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My child has ADHD. How do handle it?

My child has ADHD. How do handle it?

What is ADD or ADHD?


          ADD stands for attention deficit syndrome or attention deficit disorder. Children with ADHD are also hyperactive. In English-speaking countries, this phenomenon is called ADD or ADHD (Attention Deficit (Hyperactivity) Disorder). The World Health Organization (WHO) rates ADHD as "behavioral and emotional disorders beginning in childhood and adolescence". Most scientists believe this is a brain metabolism disorder. There are also children who show hyperactivity and other typical ADD symptoms for other reasons. ADS is not a new phenomenon: Already in the 19th century, the ADS syndrome, which was not yet called that way, has been described by scientists. Even 150 years after the publication of the "Fidget Philip" reminds some mothers and some fathers of their own children.

Is ADHD a disease?

         There can be no clear answer to this question, as there are very different types of ADS: some people are easily affected and get along more or less well with their predisposition. They certainly would not call ADS a disease, but rather a different way of seeing and responding to the world. Other people are severely affected, suffer significantly and need help. In this case, ADS has disease value. ADS would not make you sick if society accepted these people as they are and adjusted to their specifics. Since this is not the case, it is up to the ADD sufferers themselves as well as those who care for children with ADD, to make life with ADS as pleasant as possible.


Most ADDs are associated with hyperactivity. These behaviors are signs of hyperactivity and increased impulsivity:

The child;·       

  • is constantly on the move and acts "as if driven"·       
  • can barely hold himself on a chair, slip on it or fall over with it·       
  • often wriggles with hands and feet·       
  • running around and climbing in inappropriate situations can rarely deal with a thing quietly·       
  • often talks like pulled up·       
  • others often interrupts speaking and / or otherwise interferes·       
  • is strikingly impatient·       
  • often acts without thinking 

Children with ADD are remarkably unfocused. Typical behaviors for inattention are:·       

  • The child does not pay attention to details or makes many careless mistakes ·       
  • Often it does not make it easy to stay focused on tasks and games often does not seem to listen when others talk to him ·       
  • has difficulty completing orders ·       
  • has problems organizing tasks ·       
  • is reluctant to deal with things that require prolonged mental effort ·       
  • often less and forgets things can keep bad order is easy to distract 

In addition, the following conditions must be met for the "ADS with or without hyperactivity" diagnosis: ·       

  • The behavior has been occurring for at least six months.·       
  • The child shows the symptoms before the age of seven·       
  • The symptoms occur in different areas of life (family, leisure, school).·       
  • The child has difficulties in the social and educational field.·       

The symptoms cannot be better explained by another disorder or illness. Ads is not ads·       

ADS occurs in different forms. The American Diagnostic and Statistical Manual of Psychiatric Disorders (DSM IV) describes three subtypes of attention deficit / hyperactivity disorder:
Attention deficit / hyperactivity disorder, predominantly hyperactive-impulsive type; Attention deficit / hyperactivity disorder, predominantly inattentive type; Attention deficit / hyperactivity disorder, combined typeChildren who are predominantly inattentive usually do not show the motor restlessness typical of hyperactivity. ADHD without hyperactivity ("hypo activity", "dreamer variant") usually becomes a problem only at school when affected children become aware of increasing concentration problems. They seem to have a hard time memorizing, reading, writing and calculating slowly and often seem absent-minded.DiagnosisAn ADS diagnosis is always an exclusion diagnosis. The exclusion of other causes and the sum of many individual observations over a longer period of time increase the likelihood that ADS is present. ADS cannot be proven by a blood test, an EEG or any other medical or psychological test. "AD / HS is a medical diagnosis. But currently it cannot be proven by any medical test. "Nothing has changed to this day.
Root cause For unknown reasons ADS should lead to poor circulation in certain brain areas. This has the consequence that responsible for the transmission of stimuli messenger substances (dopamine, norepinephrine, and serotonin) are released in insufficient amount and / or degraded too quickly. Above all, the signal transmission from the frontal brain to lower-lying brain structures seems to be disturbed. In addition, it is believed that the motor disquiet of hyperactive children is an attempt to stimulate the circulation and to balance the messenger metabolism. However, what is the cause and what is the effect is unclear: Perhaps the measurable processes in the brain are not the cause, but the result of psychic processes.Treatment The best results can be achieved through a combination of different therapeutic measures.

Depending on the age of the child and the nature and characteristics of the ADS come ea. in question: ·       

  • Psychotherapy (behavioral therapy, family therapy)·       
  • parent training·       
  • occupational Therapy·       
  • Learning therapy (with LRS / dyslexia or dyscalculia)·       
  • Speech therapy (with linguistic development delays)·       
  • medication

Treatment with stimulants In Germany, psych stimulants were first used in the 1970s for the treatment of hyperkinetic syndrome (HKS). For a number of years, the media has been reporting a lot about Ritalin and related medications (Medicine, Equity), but not everything is true.

