What to do with kids who never sit still?
Holding the ball for less than 2 seconds, the boy quickly threw it to a corner and climbed on to the chair, next, he jumped down and ran quickly to the potted planter and scattered flowers... Looking at the 6-year-old child, he kept his hands. Without stopping, the mother shook her head in dismay.
Let go of this, catch that and be unruly
At the Department of Child Psychiatry, Psychiatric Hospital, Ho Chi Minh City Psychiatric Hospital, this is not the only case of attention deficit hyperactivity disorder (ADHD). One day, just one morning, the doctors had Check up to dozens of cases. The baby's expression is the same.
Taken to the doctor by his mother, an 11-year-old boy from Tien Giang "messed up" in the doctor's room even though he had just come here for the first time. The boy refused to sit still, stood up, ran and jumped, played with furniture all over the room, fell to the ground crying when his mother stopped him. Another child insists on getting the balloon in your hand, but when you lend it to him, he immediately throws it and runs to snatch the pen from the doctor's desk.
In another case, an 8-year-old boy was also brought to the clinic by his parents due to poor concentration, poor intelligence, and unable to count how many fingers his hand had; At the same time, the language is not good, there is destructive motor behavior, running continuously...
BS.CKI. Nguyen Thi Giang - Head of the Department of Child Psychology and Psychiatry, Ho Chi Minh City Psychiatric Hospital, said that most of the above cases were diagnosed with ADHD and treated with drugs. It takes about a few weeks for babies to begin to reduce their impulsive and disruptive behaviors, sit still for longer, and concentrate better.
However, there are also some cases where after many months of taking the drug, the child improves well, but the family quits treatment, making the children's destructive situation worse, some children are not even aware of the danger. Even the teacher refused to teach because the child often caused chaos in the classroom, climbing when the teacher was teaching.
According to MSc Dinh Thac - Head of the Department of Psychology, Children's Hospital of Ho Chi Minh City, ADHD is a chronic and very common mental development disorder today. The disease includes 3 types: attention deficit (children are easily distracted); hyperactivity - impulsive (very hyperactive and impulsive); coordination (this is the most common form, children have all 3 signs of hyperactivity, impulsivity, and decreased attention).
The disease has been identified with many causes, of which from 60 to 90% are related to genetics. In addition, the factors that contribute to the disease in children such as smoking, alcohol consumption, diabetes during pregnancy lead to premature birth, lack of oxygen, low birth weight; children with encephalitis - meningoencephalitis, head trauma, or lead poisoning ...
What's downright dangerous is that ADHD is difficult to diagnose: Biological diagnoses are not possible; There are no psychological tests to diagnose ADHD. Mainly based only on observing behavioral symptoms (aggressive, disruptive, lack of concentration…and showing unusual behavior not suitable for peers)… Up to now, the diagnosis and confirmation Diagnosis is mainly from detailed medical history given by parents, or teachers, or informants…
Identified
BS. Dinh Thac said that in order to identify children with ADHD, parents need to closely observe and monitor their children's daily activities from eating, sleeping to studying and playing. Some common signs of attention deficit in children:
Often forgets homework, loses learning tools: In class, children with ADHD often forget their notebooks at home. When returning home, young parents often have a headache because their children constantly lose their pens (even losing their pairs), so they have to buy new ones continuously and carefully instruct them, but the children still forget.
Not communicating with friends: Children with ADHD often lack confidence in communicating with people around them, including friends and teachers. This makes it more difficult for children to adapt to new environments.
Lethargy, or daydreaming: Children with ADHD are no less intelligent than their peers. However, they have difficulty listening to instructions from the teacher, so they often appear confused, unable to grasp the lecture or the requirements of the homework.
Difficulty expressing emotions: Children with ADHD also often face cognitive impairment and associated motor and language-specific delays. As a result, children often have difficulty expressing feelings with words or common gestures.
Not paying attention in class: There seems to be a machine in the body of a child with ADHD. Children often cannot sit still. The tendency is that children always try to get up and run around. When forced to sit down, children feel very uncomfortable often constantly wiggling and twisting in the chair.
Difficulty waiting for a turn: Hyperactive children often do not have the ability to recognize the needs and desires of others. Children may interrupt when others are talking and have a hard time waiting for their turn during class activities or when playing with friends.
Disruptive, easily angered: Children with ADHD have a hard time controlling their emotions. Children may have tantrums at inappropriate times.
Unstable academic results: Because poor concentration will lead to slow learning, learning outcomes in children with ADHD are often unstable. Children also have difficulty with reading and writing. About 20% of children with ADHD require special education.
Small without treatment, big easily break the law
According to Dr. Dinh Thach, the current rate of children being detected and treated is still low due to misconceptions and incomplete understanding of parents and teachers. Many people often think that ADHD is not real. .
Therefore, children with manifestations of hyperactivity, decreased attention, decreased concentration ... are often blamed as spoiled, disobedient. Or many people mistakenly believe that children with ADHD will go away on their own when they grow up. However, the reality is that the disease begins in childhood and continues into adulthood. If not treated early, the disease will progress to a chronic disease, when growing up, children will easily lose control, easily disrupt, difficult to achieve success, even easily break the law and be stigmatized and discriminated against. .
