How To Assess and Treat ADHD (Children and Adults)
As a clinical psychologist, this ebook is my attempt to distill 30 years of working with children, most of whom have ADHD or related problems. Parents have the same questions, which mostly boil down to "Does my child have it?" This ebook tells you exactly what I do in the office to figure that out, AND how to treat ADHD. More
-Intro and ADHD test.
-Definitions and symptoms--"Classic" ADHD: Inattention/Hyperactive-Impulsive. Hyperfocused subtype, Central sensitization subtype, Temporal, Limbic and The Ring subtypes/phenomena. Other cognitive syndromes.
-Hypoarousal states, neuron states (excitatory and inhibitory), self-stimulation seeking.
-ADHD recognized by four official government agencies. Demographics: five percent of the population. Frequency of boys vs. girls, kids vs. adults. Genetic preponderance and geographic propensities. ADHD and gradeschool performance; retention rates.
-ADHD and family composition. ADHD and acting out, substance use, medical bills, behavior problems. Boys vs. girls--different behaviors?
-ADHD and differential diagnoses (ODD, OCD, moods and specifically, bipolar disorder).
-ADHD--first appearance, which symptoms. ADHD and the critical first three years of school (KG, first and second grade). Do kids outgrow this? ADHD vs. "Normal" behaviors.
-Causes of ADHD--Seven categories.:
-Five steps to diagnosing ADHD
1) Clinical Interview.
Choosing the right professional. Preparing for the interview. Physical Exam--What questions to prepare for. Eliminating other possible causes (other illnesses or conditions).
-2) Behavior Rating Scale.
Child version. Adult version. How to score and interpret the scores.
-3) Differential Diagnostic Testing--Getting an Intelligence Test. A primer on differentiating learning disabilities.
-4) Differential Diagnostic Testing--Getting an Achievement Test. Learning Disability diagnosed vs. simple ADHD.
-5) Differential Diagnostic Testing--Neurological Test, Visual evaluation--acuity vs. tracking.
ADHD or Bipolar Disorder? ADHD and intelligence--the myths.
-Tying all the results together. "Workarounds" and the impact on test results.
-The rich and famous. Self-Esteem.
-Treatments (four major ones, numerous minor ones):
-Managing sleep, allergies and diet. Problem substances in foods--23 categories. Diet clean ups. The two-week plan. Diet suggestions.
-1) Psychotherapy/Behavior therapy
Externalizing strategies: 4:1 rule, three contingencies of reinforcement, cueing, modeling, shaping, reinforcement schedules, star charts, punishment vs. rewards, task reducing, self-talk, self-monitoring, mindfulness, journaling, cognitive re-framing.
-2) Family therapy: symptom containment, scheduling behaviors, family rules, assertiveness, empathy, symptom mapping, stress management. Parenting Considerations: Breast feeding, sleep, morning routine management, team vs. one-on-one approaches, manipulation, strategic breaks.
General considerations for psychotherapy and family therapy: slow down, uni-focusing, immediacy and here-and-now processing, managing expectations, identifying recurring problems, external ticklers, managing transitions, using props, creating routines, organizing, homework tips, homework tracking, clarity/consistency, garnering attention, praise/reward criteria, love, enjoyment, task immersion, safe environments, ambient sounds, exercise, inside vs. outside activities, non-labeling, maturity assessment, "screen" time policy, personal assistants, best kinds of teachers and schools, special services/grants/programs, cognitive mapping (two kinds), cognitive monitoring, creativity, structured thinking (12 kinds), structured movement.
-Other proposed ADHD remedies--Things to think about and/or try before going further: Meditation/mindfulness, Brain Highways, Neurofeedback.
-3) Herbs (ten)
Homeopathic approaches (sample of two products but too many ingredients to count). Vitamins/supplements (forty plus...).
Stimulants (six chemical classes with eleven variations/brand names). Non-stimulants (four chemical classes with six variations/brand names)
-Appendix C: Further reading and related sources (19) and websites to search (13).
-Appendix D: Quotes (funny and profound).
-That's my quick outline. This ebook is stuffed...
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