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Showing posts with label ADD. Show all posts
Showing posts with label ADD. Show all posts

Wednesday, August 11, 2010

Child Discipline

Let me start with a disclaimer. I am not a child expert, nor a parenting expert. The things that I share on this blog are intended to be helpful and the reader has the responsibility to apply what they find useful and ignore the rest. With that said, I want to share with you an experience I had years ago with my AD/HD daughter. Beckie was a very active girl with a lot of energy. With her sensory processing issues, she exhibited low body awareness and regulation was a challenge for her. My exuberant, active, and sensory seeking child had trouble sitting through a meal. She wasn't a picky eater, so food aversions were not to blame. She just had a need to move around. A lot. And it didn't matter if we were doing school during the homeschooling day, or if we were having a meal together. That girl had to move. Having been down this path previously with her older brother, I had learned to be more flexible and accommodating. Even so, it's distracting to have a distractible child and it can be disruptive even when that is not the child's intent. I honestly don't believe that Beckie was trying to cause problems, and in fact I don't think she was even aware of her movements sometimes. I would remind her to sit down, and she would look down at her legs with a surprised expression on her face as if to say, "What? I'm up again? How did that happen?" One night during dinner, my sweet Beckie was having more difficulty than usual sitting still. Her father, Scott, decided it was high time Beckie learn to remain seated during the meal. Beckie would promptly sit down as soon as she was reminded, but Scott was getting tired of having to repeatedly request that she return to her chair. After several reminders, Scott decided to kick it up a notch and be firmer with Beckie. The next time Beckie popped up out of her chair, Scott leaned over the table and pointed an index finger at Beckie. Then he used her full name, which every child knows is a serious warning sign. "Rebecca Michelle, you need to SIT DOWN!" At this point, Beckie became very still as she stared at the finger in front of her face. It was so close to her that she went cross eyed. She then looked up at her Father, eyes still crossed, and with amazement in her voice pronounced "Two Daddies!" Totally missing the point, Beckie happily discovered that crossing her eyes made things look interesting and incredibly she was now seeing double with two Daddies in place of one. I was trying so hard not to laugh that I had to leave the room. My husband wasn't far behind me. We looked at each other and Scott said, "Well THAT didn't work!" We continued to work with Beckie on sitting still when it was called for, with the understanding that she needed to mature and eventually would. I was crazy about Beckie, even when her zest for life couldn't be contained. She grew, and was able to sit still when she needed to. Maturation takes time, and refuses to be rushed. We do what we can to promote and facilitate it, and then we get to practice patience. It's so important to keep your sense of humor when you are a teacher and/or parent. Your kids will give you a plethora of opportunities to see the humor even in challenging circumstances.

Tuesday, July 13, 2010

More Tootsie Roll Magic for Executive Functions

When a child is disorganized and distractible, he needs more direct instruction in learning executive function skills. So how do you teach what seems to come naturally to some people? How do you teach a child if you share these struggles with them? Just how many Tootsie Rolls must be doled out before a child learns and generalizes a skill?!?

