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ADD and School-Aged Kids

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I think that my son might have ADD

Aug 2010

My husband and I have been in marriage counseling for a year now. We're doing really well, but last week our therapist suggested that my husband might have ADD. We did a lot of research and think that he does have ADD. Now, he's waiting for an appointment with the doctor and possibly psychiatrist. Well, I've also said for a long time that our oldest son is a mini version of his father. My husband agrees and we are also taking a close look the possibility that out son could also have ADD (neither seems to fall into ADHD catagory). My questions are to anyone who has been through this process. To medicate or not to medicate? How do you discipline a child with ADD? Any proven methods to help them remember things? How do I cope with this condition? I want to support them both, but it's so hard to not get frustrated when I see them constantly forget or put things off. Are there any good support groups in the Dublin/Pleasanton/Livermore area? Any advice on good reading material for both coping (them) and handling it better (me) is appreciated. Thanks! Trying To Find Help


My 10-year-old has ADD, inattentive type. He has been helped a great deal by taking Concerta and he can now actually interact with the teacher and students in the classroom, participate in discussions at the family dinner table, and play on a sports team. He could not do any of these things before, because of all the distractions going on inside his head all the time. You should have your son evaluated by either a developmental pediatrician or a neuropsych to see if he does in fact have ADD. If so, you can discuss the options with your doctor. There is a lot of info about ADD on the internet - in particular try the CHADD website.
Hi, I'm a coach who works with non-linear thinkers like people with ADD and many artists. A great resource is www.CHADD.org It stands for Children and Adults with Attention Deficit/Hyperactivity Disorder.
I can only answer part of your question and stay within the maximum character limit... sorry... I have a son with ADD or ADHD depending on who is doing the talking. I'm sure this will buck most of the advice given here, but medicating him has been the best thing we've ever done for him. It is not a decision we made lightly. In fact when he was first diagnosed in 2nd grade and we refused medication outright. We had a hard time accepting the diagnosis; he seemed just like all the other little boys we knew. However, by the time we got to 4th grade it was obvious that he had more difficulty concentrating and sitting still than his peers. Between the ADD and his learning disabilities school was a struggle for him and constantly being in trouble was wrecking his self-esteem. Once it became apparent that he was having trouble in social settings as well as academic ones we decided to give the medicine a try. What a difference. His reading got better, his writing got better, he was able to concentrate and remember things. His self-esteem improved as he saw his academic struggles diminish. Don't get me wrong... he still has learning disabilities and memory problems... but things are much better than they were. Overall I'd say it was truly a wonderful thing, and I wish I'd done it sooner. Give it a try and then worry about techniques, you never know what results you are going to get. converted
See my response to a question above about ADHD. Ed Hallowell and his wife have a new book out about being married to a person with ADHD. anon

Resources & Books about ADHD

Aug 2010

Our 10 year old son was recently diagnosed with ADHD (inattentive type). We are looking for recommendations for resources, groups, classes, books, playgroups, IEP etc. to educate ourselves so that we can nurture our son and be good advocates. We would be most grateful for any feedback or recommendations. We live in Castro Valley.


Dr. Edward Hallowell has written many excellent books on ADHD: Driven to Distraction, Delivered from Distraction. He has ADHD himself, as does at least one of his children. He is an MD with a vast knowledge on all aspects of the subject, a compassionate and respected voice, and his books are easy to read. This would be a great place to begin learning about this topic. anon
I am an adult with inattentive type ADHD and I have found Dr. Amen's books helpful. You should be able to find them at most major bookstores, but here is also some websites - http://www.amenclinics.com or http://www.healthcentral.com/adhd/c/1443/20741/faces-adhd-dr-amen

I think it is also important to emphasize to your 10 year old that he is not ''dumb'', nor that his brain is dysfunctional, nor that there is anything wrong with him. Your son simply thinks in a way that is different from many other people and such thinking style can be a great strength, but sometimes is also be difficult. The difficult part is a challenge which he is cable of overcoming. Here are some website which show famous people with ADHD ( http://www.adult-child-add-adhd.com/categories/general/famous_people.php OR http://www.adhdrelief.com/famous.html). Hope that helps, good luck. Anon


Active 2nd Grader or ADHD?

Aug 2010

My child will be entering second grade this fall and I'm beginning to wonder if she's just active, or if she has ADHD. She's always been on the very active end of the spectrum - jumping up and down when she sees friends or spinning when she hears music she likes, dancing, moving constantly, running. She's never been a kid who can sit and do a puzzle, or color quietly. She's constantly exploring drawers (childproofing was a must), opening bags, dancing, filling containers with dirt and beans and pouring them into smaller containers, stuff like that. Her temperament is kind, and she makes friends easily. We've worked hard not to restrain her natural curiosity, because it's messy (but natural) and there's no malice in it. But she's clumsy, fidgety, and simply can't sit still for long. In restaurants, she's literally rolling on the seat, her arms are like tentacles, she's kicking, and despite our attempts to demand she sit still, she can't. Her last year's teacher did not see any indication of ADHD but did indicate that she ''spaces out'' sometimes. My partner's relative said we should give her time outs for not sitting still in restaurants -- should we? Or can she help it? Is all this movement a result of bad parenting? Where's the line between temperament and disorder? Help! She's Digging in the Backyard


My soon-to-be-fourth grade son has a similar temperament. He mostly seems unaware of what his body, and his fingers, are doing -- and they are generally doing quite a lot; he's especially bad with picking stuff up and handling it after specifically being asked not to. For a year or more around 1st grade he seemed to be walking into people on the sidewalk on purpose -- I must have said ''Be careful, don't bump into people...'' a thousand times. He's also clumsy, though that has improved considerably over the past year. He's quite tall, and I often describe him as ''a half-grown golden retriever puppy, not knowing quite what to do with all his arms and legs.'' He's not quite as bad in restaurants (but full disclosure -- we give him iPhone games to help him wait!). He can't yet entirely control his sheer physical energy, so we don't punish him for it. And he does not have ADHD. His second grade teacher described him thus: ''He hears every word I say. He may be hanging upside down off his chair when I say it, but he hears me.'' And I think that's the difference. Kids fidget (some more than others). The question is whether or not they can attend when asked to.

I'm certainly no developmental psychologist, so if you are concerned, you should have your child evaluated. But do know that there are other kids out there with very active temperaments. It's normal, and not necessarily a problem. They may have trouble because the school wants them to sit still, but it doesn't necessarily indicate a need for punishment, therapy or medication.

