinds of wounds through education, communication and counseling.”[5] Learn how you and your loved one can better deal with the difficulties ADHD presents by attending one of Play Attention’s free Speed Webinars: http://www.playattention.com/speed-webinar/[6] Play Attention integrates feedback technology with cognitive skill training and behavior shaping: http://www.playattention.com/[7]. Complete our short survey and help us customize a Play Attention program that will address your specific needs. To learn more: http://www.playattention.com/learn-more/.[8] [1] http://www.lifescript.com/health/centers/adhd/tips/doctor- recommended_tips_for_women_with_adhd.aspx [2] http://jad.sagepub.com/content/8/1/1.short [3] http://health.usnews.com/health-news/family-health/brain-and- behavior/articles/2010/09/28/can-your-relationship-survive-adhd [4] http://www.additudemag.com/adhd/article/10830-2.html [5] http://www.yourtango.com/experts/leslie-rouder/add-marriage-how-be-happily- married-your-add-spouse [6] http://www.playattention.com/speed-webinar/ [7] http://www.playattention.com/ [8] http://www.playattention.com/learn-more/
  • 21. 20 Adult ADHD & Public Gatherings It isn’t hard to understand why adults with ADHD have a difficult time with public gatherings. Often times they lack the social skills that many expect from them such as being able to listen or be polite. So if you’re an adult wanting to be part of social gatherings, what can you do? Here are some suggestions. Practice Makes Perfect – As we’ve talked about in other blogs on social skills, it’s important to practice this skill before the big event. Social skills requires one to pay attention long enough pick up queues that those without ADHD take for granted. Your local public park is the perfect setting to practice. Sit on a bench and spend some time looking at the people around you. Watch their facial expressions and body language. If close enough, listen to the tone of their voice. Then decide if this person happy, sad, or perhaps even mad. Partner with a Friend – A close friend can be your best advocate when trying to become more public-friendly. They will be honest with you. Have a friend help you with listening skills. To practice, have your friend tell you a story. At the beginning, you may even want to take notes as the story unfolds. Then have your friend ask questions to test your listening skills. Keep the story short, about five minutes, which will likely allow you to get through a typical conversation. Learn not to interrupt – This can be a challenge for adults struggling with ADHD. Without the attention needed to have a successful interaction, interruptions are typical. Again, solicit the help of a close friend and practice having a conversation so you can practice your conversation skills. Be sure to tell your friend that they will need to clue you in when you interrupt. Don’t take it personally. Consider this training like learning to play the piano; if you hit a wrong note, you’ll want to practice more until you get it right. Limit You Time – To be successful, you may want to limit the time you spend at a public gathering. If an hour or two is the most you can handle to stay focused, then leave when you need to. It’s better to explain that you’ll need to leave then to stay too long and blow it. Pick and Choose Events – Social gatherings that are casual allow you to be a more successful setting. The ability to move around and jump from conversation to conversation will give you some flexibility with your inherent ADHD symptoms (i.e. hyperactivity, inattentiveness, etc.). Choosing to attend a formal dinner that requires you to sit and converse with the same people for long periods of time could lead to disaster. Be the Host – What better way to ensure that you are successful at a public gathering than to host the event. Since you know where you’re the most successful, why not set up a gathering that you know will work for you. Think outside the box. Maybe your outing is a
  • 22. 21 rafting trip and a picnic lunch after, or maybe a pick-up game of basketball with friends, or a group trip to the movies and dinner afterwards. Any of these will allow time with friends and the activity that you need. Social skills can be taught, and with practice they can become as second nature as walking. To help with practice, your Play Attention program will address this directly. Not only will Play Attention offer you the ability to learn to pay attention for longer periods of time, but also the program provides a specific training for social skills. Starting with simply identify facial expression and working to complex situation of body language and voice tone, the social skills component of Play Attention will provide the right platform to transform you from publicly challenged to a social butterfly.