I recommend the book "Smart But Scattered" by Peg Dawson and Richard Guare. Billed as "The revolutionary Executive Skills approach way to helping kids reach their potential", it is packed with practical ways to identify and address issues related to executive functioning. I found a copy at my library and it is available on Amazon.com as well. As for concerns about too many Tootsie Rolls, I feel your dental pain. Here's the upside with our distractible kids...they love/crave/need variety so the rewards not only can be changed, they should be changed now and then. And if your family is like mine, you do not need more trinkets cluttering up your house. For example, you could use a reward to work toward a larger prize by having two zip-loc bags side by side marked in some way to make them distinctly different. A small set of Legos goes in one bag, with one piece being transferred into the "I did it!" bag with each completed task. You could tape the picture of the completed object on this bag for added motivation. When all the pieces have been transferred the child can make whatever the set was designed to make, or if your child is like my son he can make something completely different! This is also a great way for your child to earn back toys that have not been put away or have been forgotten under the bed or in the bottom of a toy box. In any case, the child is getting rewarded for completing tasks and learning patience while working toward a larger goal or prize. The rewards don't have to be big or expensive, just rewarding. I used to sing the song "I'm proud of you" (from Mr. Roger's Neighborhood) to my kids when they did something well. It cost me nothing and took only a minute, but the children got the acknowledgment they needed. The entire song went like this: “Proud of you, I’m proud of you! I hope that you are proud of you, too.” The song repeats one time and it’s over. To this day, my children remember this song. Since you may not always be physically with your child when she completes a task, try recording a celebratory song on an inexpensive recording device and have her play it for herself when she completes a task. She can keep it in her pocket or you can leave it at the task completion spot. Again, if things tend to get buried or misplaced at your house try using industrial Velcro to keep it in one place. And now...(drum roll)...for the distractible adult here are a couple tips we've tried over the years. First, and only moderately successful but better than nothing, when my easily-distracted husband sets out to do a task I remind him of his goal and loudly hum the theme from Mission Impossible. "You're in, you're out!" I helpfully remind him as he heads out the door. The other tip I've used on those especially scattered, brain fog days is to wear a recording device and tell myself what I need to remember. I record a message, then when I get to the top of the stairs or in another room (yep, it could have evaporated from my brain already) I listen to the message. Usually it's something simple like "I'm going upstairs to get my sewing scissors." Sometimes I throw in an encouraging message like "You're the woman!" just to keep my motivation strong. Check your cell phone for an application that allows you to do voice recordings. That might be a good technology tool for distractible teenagers to use. It's faster than writing things down and we almost always have our cell phones nearby. Plus, cell phones are less likely to be lost than scraps of paper with hastily scrawled notes on them.

Thursday, March 25, 2010

Visual Skills - Beyond Visual Acuity

When a child struggles with school work, one of the first recommendations I make is to have an evaluation completed by a developmental optometrist. A child can have 20/20 vision, which means that her visual acuity is within a normal range. Yet some children with good visual acuity may not have good vision skills for other visual processing tasks. "Eyesight" is not the same as "vision". In my son Josh's case, his eyesight was excellent. But when I had him evaluated by a developmental optometrist at age 6, I found out that he had difficulty with some visual processing tasks. First, the optometrist confirmed for me that Josh was colorblind. I had suspected that, since my brother is also colorblind and I had noticed some indications that Josh might be as well, but the simple test done in the eye doctor's office made it official. Second, and to me this was even more important because I hadn't noticed any indication of difficulty, the doctor was able to assess many aspects of Josh's visual processing abilities and revealed that Josh's eyes were not working optimally to complete vision tasks. Josh was unable to sustain focus at a set distance without quickly fatiguing during the task. I watched the examination with fascination, as the doctor held the stimulus in front of Josh's eyes with the instruction "Tell me when this starts to get fuzzy." After three trials, with Josh's response coming sooner each time, it was clear he was having a hard time with this particular task. I had no idea that Josh was having trouble seeing clearly when items were fairly close to him. This information was hugely important for me to be aware of, since at age 6 Josh was beginning to do more up-close academic work during homeschooling with writing and various workbooks. I had also been spending time each day working with Josh on his reading skills while unbeknownst to me, the words were going out of focus while Josh was just learning to decipher print. Josh, of course, didn't know that what he was experiencing was any different than what others experience so he had no reason to try and tell me what he was going through with the various visual activities we engaged in each day. Josh's visual processing difficulty was significant, though fairly mild when compared to some of the visual processing challenges children can experience. Josh was prescribed glasses to wear only for school tasks requiring close-up work. Within a year, Josh's struggles with vision tasks had resolved and he no longer needed glasses. Other students who struggle with visual processing skills may need to practice exercises designed to help them develop their vision so that both eyes are working together efficiently. If a child has undiagnosed vision problems, he may present as inattentive, hyperactive, fidgety, unmotivated, and more. Think about it. If you are trying to read and the letters appear to be wiggling around on the page or go out of focus while you are trying to decode them, you might become a reluctant learner. Some of our children don't stay in their seats and seem to have a short attention span, which makes perfect sense if we are asking them to do something that is beyond challenging for them. Yet they don't realize that their experience is different than others' so they have no way of telling us what is going on with their vision. Would you enjoy reading if you couldn't sustain visual tracking across a line of print and instead picked up words above and below what you were trying to read? If reading is that difficult, it is not pleasurable and someone who experiences those types of vision challenges is not likely to choose to read for enjoyment and may become quite resistant for tasks that prove so frustrating time and time again. Some of our students do not do well with academic tasks, and it's important to be aware that they may be capable of understanding the material but struggles with vision may hinder them. A developmental optometrist can do a full battery of tests and provide precise information on what vision struggles, if any, are impacting a child's ability to function in accordance with her ability. They can offer treatment suggestions and strategies to address any areas of deficits in the visual realm. Heads Up offers two books that are packed with ideas for working on vision skills at home for additional practice. Seeing Clearly offers checklists and activities to help children and even adults improve visual skills. Developing Your Child for Success offers information and activities for young children (beginning around age 4 years) to work on vision skills needed for reading, writing, eye-hand coordination and more. I never would have known just by looking at Josh that he had any difficulty with his vision. I could easily have drawn the wrong conclusion about him and lowered my expectations as a result. I am so grateful that I had him evaluated and that his vision problem was identified and treated. Josh had several other learning challenges, but at least we could eliminate one of the many hurdles in his path.

