ADHD Therapy

" Welcome and thanks for joining us for the web cast on -- Clark. All children know the good behavior will earn them a gold star or an -- school. Parents and educators help children with behavioral problems caused by attention deficit hyperactivity disorder. With an estimated three to 5% of school age kids suffering from 888. A real -- To -- take a look at them behavioral techniques that can help make a real difference. In your child's life. And joining our discussion artillery expert in the 88. Pediatrician in private practice in Washington DC. And doctor Peter Jensen. A professor -- child psychiatry at Columbia university in New York one thing we should mention is that medication is probably the first line of treatment that a doctor will adjust with ADHD. But what other component. Increase the effectiveness of the Medicare and doctors and."

" We know that when you add a certain kind of therapy called behavioral therapy Internet occasionally I'll get a little more bang for the buck. Parents really like it teachers I like it. Nothing helps some other areas of Terrell functional excel was gaming and social scale. Little reward system Mikey says it's a little star gold star -- Eagles are. Pretty much else other rewards a consequence of -- the child might actually have a role in electing. That he or she would want to actually work foreigner."

" Doctor Quinn in your practice you've talked about patience coming in this state that they just feel like they're bad all the time. How do you help and get past those feelings of negativity with behavioral therapy. Police and nothing succeeds like success so what we try to deal with these kids is for all explain what the disorder is about but then work at the appearance on teaching them skills. On teaching them new behavior and state of the old ones on for example the Medicaid will help talking attention but it didn't Germany's guilt he made by eight other children. Medication he's not a halt in the no longer fight each other kids but he doesn't know what to do instead in order to join me and so what we try to do then is work on various skills and we can use that. Now by working with appearance on helping them with a disease management program that heard that the three scenes are -- import it. In any girl up program. Clarity of expectations. Consistency of the direction and follow through. And call a doctor and and talk about how a parent or teacher might implement these three Steve's for a --"

" Nor will bear creek don't wanna things we do and we -- the teaching a class and get them actually should develop and classroom rules -- play with great clarity will right. Up on the blackboard. And of these might be the class admirals have my -- like notepad teen. -- looking but very simple rules have become well understood. But at the teacher doesn't follow through and am very consistent manner. And ignores when -- child may lead to violence from those rules and doesn't have a that a consequence -- fallback positions. And children basically learned that the rules really while they're up there in the board they really don't really apply at least. Some children -- burn fat and it's until also probably follow them but -- totaled 88 Steve there if they don't have. -- a little bit eagle program in place that's consistently implemented and -- they won't follow those rules they need they need you can."

" This instinct and called this."

" What does not something that's easily maintained under those circumstances but isn't vital to helping ADHD child and literally you know of these children are they're especially sensitive to. And if the parent -- has been tempered these children seem to just. We don't frequently export it it basically gets their spine and and they don't mind too terribly -- and -- suspect that they and so. A very calm approach is often -- child can work -- respondent doesn't."

" Over stimulate provoke the child and a negative way things work where you really need all three of those -- again let -- find that -- you know this is a genetic disorder and sometimes that parents have ADHD is well very good point and then they all don't have difficulty remaining com. And I find it's a parent can't remain incumbent tends to escalate the situation so a lot of times parents need to take timeout. From this situation before they can deal with their child's behavior."

" I think that's a really important point I had children later than their parents. You needed time --"

" I guess we're all guilty about occasionally. I'll -- that targeted behavior modification. And how that works giving a child say one particular task. In a time segment -- you have to finish your homework by eight. Such and such a time does that work well."

" Can work well different China responded different kinds of -- programs when we capital Beirut therapy. There's -- it's actually different techniques that we can be used to him and certainly setting a goal with that time -- and a certain amount to cast that's fairly short to be accomplished since the consequence -- reward is one good way consumption can can actually important. And other children might work on a more global kind of a reward system where they are able to kind of -- a point to reward -- they do behavior. The times may want to extinguish a greater. I've had situations and I was hurt by the count try to get them not to swear him right like -- times an hour. And so we're here we -- always the first to go always that was to get them just where only fifteen times and our men and -- rewarding him for wearing only fifteen I thought I thought that I thought -- threat but in actual fact that the child he was able to totally Kyrgyzstan in terms of -- wearing. That you had to kind of shape them into that an enemy here. Step at a time."

" How effective are these kinds of treatments for -- They candy very effective to learn new skills and hand and to learn new behavior is sometimes I'm always concerned though if we fire behavior program in an unmitigated out for example. We still buried -- getting hit control and felt. You're just against setting up another area a failure in his -- he needs to be very careful. Because some of these older no matter how hard they want to no matter how hard they tried. They really want to be glad they want to be able to complete this they want your approval in hand and yet -- set up a program I haven't given them the means to control themselves. You may be just opening that on them up to another area of failure and it's very important to me or you're not doing that was a behavioral problems are very good point. And you also -- something about not confusing for war with bribery absolutely. I think they bribery is is being paid to do something illegal and what we're trying to do is just reward these organs are behaviors that are very difficult for them to see her accomplish. Could reward for parents let their kids."

" Both frequently -- I think probably about the short term rewards and monitoring work on a daily basis for example it might you maybe did not likely to use them that it and his or her little -- What fifteen minutes of extra TV time staying up late. Triple rewards that don't cost a lot that are easily implemented hand there are still within that family values. -- rewards they might also mount up for point the saudis point might be a special Phishing -- trip wouldn't pandora. The damage goes -- in the -- for the weekend opening. So you want to encourage both the short term team being here right there's always been maintenance of the people over a longer term period which the purpose of the larger market."

" What can parents go to find somebody to help them set up a behavioral therapy program at home. Well I certainly referrals from their pediatrician -- other mental health professionals but one is it we're -- is a behavior problem we want to thank you your children in school and at home and so frequently I asked appearance to. Talk with the school psychologist or someone in the schools I think he can set up a program that will carry over in those places or other mental health professionals in the community that you need to make sure again that it's consistent across. For example a child living in homes and you in a divorced. -- That at the same program in both places -- child raising the grandmother and program there. But also for the same program and school as well -- a crack team -- French thank you both for joining us that's that's discussion and thank all of you on our web audience as well -- art."