  • 23. 22 Helping Hands Provide Family Support! Family Support – It takes a village to raise a child. When you read this ancient African proverb, you can appreciate the sentiment that a child needs more than just the parents’ direction when growing up. It is important that the entire society is involved to nurture and meet the needs of the child. Family support comes in many forms. It may come from a spouse, older siblings, a grandparent, teachers, a pastor, or a licensed professional. Parents need to feel they can reach out for help. If you are a parent raising a child with ADHD, it’s even more important to ask for help when you need it. Here are some strategies to use when thinking about support:  Family units need to remain strong. If you’re in a marriage, divorced, or raising a child as a single parent, your family can be the greatest source of strength. Be sure to include friends, immediate family, and extended family members in your support circle. Even the smallest thing like an older cousin taking your child out to play basketball while you clean the house is a huge help. While you’re tidying up, your child is exerting some of that never-ending energy and forming another family bond.  Daily support – Find support from a spouse or friend. This person should be someone you can talk to on a variety of difficult issues. It may be someone who is also raising a child with ADHD. Even if they’re not, it’s helpful to have someone to share your thoughts.  Divide and conquer – Don’t be afraid to divvy up responsibilities. Solicit the help of an older sibling, or a friend’s high school student to help with homework. Have a grandparent come over while you take a walk or go to the gym.  Keep things simple – To offset crazy schedules and hectic lives keep things simple whenever possible. For instance, once a week, serve a nutritious meal of “make your own
  • 24. 23 sandwich,” along with a salad, served on a recycled paper plate. This simplifies at least one evening meal.  Support from school – Talk to your child’s teacher often. Take time to discuss your child’s progress in the class and strategies you can use at home. A classroom teacher deals with many students with attention challenges. You can learn from their expertise.  Spiritual Guidance – You may choose to ask for guidance from a pastor or rabbi that you have a relationship with. Meditation may also offer a way to de-stress and keeps one grounded.  Consult a professional – When a child or adult is diagnosed with ADHD, professional counseling may be recommended. When looking for a professional, be certain that person understands your outlook on ADHD. Look for a counselor who specializes in ADHD and is willing to help the whole family. Since we know that it takes a village to raise a child, getting the entire family involved will lead to a greater understanding and a better chance of success.
  • 25. 24 ADHD and Your Child Parenting Tips and Tricks… Understanding ourselves, understanding our ADHD child . . . According to www.childdevelopmentinfo.com, “Handling our ADHD children’s anger can be puzzling, draining, and distressing for adults. In fact, one of the major problems in dealing with anger in ADHD children is the angry feelings that are often stirred up in us. It has been said that we as parents, teachers, counselors, and administrators need to remind ourselves that we were not always taught how to deal with anger as a fact of life during our own childhood. We were led to believe that to be angry was to be bad, and we were often made to feel guilty for expressing anger. It will be easier to deal with ADHD children’s anger if we get rid of this notion. Our goal is not to repress or destroy angry feelings in children–or in ourselves–but rather to accept the feelings and to help channel and direct them to constructive ends. Parents and teachers must allow ADHD children to feel all their feelings. Adult skills can then be directed toward showing children acceptable ways of expressing their feelings. Strong feelings cannot be denied, and angry outbursts should not always be viewed as a sign of serious problems; they should be recognized and treated with respect. To respond effectively to overly aggressive behavior in children we need to have some ideas about what may have triggered an outburst. Anger may be a defense to avoid painful feelings; it may be associated with failure, low self-esteem, and feelings of isolation; or it may be related to anxiety about situations over which the child has no control. Angry defiance may also be associated with feelings of dependency, and anger may be associated with sadness and depression. In childhood, anger and sadness are very close to one another, and it is important to remember that much of what an adult experiences as sadness is expressed by a child as anger.
