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3. We know that every child can learn and grow. We also believe that all children
even those with a severe ADDcan learn to develop new methods of control,
awareness, and thought, and that they can become fully functional members in their
classrooms and ultimately in society. So, how does a child get an attention deficit? Is
there anything you can do about it? Whose fault is it? Until now, too much attention has
been paid to the disability part of ADD and too little to the ability part. Thats the part we
can work with. Even though the development of better concepts is ...very few the
primary area of damage for children with ADD, very few programs actually exist that
teach programs ADD kids how to think more clearly. actually exist Teachers often
complain that ADD kids fall behind in school. But it really doesnt matter how that teach
much stuff from the curriculum that students miss. The real problem is that they fail to
develop ADD kids efficient thinking processes. More to the point, most teachers and
students do not know that paying attention is a learned skill. Your child can learn it. how
to think more clearly. Does My Child Have ADD? Lets begin with a critical distinction. A
simple attention deficit (Attention Deficit Disorder, or ADD) is one that involves the
childs ability to pay attention even when she or he is sitting still. Hyperactivity and
impulsivity (Attention Deficit Hyperactivity Disorder, or ADHD) refers to the child who
always fidgets or moves or suddenly bursts into unexplained action. According to the
most up-to-date diagnostic checklists, certain behaviors are considered to be warning
signs that a child may be suffering from ADD or from ADHD. Read the Symptoms List
-3
4. and Early Warning Signs List and ask yourself if you noticed any of the
symptoms they describe when your child was younger. If you did, you can then obtain
copies of the Teachers Checklists and use the Tracking List that is provided in section
5. Use the results from these checklistswhich address early warning signs and
symptomsalong with the results from any formal assessments or medical
consultations to get a comprehensive evaluation of your childs attention skills. This
information can help you and your family doctor make the correct diagnosis. 1.
Symptoms Attention Deficit Disorder Attention Deficit Hyperactivity Disorder Has
difficulty following directions and Has trouble remaining seated completing
assignments Fidgets, squirms, and moves constantly Has difficulty organizing tasks,
activities, May talk excessively and time May have trouble playing alone Misses
details or makes careless mistakes in May seem to be always on the go as if
schoolwork driven by a motor Avoids or dislikes tasks requiring sustained May
have trouble playing quietly mental effort Seems to run and climb everywhere Often
loses things or is forgetful Interrupts adults, teachers or other children Prefers
uncomplicated tasks Blurts out answers Does not seem to listen Has trouble
waiting turn Is easily distracted Can be impulsive -4-
5. 2. Early Warning Signs These are some of the early warning signs. Do not
panic if they describe your child. There is still much work to be done before you arrive at
the final diagnosis of ADD. 1. IF THE CHILD HAS SIBLINGS, WAS THIS CHILD MORE
ACTIVE IN THE WOMB THAN HIS OR HER SIBLINGS? YES _____ NO_____ 2.
WERE THERE DIFFICULTIES ESTABLISHING NORMAL SLEEP PATTERNS? DOES
YOUR CHILD STILL SEEM TO REQUIRE MUCH LESS SLEEP THAN OTHERS? YES
_____ NO_____ 3. DOES YOUR CHILD SWITCH FROM ACTIVITY TO ACTIVITY
MORE QUICKLY THAN THE AVERAGE CHILD? YES _____ NO_____ 4. IS IT
DIFFICULT TO GET YOUR CHILD TO SIT STILL IN THE CAR OR IN RESTAURANTS?
