Children With ADD: Management

Children With ADD Dubai | Manage Inattentiveness To Help Your Child Reach Potential

Children with ADD Dubai: Your child’s inattentiveness and distractibility can be managed by environmental modifications, not counseling

Children with ADD Dubai: Implications

Implications from the Cognitive Model

Children with ADD Dubai: Barkley pointed out, that therapies should stem from the model of executive functions and self-regulation (Barkley, 1997). Therapy must address weak executive functions like working memory, alertness regulation, and motivation.

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He goes on to add that ADD is an issue of behavioural performance and not skill or knowledge. The individual needs help with doing what they already know when it should be performed and not with giving them more knowledge.

Thus treatments focusing on skill training such as social skills, self-control or cognitive behaviour training will not be successful in aiding the core problems in ADHD.

Skills-training may help an individual who has been deprived of education or socialization and has co-morbidities, as a result, his/her ADD (Brown, 2005). The most useful treatments are those ‘that are in place in natural settings at the point of performance where the desired behaviour is to occur’.

Children With ADD Dubai | http://www.pediatriciandubai.blog/symptoms-of-adhd-in-children-dubai/children-with-add-dubai/ Manage Inattentiveness To Help Your Child Reach Potential

Children With ADD Dubai

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Clinic delivered treatments like play therapy or counseling are not likely to reduce ADHD core symptoms because the knowledge is not the issue (Barkley, 1997).

Hence, external prompts, cues, reminders, for example:

  • Posters
  • Listed rules
  • Reducing high appealing dis-tractors

Make the environment more supportive to executive function skills.

Executive function (EF) problems result in time blindness too. For example, if the time between when an instruction is given and when the task is to be completed is too long, then the chances of success actually decrease.

  • Reduction of the time gap between instruction and task.
  • More external sources of behavioural motivation are important.
  • When the gaps cannot be eliminated then the sense of the passage of time needs to be externalized for example through a timer.
  • A component of the EF model deals with self-regulation, motivation, and arousal.
  • Inner sources of motivation that are weak need to be improved with immediate rewards.

Implications from the Medical Model

The implication of ADD being an organic disorder and not one of learned behaviour or faulty parenting (Mash & Barkely, 1989) leads to the attitude of those surrounding the person. The attitude of compassion, accommodation, and acceptance needs to replace criticism, censure and derogatory judgments of their moral worth.

To read more about the Cognitive and Medical Model please click here

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Children with ADD Dubai: Treatment ADD – Options

Treatment options have altered according to the understanding of the disorder through the decades. Controversy on which is the best are hotly debated.

Several therapies abound and include taking Omega-3 (Adams, 1972), Feingold diet (Feingold, 1975), retraining the brain through cognitive rehabilitation (Klingberg, et al.), behaviour modification (National Institute of Mental Health, 1999) counselling (Bennett, et al. 1996), social skills training ( Spence, 2003) and psychotherapy(Hinshaw, Henker & Whalen1984).

Nonetheless, the newer understanding of ADD determines that certain behavioural therapies, educational adaptations, and pharmacotherapy are the mainstay of its management (Brown, 2005). Goldstein (Goldstein et al., 1995) advocates a multidisciplinary and multimodal therapy for ADHD that last a long time.

Of these, the most effective evidence-based interventions are medication and the use of behavioural techniques.

The American Academy of Paediatrics asserts in their ‘Treatment Guidelines for Attention Deficit Hyperactivity Disorder’ that psychological interventions should be used alongside any prescribed medication.

Children With ADD Dubai | http://www.pediatriciandubai.blog/symptoms-of-adhd-in-children-dubai/children-with-add-dubai/ Manage Inattentiveness To Help Your Child Reach Potential

Dr. Rajeshree Singhania

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Children With ADD: Management was last modified: February 13th, 2018 by Wilma Gervacio

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