  • 26. 25 Before we look at specific ways to manage aggressive and angry outbursts, several points should be highlighted:  We should distinguish between anger and aggression. Anger is a temporary emotional state caused by frustration; aggression is often an attempt to hurt a person or to destroy property.  Anger and aggression do not have to be dirty words. In other words, in looking at aggressive behavior in ADHD children, we must be careful to distinguish between behavior that indicates emotional problems and behavior that is normal.  In dealing with angry ADHD children, our actions should be motivated by the need to protect and to reach, not by a desire to punish. Parents and teachers should show a child that they accept his or her feelings, while suggesting other ways to express the feelings. An adult might say, for example, “Let me tell you what some children would do in a situation like this…” It is not enough to tell children what behaviors we find unacceptable. We must teach them acceptable ways of coping. Also, ways must be found to communicate what we expect of them. Contrary to popular opinion, punishment is not the most effective way to communicate to children what we expect of them. Good discipline includes creating an atmosphere of quiet firmness, clarity, and conscientiousness, while using reasoning. Bad discipline involves punishment which is unduly harsh and inappropriate, and it is often associated with verbal ridicule and attacks on the child’s integrity. As one fourth-grade teacher put it: “One of the most important goals we strive for as parents, educators, and mental health professionals is to help children develop respect for themselves and others.” While arriving at this goal takes years of patient practice, it is a vital process in which parents, teachers, and all caring adults can play a crucial and exciting role. In order to accomplish this, we must see children as worthy human beings and be sincere in dealing with them.”[1] “Neurofeedback is designed to help the brain regulate itself better, it is often used to help people with rapidly shifting moods, or intense moods, such as anger and rage. This is usually done in a way that helps lower the arousal or activation level of selected parts of the brain, or helps two parts of the brain change their way of working together.”[2] “Proponents of neurofeedback claim that this form of self-regulating training is better than using prescription medication which comes with a host of issues of their own.
  • 27. 26 Neurofeedback for ADHD children appears often in the form of video games that help moderate brain activity in the child. These therapy sessions are therefore seen as fun.”[3] “Computer-based neurofeedback can produce significant and lasting improvement in attention and focus in children with attention-deficit/hyperactivity disorder (ADHD) and is superior to computer-based cognitive training (CT), new research shows. Results from a randomized controlled trial showed that children who received computer-based neurofeedback made faster and greater improvements in ADHD symptoms, which were sustained at the 6- month follow-up, than their peers who received computer CT. “Sustainability of improvements after a behavioral intervention is not usually found, and an important finding,” Naomi Steiner, MD, of the Floating Hospital for Children at Tufts Medical Center in Boston, Massachusetts, told Medscape Medical News.”[4] Read the controlled studies performed by Naomi Steiner, MD, where she used Play Attention as the learning tool for the Neurofeedback group. Read Peter’s Play Attention success story. His behaviors improved incredibly through the Play Attention training. He was actually able to graduate from a self-contained behavior classroom to the regular classroom! http://www.playattention.com/adhd-success- stories/pj/[5] How to Teach Positive Behaviors to Your ADHD Child “Some children, especially those with severe ADHD symptoms, benefit from behavioral therapy along with medication; for others, the training may make enough difference to enable them to succeed in school and function well at home without medication. One important reason for kids to participate in behavioral therapy (whether or not they also take medication) is that ADHD medications stop working when you stop taking them, while behavioral therapy can teach children skills that will continue to benefit them as they grow up.” [6] Play Attention integrates feedback technology with cognitive skill training and behavior shaping. http://www.playattention.com/solution/behavior/[7] “Take the High Road – Be Positive – By the time a parent is sitting in that chair in front of me, they are usually at wit’s end. That end usually comes when they are threatening to pull their hair out and are so angry that they yell at the kid and make demands. Sometimes, they are so angry, they admit to
