I attended the keynote speaker's presentation, and I really really enjoyed what he had to say.
First I will mention a couple things I learned that I want to implement in my teaching, then I will post my notes.
His two main points that I want to use is the concept of eradicating moral diagnoses, and providing our students with the two things they really need.
- Moral diagnoses = having ADHD is bad, judgement, guilt. We want to eliminate this in not only our classrooms, but in our students themselves.
- Two things ADHD kids need to thrive: connection and challenge. Though the example he gave was connection through physical contact, we can still form mental and emotional connections with our students. An important aspect of challenge he pointed out was giving individualized challenges - an ADHD kid would be super flattered if a teacher gave them a personal challenge suited for their strengths and talents that the teacher did not give to other students.
Now my notes:
UVU Conference on ADHD
Speaker: Edward Hallowell, MD book: "Driven to Distraction"
People without ADHD have "Attention Surplus Disorder" (haha)
An ADHD diagnosis is actually one of the most positive things that can happen for a student with it.
It is not a disease/disorder/disability so much as a trait
History of the condition:
- people were very skeptical in the 1980s about ADHD
- how do you know this condition is real? isn't it just a made up excuse to
help people get out of doing their work?
- shorthand for a collection of traits/symptoms. If you happen to have a
certain number of them, then you qualify for the the term
- ADD technically doesn't exist, it's just a type of ADHD
- inattentive type vs hyperactive type vs combined type
- core triad of negative symptoms: distractibility, impulsivity, restlessness/
hyperactivity
- ADHD isn't new, you can read about people hundreds/thousands of years ago
with these same symptoms. The only thing that has changed i=s the lens
through which we view it.
- a thousand years ago, the lens was morality. in the 1500s, the diagnosis
was being "bad", failure of the will, child would have been considered to
have the devil in them, religion said beat it out of them (beat the child
more often, beat them harder). Moral diagnosis, buttressed by theology =
very sad situation for ADHD kids. (weakness, lack of faith, sin)
- thousands of years legacy for people with mental diagnosis, was
torture (throwing things at lunatics, beatings, cruelty and neglect)
- fear of anything different, particularly with differences in behavior.
We want to control the behavior of children and adults (conformity)
- 20th century science, proposed that willpower cannot control all
behavior! (radical ideas). Doctors began to say that hard work can't cure
everything - society didn't want to hear that. in 1937, dr bradley in
providence Rhode island had a ward of hyperactive little boys (instead of
reform schools where they would be beaten) - tried nutritional regimens,
behavioral regimens, lighting. Decided to try amphetamines (speed), and
within 20 minutes the kids were sitting calmly and doing their assigned
tasks.
- in only 20 minutes, a medical intervention was able to accomplish
what thousands of years of mistreatment couldn't do.
- the boys called it their arithmetic pill! the kids loved to learn, once
they were able to focus.
- began the dismantlement of the moral diagnosis and the start of
the medical diagnosis
- new term was "minimal brain dysfunction" (As opposed to
willpower dysfunction, sin dysfunction)
- 1960s research, Virginia realized that attention was the key, became
known as ADD
- 1970s/80s - realized adults and girls could have ADD
- 1990s - decade of the brain. brain scans and genetic studies showed
that it was highly inherited, genetic/scientific proof that couldn't be denied
We are an ADD nation! Dreamers, thinkers, pioneers = ADD, it's what makes us great. Also why we have so many people in our prison system
Problem with medical diagnosis is all about pathology - all about what can go wrong. (disability/disorder/disease - dis wordsP
- we need to learn about our strengths!
- when getting a diagnosis, you get a 15 page neuropsychological report that
details all the ways in which you/your child is defective.
What really disables someone, is believing that you are less than. Believing that the disorder means you can't achieve your dreams.
- fungus of low self esteem :(
To talk to a child about having ADHD
"Guess what, you have an amazing brain! Ferrari engine for a brain(Really fast race car)! Powerfully fast brain, but bicycle brakes(hyperactivity with no impulse control). It's OK, doctor is a brake specialist, can help."
- A ferrari with great brakes = a champion, NOT a loser
Distractibility = curiosity! motivates kids to explore
Impulsivity = creativity! great ideas don't come on command, depends on disinhibition & spontaneity
- flooded with ideas, just has to learn how to organize them
Hyperactivity = energy! allows you to do more
ADHD can be a blessing, not an unmitigated curse. The key is to be proud of it, not afraid of. Shame and fear are the real disabilities.
In the 1950s, if you were a child who couldn't read or focus, the diagnosis was stupidity and the treatment was "try harder" and punishment.
- comfort and support is a better treatment, it removes the shame and fear.
These kids need more than anything, to get a loving and supportive arm around them, an arm that tells them they can do it. The force of connection is the most important treatment for ADHD. For any child you work with, you can be that person. You don't need to want to FIX them, you just need to like to be with them. Find something they can do, and encourage them to produce is.
The second element is to challenge them - challenge them in a way that will produce success. These kids will be secretly flattered if you challenge them in a way that is unique to them (as opposed to challenging all their peers with the same task). Get them to prove to themselves that they can do something that they would think was totally impossible (that is important, that they really want to do). Just make progress - it doesn't have to be perfect, it just needs to MATTER and be challenging.
What predicts a great life is not high test scores, but attitudes: like grit, optimism, growth mindset (Carol Dweck).