Saturday, September 19, 2009

To Tell, or Not to Tell?


I've met many parents who are pretty sure their child has AD/HD or some other learning challenge but they are hesitant to make it official by having their child evaluated and diagnosed. The fear that a label may limit their child, be inaccurate, or be used in discriminatory ways is valid. When my son, Josh, was approaching school age I thought about the advantages of private schools with smaller class sizes. Several people suggested that I go ahead and enroll him without telling the school personnel about his AD/HD diagnosis so they couldn't turn him down. That was before we knew he also had an auditory processing disorder. I was assured that once he was enrolled in the school, they couldn't kick him out just because he had a diagnosis and they would be forced to work with him. Wow! For one thing, Josh was pretty easy to pick out of a group as being different than his peers. I'd give it 5 minutes tops before things became unavoidably noticeable. So basically I would have had to keep him out of sight until school had officially started. Then there was the whole idea of the people he would be spending hours with each day being tricked into having a student that they weren't prepared for and apparently didn't feel equipped to deal with in their classroom. That made me feel sorry for Josh and for the teachers, since having someone who was "forced" to work with my child because I had hidden some vital information from them just didn't sit well with me. I loved that boy, and the thought of sending him somewhere that he might not be wanted didn't make sense to me. I had the same dilemma when it came time for Sunday School at church. I didn't want to bias the teachers against Josh by telling them all his struggles, so I coached him on the way there and dropped him off like all the other parents with their children. The Sunday School teachers, bless them all, are volunteers in the church and most don't have training as educators - and for most kids that's just fine. But to do the "drop and run" with a special needs or challenging child is not a good idea, as I came to realize. Every week, the other parents would pick up their children and happily leave. When I came to pick up Josh, I inevitably got pulled to the side and told, "I need to talk to you about Josh." Then I heard, week after week, a full litany of complaints from frustrated and bewildered teachers who were describing things that were not unusual for Josh but were not typical for most children. For example, Josh was not adept at sitting still for long. He was not deliberately disruptive and was never disrespectful, but his need to stand at the table while coloring his page instead of sitting in a chair like everyone else was considered problematic. His sensory issues led him to sit at the back of the group on his carpet square, and everyone else was huddled together and bumping into each other which Josh was carefully trying to avoid. But that meant he wasn't "with" the group because he had made a row of one - just himself! And the list would go on and on until I was finally allowed to leave with my miserable son who knew that somehow just by being who he was he had screwed up again and people were unhappy with him. Those experiences led me to advocate more and be preemptive with anyone I left Josh with for any length of time. When there was a sub or a new Sunday School teacher, I made a point of telling them a bit about Josh and strategies that would help them, and I was careful not to dwell on the negatives. I shared Josh's strengths, too, for I found that if I became negative about my son others felt free to share every little thing they saw as being wrong or weird about him. I was well aware of Josh's struggles and it served no purpose other than to discourage me when others felt the need to complain about him. All this, and he wasn't even doing anything "bad" on purpose! When someone was going on and on about all the things Josh did or did not do, I learned to quietly point out something that he had done right, or I'd share something that Josh had enjoyed learning in their class previously. This seemed to derail some of the negativity some of the time. Just as with our kids, nothing works all of the time but something will work some of the time. We need strategies for working with those who are in a position to care for our children, and hope that something will work some of the time. Whether you are a natural advocate or a reluctant one, if you have a child with a learning difference or special challenges, you must be an advocate unless and until your child one day develops the skills to advocate for himself. In my experience, being deliberate in my advocacy was hard but preferable to what happened when I just waited and hoped things would work out for the best.

