By Dr. Dhanalakshmi N.
Ph.D. (N), PG Psychological Counselling, M.Sc. Psychology
Introduction
Attention deficit hyperactive disorder (ADHD) occurs most commonly among children and affects children’s behaviour. Children with ADHD have difficulty paying attention and concentrating. They are also hyperactive.
What factors cause ADHD?
- The exact cause of ADHD is unknown.
- There is a combination of factors that cause ADHD, which includes genetic factors, defects in the brain structure and abnormality in brain function such as an imbalance in the level of neurotransmitters.
- Other risk factors causing ADHD include brain injury, premature delivery (baby is born before 37 weeks of pregnancy), low birth weight (birth weight less than 2.5kgs) and exposure to environmental risk factors such as lead during pregnancy.
How parents can identify children with ADHD?
If you notice any of the below signs and symptoms in your child, you must go for a proper diagnosis as recommended by the doctor.
Common symptoms include:
A- Acting without thinking
D- Difficulty in focus or concentrating
H- Hyperactive or excessive running, jumping, climbing on everything
D- Disturbing conversation
E- Excessive talking
F- Forgetful
M- Making careless mistakes
R- Restless or difficulty sitting still
Children with Attention-deficit/Hyperactive disorder will have difficulty sitting still, are restless and exhibit disruptive behaviour. There is no cure for ADHD but a combination of therapy and treatment is given to minimise the symptoms and promote the functioning of children. A combination of therapy includes medication, behaviour therapy, psychoeducation or training or a combination of treatments. Behaviour therapy is given as a first line of treatment before trying the medication.
1.Diet Therapy: Diet management includes a well-balanced diet with carbohydrates, proteins and minerals. Children with ADHD should be provided with adequate nutrients to replace the energy loss and for optimum functioning of children. Balanced diet includes
Carbohydrates: Carbohydrates provide energy to the body and mind. The food sources include:
Proteins: protein helps with bodybuilding, brain function and Immunity. The sources of protein-rich foods include:
Minerals: include Iron, magnesium and zinc which helps our body function normally. The food sources include:
Omega 3 fatty acids: Research has shown that there is a relationship between omega-3 fatty acids and brain development in children. Omega 3 fatty acid foods help for boosting memory and improve attention span in children. The food sources include:
2.Behaviour therapy:
Behaviour therapy is given to children as a treatment before starting ADHD medications. Healthcare professionals refer parents of children less than 6 years old for training in behaviour therapy because younger children are not mature enough to understand behaviour therapy.
Objectives of Behaviour Therapy:
- Behaviour therapy includes training parents to identify and encourage right or positive behaviour in their child
- Giving appreciation or praise or rewards for good behaviour will build self-confidence in children and discourage unwanted behaviour in the child.
- Behaviour therapy also promotes parent-child relationships or bonding which will reduce the symptoms of ADHD in children.
3.Psycho-education: Parents’ education includes creating awareness or educating parents about ADHD, its causes, symptoms and management which will strengthen the parent-child relationship and promote discipline in children’s behaviour.
The following are suggestions to parents to handle children with ADHD.
Plan: Plan your child’s complicated or bigger tasks into smaller which will arouse interest in the child to do the task
Organize: Organize your child’s daily routine from waking up until bedtime. Making a schedule will reduce stress and confusion and promote discipline in children’s behaviour.
Manage: Manage or reduce daily distractions from TV, Kitchen noise etc to help your child focus and concentrate better on the activity. Reduce or eliminate TV, Phone and devices such as computers.
Communicate: Communicate clearly and specifically. Simple and specific directions will help your child understand and follow.
Reinforce: Provide frequent positive rewards and encouragement to promote self-confidence in children and also will strengthen the appropriate behaviour.
Live a balanced life: Children should be provided with nutritious or healthy foods, adequate sleep, exercise, and physical activity. A balanced lifestyle will promote a child’s physical and mental health.
References
- https://www.cdc.gov/ncbddd/adhd/treatment.html
- https://www.cdc.gov/ncbddd/adhd/documents/adhd-behavior-therapy-healthcare-fact-sheet.pdf