YES _____ NO_____ 5. WILL YOUR CHILD WAIT FOR A TURN? DOES HE OR SHE
GRAB TOYS OR BUTT IN WITH HIS OR HER IDEAS? YES _____ NO_____ 6. DOES
YOUR CHILD CLIMB ON TOP OF THINGS THAT OTHER KIDS DONT EVEN DARE
TO CONSIDER? YES _____ NO_____ 7. DOES YOUR CHILD SOMETIMES
DAYDREAM OR LOOK AT YOU WITH A BLANK STARE AS YOU TALK TO HIM? YES
_____ NO_____ A score of four or more Yes answers indicates that your child is
exhibiting ADD behavior. -5
7. 4. Diagnostic Questionnaires for the Parent The Conners Parent Rating Scale
(CPRS) This is the most widely used parent questionnaire. We recommend the longer
version as it yields some information on anxiety, behavior, psychosomatic issues,
learning problems, impulsivity, and hyperactivity. As well, it provides a hyperactivity
index. The Home Situation Questionnaire (HSQ) This is an easy-to-use checklist that
may help you to distinguish between normal behavior and ADHD behavior. There are 16
categories in which parents are asked to judge behavior in each category. If children
exhibit excessive behavior in seven or more areas, it is considered that the behavior
parallels that of ADHD children. However, there is one possible difficulty with this
instrument. Children with high scores prompted by emotional issues may appear to be
ADHD, so care must be taken in interpreting the results. 5. Make a Tracking List In our
early years, we worked with a terrific young man by the name of Ryan. He had aming
red hair, couldnt sit still, and would eat only peanut butter sandwiches. When we started
to work with Ryan at the teaching stations, he would suddenly disappear below the
table. His school had warned us that he was probably ADD. His family doctor had asked
us to help. Mom had been given a prescription for medication (Ritalin), but wanted more
for Ryan than just medication. We used a Tracking List to observe his behavior and
concluded that he was not ADD. When he ducked under the table or ran around the
room, he was responding to his emotional needs. We -7
8. believed that, with help, he could learn to control this behavior by himself. It
was triggered by anxiety. We needed to develop new strategies to help Ryan deal with
this anxiety. We decided that there was to be no judgment involved. It was neither right
nor was it wrong when Ryan dove under the table or ran around the room. Rather than
get upset and engage in a struggle for control, we climbed under the table with Ryan
and announced that we were going to teach him to read in either place! Soon, his
anxiety lessened and he began to trust us. He was willing to work above ground a little
more. Sometimes we still had to climb under the table just to show him that we were
serious, but it was not judgmental, it was respectful. If Ryan needed to be there, so did
we. We believed that he could regulate his own behavior. It worked. The point of this
story is that Ryans mom never had the prescription for Ritalin filled. She gave him a
little time and he overcame the problem himself. He was not a true ADD child. Today,
Ryan is in high school and getting As! Without the Tracking List, we might have agreed
with the ADD suggestion, and Ryans story would have been totally different. Use the
Tracking List included. Make lots of copies, and use it to observe behavior over at least
a four month period and in many different situations. Do not observe your child always
doing the same activity. If there is a real ADD, it will come through. Make a mark every
time you observe an actual incidence of the behavior. Do not overkillwe are all
somewhat distractible, so give your kid a break. You have to do this many times. If there
is an actual ADD, you will not have to invent it. -8-
12. Can Someone Learn to Pay Attention? Many children do suffer from
legitimate attention deficits. But that finding just hides the main issue that many, if not
most, of the attentional problems encountered in todays classrooms are the result of
learned behavior and not true disabilities. Most kids cant pay attention because they
have not learned how. We dont need to stop measuring and testing kids, but we do
need to reconsider our lifestyles and the ways that we teach children. The Pace of
Family Life Recently, I opted to leave work a few minutes early and spent the entire
evening reading and talking with my two younger children. It just happened to be a night
without a hockey practice, a dance lesson, a piano lesson, or a friend visiting. My 11year-old son wanted to know about factors, and I had the time to figure it out and teach
him. That was fun! There is a message in this: We all need to take time in our lives for
quiet moments and to properly pace our lives. Television, Movies and Video Games
Take out a stopwatch and time the intervals between cuts in any TV show or movie. (A
cut is the length of time the camera keeps the same focus or viewpoint.) Most intervals
are broken into 3 and - 12 -
13. 4 second units! Thats right, a few seconds is all you usually get before a new
image is ashed on the screen in front of you. Watch enough television and you may be
training your conscious mind to work in similar short, fast bursts. The same thing
happens in shows that teach children how to read! Seconds is all that we are giving our
children to see, integrate, and learn. And who could have imagined that even kids who
seem unable to follow simple instructions in class are able to progress to the 87th level
of the video game of the year? Processing information simultaneously and instantly, our
children are often glued to these games for hours. While this may Students help them
become fighter pilots, it may not be helping them learn to concentrate and integrate
certainly information in a classroom. need more Generally, teachers require more than
three or four seconds to teach a concept. Students certainly need more than a few
seconds to understand and integrate. than a few seconds to The Death of Reection
understand and integrate. Last weekend, my daughter filled our house with friends.