- growth vs fixed mindset - whatever you think, you will be.
- Ford, whatever you think you can, or can't, you're right.
- these are the tools that ADHD individuals need. Once they have the tools, challenge them in areas they can succeed!
Don't ask them to do what they are bad at - that only leads to frustration, guilt, self esteem issues.
Lack of love retards lives more than anything else. The beauty of connection is its free, and infinite in supply.
- Epidemic of disconnection in our society
- two most predicted factors of kids who stay out of trouble/succeed in education:
1) did they feel connected at home? (didn't matter what kind of family as long as
they felt connected/love) 2) Did the child feel connected at school? (connected to
friends and educators). Kids who lacked connection were the ones more likely to
underachieve and get in trouble
- the feeling of "I matter" and "I can do it"
"I don't treat disabilities, I unwrap gifts"
Other interventions that help with ADHD: sleep, exercise, meditation, nutrition(whole food diet, less gluten), coaching (organization, stay on task - must be done in a context where a child doesn't feel like they are being fixed)
Matthew Roller - uses alternative treatments like neurofeedback, interactive metronome
Dunn - intervention called reflex, using left and right hand/foot crossing the brain midline, stimulates the cerebellum
Anything that challenges the cerebellum is good for your brain - when you get dressed, do it standing, not sitting. Wobble board! Stand on it as long as you can, then on one leg. Sit on an exercise ball. skateboarding/skiing/skating - ADHD kids seek sensory input, keep their body active to strengthen their brain.
Medication for ADHD has a long history, since 1937
- Ritalin called that for the creator's wife, Rita
- when used properly, very safe and very effective
- should have no side effects, except sometimes appetite suppression without
weight loss.
- 75% of ADHD people have benefits from meds. Helps remember, focus, pay
attention. Fast acting, can make a profound difference. Medication should be
respected, but not feared. Doesn't inhibit creativity or personality, just allows
them to use it more effectively. The key is to find a doctor who knows what they
are doing in using/prescribing these medications.
Don't seek to become normal, but to become super-normal. Nurture and develop their extraordinary skills
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Q&A
Earliest age for diagnosis?
- no real earliest age, but practically speaking, not till age 5
Bipolar sometimes a misdagnosis for ADHD?
- yes, similar side effects mean you can have both, or either. Bipolaar meds are stronger, so better to start treating the symptoms as ADHD first, then explore bipolar diagnosis.
Meditation can really replace medication?
- Lydia Zyleskov(sp) shows that minfulness training/meditation can be just as effective, yes. Brain training exercises, meditation work but only if you take it seriously.
ADHD and essential oils?
- Fish oil YES, good oils our body can't synthesize that helps the brain. Eat salmon or take fish oil, don't take too much because you can affect blood clotting
- aromatherapy doesn't harm and smells good, but not much else that he knows of.
ADHD and exercise?
- brain growth hormone, exercise creates a cocktail of hormones that help the brain and mood. regular exercise is a very powerful tool, but don't discount human connection - work out with others!
-Going to church, lunch with a friend, walk in the park with a dog, visiting
old folks home - these are very replenishing, too.
How do you find a doctor that can help manage ADHD meds?
- word of mouth/referral. Sam Goldstein is an expert in our area (Salt Lake City) - he is busy, but can recommend good doctors in this area.
Action oriented cognitive therapy, does it exist?
- someone from audience explained a therapy idea, training the brain to prioritize on the spot. Dr H said he doesn't know if there is a program currently that does this for ADHD, but he said that it's a wonderful idea and would most likely be very useful/helpful. Told the questioner to pursue this line of thinking, and develop the therapy himself. Find ways to create a habit out of a positive behavior.
How can a parent help an ADHD child prepare for upcoming change?
- ADDers love variety, but unexpected transitions can be very disruptive. Help kids avoid the element of surprise. Let them know what's coming up, any time there is a transition.
- avoid interrupting in ways the don't/can't anticipate.
What are the top 3 things a parent should do or know?
- approach ADHD with a positive attitude (love the diagnosis)
- dispel the myths (not stupid or less-than, you're special, but it will take more work)
- don't seek the latest/newest treatment, go with the interventions that WORK.
How would you prepare a student with ADHD to succeed in college?
- transition from home to college is a big danger zone. Home = maximum supervision and structure. College = no supervision or structure. Parents plan ahead, summer before college= a training ground to teach them how to do all the things they need to know to live on their own (like transition to adult living class). Set up a mentor/coach to keep checking in with the child, school advisor system doesn't really help.
How do you help a spouse with ADHD without creating a parent/child relationship?
- non ADD spouse = parent, ADD spouse = child. Work on dismantling those relationship tendencies. Non ADD spouse needs to get out of the role of taking care of things, may need a therapist to help break down those behaviors. Don't fall into attack/withdraw cycle
Should a parent tell a child they have been diagnosed?
- Absolutely! Tell the kid calling it a disorder is a dumb term (the kid isn't broken or less than) for some awesome brain benefits. Tell them about people with ADHD who have succeeded (Steven Spielberg, etc)
Is there adult onset ADHD?
- clinician vs academics... according to the diagnostics, there is no such thing as adult onset ADHD, but sometimes the interventions for similar behaviors are the same. Women often get misdiagnosed - depressed, substance abuser, ditzy, and they don't realize they have had ADHD all along.