True is:·       

  • Ritalin does not cure ADD / ADHD.·       
  • Ritalin is not a sedative.·       
  • Ritalin is not a drug for difficult, habitual behavior.·       
  • Ritalin cannot teach a person social or emotional skills.·       
  • Ritalin is not a means for better grades, motivation, talent or intelligence.·       
  • Ritalin is not physically dependent when taken orally in the usual dosage. ·       

If Ritalin works, it does not prove that ADD / ADHD is present.Ritalin has a stimulating effect. The active ingredient methylphenidate stimulates blood circulation in the brain. About 80 percent of those treated with stimulants will be calmer and will be able to concentrate better. The motor restlessness decreases, the impulsiveness decreases and the concentration range increases. In many cases, the fine motor skills improve, resulting in a better handwriting. However, these behavioral changes are not permanent: once the body has broken down the medication, the child is just as unfocused and / or restless as before. Drug treatment of attention deficit syndrome should therefore always be accompanied by therapeutic offers. Any medication that works also has undesirable effects. The most common side effects of stimulants are loss of appetite and insomnia.

Some parents report that their child seems to be no longer interested in anything and that creativity and self-image suffer. High dosages can increase nervousness, heartbeat, and headache. Serious damage has not yet been detected. However, studies on the long-term effects of stimulants are still pending.           

The administration of stimulants for behavioral problems is frequently discussed controversially. In some cases, it seems appropriate to facilitate the life of the child and their social environment through medication. On the other hand, there are cases where it is prescribed too fast and without additional therapies. First and foremost, therefore, should be comprehensive diagnostics, including psychosocial factors. What else can it be? The symptoms described above need not be ADS-related.

Other causes can be: ·       

  • The behavior is age-appropriate.·       
  • The kid is just lively.·       
  • academic under-demand / giftedness·       
  • school overload / lack of intelligence·       
  • mental disabilities·       
  • lack of sleep·       
  • lack of exercise·       
  • Vision and hearing disorders·       
  • cognitive disorders·       
  • emotional stress (depression, fears)·       
  • Neglect / maltreatment·       
  • Drug or drug abuse·       
  • Malnutrition·       
  • worm infestation·       
  • eczema·       
  • Hyperthyroidism·       
  • Fetal Alcohol Syndrome (FAS)·       
  • Restless legs syndrome·       
  • Brain damage (traumatic brain injury, encephalitis)·       
  • Autism·       
  • Epilepsy·       
  • Schizophrenia·       
  • Mania·       
  • Borderline Personality Disorder·       
  • Posttraumatic stress disorder  

A lively and lively child does not have to be hyperactive right away. But it could be a signal, because hyperactivity and ADHD are usually related.A alive and lively child does not have to be hyperactive right away. But it could be a signal because hyperactivity and attention deficit disorders are usually related. In addition to the "Fidget Philipp", the hyperactive-impulsive form, there is also the form in which the attention disorder is stronger. It is more common in girls and is known as a "dream girl". Are you familiar with these signs? We have five tips that structure and facilitate your child's everyday life:

  1. 1. Reward system for good behavior  Think of a reward system for your child. Whenever it behaves correctly, it gets a reward point. The system is particularly suitable for tasks and requirements that are really difficult for your child. Do not want to go to bed in the evening? There is only one point if bedtime works without friction. Coloring pages are great for implementing the reward system. Use our numbers mandalas, animals on the farm or the funny caterpillar. These templates can be painted or pasted well in sections. This makes your child's progress visible. Show your child immediately that you are satisfied with him. Paint or glue the reward picture together. Arrange reward stages with your child, for example in steps of four. If your child has four points, read him an extra bedtime story. If it has eight points, it gets an ice cream and so on. Best rewarded children under three years, for example, with extra playing time. 
  2. 2. Protect your child from overstimulation Avoid too many trips, acquaintances and friendships or afternoon activities with many new impressions. Instead, let your child play alone in the sandbox or tinker with him. Limit your child's daily TV viewing to 20 to 30 minutes. 
  3. 3. Does your child have an anger or tantrum...Bring it to your room without a word. When it calms down, it comes out by itself. Still kill it now, send it back. Do not respond to slammed doors. Do not scold it if possible. Praise it for all situations that work smoothly when it's off.
  4. 4. Movement Make sure that your child can live out his urge to move in his room. Elements on the bed for sliding and climbing are optimal. If you exhaust yourself correctly, you can calm down faster. Romping at bedtime is taboo. 
  5. 5. Sports Your child should do sports regularly. Species that promote the feeling of body are particularly well suited, such as dancing, judo and horseback riding. You want to test if your child may have AD (H) S? Here you will find a checklist.  Keywords: attention disorder, ADHD, child, hyperactivity, school problems 

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