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Showing posts with label AD/HD. Show all posts
Showing posts with label AD/HD. Show all posts

Friday, May 11, 2012

On The Road Again
















This is the time of year when I do the most traveling to conferences and conventions.  This weekend I will be at the CHAP conference with Pennsylvania home educators.  This has always been a busy conference with the opportunity to see some familiar faces and meet new people.  This year I am accompanied by my husband, Scott, and two of our three children.   

Since my son, Josh, has been the inspiration and field tester for many of the ideas and strategies I’ve tried over the years I am always happy when he attends conferences with me so attendees can speak to him and gain access to a struggling student’s perspective.  My daughter, Beckie, has likewise tried out most of the products that Heads Up carries.  I have grown in my understanding and knowledge of learning challenges over the years and I am thrilled when I can help others as they try to make decisions to help their own children.  I have been around the block (on my knees in desperate prayer at times) as a Mom seeking help and answers.  Even so, I think it can be very encouraging for people to talk to Josh and Beckie about their personal challenges with Attention Deficit Hyperactivity Disorder, Auditory Processing Disorders, Sensory Processing Disorders, and homeschooling with a Mom whose learning style is very different from theirs. 

Josh and Beckie are the true experts, because they live with the challenges and understand the struggles and feelings students may face.  They can share firsthand what did and did not help them, and in many cases what they were thinking when they engaged in some quirky behavior or other.  You could ask me for my thoughts on why your child engages in a certain behavior, and I could give you my theories based on years of personal experience and similar situations I’ve encountered as a speech/language pathologist working with children.  You could learn as much or more if you ask Josh the same question and see immediate insight because he remembers what it felt like to be that kid who can’t sit still or pay attention or remember what comes so easily for others.   

You can ask me how I helped my daughter Beckie meet her need for sensory input and I could tell you strategies I used such as suspending a swing in the doorway for her.  Beckie, though, can tell you what swinging does for her and why she seeks it out along with other ways she meets her need for sensory input from a first person perspective.  Scott and I hope and pray to help people we meet in our travels, and Josh and Beckie willingly share their lives to help others who are struggling learners.  If you are attending the CHAP convention this weekend, please take advantage of this opportunity to talk to any of us.

Now, lest you think we have our collective act all together and will be telling you why we are so amazingly successful, let me see if I can readjust your expectations so you will be neither surprised nor disappointed.  We have been traveling to conferences for the past 15 years or so and have NEVER made it to a single destination and back without at least one of us either forgetting or losing something.  Our pre-conference hours are spent like a clutch of chickens running around with their heads cut off.  Seriously, you’d think we’d never prepared for a conference before.  

 Just this morning I asked Beckie if she was packed for our trip, since I had prompted her last night to pack as much as she could in advance. She smiled sweetly and said “Yep!  I’m pretty much all packed except for my clothes.”  

Then she gestured toward the washing machine to let me know where her clothes currently resided, and happily turned and walked away.  Now picture me standing in the middle of my kitchen with my mouth hanging open trying to process how one could be “pretty much packed” without including clothes.  

 There!  Now I think you are ready to meet the real Boring family, unplugged!

-Melinda (AKA Heads Up Mom) 

Tuesday, July 19, 2011

Homeschool Flashback #5 Executive Functions


Ahhh, executive functions. We love them, and when they are lacking we long for them. Children with AD/HD struggle to develop vital executive functions such as organization and planning. Students with learning disabilities and struggling learners (officially identified or not) often have some degree of executive dysfunction.

Any experienced teacher can look at a student's notebook and tell if that student is able to organize and access the information and materials they will need. Intelligence plays a part in academic success, sure, but the organized student typically comes out on top. Executive functions help students to show what they know. If they have completed an assignment but can't locate it the teacher has no way to assess their performance. A very bright student who forgets about an assignment or fails to complete the work even though he has the capacity to do so will be out-performed by an average student with the executive functioning skills to complete tasks accurately and on time.

Children with learning challenges work harder and longer to get results and deficits in executive functioning impact all areas of life, not just the academic realm. Consider, for example, the child who forgets he made plans with one friend and is off with another when the first friend comes calling. Or the child who struggles with time management and is chronically disorganized causing her to be late for practice again because she can't find her mouthguard.

Some children just naturally seem to develop executive functions as they mature. Others need much more direct instruction than our modeling alone provides. In the picture above, you can see the rudiments of Josh's attempt to develop some executive function skills. He has written out the date and the tasks he needs to accomplish each day. He put a check mark next to completed work. Josh's system is far from sophisticated, but it reflects his burgeoning attempts to incorporate some organization into his day.

Is Josh's method acceptable? It wouldn't be what I would choose, but Josh is a unique individual. I had shown Josh various organizers and examples that I would use but he had to find something that worked for him. The picture shows what he came up with, and although there are many things I would do differently the idea was for Josh to find a system that worked for him.

