Children with Attention-Deficit/Hyperactivity Disorder (ADHD)

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

By vitalmadevadmin in Behaviour and Discipline, Health and Special Needs, Nutrition and Meals January 13, 2023 0 Comment

How to handle children with ADHD?

By Dr. Dhanalakshmi N.

Ph.D. (N), PG Psychological Counselling, M.Sc. Psychology

Attention-deficit/hyperactivity disorder (ADHD) can disturb a child’s ability to pay attention or sit silently at school and, it also can affect relationships with family and other children. Children with ADHD often show behaviors that can be very troublesome to others. Behavior therapy is a treatment option that can benefit in reducing these disruptive behaviors.

Goals of Behaviour Therapy

It helps parents to better understand their child’s actions.
It teaches parents how to create a structured environment.
It encourages positive behaviors and discourages unwanted or negative conduct in the child.

Tips for Parents to Improve Their Child’s Behavior

Set a routine: Try to follow the same schedule every day, from the time you wake up to bedtime.
Get organized: Encourage your child to set school bags, clothing, and toys in the same place every day so that they will be less likely to lose them.
Manage distractions: Turn off the TV, limit noise, and provide a clean workspace when your child is doing homework.
Limit choices: To help your child not feel overwhelmed, offer choices with only a few options. For example, have them choose between two outfits/meals/toys.
Be clear and specific when you talk with your child: Let your child know you are listening by repeating what you heard them say. Use clear, short instructions when you need them to do something.
Help your child plan: Break down big tasks into smaller, shorter steps. For long tasks, start early and take breaks to limit stress.
Set Goals and offer praise or rewards: Make sure the goals are genuine and that your child will be able to follow them. It’s important to start with small steps. Identifying positive behaviors and appreciating or rewarding their efforts will strengthen such behavior in a child.
Discipline effectively: Instead of scolding, shouting, and engaging in physical abuse, use effective instructions such as removal of related privileges as consequences for the child’s inappropriate behavior.
Create positive opportunities: Children with ADHD may find certain situations stressful. Identifying and encouraging the hidden talents of your child such as academics, sports, art, music, or play—can help to create positive experiences.
Provide a healthy lifestyle: Healthy food, lots of physical activity and sufficient sleep are important; they can prevent the progression of ADHD symptoms.
Practice good sleep patterns: Numerous issues stem from a lack of sleep; nevertheless, the quality of sleep is more essential than quantity. Poor sleep can harm ADHD, but sufficient sleep can help control energy levels and promote happiness.

To conclude, children with ADHD might present difficulties for their parents and other caretakers. However, kids with ADHD can succeed and be happy with the correct support. Do not view ADHD as a behavioral issue or as a result of poor parenting. It is a special task with distinct benefits. You must consult a medical professional who is knowledgeable in ADHD in kids, for a personal and accurate diagnosis and treatment.

Check out Children with Attention-Deficit/Hyperactivity Disorder (ADHD) to get a better understanding.

References

By vitalmadevadmin in Behaviour and Discipline, Health and Special Needs December 21, 2022 0 Comment

How can I make my child eat healthy food?

– By Siyona Varghese

Kids and families today lead hectic lives. This makes it challenging to prepare daily meals from scratch. A lot of youngsters’ diets include takeout and other convenient foods. Getting your kids to eat healthily can be difficult due to peer pressure and junk food availability and commercials on TV. The health of your child may suffer as a result. Some of the issues caused by improper diet can continue into adulthood.

However, adopting a nutritious diet can have a significant impact on your child’s health, helping them in maintaining a healthy weight, regulating their moods, improving their memory, and reducing the number of health issues. A nutritious diet can also have a significant impact on mental and emotional health of your child. It can assist in the prevention of disorders such as ADHD, anxiety, depression and so on. It is vital to keep in mind that your children do not naturally crave junk food such as burgers and pizza and dislike green veggies. As youngsters are exposed to an increasing number of bad food options, they gradually develop this conditioning. You may, however, change your kid’s food preferences so they start to seek healthier meals. Keep healthy food options available to your children while keeping junk food out of sight. Maintain consistent food timings everyday and ensure they eat on time so they don’t develop cravings.