They created forts and nurseries and schools and stores. Every kid was assigned a
task. Some were storekeepers. Some were parents. Some were infants. Before
assuming their roles, almost every child went about preparing for their role. Many
rearranged their space while talking to themselves about who they were and how they
would act. This was very interesting for me. They made time to reect and consider
they prepared! They created their own space and demanded enough personal time to
get ready to have fun. Compare this with the typical classroom. There is little time for
quiet reection and even less personal - 13 -
14. space. My daughter had more time to prepare for play than most kids have to
learn math or reading. She and her friends knew that they needed to concentrate, so
they created an environment where that would be possible. When her older brother tried
to intrude and rush the pace of the game, he was roundly defeated and shooed off to his
corner until everybody was ready. It seems that, left to their own devices, kids
understand the need for quiet reection, concentration, and paying attention. We are
jamming so Crowded Curriculums and Classrooms much useless Classrooms are
getting more and more crowded as governments try to balance education budgets. and
irrelevant In one high school in my district, there are neither enough books nor enough
desks for the kids. information Many sit on the oor and share textbooks. With this
crowding, the noise level has increased and into their students are having difficulty
concentrating. heads , there Add to this the demands of our enlightened society. We
demand that schools teach whatever is no time for ethical values are currently popular in
our politically correct society. Unfortunately, this just creates reection or crowded minds
to go along with the crowded classrooms. We are jamming so much useless and
irrelevant information (facts, dates, figures, names, formulas, etc.) into the heads of our
children so concentration. quickly, with no time for reection and no place for
concentration, that they are not learningthey They are not are just memorizing.
learning, just In fact, this is creating two classes of kidsthose who can figure out the
school game (memorizing memorizing. without necessarily understanding) and those
who cannot. Sadly, if you have a good memory for unrelated information and you are
willing to cram as much as the curriculum requires into your mind without questioning, or
perhaps even understanding, you will be a good student today. - 14 -
15. Is It Any Wonder? I am not arguing that attention deficits do not exist. Some
real attention deficits exist and require treatment and programming. Children with true
ADD or Central Auditory Processing Deficits cannot pay attention, but most kids today
do not suffer from these disorders they merely have a short attention span because
paying attention is a learned skill. These kids are trained to be that way by the way they
acquire language and develop concepts; by the pace of modern life; and by the
inuence of television, movies, and video games. The forces of brief TV cuts, constant
motion, and their busy, busy lives have trained their cognitive process to look for quick
bites and fast answers. And our early development of language as a tool of
communication rather than of thinking has internalized the way in which we pay
attention and think. We are creating children with passive minds and short attention
spans. Go and sit in a Kindergarten, Grade 1, 2, or 3 classroom for two hours. You will
see that programs are based on the Activity Based Learning Theory. This theory says
that kids who can do what they want, who are given a chance to roam between many
different tasks, will eventually choose something and will discover wisdom. The actual
formula is: Interest + Activity = Discovery + Knowledge. So in many classrooms today
kids can be found moving endlessly from one centre to another. An amazing noise level!