It's too bad executive function skills can't just be absorbed by spending time with people who excel with them. The good news is that executive skills can be taught. It may take awhile, but they are so important that it's worth the investment of time to help your children develop in these areas. Experts say that executive function skills continue to develop into the twenties, but don't wait to start working on them until your child is already floundering. Help your young child to develop strategies to keep track of his possessions. Assist your older children in using calendars and organizational aids. Help your child write a list of what needs to get done for the day. When executive skills don't come naturally, even the most primitive progress is just that - progress.

Friday, September 24, 2010

A Child's Description of AD/HD

This is a page out of Josh's journal. It's a concise entry. He was in middle school at the time, and was taking a composition class with our homeschool support group. The assignment was to tell a little about himself. Except for the final four words, his entire description relates to his AD/HD. Even his initial description of himself as a smart kid is immediately followed by "but"... and goes on to describe some of his ongoing struggles. Josh knew he was smart. He also knew that he was easily distracted and had a hard time completing his work. Even this brief journal entry took him a long time to write due to his distractibility and difficulty with paper and pencil tasks. The handwriting and spelling are not great. But look beyond that for a minute and see the hope peeking through. Josh started by acknowledging his awareness that he is smart, despite his many challenges. He mentions the difficulties matter of factly since they are part of his experience, but they do not entirely define him. It encouraged me to see that Josh realized that I was trying to help him, not "fix" him or change him, but truly help him. With that insight Josh could listen to my suggested strategies knowing that I didn't view him as defective but rather as clearly in need of help. Finally, Josh ended with another positive comment. The exclamation point says a lot. It's not just that he is in karate classes, but he is enthusiastic about karate. So although at first glance this journal entry might appear discouraging, a closer look at the content reveals a healthy balance. Josh knew he had struggles just as he knew he had strengths. This promotes a healthy view of himself, acknowledging his AD/HD while refusing to be defined by it.
It is so important to build up our children in truth, recognizing and pointing out their gifts and strengths. Kids with AD/HD get corrected and directed a lot. They may be very aware of their differences. Others seem oblivious but still need to develop an accurate perception of who they are. Until our children have achieved a realistic perspective of themselves, we need to take advantage of opportunities to help those with learning challenges see the contributions they make in our lives. We need to direct their attention to all the things they do well, even as we are teaching them and redirecting them in their areas of struggle. This developing sense of identity is what you can see emerging when you read Josh's journal entry.

Friday, September 10, 2010

Easy Materials You Make Yourself




I like to give my children a lot of different ways to learn. My two kids with AD/HD are strong visual learners, and their sensory processing challenges lead them to seek out hands-on experiences. So, besides offering them fidget items when the lesson doesn't have manipulatives, I try to find ways that they can see and touch objects as they learn. I also know that my children are externally motivated (not unusual for those who have weak executive functions) and they need frequent reinforcement or reminders to stick with a task. In case I haven't mentioned it before (though I think maybe I have either here or during my workshops) I am also reluctant to spend a lot of money on things I can make myself. Of course I always think I will go to craft shows and then make whatever has grabbed my fancy once I get back home, but I never seem to do that. But with school materials, I sometimes manage to get inspiration from my recycling bin. The picture above shows a simple set of materials that are readily available and can be used for a number of things. It took me about 15 minutes from start to finish to make it.
First, get a cardboard egg carton. Make sure it's clean and no eggs have cracked and leaked in it. I spray mine with Clorox Anywhere Spray to kill any germs. (Disclaimer: Melinda cannot be held responsible for any icky things you pick up from your egg carton. I am not a doctor...blah, blah...) My egg carton had a little circle indented on the bottom of each cup, and I cut around them to make the holes in the middle of each cup. If your carton does not include these handy, preformed circles, you can just cut your own. The circles need to be large enough for a clothespin to fit through but small enough to hold the clothespin in place. Leave the lid on the carton so you can store small materials inside and to provide a base for the clothespin to stand on. There are many ways you can use your newly recycled materials, so I'll just get you started with a few ideas. I'm sure you will be able to come up with more ideas, and I'd love to hear about them.
  • Use the clothespins to practice counting.
  • Practice fine motor skills by having the child place and remove the clothespins
  • Use as reinforcement by putting one clothespin in place for each completed task
  • Use as a motivator by placing clothespins in the carton for each task that needs completed. Remove a clothespin as the work gets done, visually depicting for your child that progress is being made.
  • Paint the clothespins (or use colored popsicle sticks or tongue depressors) to match colors
Making this is easy to make, easy on the budget, and easy on the environment. A winner all around!

Monday, August 16, 2010

Greek Mythology - or is it "miss-ology"?

