ADHD FROM A TO Z

Based on Russell Barkleys presentation Jaylene Bettcher

PLAN OF ATTACK!
ADHD simulation activity What is ADHD? Symptoms of ADHD Settings and ADHD Childhood academic impairments Family relations impairments Peer relations impairments School management techniques Take home message

ADHD SIMULATION ACTIVITY

Directions:

Read a small passage Pay attention to: Content and details of passage Feelings (emotional and physiological) Your ability to do the given tasks

ADHD SIMULATION ACTIVITY

John and Mary decided to go shopping. They left their house in Tindale Square and caught the number 47 bus at the end of the road. The bus drove up Tindale Square and turned left into Parkinson Street. It then took the second right turning into the High Street and then turned first left into Raybourne Drive. John and Mary got off the bus at the third stop in Raybourned Drive which was just 50 yards from the supermarket. They went into the supermarket and bought one bag of sugar, two loaves of bread and a plastic bottle containing 4 pints of milk.

ADHD SIMULATION ACTIVITY

John and Mary decided to go shopping. They left their house in Tindale Square and caught the number 47 bus at the end of the road. The bus drove up Tindale Square and turned left into Parkinson Street. It then took the second right turning into the High Street and then turned first left into Raybourne Drive. John and Mary got off the bus at the third stop in Raybourned Drive which was just 50 yards from the supermarket. They went into the supermarket and bought one bag of sugar, two loaves of bread and a plastic bottle containing 4 pints of milk.

ADHD SIMULATION ACTIVITY

John and Mary decided to go shopping. They left their house in Tindale Square and caught the number 47 bus at the end of the road. The bus drove up Tindale Square and turned left into Parkinson Street. It then took the second right turning into the High Street and then turned first left into Raybourne Drive. John and Mary got off the bus at the third stop in Raybourned Drive which was just 50 yards from the supermarket. They went into the supermarket and bought one bag of sugar, two loaves of bread and a plastic bottle containing 4 pints of milk.

ADHD SIMULATION ACTIVITY

John and Mary decided to go shopping. They left their house in Tindale Square and caught the number 47 bus at the end of the road. The bus drove up Tindale Square and turned left into Parkinson Street. It then took the second right turning into the High Street and then turned first left into Raybourne Drive. John and Mary got off the bus at the third stop in Raybourned Drive which was just 50 yards from the supermarket. They went into the supermarket and bought one bag of sugar, two loaves of bread and a plastic bottle containing 4 pints of milk.

ADHD SIMULATION ACTIVITY

John and Mary decided to go shopping. They left their house in Tindale Square and caught the number 47 bus at the end of the road. The bus drove up Tindale Square and turned left into Parkinson Street. It then took the second right turning into the High Street and then turned first left into Raybourne Drive. John and Mary got off the bus at the third stop in Raybourned Drive which was just 50 yards from the supermarket. They went into the supermarket and bought one bag of sugar, two loaves of bread and a plastic bottle containing 4 pints of milk.

QUESTIONS

1. Who decided to go shopping?

A: John and Peter B: John and Mary C: Jane and Mary

2. What was their bus number?

44 57 47

QUESTIONS CONT.

How many bags of sugar did they buy?

A: one B: two C: four

The bus turned left from Tindale Square into?

A: Parkinson street B: Raybourne street C: The High street

DISCUSSION
Who got all of the questions right? Were you able to stay focused

Why or why not?

What emotions did you experience? What physiological symptoms did you experience?

WHAT IS ADHD?
neurobehavioural disorder characterized by problems with attention, impulsivity, hyperactivity, and self-regulation 3 years behind in neuro maturation 7-8% of children (using DSM-IV) 3 to 4 million children in the USA 3:1 males to females in children

One

of the most debilitating outpatient pyschiatric disorders

SYMPTOMS OF ADHD

Age inappropriate hyperactivity-impulsivity Impaired verbal and motor inhibition Impulsive decision making; cannot wait or defer gratification Greater disregard of future (delayed) consequences Emotionally impulsive; poor emotional self-regulation

SYMPTOMS OF ADHD (CONT.)

Age

inappropriate inattention Poor persistence toward goals or tasks Greater reactivity to distractions Difficulties re-engaging in an incomplete task following a disruption Impaired working memory

ADHD VARIES BY SETTING

Better here: Fun Immediate Frequent Early Supervised One-to one Novelty Fathers Worse here: Boring Delayed Consequences Infrequent Feedback Late in the Day Unsupervised Group situations Familiarity Mothers

CHILDHOOD ACADEMIC IMPAIRMENTS

Poor school performance Greater inattention to classwork Reduced productivity hyperactive & disruptive behaviour Low academic achievement Learning disabilities (24-70%) Impact of ADHD on working memory

FAMILY RELATIONS IMPAIRMENTS

Increased parent-child conflict & stress

More child noncompliance, hostility, disruption Greater parental commands, hostility, reduced responsiveness Poorer sense of competence in parental roles Greater parenting stress and maternal depression Higher rates of parental divorce and earlier divorce

PEER RELATIONSHIP IMPAIRMENTS

Peer relationship problems (50-70%) Less sharing, cooperation, turn-taking More directive of others, more off-task during interactive play More intrusive, verbally impulsive, emotional Greater reactive anger and aggression (higher rates of peer rejection) Reduced empathy and guilt

SCHOOL MANAGEMENT
Greater rewards and positive emotions Visualizing and talking about future rewards before and during demanding tasks First-then schedule Externalize time and time periods related to tasks (make time physical) Use participatory teaching methods Routine physical exercise

SCHOOL MANAGEMENT (CONT.)

Daily behaviour report card

Subjects Circle time participation Performs goals Follows class rules Gets along with peers Teachers initials 1 2 3 4 5 6

TAKE HOME MESSAGE

ADHD

is considered one of the most debilitating outpatient psychiatric disorders ADHD is among the most treatable disorders (behaviour management and medication) Interventions need to be started early, sustained across development, and target more domains than merely education