S.H. asks from Bremen, IN on October 29, 2008
8 Yr Old with ADHD Has a Lot of "Accidents"
Hello ladies! I have an 8 yr old boy with ADHD. We tried everything from diet to behavior modification for him. After a couple of years struggling we put him on Concerta. It is working great!!! He is on the lowest dose and it is helping sooo much! He does wonderfully in school now and has little to no daily behavior issues while he is there. However, he does seem to have a lot of "accidents". For example, yesterday we went to buy spray paint for a part of his Halloween costume. When we got home I asked him to hand me the blue paint. Well, he got the black paint out first. In a rush to get out the blue paint, he threw the black can on my cars hood. Of course, it rolled off and sprung a leak spraying my white car with black spray paint. Just so you know. I am not angry. Accidents happen. However, these types of things seem to happen a lot (especially when he is in a hurry or excited about something). The other day he wanted eggs for breakfast. I went and got them and when I returned home he ran out of the house, grabbed the bag, and dropped it. No more eggs. Things around the house get broken on "accident" alot, too. He also seems to do things that (if thought about first), he knows he shouldn't do. Standing on the bottom of the screen door where the panel is missing (that he knocked out on "accident" when he leaned up against it puttin on his shoes one day). He is very helpful around the house and with his sister. He is extremely intelligent. So, it is hard for me to tell what is the ADHD and what is him taking advantage of this as an excuse. I think he is old enough to take responsibility for his actions but at the same time, I don't want to punish him if this is something he has no control over. It is such a hard balance to strike. He used to have such low self esteem before we got his ADHD treated and he still calls himself "stupid" alot (especially when he does this type of thing). He cries and is genuinely upset that it happened. As you can see, I am really conflicted about how to handle this situation but I don't want to sit back and do nothing. How do I get him to "think before he acts"? Anyone else experienced this? What did you do? Any suggestions for positive discipline?
So What Happened?™
Thank you ladies so much for all of your wonderfully supportive responses. It is a help just to know that there are other moms out there who are going through the same thing as me. I plan to message some of you personally and want to thank you for your willingness to provide me ongoing support. We are talking with my son's caseworker to see if he may need an increase in his meds and also looking into some more diet modification. We are starting him on a token like system as well and he is seems to be VERY excited about it. Thanks again!
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K.B. answers from Cincinnati on October 29, 2008
I dn't have an ADHD son, but I do have a 5 year old boy non the less. As any normal 5 year old boy goes, he does a lot of things without thought. I have one major rule in the house, it's THINK BEFORE YOU DO. I enforce the rule by having him sit down for 5 minutes when he does something quickly and makes a mistake and rethink about a better way to have done it in the first place. We then spend a couple minutes discussing better ways to handle the situation at hand. It has worked, there are times that he stops and says you know mom I didn't really think about that a better way would have been....I will remember that for next time.
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S.S. answers from Indianapolis on October 30, 2008
That is precisely what ADHD is. It sounds like the stimulant meds are working, but perhaps not enough. It may have been that before the meds, there were so many other things going on that you didn't notice these "accidents". Now that the meds are on board and working, you notice these other things more. I would definitly talk with your psychiatrist on this. From one mom of an ADHD son to another-- good luck.
M.R. answers from Columbus on October 29, 2008
S.,
I would recommend that you do some reading about ADHD. Start with anything by Dr. Mel Levine or Dr. Russell Barkley. They will explain how truly deep the effects of ADHD really are and how it effects your son. It is so much more than not paying attention and running being hyper. Impulsively is one of the halmarks of this disorder, and he may be helped by his medication, but it will take many years of self awareness and work for him to improve impulsive behaviors.
You cannot punish him and expect good results. Each time this happens is independent, and he will not be able to apply the lesson of not tossing the spray paint to carrying the eggs more carefully. The best you can do is to set him up for success when ever possible, and then to relate how he could have done things better when it happens. Focus on the times he does the right thing, and you will get more results. That is the behavior you want to draw the most attention to.
Good luck,
M.
S.B. answers from Toledo on October 29, 2008
I see a lot of that in my very ADHD Alyson. She is constantly losing things, running into things, forgetting, etc, etc. About 1/3 I blame on her age (8), 1/3 on the ADHD and the final 1/3 on her being a blonde. It is a running joke in our family. Not that I want to saddle her with the typical blonde jokes, but giving her an opportunity to laugh it off. I know that she does not do these things on purpose, no more than your son does. But if you give him an outlet to laugh (but not so much that it becomes purposeful FOR a laugh).
When she gets hyped up and the mistakes come pouring in, I look at her, put my hand at about nose level, and push it down. This is our hand signal for her to STOP, take a deep breath, think, and then act. We have used it so often, that oftentimes, I do not even need to speak with it. I do make sure she has my eyes when I do it, because she flits and flutters, and catching her eye might only be for a moment. So, if I make sure she is looking me in the eyes, and do the hand signal, it usually makes her think. If you work on your own "signal" with him, and let him know what it means, hopefully it will get him to stop and think also.
