ATTENTION DEFICIT HYPERACTIVITY DISORDER Max, Laura, Nick, Denise, Andy MYTH OR FACT? 1. ADHD is not a real disorder. MYTH Fact: The American Psychiatric Society recognized AD/HD as a medical diagnosis in 1980. 2. All people with ADHD are hyperactive and/or impulsive. MYTH Fact: There are three subtypes of ADHD: a) hyperactivity/impulsivity b) Inattentive c) combined. 3. Stimulants are safe to use in both children and adults. FACT Myth: Medications used for ADHD (stimulants) are highly addictive. Fact: Studies are finding that those diagnosed with ADHD who are not being appropriately treated with medications often self-medicate using substances that can be addicting. 4. ADHD is a neurobiological condition, often inherited. FACT Myth: ADHD is caused by poor or inconsistent parenting. Fact: Parenting styles do not cause ADHD. 5. Children and adults with ADHD have lower IQs. MYTH Fact: People with ADHD do not have lower (or higher) IQs than the general public. 6. Children with ADHD are over-medicated. MYTH Fact: Though more children are taking stimulants for ADHD than before, researchers believe this is due to clinicians identifying more children with ADHD who have been missed in previous years. 7. There are as many girls with ADHD as boys FACT Myth: There are fewer girls with ADHD and they are less impaired than boys with ADHD. Fact: Girls are less frequently identified and treated. 8. ADHD can be cured. MYTH Fact: At this time, there is no cure for ADHD, but it can be well managed through a combination of medication and therapy. DEFINITION OF ADHD A diagnosis that is made for children and adults who display certain behaviors over an extended period of time. The most common of these behavioral criteria are inattention, hyperactivity, and marked impulsiveness. Prevalence: ADHD is a common childhood disorder. It is estimated to affect 3–7% of all children in the United States, representing up to two million children. CHARACTERISTICS OF ADHD By: Laura Brandt CHARACTERISTICS – INATTENTIVENESS Trouble with: Details Paying attention Listening Following instructions Schoolwork Organizing Tasks that require sustained mental effort Keeping track of needed items Not being distracted Remembering things CHARACTERISTICS - HYPERACTIVITY Students with ADHD often: Fidget /squirm Leave his or her seat Run /climb excessively Have difficulty playing quietly Seem on the go Talk excessively Blurt out Have difficulty waiting Interrupts CHARACTERISTICS OF ADHD Infancy – 7 years Boys vs. Girls DOES MY CHILD HAVE ADHD? Six months More than just one setting: Home School Disrupts daily activities Causes problems in relationships: Adults Other children Normal behavior vs. ADHD ADHDIZZLE ELIGIBILITY & DRUGS By: Max Rixe ELIGIBILITY Take out a sheet of paper Write down numbers 1-9 Mark it section A Write down another set of numbers 1-9 Mark it section B OTHER CRITERIA II. Some symptoms that cause impairment were present before age 7 years. III. Some impairment from the symptoms is present in two or more settings (e.g. at school/work and at home). IV. There must be clear evidence of clinically significant impairment in social, school, or work functioning. V. The symptoms do not happen only during the course of a Pervasive Developmental Disorder, Schizophrenia, or other Psychotic Disorder. The symptoms are not better accounted for by another mental disorder (e.g. Mood Disorder, Anxiety Disorder, Dissociative Disorder, or a Personality Disorder). FORMS IA. ADHD, Combined Type: if both criteria IA and IB are met for the past 6 months IB. ADHD, Predominantly Inattentive Type: if criterion IA is met but criterion IB is not met for the past six months IC. ADHD, Predominantly Hyperactive-Impulsive Type: if Criterion IB is met but Criterion IA is not met for the past six months. TREATMENT Medications Parent Training Behavioral intervention Strategies Behavior modification is the only nonmedical treatment for AD/HD with a large scientific evidence base. MEDICATIONS Stimulants are the best-known and most widely used treatments. Between 70-80 percent of children with ADHD respond positively to these medications. Adderall, Concerta, Ritalin (SR) –Slow Release Side effects are profound Headache, upset stomach, sleeplessness, sweat (lots of), weight loss due to decreased appetite, nervousness MEDICATIONS PART DEUX Nonstimulants were approved for treating ADHD in 2003. This medication seems to have fewer side effects than stimulants and can last up to 24 hours. Strattera, Intuniv Side effects: Decreased appetite, upset stomach, Nausea, fatigue, dizziness, mood swings ABUSE As teachers watch out for these drugs Great recreational drugs Rids, Vitamin R, Pineapple,Uppers Just a note: these names are sort of clever But watch out! They are bad news. MANAGING ADHD IN THE CLASSROOM By: Nick and Denise SO WHAT! Students with ADD/ADHD may