Confusion, disruptions, and lots of botherment, as Eeyore might say! - 15
16. A Simple Game For years we have been working with ADD children at Oxford
Learning by using a simple game. We begin by placing a small device consisting of
approximately 20 beads strung out on a wire that has been embedded into a piece of
wood in front of the student. We do this before we begin to work on any school-related
task, such as reading, writing, or math. We push all the beads to the left side of the wire,
and as soon as the student becomes distracted or goes off-task, we click one bead over
to the right side. We do not explain to the kids what we are doing. We do not tell them
that we want them to learn new skills. We merely want to make them aware of how their
minds work. Significant It is important to us that we never imply that it is wrong to
become distracted. Kids who are change must distractible are merely following their own
truths. That is how they are. Accept this, because come from significant change must
come from within or it will not come at all. within or it Awareness is the key. After working
with kids in this environment for a few months, they begin to be aware of the fact that
their attention drifts. will not come at all. Most kids accept the workings of their minds as
a given. Just as we do not fret about how to make our Unfortunately, hearts pump, so
too do we not express concern about how our brains work. while the rest of our bodies
work more or less automatically, our brains require training and exercise. By the time a
child is in school and is having difficulty with attention, many undesirable behaviors have
become automatic. The road back is through awareness. Help kids to become aware of
what their minds are doing. - 16 -
17. A Plan of Action Play the Attention Game Most children are unaware of the
actions of their minds, so they are unaware of being off-task. By the time your child is
school age, self-awareness is a concept that can be readily understood. You can model
awareness of what the mind is doing earlier, and many children will get it, but dont be
discouraged if your child does not. Guides for Reading. Younger Children: Use activities
that your child understandsfor instance, the game of catch played with a soft ball
and demonstrate both paying attention and not paying attentionand their 1. Keep your
eyes consequences. Throw the ball to your partner. When it is caught, tell your child
See, Mom was on the page. paying attention and she was able to catch the ball. Then
have someone throw you the ball when 2. Ask, Am I on you are looking somewhere
else. After it bounces off your face, say Oh! I wasnt paying attention. the correct
page? Do it again with a story. Describe what it means to pay attention, and then read
the story aloud. Discuss the events of the story. I remember that stuff because I was
paying attention. 3. Ask, Am I listening? Can I School-Age Children: Have someone
read to you. Begin by having a small monologue with answer questions yourself. OK,
now I am going to hear a story. I am going to pay attention because I am interested
about the story? in the story. Let the reading begin for a few moments then ask your
child to tell you how well she thinks you are paying attention. If she doesnt know, teach
theses guides for reading. 1. Keep your eyes on the page. 2. Ask yourself, Am I on the
correct page? 3. Ask yourself, Am I listening? Can I answer questions about the
story? - 17
18. Continue with the exercise, but look away from the reader after a few more
moments. Begin to hum a tune and tap your fingers. Then ask your child how you are
doing. By teaching kids how to observe and grade our performance, we will be helping
them to automate the process and principles of paying attention. When your child tells
you that you werent paying very good attention, agree and explain, Yes, I started out
OK, but soon I started to hum a song that I enjoy, and I forgot to listen. The last element
to introduce is the mental holiday: day-dreaming. This is when you look like you are
paying attention, but you really are not. Laugh when you catch her not paying attention.
This game can go on for months. While you are playing, your child will be learning the
deep methods and rules without stress. Play this game often and in many different
situations. Be goofy! Be outrageous! Its not homeworkits fun. When your child
doesnt want to play, stop immediately. Eventually you will be able to generalize the rules
to: 1. Am I watching (the page, the teacher, etc.)? 2. Am I doing the right activity? 3.
Am I paying attention? Can I answer questions about this activity? Measure the
Attention Span After you have played the Attention Game until your child is a master,
you will be ready to move on to the next phase: measuring his or her attention span.