  • 28. 27 feelings of wanting to “just hurt him, because of the hurt he’s caused me”! Of course, the more demands made and the more threats promised, the less likely the child will cooperate. A vicious cycle is usually set when a child becomes “resistant” to his or her parent’s threats, yelling and screaming. That’s when they seem to just “tune you out” or develop what I call the “duh syndrome”. Tuning you out is the way an ADHD child remains in control.”[8]  “Always start your conversations with an expression of your love and concern for your child’s safety. For example, “Billy, I was really worried when I heard the front window break.” “Did you get hurt when your ball went through the glass?”  Displaying a positive caring and non-judgmental concern into any negative circumstance tends to make the “pill” of telling the truth a lot easier for the child to swallow. Indicate your primary concern is the child and not the event.  Don’t accuse your ADHD child of wrong doing before you clearly first obtain his or her side of the story and only then secondly get everyone else’s. You teach the positive attitude of fairness and justice for all, when you set this example.  When it’s obvious they have “tuned you out”, don’t argue with them. Instead, allow them a cool down period and once they are receptive to further discussion of “whatever set them off”, just calmly point out that you understand their need to think about what happened before talking about it.  Let your child catch you saying nice things about others, instead of derogatory remarks. I often hear parents say, “Take a look at that kid with the long hair and ring in his nose.” “That makes him just plain ugly and I bet he’s dumb as a mule, too!” How can your kids hope to be unique individuals in the face of such unproven, unfounded accusations? Nothing impresses an ADHD child more than to hear a compliment about one of their “cool friends” or someone they value coming from you, instead of criticism. This really teaches that they can form non-judgmental opinions about others, without “buying into” their attitudes or culture. You are in essence teaching the positive attitude of respecting other’s rights.  Set the example you want your child to follow. If you smoke, expect they will probably smoke. The same is true of alcohol and drugs, cursing, promiscuous sex -- you get the picture. You must be the pattern that you expect your children to follow. Or, would you rather they follow someone else’s lifestyle and attitude mindset? Children with ADHD tend to be weak in what we call “executive functioning.” Executive functions are the self-regulating skills that we all use to accomplish tasks, from getting dressed to doing homework. They
  • 29. 28 include planning, organizing time and materials, making decisions, shifting from one situation to another, controlling our emotions and learning from past mistakes. “[9] “Dr. Naomi Steiner[10], an expert in this field, states that individuals with ADHD have a problem with executive functioning skills, of which Emotional Self-Regulation is a key component. This, along with a lack of will, says Steiner, contributes to the “blow ups” and outbursts individuals with ADHD display.” Dr. Steiner was recently interviewed on CNN, of which, Play Attention was the intervention she used: http://www.cnn.com/videos/living/2015/10/05/brain-training-to-help-with-anxiety-and- adhd.cnn[11] “Play Attention was developed to deal with these kinds of difficulties in the executive functioning areas of the brain through the development of cognitive skill sets. To learn more, peruse our website and check out our cognitive games[12] Play Attention integrates feedback technology with cognitive skill training and behavior shaping. You may learn more about Play Attention at one of our upcoming Speed Webinars,[13]. At the webinar you can learn how Play Attention can help your child develop coping skills that will last a lifetime.” “Parenting kids with ADHD can feel like a frustrating—and sometimes unfeasible—task. But “Don’t let ADHD rob you of the joy of being a parent,” Palladino says. When parents are at their wits’ end, they can do a few things to help. For instance, she suggests a parent “cradle your arms and remember what it felt like when your child was born.” If you’re “correcting your child too much, turn your ring or put your wristwatch on your other hand, and don’t put it back the right way until you’ve thought of and said something positive or caught your child being good,” she says.[14] Your attention experts are at playattention.com[15]. Chat with us from that site, or call us at 800.788.6786 to learn how Play Attention can help develop coping skills, reduce disruptive behaviors, and improve impulse control. [1] http://childdevelopmentinfo.com/how-to-be-a-parent/angry_child/ [2] http://jacobsassociates.org/id27.html