Good luck,
S.
H.M. answers from Cincinnati on October 30, 2008
I understand your frustrations. My son is 6 1/2 and ADHD also and has just started on Concerta. We took some parenting classes back in the spring through Cincinnati Children's Hospital's ADHD Unit and they pointed out that a lot of the research into ADHD these days is pointing to the impulse control problem being the core from which other problems stem. It sounds like this is what is going on here. My son is the same way - though he's never spray painted my car he makes careless mistakes like this, especially when he's excited. I would bring this up at the next follow-up appointment as an area of concern. It's possible that he needs a higher dose. My son was doing okay on a lower dose of "focalin", but still having problems and when we started the higher dose we were amazed at how much better he was with some of those impulse control things. We switched to the Concerta because the focalin xr was wearing off before the end of the school day, but are loving it. It is hard to not punish them when they do these things. Avoid blaming things on ADHD in front of him to help prevent him from claiming that he can't help it all the time. As you probably already know with the positive reinforcement is more about catching them when they're good so watch for any signs of him controlling an impulse, like waiting to talk while you're on the phone, and praise it - you obviously can't always see him controlling himself - like with the paint can incident. I hope this helps a little.
M.F. answers from Toledo on October 30, 2008
Just another note that no one really touched on... Get him involved in something that expells his energy. Sometimes it gets pent up and causes accidents. I know when I exercise and expell energy for a while, it helps calm me at other times. It becomes a balance. The other thing I notice is my food intake. The more food sugars at one time I have, the faster I want to go then all of a sudden there is a drop and I can not concentrate. Keep food intake at a constant. Have him eat every couple of hours, like snacks in between meals so that he is not so up and down with his food sugars. Hope this helps, it helps me out at times.
K.M. answers from Toledo on October 30, 2008
How long has he been on medication, and has the "accidents" gotten worse since the med? I was recently Dx'ed w/ ADHD inattentive type at age 34, and when I first started Adderall I was making tons of stupid little mistakes. I think my brain had to adjust to the new neurotransmitters because after a while everything seemed to settle.
I wanted to mention that, if you want to find alternatives to ADHD med, there's a book called "Healing the New Childhood Epidemics: Autism, ADHD, Asthma, and Allergies" by Dr. Bock. It is an EXCELLENT book. If your son especially has asthma/allergies, it's a must-read. We're going to implement some techniques at home. I'm already not needing to medicate since starting a few supplements. Feel free to email me if you have any questions! There's also a Yahoo group that deals with coping w/ ADHD w/o meds (no, it's not just behavioral modification as you might think - ADHD is a neurological disorder and not psychological).
T.S. answers from Evansville on October 30, 2008
S.,
Everyone must follow there own path regardless of the advise you get remember to do what you think is best. In saying that my two bits is I don't believe an 8 yr old needs to be on medincine. I have a 9 year old boy that is ADHD. He has good days and bad days. He has to learn to control his own actions and yes there brain does develope a little slower than other children but they need to have consequences. Regardless if you choose the medicine or not the behavior modification needs to stay in place. The medicine should never be a quick fix it should work inconjunction with behaviour modification. Don't let the ADHD be an excuse for you and how you think he should act. You should still have the expectations that you would for any of your other children and there behavior. Write out a list of things that are not exeptable and have the punishments listed when he does it so he will clearly know what the punishments for his actions are. I also believe in rewarding good behavior. I wrote down a list of things I expect of him. When he does them he gets a sticker and after 10 stickers he can pick from the treasure chest.
Your child has this great gift of being creative, active, impulsive, and much much more. He may need to control some of these actions but teaching him to use them to his advantage would be so much more. These actions don't necessarily need to be restricted that are great traits to have. They just need to be used in the right way.
God Bless and good luck in what ever you choose. Again, everyone has there path do what is right for your family.
Thanks,
T.
M.P. answers from Indianapolis on October 30, 2008
I have 3 kids. I worked as a teacher's aide for 3 years in the K-3 grades. Your son has to learn control regardless of whether he has an excuse for it or not. He definitely should be punished anytime he does something as extreme as throwing a paint can over a car. Just because he is ADHD does not mean he can't learn what is OK and what is not. Such as the screen door incident. He has to learn that a screen door cannot hold his weight. He knows calling himself "stupid" will get your sympathy. Just send him to his room- no TV, video games, movies, radio, for the rest of the day. Punishment is the best way to get a kid to think before he acts.
Way back when, (in the 60s), they did not have ADHD. There were kids that had trouble paying attention, and kids that were hyper. My brother was quite hyperactive. But with discipline he learned to control himself. The best advice I can give is NO TV or video games, and discipline him as you would any other child.
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