A few years ago I did a unit on mythology as part of our homeschool curriculum. We learned about Greek mythology as well as mythology that originated in various other parts of the world. Although I found some of the stories to be kind of creepy at times, there's no question that it held the interest of my children. Still, when you have struggling learners even interesting materials tend to be remembered more in general terms than with specific details. My daughter, Beckie, who has AD/HD also has working memory challenges. Allowing her to draw some of the mythological characters helped her to keep them all straight in her mind. She's very creative and artistic, so drawing appealed to her and was a good challenge as she attempted to sketch some very unique creatures. Children with learning differences often struggle to generalize information they have learned. Admittedly, there's not a high need for generalizing information gleaned from Greek mythology so I didn't worry about it too much. I just wanted my children to have a basic understanding and a frame of reference when mythological characters were mentioned in literature and other media. I also taught my children about foreshadowing in literature, so one day when I was reading aloud to Beckie from a non-mythology book I paused and asked her a question about what was read. She made a good prediction about what might happen later on in the story, and I asked her how she figured that out in hopes that she would respond that she recognized the foreshadowing that had just occurred. Instead, Beckie proudly announced, "I'm Cyclops!" I was baffled for a minute, and sat there in stunned silence trying to figure out where that answer came from. Since she does not have one eye in the middle of her forehead and is actually quite lovely, to describe her as "Cyclops" clearly didn't fit. I could not recall that Cyclops were known for recognizing foreshadowing, either. As I rolled possibilities around in my head, an idea struck me and I asked Beckie, "Do you maybe mean 'psychic'?" and she laughed and said that was it. She couldn't recall the term "foreshadowing", so pulled up a word that sort of fit. I love my Beckie for not being afraid to give things her best shot. She's confident and can laugh at herself, even as she boldly attempts to answer questions that she does not have a precise answer for. Let's hear it for all the children like Beckie who try and try again, and who don't let mistakes prevent them from offering their answers and making contributions.

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.

Friday, July 30, 2010

Dressing Up A Sensory Guy

People with sensory issues often have strong clothing preferences. I don't know if this is generally true, but in my experience most men do not enjoy dressing up. The men I know prefer comfortable clothing. They call their attractive dressier outfits "monkey suits" and yank their ties loose at the first opportunity as if their oxygen has been reduced and they need to gasp for air. Now add together "man who prefers comfortable clothes" with "sensory guy" and you'll see the issues faced by my son. A few weeks ago we were getting ready to attend a wedding reception. I informed Josh that he would need to dress up for the event. To Josh, "dress nicely" means wearing jeans without holes. Josh doesn't own a lot of dress clothes for the obvious reasons that he doesn't typically need them and he doesn't like to wear them. I asked my husband, Scott, to help Josh find something nice to wear. They are close to the same size, so sometimes they can share clothing in a pinch. This was a pinch, all right. Scott, who like Josh has AD/HD, didn't spend a lot of time selecting an outfit. He found something that matched and tossed it to Josh to put on. Then Scott was off to do something else. A few minutes later, I found a distressed Josh in my room. He looked truly miserable, although quite handsome. When asked what the problem was, he started describing how uncomfortable his clothes were. The shirt needed to be tucked in, but then wasn't comfortable. The cuffs around the wrist felt odd, but were tolerable. The shirt material was a little scratchy. I tried to tell Josh that it was necessary to dress up for special occasions and he quickly explained that it wasn't dressing up that bothered him. It was being dressed up by someone else. His Dad has made the choices for him, and because Dad doesn't have sensory issues he selected what would work for most men. Josh is the only one who knows how his body feels and responds to clothing, though, so we needed to make some adjustments. A change of pants for a looser fit made tucking in the shirt more comfortable. A belt held things comfortably in place - not too tight, not too loose, but just right. A plain cotton, tagless t-shirt under the dress shirt made Josh much more comfortable. Having the tie a wee bit looser but barely noticeable rounded out the outfit. Josh didn't own any dress shoes and his feet are bigger than Scott's, so he wore his nicest boots and it didn't look too bad. Tomorrow we are going to a wedding, and sensory guy Josh will be dressing himself up again. We bought a pair of dressier shoes (Rockports) that are slip-ons, with a little elastic around the tongue of the shoe for flexibility and comfort. Josh tried on several slip-on style shoes and found that some of the styles bothered him because they did not come up high enough on the back of his heel and he could feel them slipping around. The shoes Josh picked were high enough on his heel and comfortable, so hopefully the sensory guy will be able to relax and enjoy his time at the wedding and reception even though he is in a "monkey suit".

