GROUP FOR ADHD

Group For ADHD is a private mental health clinic in Manhattan, founded by Lenore Ruben, LMSW, CHT, EMDR; Orly Calderon, PsyD, (NYS licensed psychologist); and Cathy Wein, PhD (NYS licensed psychologist). The mission of Group for ADHD is to create effective methods of coping with ADHD and LD by focusing on the individual’s strengths.

Q: My child has been diagnosed with ADHD last year and is receiving academic accommodation from school but the behavior at home remains hugely problematic. He does not follow instruction, always loses things, will not sit at the dinner able without a tantrum and homework is barely accomplished. Our home life has turned into a war zone. Do you have any suggestions to improve our situation?

A: ADHD is a disorder that affects both academic and behavioral functioning. While your child’s school accommodations may be addressing his academic needs it is important to also treat the behavioral components associated with living with ADHD. Often children with ADHD require help with transitions from one activity or environment to another. They need clear, concise and concrete instructions. Have a family conference to introduce the 5 most important rules. Then write and post them in a public place, such as on the refrigerator. This will serve as a cue to your child and remind him of what is expected. It is important to be consistent in reinforcing those rules with lots of positive rewards. Caring for children with ADHD can be a very stressful job. It is helpful to remember that your child is not responding out of spite and that with patience and structure you can help your child to flourish. Caregivers may also find it useful to receive professional support in order to help reduce some of the stress.

Q: My seven-year-old child has recently been prescribed Adderall for ADHD but we are concerned about the effect of having a child so young on medication. What other remedies may be available?

A: Every child responds differently. It is important to confer with your prescribing physician regarding the possible side effect and the pros and cons of psychotropic medication. There are alternative methods of treatment. Even when medication is indicated, other techniques such as behavior modification, parenting skills and social skills are very helpful in developing life long compensatory skills, which in many cases will eventually reduce the need for medication. Psychologists, Social Workers and Occupational Therapists can all be useful resources.

Questions to be answered in this column should be emailed to: info@GroupForADHD.org