  • 30. 29 [3] http://www.help-your-child-with-anger.com/neurofeedback-for-adhd.html [4] http://www.medscape.com/viewarticle/821113 [5] http://www.playattention.com/adhd-success-stories/pj/ [6] http://www.childmind.org/en/posts/articles/2014-1-21-behavioral-treatment-kids-adhd [7] http://www.playattention.com/solution/behavior/ [8] http://adhdbehavior.com/index/?p=170 [9] http://www.childmind.org/en/posts/articles/2014-1-21-behavioral-treatment-kids-adhd [10] http://www.additudemag.com/RCLP/sub/11451.html [11] http://www.cnn.com/videos/living/2015/10/05/brain-training-to-help-with-anxiety- and-adhd.cnn [12] http://www.playattention.com/play-attention-cognitive-games/ [13] http://www.playattention.com/speed-webinar/ [14] http://psychcentral.com/lib/parenting-kids-with-adhd-16-tips-to-tackle-common- challenges/2/ [15] http://www.playattention.com/
  • 31. 30 Parent Attitude May Prolong Childhood ADHD Tired of ‘nagging’ all the time? A recent study conducted by Florida International University measured how children’s’ ADHD symptoms changed and how this was related to their parents’ levels of criticism and emotional involvement. “The study, which was funded by the National Institute of Mental Health, aimed to try to provide some insight into the perplexing question of why the trajectory of kids with ADHD seems to diverge during the teenage years. About half of kids with ADHD see their symptoms drop off at that time, while the other half do not. Previous studies also have shown that about a fourth of teens lose their diagnosis by the time they reach young adulthood. For those whose symptoms persist, the consequences can be serious and include drug abuse and addiction, school dropout, criminality and antisocial behavior. In order to characterize a parent’s relationship with a child, the researchers used what’s known as a five-minute speech sample. Parents were asked in a very open-ended way to ‘tell us about your child and relationship with your child’ for an uninterrupted period of time. Those descriptions were recorded and researchers went back and assigned codes to various words, phrases and other patterns. A comment that “Charlie is a really bad kid. He’s always getting into trouble” would merit a higher score for being critical than, say, ‘Charlie sometimes does bad things.’” The analysis of the data, published in the Journal of Abnormal Psychology last week, had some surprises. It showed that sustained critical parenting — which was defined as high levels of harsh, negative statements about the child — appeared to be associated with the continuance of ADHD symptoms. The author, Dr. Musser said that this finding, if confirmed, could lead to new types of interventions that focus on family well-being as a way of treating the disorder, which impacts an estimated 6.4 million children in the United States.”[1]
  • 32. 31 Kids who have ADHD tend to become defiant when they are expected to do homework, go to bed, stop playing a game, sit down and eat dinner. These situations are difficult for them to tolerate because of inherit deficits in paying attention, tolerating a boring situation, reining in impulses, transitioning from a fun activity, and controlling their activity level. Since these situations are really hard for them—more aversive than they are for typical kids—over time, they try to avoid them. [2] [1] http://www.santafenewmexican.com/life/family/study-parents-nagging-may-prolong- kid-s-adhd/article_17fe28d7-7f4e-57d4-899d-7b3eb8dbeed5.html [2] http://www.childmind.org/en/posts/ask-an-expert/2014-1-3-son-with-adhd-defiant- emotionally-overreactive
  • 33. 32 Parenting an ADHD Child Self-Help Tips to Stop the ‘Nagging’… Kids who have ADHD tend to become defiant when they are expected to do homework, go to bed, stop playing a game, sit down and eat dinner. These situations are difficult for them to tolerate because of inherit deficits in paying attention, tolerating a boring situation, reining in impulses, transitioning from a fun activity, and controlling their activity level. Since these situations are really hard for them—more aversive than they are for typical kids—over time, they try to avoid them. [1] Below are four useful self-help steps to get away from lecturing, nagging and punishing that will help you move toward having a healthier relationship with your ADHD child. 1. “Put the lecture on ‘pause.’ When you’re worried about your child’s irresponsibility and you’re about to lecture and preach, stop for a moment and breathe. The moment between your child’s action and your response is your most important parenting moment. It is in this space that you can choose to respond from a knee-jerk reaction or from a more thoughtful place. The knee-jerk response often calms you down momentarily, but it’s the start to becoming a nag. When you pause and think about the bigger picture, you can make a better choice: the choice to stay out of your child’s box and to remain emotionally separate. Without the pause, it’s easy to let your emotions lead you astray. 2. Shift your gaze off of your child—and onto yourself. Confront yourself with the important questions. Ask yourself, ‘What would a responsible parent do in this situation? What are my options if my child is not acting responsibly—and which option do I want to choose? And am I willing to live with the possible consequences of that choice?’ First, stop and ask yourself, ‘Is there any way I might be contributing to my child’s irresponsibility? Have I set myself up to be the nag, or am I over-functioning for him?’ You’re taking the obligation off of him because you’re serving as a constant reminder about what he should be doing. This gets in the way of your child being able to hear his own voice. Now, instead of learning responsibility, he’s learning to function in reaction to you. It is more effective to determine what your bottom line is, and then give consequences when your child doesn’t do his job. Always go back to, ‘What’s my responsibility here, and what’s my child’s?’
  • 34. 33 3. What does my child need? Understand that kids with ADHD, ADD or other learning disabilities may need a different kind of guidance from parents. Perhaps they often forget homework at school or neglect to hand it in, even when they’ve done it. If this is the situation in your family, your job is to help your child create a structure for himself. You will likely have to stay more involved and check in more often. Another thing to ask yourself is, ‘What does this child need?’ Not, ‘What do my kids need,’ but ‘What does this particular kid need?’. And then determine what your responsibilities are and aren’t. 4. Know when you’re in your child’s box. Most of the time we’re not necessarily aware that we have crossed boundaries. There are usually signs that you have stepped into your child’s box. It might be when you’re feeling frazzled, at the end of your rope, and frustrated. On the other hand, when you feel calm and engaged in your own interests, that may indicate that you’re in your own box. Know what the triggers are that cause you to jump from your box to his. Try to increase your awareness of yourself. Most of us think we’re teaching our kids responsibility. But truth be told, we’re really preaching it. And guess what? This only creates more dependency. Dependency in relationships doesn’t encourage kids to be responsible for themselves—quite the opposite, in fact. The more you act in ways that respect your own values and principles, the more you will promote the necessary emotional separateness between yourself and your child. Why is this important? The more emotionally separate you are, the freer your child is to see you more clearly, with all your strengths and weaknesses—which allows him to see himself more clearly. You’re no longer in his box or in his head, telling him what to do all the time. And the more clearly or objectively your child sees himself and others and acts on that awareness, the more responsible for himself he can become.”[2] Play Attention can help improve memory, paying attention, finishing tasks, and behavior. Play Attention allows the user to view the attentive state in real-time. Over time, Play Attention individuals can learn to increase focus and concentration. Attend one of our FREE Live Speed Webinars to learn more: http://www.playattention.com/speed-webinar/. Don’t have time to make the date? We are here to help, watch our Webinar on Demand at your own convenience: http://www.playattention.com/demand-webinar/ [1] http://www.childmind.org/en/posts/ask-an-expert/2014-1-3-son-with-adhd-defiant- emotionally-overreactive [2] https://www.empoweringparents.com/article/irresponsible-children-why-nagging-and- lecturing-dont-work/