One thing I've definitely found (just FYI) that has helped with body awareness is that he has taken regular martial arts training for a couple of years now. He's much more able to control fidgeting, and not bump into stuff, than before he started. the puppy's mom


Your daughter sounds extremely active, but I wouldn't jump to a conclusion about ADHD unless her teacher begins to express concerns and she isn't learning what she should be in school. Activity level is a temperament trait that is not necessarily a problem, except that our society expects children to sit still. I wouldn't create problems for yourself by expecting her to sit still unless it is really necessary for the situation (a haircut, for example). As she grows older she will have an easier time sitting still but will probably always need more physical activity than other people. You might try helping her to get more intense exercise (gymnastics, sports, etc.) in order to get some of her energy out and make your life a little easier. I am offering a support group for parents of spirited children, so contact me if you are interested in that. Meri
Hi. You will probably get lots of letters with similar advice. I would definitely take your daughter to an occupational therapist with experience in sensory disorders. Your daughter sounds very similar to mine (who is younger), and also to me as a child. Our daughter is also extremely active and ''clumsy''. She was diagnosed with a mild sensory processing disorder in the areas of vestibular and proprioceptive processing. How this plays out with her is that she craves extra input in these areas and is challenged by activities such as sitting still in a chair for a long time. Of course I don't know your child but from the things your wrote I think it would be really worth your while to get an evaluation. We ended up getting the evaluation and then sharing all the suggestions with our daughter's school, which really helped both my daughter and the teachers. I know the restaurant thing is annoying, but it probably really is hard for her. I feel lucky we were able to kind of figure out this problem early because I work in special education. Feel free to contact me. jamie
I don't really know much about adhd, but I know my experiences. You're describing me when I was a kid. It took me until about 3rd/4th grade to finally be able to reel in my energy and sit still for any real length of time. In fact, it took a great 3rd grade teacher to figure out to give me books to read during class because otherwise I was disruptive due to my energy (even though my grades were perfect). This taught me how to always have books with me so I could ''sit still'' in certain situations. I always did great in school, but it was boring and easy. I'm in my 30s and I'm still hyper by most people's definition, however I can control myself when the situation requires it (hours of boring meetings). My hyperness only appears that way to others when it's expressed in a physical way because I can just as easily sit and do 3 hours (or many more) straight of work (software engineer) or read for just as long or longer. I need to be doing something, either physical or mental or I go nuts. I think for small kids it's harder to have something that can mentally stimulate them for long periods (or realize they want/need it), so it looks like hyperness instead of physical action (which they can provide for themselves). I think it's good to point out to her that other people are sitting still in a restaurant so she can too, but I would encourage you not to make it a battle because this might be her nature and you don't really want her to learn how to turn her energy off/tune out. bad parenting? no way. Bad parenting would be you constantly trying to get her to sit still. There is a very fine line between temperament and disorder - it's all perspective. My parents think I should be ''reigning'' in our child too, but I don't agree most of the time. I'm giving her until late elementary and then I'll start explaining that society will take her more seriously if she's not bouncing when she's talking to somebody. Until then, who cares? --hyper and happy
The truth, in my opinion, is that the line between temperament and disorder is very very very gray...

Whether or not she has ADHD, her activity level is not a product of bad parenting, it is just how she is and it will likely be a valuable strength later in life after this awkward stage is over. Its very easy for others to judge when they have not truly experienced it, but its not right for them to do so. I think it is fine to give children with ADHD (or non-ADHD kids) timeouts, in fact I strongly suggest it as it gives them a break from all the stimulus. The various books on ADHD may be helpful on this subject and just about every bookstore has a ton of them. I found Dr. Amen to be helpful - (http://www.amenclinics.com). What is harmful is to call a child with ADHD ''lazy'', ''spazy'', or try to force them to focus when they are already tired or are not interested in the subject. If you do determine she has ADHD, then I would learn about all the accomplished famous people who have had ADHD (and there is many) and ADHD as well as other ''learning differences'' are just a different way of thinking, not a ''disorder''.

If your child seems to be suffering, such as doing poorly in school or feeling bad about themselves, then maybe getting tested for a learning disability by a qualified professional is a good idea. I am sure your school can provide recommendations. Such testing is not cheap and insurance rarely covers it (although I think Kaiser might), but such academic testing will give you a much more thorough and professional opinion on how your child learns best, and if she has an LD, how best to approach it. I am personally very weary of medications for ADHD, so I suggest being cautious if ADHD is the diagnosis, but you can read about the pro and cons of medication if and when a diagnosis of ADHD is confirmed.

Good luck, I am sure your a great mom. Anon


Worried that grandchildren may have ADD

March 2010

Recently we started suspecting that my grand daughter (and maybe my grand son too) has ADD. The problem is: their father died recently from mental illness and they know he had ADD and depression (among other things). The subject of perhaps them having ADD is really scary for them. Any suggestions about how to approach this? They are both already in therapy for grief counseling. Feel free to email me directly.


I am an adult with ADD. I was diagnosed as an adult when applying to law school. It was a scary thing to learn since I had also heard so many negative things about having ADD, as most of us have. I think when exploring the possibility of having ADD, it is important to keep in mind that ADD does not mean mental illness or one is unintelligent, its just a different way of the brain operating. In some circumstances, thinking in a different way can be a big advantage. Many successful people are reported to have ADHD or learning disabilities including Charles Schwab, Erin Brockovich, Gavin Newsom, Nelson Rockefeller, James Carville, Anderson Cooper, Michael Phelps, Tony Bennett, etc. (see http://addmoms.com). There are challenges associated with having a learning disability such as ADHD, but with a supportive family such challenges can certainly be overcome and one can lead a very normal, if not extraordinary life. anon

ADHD in a 3-year-old?

Feb 2010

Hello All, I have a good friend whose son was diagnosed with ADHD, and he's 3. We both find this rather crazy, as most three year olds are well, a little crazy. Although she does say that while in preschool she can see he's different. Here is the issue, the pediatrician.

The doctor said because of the aggression and his flight response he wants to do meds and then come up with a plan. She feels the exact opposite.

Calling all parents of kids with ADHD. Books, websites, tips whatever you got. She does not want to do meds, he is only 3 after all.


I recently moved here from Washington state where I was on a team that conducted developmental evaluations of children under the age of three. I strongly encourage this parent to seek the advice of another pediatrician and/or pursue a developmental evaluation through your local school district. I do believe this is much too young to make a diagnosis of ADHD and to medicate on that basis alone. If the child's behaviors are truly dangerous to himself or others, medication may be warranted (a second opinion would certainly be appropriate), but there should be severals attempts at behavior modification before that point. A thorough evaluation would work to rule out sensory processing differences and medical anomalies, including vision or hearing concerns first. In addition, I would expect that preschool teachers and parents be interviewed at length and the child observed in both home and school settings if possible, to gain a thorough understanding of the problem behaviors -- both what the triggers and typical consequences are (sometimes called a Functional Behavior Analysis). Good luck to your friend. Amy
In my opinion a parent should not give ADHD meds to their 3 year old child unless that parent is comfortable doing so. My child was diagnosed with ADHD at age 4. Both the doctor and I opted to wait until my child was in Kindergarten to determine whether or not to prescribe meds. My child is now 6 and I'm convinced that medication is the right way to go, however, I needed time to research and evaluate my child before becoming comfortable with this decision. Good luck! ADHD Mom
Your friend is right to be extremely cautious about medicating a 3-year-old and I applaud her for finding other ways to deal with her son's behavioral issues. A few thoughts: 1) You said the pediatrician wants to medicate because of aggression and flight response. Neither of these is a symptom of ADHD. And aggression, in general, does not improve when ADHD meds are given. Aggression needs to be treated behaviorally (with rewards for not being aggressive, and carefully administered negative consequences when the child is aggressive). 2) Pediatricians who do prescribe meds for ADHD do so because that is their only resource. They can't provide behavioral therapy or other alternatives. Your friend should find a psychologist or psychiatrist, or even a developmental pediatrician, who is not inclined to medicate and can offer other treatment strategies. She could start with the San Francisco Bay Area Center for Cognitive Therapy (http://www.sfbacct.com/). 3) Websites: http://ccf.buffalo.edu/resources_parents.php and www.chadd.org. Liz O.
Since his mom sees his behavior is ''different'' from other kids in his class, it would be good to help him in whatever way seems best to the family. I think this little boy is very lucky to have people like you looking out for him, and staying on the case, because you want this child to have positive experiences at school in the next several years.