Thursday, July 22, 2010

Pink Teeth / Winners of HOTM Online Conference Tickets

Trying to get a good family picture is challenging. Children aren't big on sitting still and posing in one position. Getting everybody to look in the same direction at the same time seems to be hard enough, let alone have the clothes and hair looking the way you want to remember it. I took my kids to a store where I had a "portrait package" coupon and hoped to get some good shots to frame and share with the grandparents. Since two of my children have AD/HD and sensory processing issues, we went on a weekend so my husband and I could team up to make this memorable photo a reality. Although we usually let our children select their own attire, that day we picked out their clothes so all the items would match and coordinate. Already, we should have realized that the end result wouldn't resemble what we saw on a daily basis, but we had a dream. The children were scrubbed and dressed and we were on our way. Unfortunately, the dressier clothes weren't as comfortable so my children were a bit fidgety right out of the starting gate. We assured them that it was only for a little while, and when we got back home after the photo session they could change clothes. We arrived and headed straight back to the studio in the store. We had failed to factor in the likelihood that going on a weekend seemed like a good strategy to other families as well, and we learned that we were in for a wait. Having to wait 50 minutes might not be a problem for some families, but the dream was seeming more like an impossible dream when my husband and I tried to figure out how we could keep the kids relatively content and clean while we waited for our turn. We thought about buying each child a toy, but that would have pretty much defeated the purpose of going there for the great coupon value deal. We decided to walk through the store at as slow a pace as the kids could tolerate, dragging our feet and hoping to make our store tour last about 50 minutes until it ended back with the photographer. At that point, we hoped our kids would be calm and bored enough that even posing for a picture would sound inviting. At first, Plan B seemed like it just might work. Then we hit a snag. There, directly ahead of us, was a little in-store pizza shop that served flavored icy drinks. Suddenly the children realized they were extremely hungry and thirsty, and I had to admit that the delay in picture taking did push us close to their usual lunch time. I couldn't see making it through pizza without getting some on the clothes, and I wasn't willing to take the chance. Instead, we offered them small cherry icy drinks with napkins tucked into shirt and dress fronts along with close supervision. My husband and I felt relieved, because the drinks would curb the appetites until we could return home for lunch and it was helping to pass the time. As an added bonus, those drinks can't be gulped or the kids knew they would get "freeze brain" so it helped pass the wait time. We were confident once again, that our portrait dream could come true. Having carefully monitored the time, I announced that it was time to make our way back to the photography studio. We should arrive just a couple minutes before our turn with the photographer. The children were happy and ready to go, having consumed their cherry icy drinks with great enjoyment. They turned to me, grinning with pleasure, and that's when I saw not only cherry red lips, but pink teeth! Getting a professional portrait done had seemed like such a good idea, but it just goes to show that plans need to be flexible and you need to have or develop a sense of humor to get you past those "pink teeth" moments.
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We had a random drawing from our subscribers for five tickets to the Heart of the Matter Online Conference.

The winners are:

  1. awakenyourspirit
  2. missmichelle6
  3. TIM MCAULIFFE
  4. D
  5. Amy Mason

Please email me with your Name and email address so HOTM can get you the tickets. If we do not hear from you in the next day or two, we will open it up to the first readers to respond.

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.

Friday, July 02, 2010

Sniffing Tennis Balls?

My son, Josh, has a well developed sense of smell. His sensory processing issues are sometimes a strength but more often than not when he was younger they interfered with his ability to function and participate fully in activities. When I homeschooled Josh and his sisters, two out of three of my students had AD/HD (attention deficit hyperactivity disorder) along with sensory and auditory processing difficulties. Not only did they have more energy than I did, I had to repeat myself a lot and keep their sensory challenges in mind. Leaning over to help Josh with an assignment, I can remember Josh informing me that I had coffee breath. Unwilling to forgo coffee, I instead tried to angle my head so that when I spoke the air flow would be directed away from Josh's nose. Picture the way a bird cocks its head, and that's probably about what I looked like as I taught my little fledglings. Although I wasn't right in his face, his overly sensitive nose could pick up the smell of a peanut butter sandwich from several feet away. As with many of his sensory integration challenges, Josh was both sensory seeking and sensory avoiding at times. When I prepared his meals, Josh always had to sniff the food before eating it. Always. Even if it was his favorite meal, very familiar to him, he smelled it prior to eating as if this time I might have slipped something nasty in his food for unknown reasons. Josh wasn't a picky eater, but he sure appeared to be a suspicious one. Over time, I was able to get him to sniff more surreptitiously at least when he was a guest in someone's home or out in public. Josh still occasionally gives an unfamiliar food item a sniff prior to tasting it, but I think that's o.k. because we all tend to notice the smells of new and previously untried foods. Josh's tendency to sniff things wasn't limited to food or drink items. One time Josh was playing with our dog, having him fetch a tennis ball. This is when impulsivity collided with sensory processing and Josh took the tennis ball from the dog's mouth and gave it a sniff. "Ewww! This smells terrible!" he proclaimed, practically gagging before lifting it to his nose for another whiff. "Ugh! That's awful! Plus, it's slimy!" Now his whole system was on red alert since he experienced an aversive smell and an aversive tactile feeling together. I could practically see him shudder. We had to laugh, though, because even after he knew the tennis ball had a bad odor, he went ahead and smelled it again before he could stop himself. When I asked him why, he said something in his brain told him to check again to see if it was as bad as he thought it was. His own second opinion was confirmation enough. Josh still has an acute sense of smell, but over the years has learned to control both his impulsivity and his reactions to smells - even though as his mom I can still tell when he is cringing inside.