  • 35. 34 Building a Strong Relationship with Your Child The family unit, whether melded, a traditional, or single parent, consists of a group of people who love and care about each other. The family is where we learn about values, traditions, and behaviors. In order for the family unit to remain strong, we must nurture and take care of it, but first we must create a sturdy foundation. Here are some tips to building a strong family foundation. Teach Values – We influence how our children see the world from an early age. Take time to teach them the values you want to instill in them. They will then take those values out into the world. Surround your child with good examples that will help them navigate through life. Teach by example. Create Family Loyalty – Family loyalty goes a long way when building a strong relationship. Your support during challenging times as well as joyous times will help create a solid bond able to withstand any storm. Celebrate the wins and provide shelter during bad weather. Show Appreciation – Strong families show appreciation towards each other. A simple “thank you” creates a positive foundation within a family. Appreciation is as vital to a strong family as love is. Showing gratitude to all family members increases self-esteem and the family bond. We commonly take for granted many of the things other family members do for us. Demonstrating true appreciation for the meal prepared, bringing a glass of water, turning off the light when appropriate, etc. pays great dividends for the entire family. Nothing divides a family quicker than feeling under appreciated. Appreciation is also a great value to teach. Communicate – Communication is the key to building and maintaining a strong relationship. Be open and honest in your communication, but also be kind. The message you deliver can strengthen the bond with your child, or it can start to chip away at the mortar that keeps it together. Strong families spend a lot of time talking things out, voicing and forming opinions. When communication turns to disagreement, be sure to attack the problem, not the person. Establish rules for communication prior to discussion. That will help set limits and keep feelings from becoming involved. Create Spiritual Wellness – Spiritual wellness comes in many forms. Whether they attend formal religious services or not, strong families believe there is a greater good or higher power. Spiritual wellness creates a positive outlook and helps families cope during difficult times. It’s reciprocal; nurturing spiritual wellness among family members will increase your
  • 36. 35 personal spiritual wellness. It comes full circle; it starts with others and enriches every member. Start Traditions – Traditions are the roots of a family. Generational traditions are the source of strong bonds with our ancestors. These should be cherished, but strong families create their own traditions. Whether it is the menu at the holidays, or even which holidays are celebrated, create your own traditions that your own children can look back on and cherish.
  • 37. 36 Sibling Relationships Being the sibling of someone with ADHD can be challenging. Children with ADHD are often creative, energetic, and always out for a good time. About Health’s ADHD expert, Keath Low, offers some great advice for helping form strong relationships with siblings. Low isn’t far off the mark when she states, “ADHD has an impact on all family members. Living with a brother or sister with ADHD can evoke a wide range of emotions in siblings.” Here are some tips for helping sibling relationships:  Take time out to spend quality time with your non-ADHD child. Let them know they are special and helpful.  Let your child learn about ADHD. Provide age-appropriate materials to help with the learning process. Young children can learn a lot from Katy’s Secret, an ADHD Story.  Teach your child techniques on how to develop a good relationship with their ADHD sibling. Practice role playing to help children learn how to cope. Keep it positive. Use encouragement and kindness when you see siblings getting along. Be there when your child needs to vent.  Keep home life structured. All children flourish when things are predictable. Predictability and ADHD are like oil and water, so it’s much more important that you adhere to routines to keep consistent.  Make sure all siblings follow rules. Rules should remain simple so everyone easily recalls them. Making compensations for an ADHD sibling can cause resentment and feelings of being treated unfairly.  Be patient. If you are constantly on edge and irritated with your ADHD child, their siblings may pick up on this behavior. If they see you helping in a kind and loving way, they will learn the same.  Find a support group. CHADD is a nationally recognized support group for anyone struggling with ADHD. Social media weighs in with a multitude of ways to get
  • 38. 37 support. Communities like ADHD Kids Care provide support for parents and families. Twitter holds its own with blasts about where to get help for ADHD.
  • 39. 38 Play Attention is here to help. Please call us at 800-788-6786 and speak with one of our educational advisors. We can develop a customized program for you that will help develop the skills that can lead to better attention, improved relationships, and a happier, more successful life. Transform you mind. Success awaits. www.playattention.com