My main point is, you want to avoid the scenario where everyone decides to wait-and-see, and in first grade the child is still hitting a lot and ends up being avoided or in trouble at school. We have one good friend with ADHD, whose behavior is mostly fine, and who is on medication (but is much older than your friend's child.) It has been a lot of work for the parents, but their son is doing well. anon


Po Bronson (''NurtureShock'') has written about the connection between ADHD and sleep disruption caused by snoring and other problems. He says that 25 % of cases of ADHD have been helped by having the child's tonsils removed. Evidently some very serious brain development occurs during certain stages of sleep, and when that sleep is disrupted, it can have long-ranging effects. http://blog.newsweek.com/blogs/nurtureshock/archive/2009/11/12/a-cure-for-adhd.aspx Lisa in Oakland
Three years old is probably too young to start most medication. I started trying to get my daughter diagnosed when she was about 4 years old. It tool several years just to get hte diagnosis to get medication. Meanwhile I tried auditory processing therapy which did do some good and you might try that for a child under 5 with ADD/ADHD. You might also try cutting out all sugar and certain other foods. Cut out as much television and video and computer games a possible and no TV, etc. for at least a half hour before bedtime to let their brains rest. (This is actually the hardest thing to do because if spouse is in there watching a football game or someone is working on the computer, its very hard to get junior to NOT do the same thing as everyone else in the family.) There are certain neurological stimulation therapies that some clinics do also. I think that normally, most kids won't start medication until age 5 or 6. For most insurances, the diagnosis of ADD/ADHD has to indicate that the problem satrted before they were age seven and rule out any head injuries or other problems. My daughter was in the 4th grade before I got a diagnosis and then I had trouble getting souse on board with the medication. Some kids cannot handle the medication. Some kids recognize that it makes them feel better. Both parents have tobe positive about the medication. By itself, it won't fry your child's brain and studies show that children with ADD/ADHD who are not treated as children are more likely to use drugs and alcohol as adults to ''self medicate.'' I think it is pretty well accepted that most people do not ''outgrow'' ADD/ADHD. Some people just learn to handle it better as they get older. Others need medication throughout their life. It is also familial. So medication - if the child can tolerate it - is a good thing if other avenues don't work but its also important to get them started early because once those kids hit middle school things get really tough. I think 4 to 5 years old is the best time to start medication - you could wait until part way through Kgarten to see if adding medication improves his attention and behaviour in that environment so that you have a basis to go by. parent of ADD child
Has anyone thought about speech and language processing issues in this child? I would at least suggest a consult with a Speech and Language Pathologist. Frustrated communication can manifest in behaviors like this. There was lots of good food for thought in the other posts. Linda

Inattentive ADD in School-aged Kids

Oct 2009

I am looking for references for Inattentive ADD. Any good books, resources in our community, etc? Advice on getting public school to work with child? Any success using supplements and diet restrictions to aid child's ability to work with issue (s)? Thanks Juliette


My son has inattentive ADD. It's like a very interesting movie is playing inside his head all the time. As a result, he does not hear his family talking to him, the teacher talking to him, he can't follow the steps in a board game or a game of baseball, he has a hard time interacting with other kids. He is just not present. We got a lot of insight about this type of ADD from a developmental pediatrician in Orinda, Dr. Marianna Eraklis. After consodering all our options, we decided to try Ritalin for our son, and we have been very pleased with the results. He is playing on a sports team for the first time this year, we can have family conversations now, and his academic work has shown an incredible improvement - he caught up quickly once he was able to focus. I would really recommend that you consult with one of the developmental pedi's in the area - there are many excellent ones. Good luck -
I expect you will hear from many parents with ideas on this, so I will be brief. Two great books to start with are: Delivered from Distraction by Hallowell and Ratey, and Spark by Ratey. CHADD is a good national organization with local referrals. Omega 3s are helpful, but not a magic bullet. I'm happy to talk with you more if you like. ck
Last year, after our 9-year-old daughter was flagged by her teacher as having processing/attention/learning issues, I saw a BPN posting about a research study, conducted jointly by UCSF and UC Berkeley, looking at exactly what you're asking about: ADD without the hyperactivity. The study is called ''CLAS'' for Child Life and Attention Skills.

As part of the application process, our daughter was tested (for free!!), and it was confirmed that she did have inattentive ADD. Then we were randomly assigned to a small group with whom we met on a weekly basis. The meetings were facilitated by a CLAS staff member (Ph.D.) who introduced several very specific strategies designed to help children with inattentive ADD. We tried the strategies, came back together and talked about how it was going. We got to know and compare notes with the other parents. We were able to get suggestions from the researchers tailored to our specific circumstances. Last, but not least, the project actively involved our child's teacher, and she got paid for her time! It was an excellent experience for us. We are continuing to use the materials and strategies at home and with this year's teacher.

CLAS is a 4-year study, and they recruit a new group of participants each year. (Last year was the first year.) You can contact the Project Coordinator, Adriana Nevado, about possibly joining this school year. Her number is 510-643-3437. Be aware that families are randomly assigned to one of three groups; one is the control group which receives little to no information or support. B.


Binocular Vision Test & ADD

March 2009

Has anyone taken their child to UC Berkeley's School of Optometry for a Binocular Vision Test recently? Planning to take my 6yr old daughter there. Her school had a doctor from UC Berkeley who did the eye exam and had mentioned about Binocular Vision. I've taken her to my regular eye doctor, who said she was fine. She?s not doing academically well in school, so trying to see if there's any relation in vision. I took her to the doctor and was diagnosed with ADD, just by the questionnaire completed by the parent and her 1st grade teacher. That?s it? Just by a questionnaire? Does anyone know what other tests there to test her? I?m not sure what direction I should start looking into. I've written an email to her principal to see if the school psychologist can give her a test. My daughter now freaks out when you tell her to do homework and hates school. She use to love preschool & most of Kindergarten. Sylvia


My son was also referred to have the binocular vision testing done when he was about 6. His teachers at school suggested he be evaluated because he wasn't doing well academically. The binocular vision testing was part of a larger diagnostic work up (he was ultimately diagnosed with ADD).

The binocular vision testing is very thorough and somewhat exhaustive at UCB, and they have a pleasant manner. The multiple tests look for any problems with visual perception. My son tolerated the tests well, as UCB works well with kids. Good luck


I took my daughter to the UCB Binocular Vision Clinic two years ago. I was very impressed with the process and the recommendation they made. My daughter is a good student who's a terrible speller. They found her to be perfectly normal with no vision or attention issues. I also took her to the Linda Moode Belle center in Berkeley. It was probably overkill but I felt like I had dotted the i's and crossed the t's when I had both opinions. Best of luck to you
My son, age 10, just finished testing at UC Binocular Vision. They found all of the same issues his ed therapist had found. We are in the process of getting testing done through the school district. Once we have that report we'll go back to UC to begin therapy. The supervising professor at UC encouraged us to wait so that we wouldn't have to pay for them to do certain tests or initiate therapies that would be done/included by the school. Unfortunately that clinic is incredibly busy... we had to wait more than two months to get in initially, and had basically no choice with regard to day or time. Also, this is the second time we've gone through testing there. The first time was three years ago and the results were ''normal'' however I got the impression from the professor we worked with this time that the screening done on the weekend (when we went) is less thorough than that done on the weekdays. Perhaps some of his issues would have been caught sooner if we'd done screening on a different day, but honestly I think he was too young then for any of the screening to be effective. There is a huge range of what is developmentally normal at 5,6 and 7. It's just really hard to tell if there is a learning disability or if the problem is attention, or if the kid just isn't ready yet, but will be in six months. My son was within normal ranges for almost all of the tests he did, including those with an audiologist and testing done by a private ed psychologist... it wasn't until late in second grade that we were able to get any real diagnosis from any testing.