Saturday, June 05, 2010

Sea Monkeys

When my daughter Beckie was younger she decided she wanted to raise sea monkeys. Since sea monkey eggs can remain dormant for years, they are available in kits for you to raise. The packaging is attractive for children, and I've even seen necklaces that allow you to wear a sea monkey in a little water globe around your neck. Doesn't that sound cute? It certainly appealed to Beckie, and the sea monkeys on the packaging looked animated and eager. Although she followed the directions on how to activate the sea monkeys eggs so they would hatch, the first attempt failed and Beckie had no sea monkeys. Undeterred, she went for it again and the second attempt resulted in several live sea monkeys. Guess what? They weren't nearly as cute as the cartoon sea monkeys on the box. In fact, Beckie's older sister Beth started calling them "Sea Scaries". Sea monkeys are basically a type of shrimp. Shrimp are not that cute. Beckie, however, was proud of her sea monkey family and was determined to see them grow and reproduce to a zillion generations. Since Beckie has AD/HD, it is hard for her to remember to do tasks on a consistent basis. She wanted to check on her sea monkeys daily, and her solution was to keep them in the kitchen. She knew she would be in the kitchen every day, and would see them and have that visual reminder to check on them. This worked great for her. For my part, it was extremely unappetizing to me to see the sea monkeys skulking around their little habitat while I prepared meals. I just trained myself not to look at them after awhile. Beckie's sea monkeys grew, and even had sea monkey babies once. Unfortunately for Beckie, she is only one of three family members with AD/HD and clutter is a big problem in every room in our house. I can't clean as fast as they can unclean, so piles of stuff end up in the kitchen. One fateful day, Beckie's Dad knocked the sea monkeys over and they flooded the kitchen counter. Rather than trying to scoop them back into their little habitat, Dad just dragged a trash can over and swept them all into the trash can. RIP little sea monkeys. Thinking his work there was done, Dad moved on to something else and didn't think to mention the "terrible accident" to Beckie. When Beckie discovered the empty sea monkey container she was understandably distressed. Her strategy to keep them in the kitchen worked for her, but they were not safe from other family members who dump things in the kitchen. Her Dad's strategy was to clean up the mess in the quickest and easiest way possible. The sea monkeys were the casualty. Beckie decided it was safer to have fish in a bowl that mounts onto her bedroom wall, and she has happily lived with her fish pets without having to worry about the bowl getting knocked over.

Monday, May 31, 2010

The Magic of Tootsie Rolls


My daughter, Beckie, has AD/HD. Now that she's a teenager, her primary challenges are with the executive functions (EF) like planning, organization, and working memory. She also continues to need more prompts and external rewards than her peers without EF challenges.

Beckie and her sister have been sharing a hair dryer for years. It is important to Beth, the older sister, to have the hair dryer put away after use. Beckie couldn't care less if the hair dryer gets put away, so there is little internal motivation on her part to do so. Remember, anything that requires extra steps is not popular with our kids or adults with AD/HD. Additionally, they need more frequent rewards than their "neurotypical" peers. This need often extends into adulthood.

The hair dryer wars went on for a while, with hard feelings on both sides. Since the girls were not able to work out their differences and the hostility was escalating, we met as a family to problem solve together. If something didn't change, the hair dryer wouldn't be the only thing to blow at our house. At one point in the discussion, Beth told Beckie she just needed to remember to put the hair dryer away. "After all, you are a teenager. It's not like I'm going to give you a Skittle every time you remember to put it away. You just have to make yourself do it."

When I heard Beth say that, it was a light bulb moment for me. Having recently attended a conference on Executive Functions, it was fresh in my mind how the presenters shared that many with EF struggles will continue to be externally motivated throughout their lives. Since the EF challenges continue throughout the lifespan, affected individuals also continue to need more encouragement, praise, recognition, and rewards than those without EF struggles. This explains why my husband, who regularly makes the coffee, asks me how it is sometimes before I've even taken a sip. My first thought is, "Um, it's fine. It's always fine?"

I've come to realize that my husband needs that frequent positive reinforcement because making coffee and doing other chores is not intrinsically satisfying to him. He needs to know that his efforts are appreciated. Once I understood that, and realized that my son with AD/HD is the same way, I trained myself to make a point to express thanks for even mundane, everyday things. They need that. I can easily give them that. So when Beth made the comment about Skittles, I realized that Beckie was getting no reward when she remembered to put the hair dryer away. She honestly tried to remember, but since having the hair dryer put away was meaningless to her and she is highly distractible she often forgot. Since it wasn't important to her in the first place, she experienced no internal satisfaction when she completed the task.

I devised a simple plan to help Beckie be more successful, and hopefully end the hairdryer war or at least reach a truce. Knowing that she loves Tootsie Rolls, I bought a bag of miniature Tootsie Rolls and put them in a small bowl in the bathroom. I told Beckie that every time she remembered to put the hair dryer away, she could have one Tootsie Roll. Beckie thought it was a great idea.

