One of the challenges associated with ADHD and ADD is “executive functioning”. I have talked about this before. This like so many other things is a confusing element to ADHD but one that I feel is really important to be aware of and necessary to understand the challenges of your child holistically. In fact, many experts in the field of ADHD/ADD are starting to suggest that ADHD be re-conceptualized as an “executive disorder” and deemphasize the focus on hyperactivity and attention. Problems with executive functioning are not limited, however, to only those with ADHD or ADD. Executive dysfunction sometimes is the only problem and sometimes is part of a larger problem.

The easiest way to think of executive functioning is that it is the administrative or managerial part of the human brain. Executive functioning has to do with organization, planning, self-control, and time management, for instance. Like anything else, any individual with executive functioning issues will have areas of strength and areas of weakness within the broad spectrum of executive functioning.

The reason I am writing this blog post is not only to raise awareness of executive functioning or dysfunction but also to state that executive dysfunction requires teaching, support and practice in order to be effectively addressed. There are things that you can do to help your child in the short term and there are processes to help teach them how to handle different situations and opportunities. Supporting your child in the areas of executive functioning is often required into high school and college. Like anything else, better executive functioning occurs with ongoing practice and support.

For me, one of the hardest challenges I have is gauging what is appropriate and when. I need to keep in mind that we have to understand our son’s strengths and weaknesses overall and to work with those strengths and weaknesses on an ongoing basis. The conquering of certain skill sets can only be achieved with consistent practice and it takes time. Thinking in terms of support of executive functioning in this way has helped me a lot to establish a mindset for myself in helping our son.

I have heard this often in my ongoing research but I feel that it is important to stress that our son is not defined by his challenges. Our son is an amazing child who is fun and funny and full of energy and life. He has his strengths and weaknesses like we all do. All of our efforts are focused on supporting who he is so that he can continue to experience success and grow into a confident young man.

I am just learning about the process of supporting executive functioning. It turns out that we have already been implementing strategies to help our son especially in the area of transitions. For instance, we use the 5 minute warning, 3 minute warning and 1 minute warning for all changes in activity so that he has time to adjust. It turns out that “transitions” fall within the area of “Cognitive Flexibility”. Cognitive Flexibility is defined as the ability to problem solve in a flexible, dynamic way and/or the ability to address new situations. So as we learn more, I will share what I have learned with you.

Until then …. Take care.

MEET CHARLIE OUR GUINEA PIG

As many of you know, having a child with ADHD or working memory issues creates a challenge when trying to get them to take responsibility for multi-instruction tasks. We have had a difficult time getting our son to be independent and to take on responsibility. Some of this is probably our fault. He works so hard with his learning disabilities and ADD that we probably baby him too much otherwise. However, he was begging – BEGGING for a guinea pig. Even though we really did not have ANY desire to have another pet in the house (we have a Havanese dog and a Beta fish), we decided to use the opportunity to teach responsibility and to increase his independence.

At the pet store, we made a very hard deal with my son. He had to take responsibility for caring for the guinea pig with my help. If he did not, then we were going to give the guinea pig away and he was going to have to pay us back for the cost out of his allowance. We emphasized the deal several times and made him repeat it back to us several times before we even bought the guinea pig. So we bought the guinea pig and named him Charlie.

Charlie is very funny and makes all sorts of noises that make us stop in our tracks! He loves to be held, loves to beg for food and enjoys playing both inside and outside in a play area that we bought for him.

The very first Saturday, when it was time to clean out Charlie’s cage, we did get push back from Griffin. I spoke with him to make sure he wasn’t scared or anxious about the task. He was refusing to take care of the cage. So we said that we were going to have to start asking around to see who wanted Charlie and walked away. Sure enough, Griff came into the kitchen to work with me on cleaning up the cage.

We decided to take pictures of Griff taking care of Charlie for two reasons. We wanted to give Griff the opportunity to share his story of responsibility with his class. Since his teacher is deathly afraid of anything rodent like, we decided to make a poster which he is going to share with his class. Second, we use the visual poster as support for Griff when it is time to take care of Charlie. It reminds him of what tasks he needs to do and it is a system that he can use independently without asking for help.

RINSE OUT THE BOTTOM OF THE CAGE WITH HOT SOAPY WATER.

PUT IN FRESH BEDDING.

PUT IN FRESH FOOD.

Visual reminders are a strong means of support for any type of task both at home and within the classroom. It gives a visual reminder and checklist yet is something the child can access independently. You can use any type of pictures when putting together a visual checklist but I find that Griff loves pictures that feature him!!

Griff has been afraid or reluctant in the past to take on tasks on his own. We are finding, however, that with visual checklists, his confidence is growing and that he actually enjoys some of the independent responsibilities he has taken on.

Now if I could only get Charlie to slow down on the pooping ….

THE COMPLETE VISUAL CHECKLIST.

http://canmombecalm.blogspot.com/2009/09/ignore-behavior-not-child.html

This is an excerpt of the post …

My ABA Lead therapist and pretty much everyone else told me that I need to firm up on Spencer and ignore his attention-seeking behavior. This includes when he climbs on me, pinches, scatters, and throws things. I know that they are right. I believe it in my heart but gosh…. for an anxious person like me… ignoring is really so hard to do. “Ignore the behavior, not the child,” she said as she reminded me that I should praise his positive behaviors.

I hate to think that my child thinks of me as a toy but I guess it is partly true. Sometimes he pinches me and I am so used to it, that I don’t even say “ouch.” So then, Spencer will even say it for me, “Ouch?” like .. “Hey, how come you are not saying ‘ouch,’ I love it when you say that.”

I think that I can achieve “ignoring” as a behavior modification method if I can remember that “ignoring” is active. That is what was told to me in my parent training program for ADHD preschoolers at NYU Medical Center. They said that I shouldn’t ignore activities that are harmful to him, to others or to property but rather ignore attention-seeking behaviors like whining, nagging, and tantrums. (Tantrums are the hardest because of the neighbors downstairs but I will have to try.)

TO READ THE FULL POST PLEASE GO TO http://canmombecalm.blogspot.com/2009/09/ignore-behavior-not-child.html