As for ADD... it is not uncommon for children to be diagnosed using no other measures than a survey. Sometimes if it is done by a school psychologist the child is also observed in class. I've spoken to one who recommends brain scans, though I haven't had a chance to persue how one would get that done. We waited about two years to do anything about our son's diagnosis... it seemed arbitrary at the time, borderline at best. The psychologist who presented the results had no credibility since she couldn't even read the graph to us correctly... So we decided to wait and see. This year it became obvious that the other kids aren't ''just like him''. It was impacting him socially and acadmically and really hurting his self esteem, and since we'd tried addressing evey other issue we decided to start medication... it has made a world of difference already and we aren't even through experimenting wiht dosage to see what is best. Still trying to figure it out


I took my son to the binocular vision clinic, where they found trouble with his horizontal tracking. We worked with a piece of software, and over a period of a few months, his tracking became much better, and his reading improved quite a bit. Shortly thereafter, he began to enjoy to read. I don't know how much of that was him developing, and how much of that was the help with tracking -- but it certainly didn't hurt, and it wasn't that expensive.

With regard to ADD, just a couple of questionnaires seems like an incomplete diagnosis. That would work as a screening test -- saying that your child needed further evaluation, but not as a complete diagnostic tool. It seems like you might want to consult with a developmental pediatrician, developmental psychologist, and/or the school psychology team at your school (you can get an evaluation through your public school by formally requesting it, and I believe it must occur within 60 days of the request). They usually do a very thorough testing of your child, including IQ tests, academic tests, classroom observations, as well as questionnaires.

In terms of your child hating school, some of it may be a mismatch between how she learns and the teacher. You might want to do some talking to other parents who have spent time in the classroom to see if there's been any friction between your child and this teacher. My child had trouble with the teacher in one particular grade, and it was a total nightmare, for him and me. Since then, however, he has done very well, loved school and the teachers, and all has been well. Karen


ADD or just 7-year-old phase?

Jan 2008

My 7-year old son has always been ahead on the learning curve, was an early reader, has great fine motor skills, and good focus. Recently, however, he has been having trouble comprehending instructions at school and at home, and can't seem to focus on any school related tasks (he does fine when playing). He is struggling in school and with homework, and seems to be forgetting even the simple things he has known for years. His teacher is concerned that he has ADD. However, he can focus intensely for long periods when doing legos, drawing, or doing other non-academic activities. I get frustrated helping him, because it seems like no matter what I say to help him he doesn’t grasp it (and being frustrated with him clearly doesn't help him). Should I be concerned or is this just a 7 year old phase? confused and concerned


I am a first grade teacher and see that many boys have ADD-like symptoms in this age group which disappear later. This observation comes from many years of experience. In my first years of teaching I would overreact to things because I had not seen enough children over long periods of time to know any better. I would refer kids to testing and nothing would come of it but that they were in a phase, just as you suspected. How many years has your son's teacher been teaching? Has she administered any testing for him? Has he been referred to any specialists? If she is making off-the-cuff remarks to you during conferences or in passing w/o back up data, this is a BIG no no. You never should say anything like this to parents if you have not gone through the necessary steps schools have in place for correctly diagnosing learning disorders like ADD first, then the parents should be involved in every step of the process for testing , creating individual education plans (iep) etc. If you are concerned, you can go get him tested somewhere on your own. Don't be too concerned....It is probably a phase first grade teacher
I hate to ask this, but have you ruled out boredom at school. If he's far advanced, I imagine he can think circles around most of the kids and probably is his teacher too. School is often not a good fit for the genius and genius's often fare as badly as learning disabled in school. They just get too bored. My husband's mother told him to watch his teacher and pretend that he was listening. He said that helped. I don't know if there are alternative programs for your son, or different school possiblities? Good luck
ADD or is school just really boring? It's numbing to be told what to do and when to do it for 6 hours a day, constantly supervised, constantly corrected. Perhaps it's deadening his spark. You did say that his attention is just fine when he's interested in the task at hand. I'd stick with that observation and ask the school to change, not him. The only other question I'd ask is, ''Is he depressed about something?'' Best of luck, Elisa
Is your son getting enough sleep? Maybe his sleep needs have changed and he needs more. Our very bright son went through a similar phase, we were puzzled but realized suddenly one day his sleep had been getting disrupted on a regular basis. We made his sleep a priority - in second grade he would go to bed at 7:30 p.m. and sleep til 7 a.m. - and things turned around literally in a couple of days. My boy needs his sleep

6-year-old shows signs of ADD - how to help him?

Sept 2007

I have a wonderful little boy who just turned 6. Since he was in preschool teachers have been quick to mention they think he has ADD. I've been reluctant to jump to this conclusion because of his age. Boys tend to mature slower and be impulsive. I spent some time volunteering in his Kindgergarten class and quickly noticed that my son was not as ''engaged'' during reading time when the teacher was talking or singing, had a hard time staying focused on his work, and was doing very poorly at socializing. I had some talks with his pediatrician over the symptoms and even though they do not generally diagnose them until they are 8 he is showing signs of ADHD. Here is where I am stuck. He is 6. He is a boy. He is above grade level in math and reading. So, there is not a learning disability, but he is really struggling with his actions (he tends to have poor impulse control), his transitions in the class are very difficult for him, he keeps telling me that ''he was in class and his mind made him think of (insert 50 random things here)'' and that he struggles with concentrating. I was amazed that he was able to communicate that with me. Although, it means that it was on his mind too. I'm careful not to mention things in front of him. I don't like labels, and I don't want him to label himself either. I want to know what I can do to help him, but not overhelp him. I'm not sure if he needs a 504 plan. I'm afraid of him getting labeled and having that carry over and the teachers discriminating against him because of it. Or, him being singled out in some way and not feeling like part of the class. I'm really confused because, having not been through this before I have no idea what to expect, what works, or what else to try. This is where I plead for help. Any advice will be consumed and devoured. I want to be my child's advocate. I love him dearly and want him to succeed in life. It just takes one step at a time. eastbaymom


Hi there, I almost feel like this post is a flash forward for me! My boy sounds very similar to yours in terms of poor impulse control. Tack on trouble with transitions and its him to a tee. Anyway, mine is still in preschool, with another year to go before K, but we already see that his social/behavioral maturity level is a little delayed - not ADD or ADHD, just not what teachers want in school. Academically he's above average.

Anyway, so we took him to see a developmental pediatrician whose advice to us was to hold him back from Kindergarten or have him do it twice, so that he could catch up developmentally to where he is intellectually before he hits 1st grade. We don't want to hold him back or have him repeat K twice, so we're exploring a middle ground - montessori. Montessori schools don't have grade levels per se, and the curriculum is child centered. This means that the teacher will assess my child and provide him with curriula that challenges and interests him. It also means that if he has to do an extra year of school before Kindergarten, it won't be weird for him. He won't be held back while the rest of his friends go off to the next grade.