Thursday, September 17, 2009

Making the Most of Your Time

“There is an appointed time for everything. And there is a time for every event under heaven.” Ecclesiastes 3:1 (NASB)

When you are homeschooling a special needs or struggling child, you are not always on the same timeline as others. The curriculum you use needs to be adapted and usually one of the biggest modifications involves time.

Our children with various challenges and differences do not develop at the same rate as those who are typically developing. They need more time to learn skills and retain information. They may mature more slowly and need additional practice and support to progress. My son could take two hours to do an assignment I thought should take twenty minutes, and it was the same way with chores. Other children have medical issues like seizures that can interfere with their ability to remember previously learned skills. They need to re-learn information, and that takes time and makes the rate of progress variable. So given those kinds of situations, how can we make the most of our time and be good stewards of that resource?

One lesson I learned about my use of time was that I really needed to focus on my goals for each of my children. Once the goals were in the forefront of my mind, it was easier to eliminate things that were not conducive to helping achieve those goals. When everything is treated as being equally important, there is no priority and the important issues may get pushed aside by lesser matters.

With my son, Josh, it became clear that he was not going to be able to do many different subjects in a single day and finish all of his work. Although he didn’t need as much sleep as I did in those early years, I didn’t want him spending all day and then the evening trying to get his schoolwork done, struggling all the while. I homeschool for many reasons, including helping my children develop a love for learning. Spending too many hours on school tasks seems like a good way to achieve burnout for all of us. My husband and I agreed to focus on the basics with Josh, and limit the amount of time spent on highly structured learning tasks.

I had to pare down my long list of what I would like to do and instead think realistically about what I could do each school day. Because Josh and his sister, Beckie, had learning challenges I had to eliminate some of the supplemental material I had originally planned on and limit the work to the core essentials of their education.

In addition to recognizing the best way to invest our time, we need to try to teach our children to make the most of their time. Many kids live in the moment, which is a perspective that has blessings of its own. Without losing that ability to fully experience life as it happens, we need to gently guide our children to consider future events and plan for them in a thoughtful manner. This does not come naturally for most children, and there may need to be consequences that occur as part of the learning process.

Here is an example from the Boring family homeschool: I have a lesson planned and go over it with the kids. They start goofing around, are not working on their assignment even though they know what is expected and are capable of completing the work. I do not mind spending more time on a lesson if my children do not understand something. However, when it is clearly a matter of choice and they are choosing to be silly, they are wasting their time and mine and there will be consequences. I think that the children should experience the consequence of their poor decisions so that hopefully they will make better choices next time.

With that goal in mind, we started “homeschool homework” when the children were wasting time. I would set a time limit for a certain assignment, and if they did not complete it within that period, they had homework with Dad when he got home. This kept them accountable to Dad, and kept them from more play time until their homework was done. This worked well for us since my husband did not have to plan or teach the lesson but could just follow-through with what I had assigned.

Making the most of our time will be manifested differently for each of our families. We all have limitations and demands on our time. Finding balance, remembering our goals, and investing time in our children will allow us to experience the satisfaction of time well spent.


Friday, September 04, 2009

ADHD Friendly Sock Boxes

My daughter, Beckie, has a sock problem. She is disorganized and tends to have her things strewn about the house and can't seem to find socks that match. The two most common outcomes are:
1. She wears the first two socks she finds, which usually don't match, and it gives her a clownish look.
2. She "borrows" socks from my sock drawer which I unhappily notice on her feet later.

In this short video I share with Beckie an AD/HD friendly way to organize and keep track of socks. I hope it is helpful for your family as well!