The earlier you start introducing healthy, nutritious meals to a child’s diet, the simpler it will be for them to form a positive, lifelong relationship with food. It might also be quicker and easier than you think. Using these suggestions, you can teach your children good eating habits without making mealtimes a struggle, giving them the best chance to develop into healthy, balanced individuals. You can encourage and teach your kids to eat properly in a variety of ways including the following.

Tips to encourage your children to eat healthy

Set an Example: The greatest method for you to promote healthy eating is to practice good eating yourself. Children will take after the adults they regularly interact with. You’ll be conveying the appropriate message if you consume fruits and vegetables in moderation rather than overindulging in less healthy foods.

Serving reasonable portions and avoiding overeating are two other ways to set an example for the kids (1). Talk to younger kids in particular about your emotions of fullness. You might say, “Although the food tastes really good, I’m going to stop eating now since I feel already full.” Children may take after their parents who constantly diet or worry about their physique, in the same way. Maintain a cheerful attitude when discussing food.

Involve children in decision making: You can include young kids in decision making especially if they are 4 years or older. Allow your children to assist you in grocery and meal planning. You can teach kids how to read food labels, if they are able to read, so they are aware of the nutrient content of the items they are selecting. Further, they can assist in the meal preparation and take some responsibility for their food. The majority of children will love choosing the dinner menu. Discuss making decisions and preparing a balanced dinner with them. Choose age-appropriate duties for the kids so that they can participate without getting hurt or feeling overloaded (2).

Also, don’t forget to thank the cook when the meal is ready. Kids should participate in decision making for another crucial reason: it might help them develop the skills necessary to make wise choices about the meals they wish to eat on their own. Even though it’s not a guarantee, the mealtime routines you help them establish today may inspire a lifetime of healthy decisions.

Limit Outside Food: Apps for food delivery have grown rapidly during the recent years. What most parents may not be aware of, is that consuming food frequently from outside the home is strongly linked with having a high BMI (body mass index) (3). Both the elderly and young populations continue to experience an epidemic of overweight and obesity, today.

You don’t have to make major changes to your family’s diet plan. Find a few healthy substitutes in your cupboard or refrigerator. Add healthier items gradually until you’ve started making better eating choices. Early in life, food preferences start appearing. Introduce various foods to your child early on. Make sure that your toddler can see the whole fruit by leaving it out on the kitchen table, this will act as a simple reminder. Reducing processed foods, and visits to restaurants and fast-food outlets will greatly improve your child’s physical health.

Do not use food as Reward or Punishment: Parents frequently give their children a “special” food item as a reward for positive behavior or a job well done. And those food items are usually unhealthy. Such parents may also be denying those foods as a type of discipline. For instance, you may have been declining to offer dessert if your kids argued or didn’t tidy up their rooms (4). However, rewarding or punishing children with food can go against the healthy eating lessons you’re attempting to teach them. Children end up frequently consuming meals that are heavy in sugar and fats, when they are used to treats like candy, chips or sugary carbonated drinks as rewards. Even worse it messes with youngsters’ inborn capacity to control their eating. Additionally, it tempts children to indulge in foods even when they are not hungry. By rewarding children with junk foods, you are sending the wrong message that junk foods are to be aspired to.

Bottom line:

What matters are the decisions your children make about their food choices, in the long run. Your children may enjoy eating ice-cream sundaes or popcorn at the movies. And that’s okay. Your kids will be alright as long as you keep the balance between fun times and healthy eating and exercise. You don’t need to work too hard to get your kids to eat healthily. If you keep providing nutritious food, kids will keep consuming it. They’ll also learn how to eat independently which is essential for long-term health. It’s time to put these strategies into use and inspire your kids to eat healthy nutritious food. Surely, you’ll be able to make meals less of a struggle for the younger generation while still promoting lasting healthy habits.