I wish you well and good job for trying to figure out alternatives to having your child diagnosed with a learning disability - especially since it's possible that he just needs a little more time to catch up socially. anon


So many of us have been right where you are and can relate. I will get right to some quick advice. (I have a 12 year old ADHD boy and a 10 year old year with ADD).

By the age of six, you can certainly have him tested. This is really the first and most important step. A professional can sort through the difference between ADHD and just a ''boy.'' In our case, it was very clear cut and almost off the charts. We retested at age 9 with a different person and same results. In our case, medication was and is essential for daily functioning. There is so much to read and so many options. Medication isn't the only option, but it is often a part of an overall solution. My son really didn't know a label until quite recently.

However, we have worked with his teachers very successfully since 1st grade and they have known of the diagnosis. Overall, better for them to know and work with it than not (although I struggle with the same concern of labeling).

If it turns out that he does have it, there is lots of help out there for both of you. They say one out of nine kids may have this. Maybe environmental? In our case, both the dad and grandmother clearly have it, so genetics is at play.

My main advice, get into the subject. Find out what he really has and then you can create your game plan. Good luck! Anonymous


My daughter has almost the exact same symptoms, is a high scorer in math and reading, etc. She is now 9. We've been dealing with all of this since age 3. I am reluctant to put her on medication but her distratability and inability to sit still is affecting her school work. This is what I did. I spoke to our naturopath and we decided to do neurotransmitter testing on my daughter through NeuroScience. It was just a urine test. It took 3 weeks to process and we found out that she has some fairly serious imbalances. She's on 3 different supplements and the difference is amazing. It's not fixed yet, but we are closer. She can now sit down and pay attention for much longer periods of time. Her self esteem is coming up a lot as well. The other thing I did was I found her an accelerated program at school. The whole school is an accelerated program (I changed her schools). They move much faster than a traditional school and she is doing SO well. She's never bored in school (do you hear that?) and she likes going to school. Those two changes have made all the difference in the world! Paula
I would start with an assessment. Once you have some more specific information about what is (or isn't) going on with your child, you can figure out what the best course is.

I've been through this with both of my kids -- it's expensive, but well worth it. My son was also 6 when issues arose, we had him evaluated, it was ADHD plus other things. My daughter was also evaluated a couple of years later -- no syndromes, but we got great input from the psychologist on how to parent this particular child.

I would recommend Dr. Carina Grandison (sp?) at Children's Hospital (she evaluated our daughter). anon


Your son and your concerns sound a lot like mine. My son had behaviorial and social difficulty at the same age. I struggled to figure out what to do. And, I was concerned about having my son pulled out of class and labeled.

After numerous discussions with our pediatrician, we took our son to a developmental pediatrician for evaluation. Honestly, this wasn't terribly helpful and cost a lot. We learned our son has some of the qualities of ADHD and Aspergers kids, but did not receive a firm diagnosis - he's borderline. The pediatrician confirmed our concerns and observations about our son, but didn't add much to our understanding of his behavior or approaches to handling it. Although, she did make us aware that impulsivity is an element of ADHD and can contribute to social difficulties.

We ended up having our son assessed by our public school speech therapist (for language pragmatics/social skills) and occupational therapist. Some of the assessment was observation or in-class and some out of class. The speech therapist worked to minimize the loss of class time. The kids in his class don't seem to view visits with the speech therapist in a negative light. The results of the assessment and IEP were not surprising, but thorough and provided measurable goals. My child was recommended for the gifted and talented program and other services to address his social difficulties. We weren't pressured to accept any services. I am finding that the assessment and IEP are a good place for us to start conversations with my son's teachers. They lend legitimacy to the idea that my child needs support socially and behaviorally. I spoke with a number of teachers about the possibility of stigmatizing my son by putting him into the school evaluation system. They all felt that he would not be harmed or stigmatized by the process and so far, that has been our experience. Overall, I'm happy with the public school process and found our speech therapist to be a good advocate for our child.

We also are planning to have our son attend a private social skills group this year. They do their own assessment of your child. Although we haven't started the weekly classes, I have been thinking that I wish we would have started with this approach. They would have told us if he needs more, less, or different help. And, we would have started working to build social and behavioral skills immediately instead of doing so much evaluation. Good luck. Anonymous


The results of a large study was just described recently in the New York Times. Kids who ingest artificial colors and preservatives in foods demonstrated hyperactive activity like ADHD afterwards. Try eliminating processed foods like this, especially in his lunch. He sounds like a bright boy. It may help control his moods and behavior. The article is here: http://www.nytimes.com/2007/09/06/health/research/06hyper.html Good luck!
I'm responding as both a psychotherapist and an adult with ADD. While it is totally understandable that you don't want him labeled, without help he will have unneeded difficulties. It's important that your son receive the adjustments that will help with his attention difficulties. A good book to start with is ''Delivered from Distraction.'' I also recommend MarRem Remington, a psychotherapist in Oakland who has a background in special ed and specializes in assessments and consultations as needed with schools. Parents are fully involving in the process and she has many helpful suggestions for home and school. Her # is 510-835-4357. Suggestions

Has anyone heard of inattentive ADD disorder?

Jan 2007

I was in my salon the other day and spoke with someone who has a daughter with the same type of problems as my daughter. some were your typical, but some hit right on the mark. She said her daughter was tested and was found to have inattentive ADD disorder. She was givin meds and went from a majority of D's on her report card to A'S. Any input or Recommended physicians who specialize in this hard to detect type of ADD. Ray