Now some of you are thinking, "Why should a teenager need a treat to do what she is supposed to do? Won't that just keep her dependent on external rewards?" Good questions. Here's what I think. By showing Beckie a simple way to motivate and reward herself, she is learning a strategy that she can eventually use on her own. Because her EF difficulties are likely to continue into adulthood, she absolutely needs to figure out ways to reward herself. Would it bother you as much if she were buying the Tootsie Rolls herself and using them as rewards for completing tasks? Probably not, because most of us do this in one form or another. I'm just showing Beckie an example of what she can do to keep herself motivated and on task. In the future, she will know how to do this for herself.

Asking Beckie to try to remember to do a task that was not important to her just didn't work. She meant to, intended to, sometimes did remember to, but not with adequate consistency. Now, every time she goes into the bathroom, she sees the little bowl of Tootsie Rolls. It is a visual reminder and incentive several times a day, even though she only dries her hair once a day. She is aware that one of those treats will be hers if she remembers to put the hair dryer away. Guess how many times she has forgotten to put it away since the Tootsie Roll plan has been in place? Zero! She has not forgotten to put that hair dryer away a single time, and it has been several weeks since we implemented the plan. Did this teenager benefit by an external reward system? The results would indicate an absolute YES!

The hair dryer war seems to have ended peacefully, and Beckie has had great success while learning a strategy that will serve her throughout her life. She reports that she feels she has met the challenge, although she adds with a grin that once in a while she has forgotten to take a Tootsie Roll reward.

Thursday, April 15, 2010

Crossing Midline


If you've had a child in speech, occupational, or physical therapy you may have heard about the importance of "crossing midline". When my children were younger, I heard from therapists that it was very important for babies to spend time on their tummies. In addition to helping the brain make connections as the child views things from different perspectives, changes in positioning provides different proprioceptive and vestibular input. Being on the tummy encourages a child to push up with her arms, which strengthens the upper body muscles. This is important for a growing child so she can develop the muscle tone and strength needed to reach over her head or move the arms outward and across the body with a good range of motion. Without such development, the child will have difficulty sustaining a physical posture or repeating motions without rapidly fatiguing. Therapists also work on helping a child to "cross midline" in a number of ways. When a child can reach her right hand across to the left side of her body and vice versa, she is crossing her midline with her arms. In addition to these large movements, a child crosses midline when reading as her eyes move from one side of the page to another without moving her entire head as she reads. The tongue crosses midline as it moves food from side to side to position the food onto the molars for chewing. When any of these activities occur, information is transferred from one brain hemisphere across the corpus callosum to the other brain hemisphere. The corpus callosum is a fibrous band between the two hemispheres and allows for the exchange of information between the right and left hemispheres of the brain. This side-to-side sharing of information is important for fluency in processing and acting on information received. When information is not readily crossing from one side of the brain to the other, there is usually a learning glitch or struggle. In the picture above, you can see that this child tended to paint in the same area, primarily on the right side of the paper. This same child, when the paint utensil was placed in his left hand, painted primarily on the left side of the page. This was just one indication that he was not readily crossing midline and might need some help to develop in that area. One of my favorite resources for addressing this and other brain processing issues is the book Brain Gym. It provides descriptions and illustrations of simple exercises that promote crossing midline, increasing alertness, improving handwriting, readiness for reading, and more. The exercises can be done by both children and adults in just a few minutes prior to a specific task. I have used the "brain buttons" and other exercises from Brain Gym to increase my alertness when feeling the fatiguing effects of a long car trip. With my AD/HD children, I had them do some exercises between school assignments to ready their brains and bodies for focused attention to the task at hand. Such simple exercises are easily implemented and help the brain develop pathways across the midline of the brain, resulting in more efficient processing and learning.

Thursday, April 01, 2010

Homeschooling the Challenging Child

This is an interview with Christine Field, author of Homeschooling the Challenging Child. Christine has wisdom and experience that she shares freely to help those who are facing learning and behavioral challenges with their children. Though years may pass between our meetings, it is always wonderful to reconnect with Christine. We were able to grab a few minutes during a recent conference to do this video interview. You can see Christine's book here: Homeschooling the Challenging Child
I hope that you enjoy the interview, and I encourage you to visit Christine's web site for more resources at www.homefieldadvantage.org

-Melinda L. Boring

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.

Thursday, March 11, 2010

Tickle My Back, Mom!


