By Raising Children Network
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ADHD isn’t just challenging behaviour. In children with ADHD, different parts of the brain don’t ‘talk’ to each other in a typical way.
 
Attention deficit hyperactivity disorder (ADHD) is a condition you and your child can manage. A health professional can advise you on how best to use behaviour strategies, medication or a combination of the two.

First steps

If you think your child might have attention deficit hyperactivity disorder (ADHD), the first step is to visit your child’s GP or paediatrician.

If your child isn’t already seeing a paediatrician, the GP might refer your child to one or to a child psychologist or psychiatrist for further assessment and diagnosis.

If your child is diagnosed with ADHD, you and your health professional can work together to develop a management plan.

Our article on attention deficit hyperactivity disorder (ADHD) has more information on signs of this condition and how to get it diagnosed.

Managing ADHD

Managing ADHD in children is about first accepting that your child will behave in challenging ways. But you can work with health professionals to develop a behaviour management plan, which can make the behaviour easier to handle.

Developing a behaviour management plan for your child involves getting a balance between what you expect your child to do and what your child actually can do. It’s also about setting up a daily routine, clear rules and consequences for your child’s behaviour.

To get the balance right, a behaviour management plan might include:

  • behaviour strategies, including strategies for the classroom, for good sleep and for healthy eating and physical activity
  • support for any other learning, language, movement and emotional problems your child might have
  • medication.

The best plans are usually based on sound professional advice that takes into account what suits your child and family. Plans should also consider all aspects of your child’s life, including your child’s needs and responsibilities at home, at school and in other social settings.

Discussing your plan with your child’s family, carers, therapists and teachers will help everyone have realistic expectations of your child’s behaviour.

You can also let people know about useful ways to handle your child’s behaviour, as well as the things your child finds difficult. And if your child’s carers have to give your child medication, they’ll need to know how much to give and when. 

When you work with health professionals, school teachers, other adults in your child’s life, and your family and friends, it can be easier for you and your child to keep to the plan.

Behaviour strategies

Behaviour strategies focus on teaching your child the skills he needs to increase his cooperative behaviour and reduce his challenging behaviour.

You can start learning about and using these strategies even if you’re still waiting for an official diagnosis for your child.

Clear verbal instructions
Your child will find it easier to behave well if she has a good understanding of what you want her to do. Clear, easy-to-follow verbal instructions with demonstrations will help. You can help your child to follow verbal instructions by:

  • keeping instructions clear and brief, with the shortest number of steps
  • showing your child what to do – for example, ‘Please pick up the clothes from the floor and hang them up in the cupboard’
  • keeping eye contact with your child
  • asking your child to repeat instructions back to you to make sure she has understood.

Tiredness levels
All children find it easier to behave well if they’re not tired. You can stop your child from getting too tired by:

  • providing healthy food options for longer-lasting energy and concentration
  • building rest breaks into activities
  • doing learning tasks, such as reading or homework, and then doing some physical exercise for a little while
  • being ready with a few fun but low-key activities such as picture or sticker books – your child can do these if he starts to get overexcited
  • getting your child into good sleep habits, such as getting to sleep and waking up at much the same time each day
  • keeping screen time to a minimum during the day and making sure all electronic devices are switched off at least an hour before bed.

Regular, predictable routines
Routines
 help children feel safe and secure, which can encourage good behaviour. You can set up routines and handle changes by:

  • talking to your child about her daily schedule. You can also ask teachers if they can keep a copy of the school schedule where your child can see it
  • using lists, pictures of your child’s routines and/or timetables
  • letting your child know in advance about changes – for example, ‘In five minutes, you’ll need to brush your teeth and get ready for bed’
  • limiting the number of choices your child has to make – for example, instead of saying, ‘It’s time to get dressed. What do you want to wear?’, you could say, ‘It’s time to get dressed. Do you want the green t-shirt or the red one?’

Social skills
Children with ADHD might need a bit of extra help learning to get along with other children. You can help your child develop his social skills by:

  • rewarding him for helpful behaviour such as sharing and being gentle with others
  • teaching him strategies to use if there’s a problem with another child, such as walking away or talking to a teacher
  • teaching him how to keep an eye on his own behaviour, using a short prompt such as ‘stop, think, do’.

Praise for positive behaviour
Praise, encouragement and rewards for positive behaviour will make this behaviour more likely to happen again. You could try:

  • introducing your child to activities where she’s likely to go well
  • making a big deal when she does go well, even if it’s just a small success to start with– for example, ‘You finished that entire page of homework. You must feel so proud!’
  • going over the highlights for your child at the end of each day. You can also talk through things she might have had trouble with.

In the classroom
You could talk with your child’s teacher about:

  • dividing tasks into smaller chunks
  • offering one-on-one help whenever possible
  • giving your child a ‘buddy’ who can help him understand what to do
  • planning the classroom so that children with special needs are seated near the front of the room and away from distractions
  • keeping daily activities as ‘routine’ or predictable as possible
  • making a visual checklist of tasks that need to be finished
  • doing more difficult learning tasks in the mornings or after breaks
  • allowing some extra time to finish tasks.

To get the support your child needs for any learning, language and physical problems at school, you might need to ‘speak up’ for your child. This could involve talking to your child’s classroom teacher, the principal, the special needs support officer or teacher and others about special programs, funding and other help for your child.

Schools can help by setting out these support plans in your child’s individual learning plan. The school should also work with you to set and review your child’s goals in regular support group meetings.

Check out our behaviour toolkit for more information on the ideas suggested above, and other helpful strategies.

Medications

Doctors will sometimes prescribe stimulant medications for children diagnosed with ADHD. These medications improve the way the parts of the brain ‘talk’ to each other. This can help children with attention, self-regulation and sometimes language and motor skills.

Usually, this is a type of medication called a ‘stimulant’ medication. Methylphenidate is the most commonly used medication of this type. It’s sold under the brand name medications Ritalin, Attenta and Concerta.

These different medications release the methylphenidate at different rates and different times of the day. Your child’s paediatrician or psychiatrist will be able to work out which drug and dose will be right for your child.

Here are a few questions you might want to ask your doctor:

  • What are the side effects of the medication?
  • How long do side effects last?
  • How can these be monitored?

Side effects
These medications can cause some side effects – for example, loss of appetite. This can affect your child’s weight gain or your child’s growth.

Other side effects might include difficulty getting to sleep, tummy upsets or headaches. Because of this, a child who has been prescribed stimulant medication should always be closely monitored by a health professional.

Most side effects are mild and don’t last long. If there are side effects that don’t go away, your health professional might change the dose or timing of medication. 

There’s also a non-stimulant medication available for treating ADHD, called Strattera (atomoxetine). This medication might reduce anxiety too.

Support for yourself

Looking after yourself by asking for help and support is a big part of managing ADHD. Here are some support options for you:

  • Ask for help from family members and friends. If your child relates well to a particular family member, such as an aunt or grandparent, that person might be able to go shopping with you, or spend some time with your child while you get some chores done.
  • Speak to your child’s teacher about classroom behaviour strategies that you can try out at home.
  • Go to a support group for parents of children with ADHD.
  • Talk to your child’s health professional about any difficulties you’re having.
  • Learn about stress and how you can handle it.
Sharing support, advice and experiences with other parents can be a big help. You could try starting a conversation in our online forum for parents of school-age children.
 
 
 
  • Last updated or reviewed 05-09-2013