Clearwater Counseling and Assessment Services, in Oakland, offers comprehensive psychological ADD evaluations, which include a school observation, for quite reasonable fees. Attention Deficit Disorder is not a medical condition, and it is best assessed by a psychologist rather than a medical doctor, although of course an MD needs to prescribe any recommended medications. Often, symptoms of ADD can be treated behaviorally, with medication added only if there isn't satisfactory progress using behavioral interventions alone. Visit Clearwater's website: www.clearwaterclinic.com or call Dr. Sharon Witkin at 596-8137 for more information. Sally
ADD is a medical disorder that has a higher genetic basis than any of the other psychiatric disorders (including schizophrenia) and is primarily treated with medications. I am a psychiatrist who treats UC Berkeley students with attention deficit disorder. ADD can be with hyperactivity and/or impulsivity but these are not necessary for the diagnosis. The inability to focus must begin before age 7 and interfer with two areas of functioning such as school, home life and social skills. For children the treatment of choice is medications and this is provided by pediatricians and child psychiatrists. Educating the family and teachers how to work with the child and tutoring as needed to keep the child up to grade level are also important. For adolescents and adults treatment choices include medications and cognitive behavior therapy. Depression, anxiety, substance abuse, bipolar disorder and post traumatic stress disorder are sometimes co-morbid with ADD so the treatment of people with ADD is usually complex. anon
In the work I do we have a different perspective on ADD. ADD, whether inattentive or hyperactive, stands for ''attention deficit disorder.'' It implies that there is a lack of attention. What if there was actually plenty of attention and it was just being paid to something other than the outward task at hand? We all have priorities, what we pay attention to first, and our neurological system is no different. We will all make sure we are safe and protected before we deal with anything else. If a person's tactile system is particularly sensitive it might be painful to sit in a chair to focus on the lesson in class, therefore they might squirm to stop the pain in order to pay attention to the lesson. Likewise, if auditory or visual systems do not give clear information, a person might ''space out'' in order to attempt to make sense of what is going on.Meanwhile they miss pieces and look like they are not paying attention. Ever have a difficult time understanding a speaker and get stuck trying to figure out what they said and by the time you do the speaker has gone on and you are completely lost? You weren't being inattentive - you weren't able to attend to what they were saying until you could decipher that. It would surely affect your functioning if this happened all the time! Inefficient or disorganized neurological systems work harder to give messages that make sense to the brain. Perhaps a more accurate name for this situation would be APD or ''attention priority disorder.'' Once the neurological system is organized the priorities shift and the person can more readily attend to the outer world. If this perspective intrigues you, please contact me at 925-934-3500 and we can discuss it. You can also learn more about this approach, called the HANDLE perspective at www.learningandgrowth.com. Best of luck as you look into this complex subject. Sindy
I'm a Berkeley psychotherapist working mainly with teens who have learning disorders of one kind or another. Many of my clients have Attention-Deficit/Hyperactivity Disorder (ADHD). ADHD comes in two varieties. There is ADHD, Predominantly Hyperactive/Impulsive Type, and there is ADHD, Predominantly Inattentive Type. Most specialists now consider the Inattentive Type of ADHD to be a different disorder altogether, not just a sub-type. ADHDI (as it's often called) is hard to diagnose, because people with ADHDI don't show outward signs of distractibility; that is, they don't jump up and down, wiggle, tap pencils, interrupt people, talk ceaselessly, and so forth. They may appear to be quite calm, composed, and focused; but inside, their minds may be racing aimlessly from one thought to another. They are highly distractible: so much so, that they often don't seem to hear what is said to them or to be aware of what's happening around them. They find it hard to get started on projects or complete them. They do things quite slowly; overall they are characterized by what some experts call ''sluggish cognitive tempo.'' In moments of stress they may slow down rather than speed up; occasionally people with ADHDI may even fall asleep during important final exams. Obviously this kind of ADHD can produce severe academic problems, though it isn't as likely to produce disciplinary problems as the other type. I hope you'll find this very basic information helpful. Please let me know if you have questions. Caroline
I expected to see tons of answers to this question, so I held off, but so far the only replies have come from therapists; nothing from parents! Yes, I have indeed heard of inattentive ADHD -- we've been living with it for a long time... ADHD comes in 3 flavors: primarily hyperactive-impulsive, primarily inattentive, and combined. Before you settle down with any particular therapist or doctor with any particular approach, you may just want to get some basic information. There are so many good websites, but here are a few that I have found helpful: CHADD.ORG - extensive information about all aspects of ADHD; some very good basic information sheets. MEDLINEPLUS.GOV - National Institutes of Health (I think...); very authoritative and reputabile; just search on ADHD SCHWABLEARNING.ORG - lots of very informative articles on ADHD, as well as on other learning difficulties. I hope this helps. anonymous

Attention Deficit in 4th grade girl

August 2005

I would like some advice to help my 10 year old daughter who is incredibly bright and talented in the arts and acting and can sing very well despite having had no voice lessons. She does well in school despite not paying attention well at all. I have noticed this problem with her since pre-school but always hoped she would outgrow it. She doesn't pay attention to directions, she doesn't pick up social cues; she loses things; interrupts conversations inappropritaely; does not know how to join a conversation, but will just start talking about a topic of her own interest; will reapeatedly interupt an adult conversation to get them to attend to something she is saying; doesn't like to wait her turn; is a perfectionist to the point that it interferes with her test taking ability and so on. She was tested for ADD in Kindergarten by Kaiser, but I didn't believe the testing was very inclusive. Her school report cards at Elementary school in Berkeley were always the same - her academics were always fine, but with comments from the teachers about her inability to pay attention and her difficulties with her peers. We moved to Martinez where she goes to a fairly conservative public school and again - she really stood out - her intelligence and knowledge are above grade level but her social and emotional functioning are behind. The teacher has to practically stand over her to make sure she is on the right page. I spent a lot of time and money putting her through auditory processing disorder therapy which didn't help much. (A little but not enough that the teachers noticed). Her school did a lot of testing on her that shows an above average I.Q. but placed her at risk for attention disorder, depression and other such things.

I have now come to the conclusion that the child does in fact have an attention deficit disorder and that a lot of her depressive symptoms are caused by her inability to make friends and get along with her peers and her inability to pay attention to instructions and things going on around her. I have been trying to get her into a physician or a clinic that will work with her and do a trial of medication, just to see if it works. She is going to be entering 4th grade which is a big change from 3rd grade. We don't seem to have any control over her behaviour. She ignores what we ask her to do. Reward tactics don't work. Discipline tactics don't work. I am at a loss as to what to do for her. We have tried changing her diet (excluding sugar, refined foods, milk - you name it) counseling, different approaches to discipline, Kumon, fun things, not fun things etc. She is in her own world and is going to slip throught the cracks without some intervention. I really can't afford to send her to a private school as her little sister is developmentally delayed and also requires extra tutoring, etc.

She also does everything that she knows that she is not supposed to do. Watches TV when it is supposed to be off, eats stuff she is not supposed to eat. Gets up at night and plays in her room when she is supposed to be in bed (the child doesn't seem to be able to go to sleep and once she is asleep - cannot wake up). Any advice or help from anyone with a similar situation would be appreciated. My time, my funds and my patience have been worn very very thin at this point.


My heart goes out to you! And on a number of the challenges you raise - I've been there and done that.

Call Dr. Brad Berman at (625) 279-3480. He has an office in Walnut Creek. Leave a detailed message. He has a long waiting list, get on it now. The more info you give, the better he will know how challenging this is for you and your daughter. This is more than just ADHD and he tends to respond to the more difficult cases faster. He really likes kids. When I read his recommendations to my son's school I cried. Because he so clearly likes my kid and wants to communicate what a great guy he is to the school. You will need Brad's ongoing support. Things change as your child matures and new issues arise. I TOTALLY sympathize on the not sleeping and then not waking up! It makes your life and theirs sooo hard.

You'll find that since your daughter is very bright, things may bother her MORE because she is aware of more that other kids her age. Being different may bother her and yet modifying her behavior will feel impossible to her. Berman is great at separating the things the kid really needs to take responsibility for (and makes them feel good about it) and the things that they just can't manage. If she needs meds, he'll explain why and what they will offer her in terms of assistance and relief. Believe me, lots of parents know where you're coming from. You are not alone. Get support! Sympathetic mom


I read your post with great interest--it sounded so much like my daughter, now 21. I wish I had tried harder, because it only got worse and worse. In Junior High I had to put her in private school when she got so ostracized by friends from her inappropriateness that life was miserable and the other parents didn't want her around. I mainstreamed her back into public high school (mostly due to the expense of private school)...she continued to act up and again it just worsened and grew into smoking, drinking and being totally out-of-control to get social approval. Her teachers said she never paid attention; she just socialized. She seemed depressed and then started cutting herself.

Continuing to focus on academics, I pressed her into college, sort of avoiding dealing with drinking, behavior issues, etc. except to try ThunderRoad (an adolescent program for alcohol), therapy, and a bunch of other programs that didn't work. I could tell she felt poorly about herself all the time despite the fact that she is attractive, bright, and talented musically and in dance and sports, with an outgoing personality (just an inappropriate one).

Her senior year I found Dr. Gary Landman (925-253-1041)in Orinda. He was happy to prescribe her drugs. Unfortunately her image was so poor she didn't want to take them, and/or would forget them. She spent one year in college, used the drugs to buy/sell/trade...but rarely to help herself. I will never know if they would have worked or not. She continued drinking, showing off, and getting into trouble from poor decision making, impulsiveness and showing off. Her threapist said she had the social/emotional maturity of a 14-year-old. She dropped out of college the beginning of sophomore year at 19, got pregnant with an acquaintance, and now has an infant. Need I say more?