My youngest child, Beckie, has always been cuddly and affectionate. As a newborn, she quieted as soon as I picked her up and held her cheek next to mine. I thought she recognized my voice, but it was the skin-to skin contact at least as much as my words to her that seemed to calm her. As she grew, I noticed that when others picked her up her little hands immediately started fingering the material of the holder's clothing. She gently explored the feel of earrings, necklaces, scarves, and even daddy's whiskers. At age three, I took her with me to a craft show. Knowing how she loved to touch different textures, before we went in to the show I reminded her to look with her eyes and not her hands. She looked both sad and surprised as she protested, "But Mommy, to look IS to touch." Those were her exact words, and it confirmed that I had a very tactile learner and that I needed to allow her to touch some of the items that caught her interest. I ended up telling her that if she saw something she wanted to feel, she could ask me first and I would find out from the vendor if Beckie could touch the objects to see how they felt in her hand. As she grew older still, I heard the same request every day during our homeschool time when I was reading to the children: "Tickle my back, Mom!" If you are familiar with sensory integration (AKA sensory processing), you know that tickling can be aversive and irritating to some children. In Beckie's case, she was sensory seeking and had lower registration for tactile input so the tickling was alerting to her. When she is just listening and not actively moving, it is hard for her to focus. Her AD/HD leads her into daydreaming and distractions. She recognized this about herself, and one strategy she found that seemed to help was to have her back tickled. The light touch was enough to help her stay alert and focus on listening to what I was reading. I became adept at one-hand holding or propping a book, depending on the size of the book, and using my other hand to trace lightly over Beckie's back. I tried using a wooden backscratcher once, but that didn't have the same effect for Beckie. I tried a backscratcher with metal scratchers, but that was also not acceptable to Beckie. When I became too absorbed by what I was reading or needed a drink of water and would thus cease the tickling, Beckie noticed immediately and either wiggled against me to prompt me back to task or grabbed my hand and placed it where it clearly belonged - on her back again! Sensory input can be calming or alerting, and each individual's response to input varies. Often, as in Beckie's case, our children show us over and over what they need and what works for them. Be observant and sensitive to individual differences, and take advantage of the strategies that work.

Monday, February 15, 2010

Like a Gazelle Through the Mess

Many people with AD/HD and learning challenges also struggle with organizing their possessions. Add to that the difficulty with time management that often accompanies disorganization, and the result can be extreme clutter and cringe-inducing messes. Unfortunately for those of us who like to have things neat and orderly, the cringing is usually emanating from us, not those who created the clutter fest. Another unfortunate fact is that the organizing strategies used by those who are naturally organized do not typically work for those who tend to be clutterbugs. (I think I made up a word there, but if you are one or live with a "clutterbug" you'll know what I mean.) Because the messes and the clutter bothers me, I have spent a great deal of time trying various strategies to conquer the piles and bring order (and may I add, inner peace for me) to my surroundings. My ways do not work for my family. I have tried methods that made no sense to me, but promise to work for the naturally disorganized - but they, too, have failed. My daughter has a very messy and cluttered room, but she does not struggle with it because it genuinely doesn't faze her. Once I pointed out that she should at least have a clear path to her bed instead of a few cleared off patches on the floor. "Doesn't it bother you to be surrounded by all the mess?" I asked her, trying not to appear as appalled as I felt. Her reply was "No, not at all! I just leap like a gazelle through the mess to get to my bed." She said this quite proudly, as gazelles are truly admirable in their graceful maneuvers and Beckie is truly athletic and probably capable of some gazelle-like moves. I couldn't think of anything to say at that point, so I withdrew to regroup and try again another day. My husband, Scott, also tends toward cluttering things up and not noticing them so his solution is to wait until things get really bad and then grab a trash bag and start stuffing things into it. While the initial result is less clutter, it is followed by weeping and gnashing of teeth when the kids find their prized possessions mixed in with trash. Not to mention they are even less likely to sort through a trash bag than things that are out in the open in their rooms. My son, Josh, who has the most severe AD/HD in my family, has been the one to conquer his disorganization with the greatest degree of success. His room is the neatest of the three children's rooms. He figured out what works for him, and now he is the one taking up the challenge of helping Beckie. I am standing aside and letting Josh work with Beckie on this. I'm hopeful that she can still be like a gazelle without all the mess and clutter.

Thursday, January 21, 2010

Homeschool Pumpkin Bread Recipe

This cold time of year reminds me of a time, many years ago, when we had an ice storm here in Ohio. Like many homeschoolers, I like to take advantage of natural events and find ways to incorporate learning into daily activities. So on this particularly icy morning, I went out into the yard and found a stick that was thickly coated in ice. I took it inside and showed it to the children, who were fascinated with seeing the stick that now looked similar to an icicle. We set it in a bowl so we could observe it and see how long it took for the ice to melt. With AD/HD children, simply waiting for ice to melt would be torturous. So we needed to do other things and periodically check in on our stick. We started a cooking activity to make pumpkin bread. I wanted the kids to be actively involved and thought it would be good if they learned some skills and practiced mixing, adding eggs, etc. When it was my son Josh's turn to add an egg, he managed to crack it but somehow the egg ended up on the floor. Amazingly, the yolk stayed intact. After examining it, I invited Josh to poke the yellow part of the egg with his finger to see what would happen. How could I forget in that moment that my son had sensory aversion issues with such textures? He reminded me by quickly putting his hands behind his back and leaning away from the egg. Then he came up with a solution that would satisfy his curiosity about what would happen if the egg were prodded as well as protect his fingers from a slimy assault. We used the icy stick for poking the egg, then cleaned up the mess and discussed how having raw egg on the stick might somehow affect its melting time. I didn't know about the "incidental" learning that took place that day until the next time I made pumpkin bread. I asked the kids if they remembered how to make pumpkin bread and Josh quickly piped up, listing the ingredients and how to mix them together. When he came to the part of the recipe when eggs should be added he said, "Then you get out four eggs and Mommy puts in the first one, then Beth Lee puts in the next one, then I drop one on the floor and poke it with a stick..." Clearly, this is a special family recipe that just might be passed down through the generations. Especially if there are future homeschoolers!

