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Monday 24 February 2014

ADHD: Some questions and answers

ADHD
What is ADHD? How would I know if I have it or if someone I know has it?
The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) is a manual used by clinicians and researchers to diagnose and classify mental disorders. In the DSM5 the ADHD diagnosis has been revised to include adults. As research shows that although ADHD usually begins in childhood, it can very likely continue into adulthood for some people.
            ADHD is characterized by behaviors that exist across environments. For instance, someone will have the same performance issues at home, school, work or social settings. ADHD is divided into the two categories of inattention and hyperactivity and impulsivity. In order to receive a diagnosis of ADHD, children must have at least six symptoms from either (or both) the inattention group of criteria and the hyperactivity/impulsivity criteria, while older adolescents and adults (over age 17 years) must present with five. Examples of the symptoms in the inattention category are: often fails to give close attention to detail or makes careless mistakes in schoolwork, work or other activities, often has difficulty sustaining attention in tasks or play activities, often loses things necessary for tasks or activities, or is often forgetful or easily distracted. Likewise, an example of symptoms in the hyperactivity/impulsivity category are: often fidgets with hands or feet or squirms in seat, often talks excessively, is often “on the go” or often acts as if “driven by a motor”. The impulsivity can be seen in symptoms such as often has difficulty waiting turn or interrupts or intrudes on others.
It is essential for a childhood diagnosis that their symptoms were present before the age of 12 and have existed for over six months.
Ok, so now you know some of the signs and symptoms, what can you do if you think you have ADHD or someone you know has it?
 It has become more complicated in Quebec to receive a diagnosis of ADHD than simply going to see your family doctor. CADDRA or the Canadian ADHD Resource Alliance has detailed and interesting information on ADHD diagnosis and treatment.  A psychologist or psychiatrist can diagnosis ADHD using a variety of assessments that often includes questions for other family members and possibly teachers. Any assessment process should be professionally delivered, detailed and thorough. It will take several hours and culminate in a detailed report of assessment scores, qualitative analysis and suggested treatments.
ADHD can be treated with medication but is best treated with a combination of medication and psychotherapy and learning behavioral strategies. THese can also significantly improve an ADHD person’s abilities to function at home and outside home.
I’m sure there are many other questions about ADHD, symptoms, diagnosis, treatment and long-term strategies. Please send them to me and I will try to answer them.

http://www.attentiondeficit-info.com

Friday 14 February 2014

Hello. Let's begin with a little about Adolescence.


Hey Everyone:
This blog, All In The Family, will take a look at relationships, parenting, stress, mental health, the struggles and triumphs in our lives, how to understand and find professional help and more. It will address concerns relating to all areas of family and personal life. Your input and suggestions will direct the topics of the blog. So, please write in with your questions and concerns today. No question is too big or too small, right or wrong. GO for it!!
To begin this blog series, lets look at Adolescence. Teenagers. The good, the bad and everything in between, which is pretty much all of it. Adolescence is the developmental stage between childhood and adulthood, and generally defined in research as the ages between 12-24.Yes, research has found that the brain is not fully developed until 24 years old.  It is a very dynamic period of life for the adolescent (and everyone around them). What is “normal” adolescent behavior and what is not? This is the question most parents of teenagers want answered. Some parents feel that they know what is “normal” or appropriate based on their own experiences during adolescence. Guess what? Your experience is generally not a good baseline for “normal” today.
Why Not, you ask? Well, to begin with a lot has changed in our environment from your adolescent years. The Internet, cell phones, and social media to name a few.  Secondly, you are not your child and you are not the same as your parents. So the chances that your child will behave the same way as you did, is unrealistic.
            Many of us have raised our children in an overly protective parenting style. This can be referred to ask Parenting to Protect. We like to know where they are, whom they are with and what they are doing and when they will be back. No mysteries, no surprises.  We have tried to reduce our own stress levels keeping our kids close, well supervised and generally under our control.
Well, along comes adolescence and our children begin to want to make some of their own decisions. WHAT?? Questions such as: When can I stay home alone, walk through the neighborhood by myself, hang out at a friend’s house without a parent being home, go to the mall with friends, send shivers of uncertainty and doubt through parents.
Although we must have known that this day would come, some parents fear they have not prepared their adolescent for all the scenarios that may befall them when they are on their own. Instead of allowing these budding adults to “give it a try”, our fears take over and we pull in the reigns. Conflict arises.
How can our adolescents prepare for adulthood unless their parents are willing to start allowing them the room to experience, fail, learn and try again, while we as parents learn understanding, forgiveness and compassion. In the adolescent stage, children need their parents to switch from the Parenting to Protect style to the Parenting to Launch style of parenting. This does not mean the adolescent should have no rules or carte blanche but rather a little more freedom, trust and ability to try things in their own way. Each person is unique, each family has its own rules and boundaries. How can a family work together to ensure this parenting shift involves more respect, less conflict and more compromise?

Please share what has worked or not worked for your family? Your teen?
*** Jean