Once again, the object of this phase is awareness. Set goals. Write the following on a 3
x 5 card. - 18 -
19. I Can Pay Attention! My goal is to pay attention for _______ seconds or
_______ minutes To do this, I must:
1.____________________________________________________________
2.____________________________________________________________
3.____________________________________________________________
4.____________________________________________________________ # I Can
Pay Attention! My goal is to pay attention for _______ seconds or _______ minutes To
do this, I must:
1.____________________________________________________________
2.____________________________________________________________
3.____________________________________________________________
4.____________________________________________________________ - 19
21. Share Your Time Sometimes, it will seem as if the ADD child requires all of
your attention. Not so. Share your time evenly. ADD kids must learn the lessons of selfresponsibility at some point. It is better and safer to learn this at home than at school.
Focus On Success Encourage positive statements. Break the cycle of negativity that
surrounds your child. Too much emphasis has already been placed on what she or he
cannot do. Forget that. Look at what she or he can do and celebrate it. Add Is Not A
Disability. Dont Make It One Kids can change. They do. Do not let ADD become a
crutch. I can do it! should always be the standard. If you have a child who appears to
be ADD, do not let the rest of the family or friends brand the child as different. Get rid of
the expectations that this child will screw up or have trouble. These expectations often
become self-fulfilling prophecies. Even if your child does have ADD, it can become more
of a blessing than a curse if it is handled suitably. Distinguish Behavior From The Child
Remember that the behavior you do not like is just behavior, not the child! Separate the
behavior from the child. For example, say I love you but it upsets me when you leave
your toys all over the living room. Responsibility Is For Everyone Do not excuse the
ADD child from responsibilities. This may cause stress with the other children. Have
clear expectations and ensure that your child understands these expectations. - 21 -
22. OVERCOMING STRESS You may be suffering from more stress than you
think. Raising a child with ADD can be stressful! Lets try to become aware of what
causes our stress reactions and then make a plan to help lessen them. In most cases,
behaviors that cause stress are actually great teaching opportunities. Bearing in mind
that you are trying to help your child learn how to develop better control, you can use
stressful situations to teach cause and effect. Raising a Delay Your Response: OK, you
turned your head for a split second and your kid just pulled the display stand over in the
restaurant. Adrenaline shoots into your blood stream, quickening your child with heart
rate, causing you to feel embarrassed and, finally, you get mad at your kid. Dont!
Instead, ADD can be delay your response. Remain calm and reason your options out.
stressful ... Understand the Outcome: During a stressful situation, keep your positive
goals in mind. This will remain calm help to lessen the intensity of your reaction and
help you to remain calm and focused. and reason Change Your Perspective: It is
important to understand and hold the full context in your mind at out your all times or
else you will feel like a hamster options. ADVICE FOR PARENTS spinning on a wheel.
Cut out the Advice Its Not Your Fault for Parents card and keep it close, so you Do Not
Battle For Control # can review and apply it. If you can hold Share Your Time Focus On
Success your own goals in mind, you will be more Add Is Not A Disability. Dont Make It
One able to understand the situation that has Distinguish Behavior From The Child
occurred in relation to those goals. Responsibility Is For Everyone - 22 -
its component parts and then schedule some work time for each part. You can help
them to learn this skill by having them work on outlining and recognizing main ideas,
underlining key words and highlighting the instructions before starting homework. Build
Confidence Understand that students with ADD lack confidence. They are often afraid to
try and their self- esteem is battered. You can help by removing judgment from their
lives. Change your attitude. You may be amazed at the quality results you will get when
you help your child learn how to do the work. The Family That Plays Together We
want to be able to help our kids learn how to focus and pay attention. This may seem
like a daunting task, but it is not! Giggles and laughs, as well as serious conversations,
are all part of the solution. Paying attention means learning to stretch the attention span
and that can be improved by playing games! Yep, some family fun time can help your
child develop a major skill. A number of hearing, listening and comprehensive games
can be found on our website. Go to www.oxfordlearning.com/ADDand have fun! - 24 -