Wednesday, December 30, 2009

Hello Again!


Hello friends! I haven't blogged for awhile, but I'm back now. I've been feeling like the deflated lawn decorations in this yard so I thought I'd take a picture to give you a nice visual symbol as you read. I came down with a cold on November 25th, and it quickly turned into a sinus infection, ear infection, and lung infection for which I've taken numerous medications and...I'm gradually improving but still not over it. My right ear drum perforated and I've been like the auditory processing struggler who says "Huh?" for the past several weeks. I've decided to try to get back to some of my regular activities and hope that full recovery will happen ANY DAY NOW. There's never a good time to be wiped out of commission, but I think the month preceding Christmas was especially inopportune. This is the first year that I've ever been unable to get Christmas cards sent before Christmas. I started my gift wrapping the day before Christmas and recruited my family (okay, "coerced" would be a better word) to help with the wrapping and food preparation. Did you know you can wrap gifts for someone with AD/HD while they are in the same room as long as you put a movie on to watch? I did very little shopping other than online, and am very grateful for Amazon's selection that allowed me to shop from home. When Christmas Day arrived, I felt a bit like Dr. Seuss's Grinch proclaiming:
"It came without ribbons! It came without tags! It came without packages, boxes or bags! (Or Christmas cards from the Borings!) " And he puzzled three hours, till his puzzler was sore. Then the Grinch thought of something he hadn't before! "Maybe Christmas, " he thought, "doesn't come from a store. Maybe Christmas...perhaps...means a little bit more!"
Well I know that Christmas means a whole lot more, and I hope that my Christmas traditions never overshadow the birth of Christ. How comforting it is to know that nothing I do, or don't do, can stop Christmas from coming or minimize its gift to mankind in any way.
It was wonderful to spend time with family. Even our rescued dog, Slapshot, did great being in a new place with new people. I used to worry about how my kids would do with the relatives, and this year I was worrying about how the dog would do. He was very subdued and calm, I suspect due to the Christmas sock he had eaten, but he made a very positive impression on his new extended family members. And so, though I coughed through the Christmas season like Dicken's Tiny Tim, I join him in saying "God Bless Us, Every One!" and may your 2010 be filled with peace and joy.

Friday, November 27, 2009

The Biggest Loser - of Important Items

If you've been following this blog for awhile, you know that I prefer things neat and orderly. My family, on the other hand, casually consider themselves slobs and refer to themselves as "Slobonians". Clutter doesn't bother them, so it is very hard to motivate them to clean up and put things away where they belong. My youngest daughter has AD/HD and the impulsivity and inattention result in clutter, misplaced items, and zippers left unzipped on backpacks. I have found some of her things in the oddest places, and she has no recollection of how they got there. This week, while at my part-time job as a speech therapist, I got a text message on my phone from Beckie. She is taking a couple of classes at a community college and was texting me to accuse our dog of taking her calculator out of her backpack because it was missing and she knew it was in her backpack the day before. While it's true that our recently rescued dog has yet to learn what he is allowed to chew on, I thought it more likely that she left her backpack unattended and someone stole the calculator from her backpack. In any case, it was distressing since it was an expensive calculator and...it was borrowed. I was not happy with having the expense of replacing the borrowed calculator and then having to buy Beckie another one since she will have more math classes to take in the future. A few hours later, Beckie sent me another text to let me know she had found the calculator. One of the other students in her math class had found it on the sidewalk the day before and recognized it as being Beckie's calculator and returned it to her. Yea! Beckie admitted that she had left the zipper open on the pocket she used for her calculator, so it could have fallen out without her knowing it. Whew! What a relief. That is until my husband Scott got a call from Beckie's cell phone in the afternoon, and it wasn't Beckie calling him. Beckie's cell phone had been found in the grass near the local elementary school and the person was calling to say she'd leave it at the front desk in the school office. Scott managed to reach Beckie at home, and she insisted that it was impossible for her cell phone to be found by a stranger when she was positive it was at her friend's house. (Why would she leave it at her friend's house instead of in her hand where I usually see it? Who knows?) Beckie reluctantly agreed to walk to the school and retrieve her phone, though she was still adamant it had to be some kind of mistake. Except that it was there, to her amazement, and she learned that it had first been found a couple blocks away from the school at a place she had not walked past that day. We are all mystified. I pointed out to Beckie that she had lost an expensive calculator and a cell phone in the same day, thereby making her "The Biggest Loser" in our family so far this week. Since this time both items were returned to her, I think she was secretly amused by the title. She was definitely angry when the calculator was missing, and if she had even known her phone was missing she would have been upset. Perhaps this will help her remember to zip up pockets and so on. Time will tell.