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Attention Deficit Hyperactivity Disorder (ADHD) is a condition that can afflict children. People suffering from ADHD have symptoms such as: 1) Poor concentration and attention span 2) Poor memory 3) Impulsiveness - the trait of doing things without thinking first 4) Easily frustrated - because of poor concentration and memory when they cannot remember things, they get frustrated. This causes behavioral patterns like temper tantrums and outbursts While most children as well as adults face similar difficulties during daily routine, those children who suffer from ADHD have a far larger frequency of these difficulties. The extent is so acute that they are unable to undertake tasks such as: a) at school (getting work done, paying attention, daydreaming, losing homework, talking in class, being disruptive, etc.), b) Participating in healthy activities at home such as getting chores finished, maintaining cordial relations with siblings, maintaining a modicum of efficiency and getting things done on time. c) in society (Often bossy and overbearing, show aggression, get frustrated easily and then have temper outbursts, and more) ADHD is not a malfunction of any body part as it is in conditions like asthma or diabetes. This condition of ADHD happens because parts of brain are not working at full efficiency What is clear is that ADHD does run in families and is at least partially genetic - often a parent has the same symptoms. What is also clear is that the symptoms, and therefore the problems, are long term. They are not going to go away or be cured in a short period of time, but are almost certainly going to continue through into the teen years, and probably even into adulthood. HOW IS ADHD MANAGED? Children suffering from ADHD can get long term complications which may run into their adulthood as well. These complications could be: a) because they can not concentrate, they may fail in school and so drop out, b) They fear of being thrown out from school and landing into trouble with the police only because of their impulsive attitude. c) may turn to social ills like drugs, crime, drink because of their constant failures. These fears are what bother these children as these factors could influence their attitude and performance in adult life too. The goal of management is, therefore, to prevent complications. This is a long term process, so the most important people to take charge of this are the parents. It is you as parents who have to live with the child, you who are most concerned about his/her long term well-being, and you who know your child best. If you do not take an active role in managing the difficulties then whatever else other people do will be unlikely to make much difference. However, if you do your part then there is much that others can do to help you along the way. Effective management is likely to include the following components: COMMITTED PARENTS. These are parents who work wholeheartedly towards the betterment of the child. There is more than adequate information available in the form of books and videos to guide parents on how o assist their ADHD afflicted child. They just need to buy or borrow these read them and be better informed abut this so as to be effective. It is good to discuss what you read with a professional or a local support group as there is a lot of mis-information on this subject. This is especially from self professed guru’s who profess magic-cures for your child. GOOD COMMUNICATION between home, school and other professionals. This especially applies to home and school, so do all that you can to meet regularly with the school to work together on solutions for your child. ADJUSTMENTS IN THE ENVIRONMENT. Children with ADHD do best in a quiet, calm, structured, low-stimulation environment (e.g. one to one) and poorly in chaotic situations (e.g. busy classrooms, noisy, busy homes). As a family you may want to find ways to reorganise life so that it is less stressful for all of you. At school the teachers will be doing the same, and it is best if the two can be co-ordinated. CLEAR BEHAVIORAL MANAGEMENT STRATEGY. These children respond best to very clear expectations of behavior, and very clear rewards and punishments - with rewards being more frequent than punishments. If you are having difficulty in doing this at home you may want to talk about some strategies with your key worker. PARENTAL SUPPORT. Since getting along wit these children and bringing them up takes a lot of doing , the parents themselves are likely to get depressed and break up. To avoid marriages to break up and to maintain harmony, it is advisable for parents themselves to seek assistance from parent support groups, parent training groups, respite care, marital counseling, family therapy are such support groups and organizations. MEDICATION for ADHD should be such that reduces the symptoms and lets the child the opportunity to learn academic, social, and other life skills. The aim here should be to get the correct medicine in the right dosage. child the opportunity to learn academic, social, and other life skills. There are several types of medication that are used. The most common are the "stimulants" (discussed on the next page), but increasingly common is the new medication atomoxetine, which seems to work very well with few side effects. Ask your doctor for full information. As health professionals we cannot raise your child for you, nor can we solve all your problems as you travel with your child along life's journey. What we can do, however, is to assist you in getting unstuck when you get stuck along the way. We will try to help you to sort out all of the above points as best you can. But, in the end, it is you and your family who have to live with it, and so the more you learn about it, and the more you learn the best ways to manage it, the better your chances of a good outcome.
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