I admire your persistence and encourage you to keep trying, everything, until something works. I wish I had tried even harder, and started the medications, although I was against them, when she was younger and I still had some control over her. I understand a combination of therapy, anti-depressants, and ADD meds work well. I know there is an outstanding doctor in Vallejo I think who has good success with these children. These children are delightful but require heavy management until a solution is found. And no, my experience is that they don't grow out of it, it only worsens as the stakes get bigger. anon


There's lots of news about attention deficit, and much of it confusing. There may be many causes for Attention deficit. It is not necessarily a ''disorder''. For a bright child, it could be as simple as a very fast mind, who is always ahead of the present situation. Or because she is so bright, she is easily bored with the present situation. We are also a society that does not treasure slowness or patience. She sounds like a willful child, which can also be characterized as independent, a strong sense of self, etc. It is not necessarily a ''problem''. I too have a child who is very smart, very perceptive, and very difficult at times. There are many approaches to this situation. I DON''T RECOMMEND DRUGS. My step-brother drugged his kids, and they turned dopey. There may need to be simultaneous multiple approaches to your daughter's situation. 1. What is your child's learning style. Is she visual, kinesthetic, audio, Here's an interesting on-line article: www.drpaulschenk.com/articles/what_looks_good.htm 2. I would also strongly recommend homeopathy in conjunction with a good diet. My son - when he is out of sorts - angry, acting out - usually has been eating too much sugar - and starts going on sugar binges. When he's calm, reasonable, social, happy, his sugar cravings goes away. Call Dr. Roger Morrison, he's an Md. and a homeopath - he is fantastic. 510-412-9040. There's a long waiting list to see him, but his wife is also a homeopath, Nancy Herrick. 3. I would recommend regular physical activity. Kids who live in another world are not in touch with this world. And this world is physical. If she won't do something regularly - dance, swimming, etc. do massage on her. I don't know a single person alive who doesn't like massage. Get her in touch with the here and now, which begins with her body. 4. Be honest about your own issues. Check out Byron Katie. www.thework.org When I finally learned to accept my son, and not be angry, miraculously, we started communicating. Here's an example. Me:''Please bring in the dishes from the table and wipe it off.'' 5 minutes later, a few dishes have been brought in, and the table isn't wiped. I repeat the first request. Son: ''I didn't make the mess.'' Me: ''Even so, you need to bring in the dishes and wipe the table.'' Son: ''Well, I just wanted you to know, it wasn't me that's so messy.'' ''OK''. In the past, I would have blown up, and yelled, ''I clean up after you, you have to help clean up around the house.'' I used to get angry because I took everything he said personally. By not taking it personally (I'm not a bad mother because my kid didn't wipe off the table) I can now just ask him to do what needs to be done, and hear what he's trying to tell me. Hope this helps.
Your daughter certainly sounds like she has add. I would recommend seeing a behavioral pediatrician that can assess and treat her. My son sees Dr. Josephine Lindt in Albany. We are also in Martinez and it is not too far a drive. I've also heard good things about Dr. Brad Berman in Walnut Creek. Dr. Lindt's initial evaluation was covered by my insurance, but the follow- ups are not--and are $90 for a 1/2hr appt.--just to give you an idea. I just read a very good book about ADD--Driven to Distraction by Edward Hallowell. Be glad that your daughter has hung in there academically so far. Many kids with ADD fall behind or have accompanying learning disabilities. in the same boat
I suggested reading up on Asperger's Syndrome, as a potential diagnosis. Here's a fine place to start: http://www.ninds.nih.gov/disorders/asperger/asperger.htm parent
It certainly sounds like something is going on with your daughter, but not like Attention Deficit to me, but my knowledge is mostly anecdotal. The problems my kids had with peers at this age were with distraction (their own and others) and with wanting more fun in class... they NEVER consistently did what they were told not to do (or what they were told TO do, for that matter), because they would have become distracted either way (sigh). For us the battles have always been about homework, chores, consistent behavior.

You're right that 4th grade will be harder for her than K-3, and that she's overdue for a really good evaluation. I think you might need to find a behavioral pediatrician or psychiatrist who deals with a wider range of possibilities though, not just ADD. It is certainly the case that your daughter's depressive symptoms would be a logical side-effect of everything else that's going on. It does also sound to me like she's manipulating you. Some of what you described is normal behavior for any 10 year-old who can get away with it. Also, since she's smart and knows you've tried so many things, she may be feeling like there is something intrinsically ''wrong'' with her.

If you have to go off your medical plan to find the right person, even if it means paying cash out of pocket, I'd do it. I know Brad Berman is highly recommended. We see Gary Landman, because he's an ADD expert and there wasn't ever any real doubt that that's what it was, just if it was.

Where you say your child was found to be ''at risk'' for ADD or other behavioral/learning problem --- I'd say she is more ''at risk'' if she's not properly diagnosed and treated for a condition that is making her life, and yours, miserable. I can't tell you how liberating it is to actually find out what's going on, and that there are ways to make it better. Good luck! Heather


ADHD and IEP?

Sept 2004

Is an IEP appropriate for a 7 year old child just diagnoised with AD/HD? Should I request an IEP from the school? We have not yet tried drugs, but I want to get more information before we try them. I wonder if the school/teacher would give him more attention if he has an IEP in place, or if this would lable him. ANy help is really appreciated. Thanks. Mom


As a parent of a teenager who also was told in Kindergarden that he needed an IEP, I would say to hold off as long as possible. Schools often try to insist on an IEP to put your child in Special Educ. classes, which he probably doesn't need, and where, unless he is extremely slow, he won't learn much. The reason they do this is because they get much additional funding for everyone they put into Special Educ. Putting my son, at the teacher's recommendation, into a special educ. class, even though it was only for a semester, was the worst thing I ever did to him, and put him behind. He is now a h.s. sophomore and doing fine with the regular curriculum because I worked with him at home every evening (he has ADD & is dyslexic, etc.) and kept him out of special educ. They are still requesting an IEP for him, but at this point, I think it would do more harm than good. Don't do it! a former teacher
How is your child doing in school? Is the ADHD adversly affecting his academics, behavior, or social emotional well being? Ask the teacher how he is doing. Ask her/him if you can have a Student Study Team regarding this current diagnosis. A Student Study Team (SST) is (hopefully) made up of a school psychologist, the principal, the Resource Specialist, the classroom teacher, the parents, and possibly others. Here is where you talk about the childs strengths, get/give some information, discuss the concerns, what are some modifications/ accommodations, and make a plan. It may come up that he is showing some significant learning issues that may warrent further testing for an IEP. If not, and you still think you want something more that lists accommodations given in the classroom you can then request a 504 Plan.This is an Accommodation Plan for all students having (usually) health issues that are interfering with their learning. It is not special education but under the Office of Civil Rights. Let me know if you have any problems or more questions. Liz
ADHD itself is not a sufficient reason for an IEP. It is generally not considered to be a qualifier for special education unless it is impacting your child's learning significantly. Generally this is defined as being at least two years below grade level in one or more subject areas. Also, there has to be a discrepancy between ability and performance i.e. if the child is demonstrating an average or above average IQ and has standardized test scores significantly lower than what they should be then he or she might qualify for special education.  You can request testing for an IEP but be aware that you are requesting testing for your child to be placed in special education and that you may not want to do that unless your child really has a learning disability. However, if you feel that your child does have a learning disability along with the ADHD and is not getting the necessary help in class then looking into testing would be the thing to do. Many schools will hesitate to test a child who is in first grade or below, but if the parent requests testing they have to comply. However, you can't request that your child have an IEP- only that he be tested for the school to determine whether or not he will qualify for one. Hope this helps and good luck!
A diagnosis of ADHD does not make your child eligible for an IEP. Only students with one (or more) of the 13 disabilities recognized by the Individuals with Disabilities Education Act may receive special education services. So, unless your child has another disability (such as a learning disability, which often occurs concomitantly with ADHD), an IEP is out of the question.

