Josh is a seven year old boy with sand colored hair who comes screaming from his lungs into the waiting room. He runs on the chairs and his mother threatens him with impossible things that she cannot accomplish. You can hear it all over the building. He throws himself to the ground, kicks and screams. When his mother shoots him to put him in a chair, he hits her and hits her. Josh has Attention Deficit Hyperactivity Disorder (ADHD) and an oppositional provocative disorder. He not only practices these behaviors in the waiting room, but also practices them in restaurants, at school, and at home.
He usually shouts that he doesn't want to be separated from his mother when he comes back to the play room. This week he came back with me without a fight or a fight. I keep swords in my playroom. We play with them for the first 10 minutes and try to stab and cut the limbs. This seems to drain a good deal of his energy. When I tell him it's time to lay the swords. He says "Aww", but he does it without fighting and without trouble.
I usually do more structured activities with a child with ADHD, but they are always told what to do so that I can approach child-related play therapy with them. I'm starting here, he can say anything he wants to say and he can do almost anything he wants, and I'll let him know if he can't. Here you let him decide what he wants to do. The theory is that the child has the ability to heal itself; just let it play. Sometimes we use sand to help us. Another time he creates his own games with characters and tells me what to do and what to say. I go with the river. When the time comes, he follows the rules of the playroom and helps with cleaning. I have no problem with it. When he enters the waiting room, he starts playing again to attract his mother's negative attention.
How can you tame your behavior as an actor with your mother? All of the mother's children are treated. I spoke to my colleague who has the other two children. We agree that you need family therapy at home. Fortunately, our agency has the resources. Children already have case managers, but that doesn't seem to be enough. What can I say about this mother?
1. Definition of the consequences
You can teach mom not to use empty threats. They define specific sanctions and rewards that can be implemented immediately. I would give him a break for Josh. I would reward him every time he followed the instructions. I would talk to him about the consequences of everyone. He would have three chances. The first chance I would tell him specifically what I want from him (one thing). The second chance, I'll tell her if you can't ... then I'll ... (the consequence). The third chance is the consequence of whether his return is a time-out (number of minutes that matches his age) or the lack of a video game. The consequences must be distributed conscientiously despite tantrums.
2. Configuration of a behavior graph
I also want mom to create a behavioral table that instantly rewards him (watching TV for 30 minutes, reading 15 minutes, playing video games for 30 minutes, having desert, etc.). These things don't have to cost money. If he does something several days a week, I'll take him to the dollar store to pick something. I would only choose three things I want to work on. One thing he can definitely do (take his vitamin, for example). First, I would reward him for two things he does on his behavior chart that day (you may need to start with one thing). You have to remember to keep the goal simple and concrete and to control a certain behavior. Since these things are mastered 4 days a week, I would give a small financial reward. Once you've mastered these things, you can add or replace another behavior. We don't expect perfection. We want these behaviors most of the time.
3. Quality time
I would spend at least 15 minutes with all the kids playing a game together, renting a video and making popcorn, having a family home evening where each child can take turns playing for weeks. what he would like to do.
4. Treat each other with respect
I would try to respect every child by listening to their concerns. I expect the same courtesy from them. I would put rules in a prominent place to remind them of respect: no shouting, no name calling, listening when the other person speaks, please say thank you.
These are the four things I would like to implement and use at home, even when you are not at home. Try these steps and see if they work for you. If not, do not hesitate to seek professional help. Josh is on medication and it seems to work, except in other contexts. This may need to be adjusted. I had Josh for a short time. I can only hope that I can make a difference in her life.
Understanding ADHD: What You Need to Know About ADHD in Adolescents and Adults
Many people believe that attention deficit hyperactivity disorder is a condition that a child would grow too big. It is absolutely not true! When children become teenagers, they still show symptoms of ADHD, are still impatient and restless, although there is less hyperactivity. Until they grow up, they still show symptoms of ADHD. Attention deficit hyperactivity disorder is a lifelong illness. It is therefore important that you understand ADHD in adolescents and adults.
There are cases of attention deficit hyperactivity disorder in which the symptoms only appear when the child becomes a teenager. If the child is intelligent enough, it would probably have been successful with just a few problems or homework difficulties. If you are in high school and are starting to have much harder and longer tasks, this can be the time when you start to have trouble doing such tasks. If the attention deficit hyperactivity disorder remains untreated in adolescents and adults, it can cause more serious problems in teenagers or adults.
Adolescents with ADHD are more likely to run away from home than adolescents without Attention Deficit Hyperactivity Disorder
Adolescents with the impulsive type of ADHD suffer 400% more traffic accidents than adolescents without attention deficit hyperactivity disorder
Young people with ADHD are more prone to arson than young people without ADHD.
About 50% of adolescents in youth facilities suffer from ADHD, but have never been treated.
Adolescents who are not treated for ADHD are ten times more likely to become pregnant or pregnant than adolescents who are not.
Children with the impulsive type of ADHD generally have problems, while children with the inattentive type of ADHD tend to be less compliant because they are not motivated to remember things to be asked to do. The same applies to attention deficit hyperactivity disorder in adolescents and adults. Adolescents or adults with an impulsive-hyperactive type are more likely to be in trouble than those with an inattentive ADHD type.
ADHD in adolescents and adults is best treated with antidepressants or stimulants, as is treatment for ADHD in children. Proper treatment of ADHD in adolescents and adults can help them pay attention, focus, and even slow their impulsive behavior. Psychosocial treatment also helps treat ADHD because it includes psychotherapy that helps a person understand the effects of their lives.
Problems later in life can be caused by attention deficit hyperactivity disorder if left untreated. With proper treatment for ADHD in teenagers and adults, whether through behavioral changes or medication, they will be able to live better lives.
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