Friday, June 24, 2011

Parenting Children with ADHD, Autism & Learning Disabilities


Adhd-in-children-executive-function

How many times have you watched a person park in a handicapped spot and watched them get out of the car and walk away with no apparent difficulty? And didn’t you wonder why on earth they needed to park in a spot that might be needed for someone in a wheelchair? Well, many people have heart and respiratory and other conditions that limit their ability to walk distances. We just can’t see the problem.

The same situation exists in children with any type of learning disability. The problem is not obvious. It is very real however, and can interfere with performance at school. That sometimes makes it hard to accept and understand. One of the biggest issues is that of executive functioning.

Executive Function

Essentially it is a set of mental processes which help children connect past experience with present action. These brain functions allow us to make plans, keep track of time, finish work, ask for help, wait our turn, engage in meaningful discussions and research information as needed. Without these capabilities, children are likely to be unable to interact appropriately in school and complete required schoolwork. Child development skills such as executive functioning can emerge over time and in varying degrees with some children.

Children with ADHD and autism spectrum disorder typically present with executive functioning issues. Until recently, it was assumed that inattention was the key problem in children with ADHD. It is now believed that ADHD is actually an executive function disorder. While it is true that all children will struggle with these skills at some point or another, children with ADHD and ASD have chronic problems with executive functioning.

In order to help a child improve their executive functioning skills, it is important to understand the specific components and why they are necessary for good school performance. These components have overlapping characteristics because of multifunctional componets. When all the skills are present, they work together to produce a desired outcome.

Here is a basic list of executive skills and their definitions:

Impulse Control – the ability to stop and think before acting
Flexibility – the ability to alter or revise strategies when circumstances change
Working Memory – the ability to retain information and use it to complete a task
Planning & Setting Priorities – the ability to determine what goal to focus on and what steps it will take to attain
Self-monitoring – the ability to assess your performance
Emotional Control – the ability to control feelings by focusing on goal
Task Initiation – the ability to start a task when necessary and not procrastinate
Organization – the ability to create and maintain methods of tracking materials and information

Executive-function-in_children-adhd-learning-disability
This group of skills works collectively to help your child interact appropriately, process information, and learn.  When one or more is deficient, learning problems arise. If you read descriptions of children with ADHD and other learning disorders, they are often cited as lazy, forgetful, disorganized, unable to complete assignments, prone to outbursts and prone to impulsivity. They may not start homework or complete it, may be disruptive in class or may be combative with peers. They can be sensitive to criticism, unyielding and defensive. All these traits are associated with poor executive functioning.

Now that you have an idea of how this problem manifests itself in your child, you can try some strategies to help your child improve. It all boils down to management. Good management yields productivity in the business world. The same is true when applied to your child. Understanding and patience is also necessary. It is easy to get exasperated when you don’t understand why your child doesn’t “get it”.

 

  1. One of the best things you can do is break tasks into manageable steps. It is easy for a child to give up when they believe the goal is beyond their ability to achieve. Make each step an easy success by keeping short and attainable.
  2. Use visual and audio aids to reinforce the task. If a child has difficulty with tasks such as getting dressed, post a visual schedule of dressing steps. Written instruction should accompany all oral instruction.
  3. Give your child breaks between activities and ample time to adjust to a new activity prior to starting.
  4. Keep a consistent schedule as much as possible. Maintain the same bedtime. Schedule homework to be done at a specific time and keep to it. You can split homework assignments so there is a substantial break in between if they have trouble staying on task.
  5. Keep activity charts and post them where they can be easily viewed.
  6. Reduce all distractions. Give one thing at a time and keep all other tasks out of line of vision.
  7. Label everything your child needs for their schoolwork and for home workspace. Have a specific spot for each item.
  8. Review homework assignments and maintain a checklist. Have your child check each assignment as it is completed.
  9. Keep open communication with your child’s teacher and get regular feedback.

 


Keep in mind, many brilliant people have experienced these problems, such as, Albert Einstein, and that executive skill problems is not an indication of level of intelligence.

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