be easily distracted by noises, passersby, or their own thoughts that they often miss vital classroom information. WHERE ARE THEY SITTING? Be aware of where the student is seated. Surround the student with good role models. Do not place them in high traffic areas, near windows, doors or your desk. Use trial-and-error to find the least distracting location in the classroom. WHEN THEY INTERRUPT Reducing the interruptions of children with ADD/ADHD should be done carefully so that the child’s self-esteem is maintained, especially in front of others. Develop a “secret language” with the child with ADD/ADHD. discreet gestures or words you have previously agreed upon. FOLLOWING DIRECTIONS Try being extremely brief when giving directions, allowing the child to do one step and then come back to find out what they should do next. FOLLOWING DIRECTIONS Give the child important jobs to do, especially ones in which he has to do something physical. WHY IS ATTENTION IMPORTANT? It allows us to focus on a particular problem for an extended period. It helps us retrieve inactive memory elements when they are needed for current problem solving. It allows us to shift the focus and content of our attention when it is required. KEEPING THEIR ATTENTION To accommodate to the student's short attention span, academic assignments should be brief and feedback regarding accuracy immediate. Longer projects should be broken up into manageable parts. Short time limits for task completion should be specified and can be enforced with timers. NO ONE KNOWS WHAT ITS LIKE…… RIDE THE ADHD TRAIN BABY!!!! "The bathroom floor was about six inches deep with soap bars, vomit, and grapefruit rinds, mixed with broken glass. I had to put my boots on every time I went in there to piss. The nap of the mottled grey rug was so thick with marijuana seeds that it appeared to be turning green. The general back-alley ambience of the suite was so rotten, so incredibly foul, that I figured I could probably get away with claiming it was some kind of 'Life-slice exhibit' that we'd brought down from Haight Street, to show cops from other parts of the country how deep into filth and degeneracy the drug people will sink, if left to their own devices . . . There was evidence, in this room, of excessive consumption of almost every type of drug known to civilized man since 1544 A.D." BRIGHTLY COLORED MATERIALS Catch and keep attention of students Make learning fun A STRUCTURED LEARNING ENVIRONMENT Reduces distractions Takes focus away from what will happen next VERBALLY RECOGNIZING COOPERATION AND HARD WORK Provides students with immediate feedback Helps students understand and follow classroom etiquette Motivates students in a positive direction NEVER LETTING STUDENTS MISS RECESS OR PHYSICAL EDUCATION Gives them a physical release Doesn’t deny them for something they cannot control STRESS BALLS Enable students to have physical movement Reduce anxiety ASKING FOR STUDENT FEEDBACK Gives you direct insight Provides a faster solution to the problem ACTIVITY ACTIVITY Which five colors did you see on the page? ACTIVITY Green Blue Red Orange Yellow CRITICAL INFO FOR TEACHERS So Listen Up By: Andy TRUE OR FALSE ADHD essentially disappears after age 13 ADHD affects approximately 5% of students True: Though some studies say it could be more, and many are never diagnosed. Sitting students in small discussion groups will help them pay attention more False: Though growth in the frontal lobe may cause symptoms to dissipate, the disease does not vanish altogether. False: Some teachers recommend a horseshoe desk layout, which keeps students separate but also encourages large class debate. Teachers should modify the curriculum slightly to accommodate ADHD students Unsure: Sometimes this might be necessary to an extent, but many believe this is being dishonest. ADHD: PARTICULARLY HARD ON JUNIOR HIGH STUDENTS Junior high: already a confusing time. Added confusion in class can be overwhelming ADHD students are rarely organized. Sometimes may behave inappropriately and not even know it. SOME SIMPLE THINGS WE CAN DO “Wacky” kids may tend to misbehave, but they can be exceptional with positive outlets. “Planned and Documented Interventions (PDI)” When there’s an outburst, give student a gentle cue. Reach out to students. Be someone they can trust. Sit them near you, but don’t make it seem like you’re punishing them. Regular reminders of assignments/tests. Be excited about your lesson, and use multisensory presentations! Behavior that is rewarded tends to reoccur. Always reinforce positive behavior. SOURCES http://www.helpguide.org/mental/adhd_add_teac hing_strategies.htm http://www.childdevelopmentinfo.com/learning/te acher.shtml http://www.healthcentral.com/adhd/c/57718/6433 5/10-adhd-myths http://www.mayoclinic.com/health/adhd/ds00275/ dsection=symptoms Kathryn Grossman