tips for accommodating the add/adhd child
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Tips for Accommodating
the ADD/ADHD Child
Many times when leaders hear that a child is ADD orADHD, panic sets in. It doesnt have to be that way. This
article will give you insights and simple tips to use with
all children, including those very active, unfocused
children and children you think are ADD/ADHD.
by Linda Ranson Jacobs
any of you have asked for help with theADD/ADHD child. I have refrained
from responding simply because there
are so many experts out there who have
their own agendas and opinions. However, I
think its time I shared with you how I have
dealt with the ADD/ADHD child.
First let me give you an opinion I have. After
working with children for over 30 years, I
believe many children are misdiagnosed. If
you look at theDiagnostic Criteria fromDSM-IV-TR (Washington, DC: American
Psychiatric Association) definition and
symptoms, you will see that many children
under stress, experiencing a crisis or
experiencing the divorce of their parents will
exhibit the very same symptoms as the
ADD/ADHD child.
There are medical conditions that mimic the
ADD/ADHD child also. From my own
experience, I have a hypothyroidismcondition. I cannot sit still and intake
information. I learned early on that my body
has to be moving in order for me to learn. I
take copious notes; I draw pictures or
scribble and doodle on scraps of paper. If I
sit still, it seems my brain goes into sleep
mode with no screen saver. People hate
sitting next to me at conferences and in
church because my legs move, my arms
move and I fidget horribly. I would be thatproblem child in DC4K.
Because the mind of an ADD/ADHD child
(or the child under tremendous stress) is
chaotic, unorganized, unreliable and many
times does not think in logical sequences or
in concrete terms, these children need
structure and boundaries to help them. One
thing to remember is, dont ever assume the
child understands or knows what the
expectations are.
If the child does something one way at
school or home and comes to you and you
have slightly modified it, it may take the
child several reminders from you of how you
expect things to be. He or she has to practice
how to act. Snack time is a good example.
You want the child to sit in the chair to eat,
but at home maybe he or she is allowed to
stand up and walk around while snacking.
Explain how you want things to be. I wouldmake it a point to do this the first few
sessions the child attends. Have some fun
with this, and make a game of the child
practicing sitting down, eating, etc. After
you know the child understands, in the future
you can use a cue such as putting your hand
on his or her shoulder or saying the childs
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name to remind him or her of how to act.
Use any cue that will help the child be
successful.
Many of these children will do better with
pictures, icons, signs, hand signals and cuesthan the spoken word. When the child walks
in the door, take him or her aside and
rehearse or go over the session schedule. Ask
the child to help you develop some hand
signals or facial expressions so you can use
these to stimulate his or her brain as to what
comes next. For some children, give them
their own copy of the schedule. They can
fold it up and carry it around with them.
Role play works well with some of thesechildren. Example: Hey Jason, I noticed last
week that you had a little bit of a problem
focusing at different times. I can understand
because when Im under a lot of stress, the
same thing happens to me. I want to share
with you how I handle this. Lets go over to
the side of the room and pretend we are
walking through tonights schedule. When
its time to change activities, Ill find you
with my eyes and give you this signal
(thumb out like a hitchhiker). This willremind you its time to stop what you are
doing and go stand in the circle.
You can also use the same technique to cue
the child when his or her behavior is not
appropriate. I developed a particular look
with my face and eyes and just a slight nod,
kind of a half no nod, of my head to let a
child know his or her behavior was
inappropriate and needed to stop. It is
important to make eye contact when usingsigns, signals and speechless
communication.
When a child is getting out of control or
starting to cause problems, a terrific body
signal for many of these kids is simply a
shrug of your shoulders with a look on the
face that says, So you blew it! There are
no repercussions just some attention and
validation that says, Hey kid, you really
messed up. Now shake it off. Move on. Try
again. You can do it. You dont verbalize
this, just use the look as my kids used tocall it.
Short verbal phrases such as Oh well!
work well with many of these children.
Another one is the word Bummer! with a
lot of expression. Bummer conveys empathy
and sympathy but doesnt take ownership of
the childs problem. As the adult, you will
have to refrain from saying anything more
than the word Bummer! or Oh well! and
believe me, this can be very difficult. Youwill want to say, How could you do that?
Or How many times have we been over
this? and If you will just concentrate, you
wont keep making these mistakes. Or Get
in control. Calm down. You dont want to
get in the habit of giving a lot of attention to
some of these behaviors. For many of these
children, even negative attention is attention.
Some of you are just going to have to change
your mindset about these children. Keepremembering that it is impossible for them to
sit still and pay attention. Maybe you have a
child who would listen better if he or she
were not sitting with the rest of the group.
Possibly you have a child who would listen
if that child were eating a snack while others
were watching the videos. Get these kids
moving in organized fashion. Organized
movement on the outside creates organized
movement in the brain. Use those cross
lateral and cross midline movements!
You might try the touch approach. Some of
these children need personal touch to help
them calm down. When you read the Bible,
you find that Jesus touched people. There
was such healing in His touch that people
wanted to be able to just touch the hem of
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His garment. For many children, a touch is
healing.
Pray for them; pray with them. Try taking
little Johnny aside and praying, Dear God,
thank you for Johnny. Help him to know thatwe love him and we want him in our DC4K
family. In Jesus name, Amen.
Some of these children dont experience
successes, so lets help them have success at
DC4K. God created every child, and God
brings the children to your specific DC4K
group. Study these children. Find their
strengths, and use their strengths to enhance
your group. Be quick to listen, slow to
speak [and act] and slow to become angry[and send them away] (James 1:19).
MMV by the author and/or Church Initiative. All
rights reserved. Reproducible only when used with aChurch Initiative ministry program.
Linda Ranson Jacobs is the DC4K creator and
developer. For more information, email
[email protected]. To discover more about DivorceCare
for Kids or to find a DC4K group near you, go
to www.dc4k.org.