He is, however, eligible for services under section 504 of the Rehabilitation Act (which is a Civil Rights act that deals with access). Called a 504 Plan, this plan is a program of instructional services to assists students with special needs (who donÂ’t qualify for special education) in the regular education classroom. The plan should detail strategies for helping you child be more successful in his classroom setting. It may include things like: quiet room for testing, seating close to the teacher or away from distractions, assignment modification, etc. Since anyone can begin the referral process for a 504 Plan, I suggest you make a request in writing to the school district/school asking for a 504 Plan referral. In your request, mention the ADHD diagnosis and include a written record from the physician, neurologist, psychologist or other expert who made the diagnosis. Hopefully, the school will comply and ask you to be a part of the process. At the 504 Plan meting, you would offer your suggestions for what would help your child be more successful. HereÂ’s a link with some more information about 504 Plans. http://www.schwablearning.org/articles.asp?r=777

Medication should ALWAYS be a last resort – something you try when you’ve tried everything else and your child is still not meeting with success. Many teachers and administrators will suggest medication because it’s easier than trying to implement behavior plans and educational plans and doesn’t cost the school district anything. As a special educator, I know how important and therapeutic meds are for some kids. But it’s important to explore all other options.

Finally, I understand your concern about labels. Our culture is very quick to identify someone with a label. Some labels are good, though. Your reaction to your child’s ADHD will have the most impact on how it is perceived. It is important to get your child the help he needs so that he can be a success – that’s the label you want for him. Be honest, open and loving about his ADHD and help him understand how it makes him unique. Begin to teach him now how to advocate for himself. And by all means, don’t let a thing like a label prevent you from getting him what he needs. You’re his voice until he’s able to have one himself. Good luck! shari


I would like to comment on previous responses to this request for advice. They all had useful information and good advice, but there were also things that werenÂ’t quite right or partly right. IÂ’m not disputing anyoneÂ’s personal experience, but adding clarification about the law.

''Schools often try to insist on an IEP to put your child in Special Educ. classes, which he probably doesn't need, and where, unless he is extremely slow, he won't learn much. The reason they do this is because they get much additional funding for everyone they put into Special Educ.''

It is true that districts receive money for each special education student, however, the grants for special education donÂ’t begin to approach the costs; districts and general ed parents complain that special education ''encroaches'' (the word makes me cringe) on the general fund.

The Individuals with Disabilities Education Act [IDEA] requires that students be educated in the ''least restrictive environment,'' which is the general ed classroom for the large majority. The school is not likely to place a student in a ''special day class'' unless he or she really belongs there. A kid of average intelligence with ADHD, with or without learning disabilities, would not be placed in SDC without some severe behavioral problems, for example.

''Only students with one (or more) of the 13 disabilities recognized by the Individuals with Disabilities Education Act may receive special education services. So, unless your child has another disability (such as a learning disability, which often occurs concomitantly with ADHD), an IEP is out of the question.''

ADHD is expressly considered a qualifying condition, usually as Other Health Impaired without other problems. It was added to IDEA in 1999 because a lot of IEP teams didn't realize that it could fit the definition of OHI without being named. A couple of people noted that ADHD has to adversely affect the studentÂ’s educational performance (which is more than grades) to be a qualifying condition for special education, and that is exactly true. All the other eligibility categories require the same criterion, that to benefit from school, the condition has to adversely affect the childÂ’s performance *and* the child needs special education to address the problem. OHI students do not have to demonstrate a discrepancy, though students with learning disabilities must, but California does not require a student be two years behind, as someone suggested. Absent needing special education remediation and support, 504 accommodations may cover what the student needs, and either family or school may request evaluation for special ed or 504.

Regarding medication, one person wrote that “Medication should ALWAYS be a last resort - something you try when you've tried everything else and your child is still not meeting with success.”

That’s one opinion. I have seen many, many families grapple with the difficult issue of medication. Another view might say that parents may not want their child to have met failure in everything they’ve tried before trying medication, which after all, is not an irrevocable decision. That’s between the doctor and the family. The school can never demand that a child be medicated, though in my opinion it’s not out of line for a caring teacher to say something like, “Have you thought of consulting your doctor about medication? Other people might say that a teacher should never mention medication because they aren't professionally qualified to diagnose and treat, and that they’d be seen to be doing it for their own ends, in order to have a compliant student.

Sorry this was so long, and I hope it made some things clearer. Dana Lear, DrPH Negotiating the Maze Special Education Advocacy, Research, Support www.negotiatingthemaze.org


7 yo with ADHD & learning disbilities

Sept 2004

My son is far behind others in reading, spelling and comprehension as he enters second grade (good oakland public school). We have had various tests done, and while he is quite bright, he displays some processing disabilities and mild adhd behaviors. We are wading through all issues, including IEP, behavior counseling, Ann Martin tutoring, Lindamood Bell, further more specific tests on learning. Can anyone offer advice based on their experience? I am looking for experienced professionals who can help us with behavior training (us and him!) and tutoring at our home. We feel by starting early we can get a handle on this, but we would really benefit from some expert advice. Concerned mom


I would be happy to discuss this with you. I'm an Oakland parent with an almost 9-year old who has been receiving services from the district for 5 years. He initially presented with a language delay - still the crux of his problem - but he currently has the most trouble with learning behaviors if in a standard classroom. We tried having him in his local school, but after only 2 months it became a nightmare for him. He's now in a non-public placement with a very small class size and a functional behavior based model, and he's doing incredibly well - testing right at grade level, actually finished 2nd grade in less than a school year. But put him in a class with 20 kids and he dissolves. I think the list of ideas for you to try would be too long to burden this email list. If you want to email me we can discuss offline. Regards Nancy

ADHD and T.V.?

Feb 2002

Have any of you ever heard the idea that too much T.V. can be linked to development of AD/HD? I'm particularly wondering if any of you have read anything by T. Berry Brazelton or Matthew Dumont that supports this idea. Also, does anyone know, have any independent, verifiable, double-blind (i.e. scientific method) studies shown any link between AD/HD and T.V.? Colleen


I am a research psychologist at UC Berkeley specializing in the study of behavior disorders in children and I've worked extensively on 2 studies of ADHD in children. I know of no evidence linking TV viewing to ADHD. There is no theoretical reason to believe there would be a link, and certainly no conclusive evidence that this is the case. ''Proving'' that ADHD is caused by TV viewing would require randomly assigning children to either watch TV or to not watch TV for long periods of time. No one could implement a study like this, and no parent I can think of would agree to have their kids watch TV to see if ADHD develops. I am certainly not advocating a lot of TV watching, but there is no reason I know of to believe it causes or is even linked to ADHD. Note however, that there is ample evidence linking the viewing of violent content on TV or in films to aggressive behavior.
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