On early detection and treatment for children with ADHD, Dr. Master emphasized: “Children with the disease are mainly of school age, so they need a lot of attention from teachers, need to observe children's learning and activities at school, remind parents to take their children to the doctor and take care of them. early treatment. At the same time, teachers should have a more patient and caring way of teaching for children. On the family side, there should be coordination with the doctor in the treatment process. It is necessary to patiently guide children, divide the work for children and promptly encourage them when they have good actions…”.
In addition, children with ADHD also need to have an age-appropriate diet with a balance of food groups. In particular, children should be restricted from eating foods high in sugar, carbonated and high-energy drinks; increase children to eat green vegetables, fresh fruits.
At the same time, when discovering that their child has a gift, parents should create conditions for fostering so that the child can develop that gift, and avoid forcing the child.
BS.CKI. Nguyen Thi Giang, Head of the Department of Psychology - Child Psychiatry, Hospital. Ho Chi Minh City Psychiatry, also said that without timely examination and treatment, children with attention deficit hyperactivity disorder may have poor academic results; from adulthood to starting a business faced many difficulties, even unable to find a job, poor working performance leading to low financial income; In particular, there are some cases of having trouble with the law, being addicted to alcohol, causing public disorder, often having poor physical and mental health, sloppy appearance, etc. If you detect (even suspect) symptoms of ADHD syndrome, promptly take your child to medical facilities for timely examination, advice and treatment...
Do not be pessimistic with hyperactive children
BS.CKII. Thai Thanh Thuy, Head of Psychology Department, Hospital. Children 2, observed in fact, after receiving appropriate treatment, many children with ADHD have become outstanding talents; Children with ADHD should not be accused of intentionally behaving unruly, in fact they are all trying to be obedient according to their understanding...
It is interesting that until now scientists did not know the exact cause of this disorder. Recent studies have shown that genetics play an important role and some contributing factors such as brain damage, alcohol and tobacco use during pregnancy, preterm birth, low birth weight, etc. and have a treatment direction, it is necessary to carefully study the history from parents, teachers and children, as well as examine, check eyes and hearing to rule out some diseases that may accompany...
Currently, ADHD patients are effectively treated at Children's Hospitals and Hospitals. Psychiatry in Ho Chi Minh City with specific treatment drugs; This drug is on the list of covered medical insurance, which helps to reduce the cost significantly during the treatment of the disease.
Some mistakes from parents
BS. Nguyen Le Thuc Doan, Ho Chi Minh City Family Physician Association, said that many parents misunderstand their children's ADHD and the misinterpretation leads to many consequences, first of all, the child's hyperactivity is getting worse.
ADHD isn't an actual condition: the National Institutes of Health, the Centers for Disease Control and Prevention, and the American Psychiatric Association all recognize ADHD as a condition. Studies show that ADHD is hereditary. One in four people with ADHD has a parent with the condition. Imaging studies show differences in brain development between children. sick and children not sick.
ADHD is the result of improper parenting: Children with the condition often struggle with certain behaviors. Those who do not know may attribute the child's behavior to a lack of discipline, not being well educated. Inappropriate or persistent speech is a sign of ADHD, not of improper parenting.
Children with the disease just need to try to pay more attention: It is not easy for children with ADHD to try to pay attention. This is not a matter of motivation or laziness. Asking a child to focus is like asking a nearsighted person to look away without glasses. Studies show that there are differences in the neural networks in the brains of children with the disease compared with those of normal children. The neural networks of children with the disease may take longer to develop or function less efficiently. than.
Children with ADHD can never concentrate: Children are easily distracted, but if they enjoy doing something like watching TV or playing with a favorite toy, they can also be very focused on it. However, sick children who try to concentrate very hard are not as good as normal children.
All children with ADHD are hyperactive: Not all children with ADHD are hyperactive or impulsive. There are three types of ADHD. One of them is ADHD with dominant form of attention deficit, children mainly have difficulty in paying attention and are easily distracted, without any signs of hyperactivity.
Only boys have ADHD: Although boys are diagnosed twice as often as girls, that doesn't mean girls don't have ADHD. Girls are easily overlooked and underdiagnosed. Girls have different symptoms than boys. Girls have less difficulty controlling hyperactivity and impulsivity than boys, and are more likely to daydream. .
Girls with ADHD are never hyperactive: Girls have less trouble with hyperactivity than boys, but it can still happen. Girls can be too sensitive or too emotional. You can tell by seeing that your child interrupts or talks more than other girls. Many people don't think these behaviors are signs of ADHD, so they often ignore them.
Psychoeducation is the only way to treat ADHD: Attention Deficit Hyperactivity Disorder is not a normal psychological disorder caused by external agents, if only diagnosis and treatment of psychoeducation alone cannot be effective. Optimal. The best course of treatment requires a combination of medication and psychotherapy. Some specific medications, which have been shown to be effective in treating children with ADHD, are now on the formulary. payment economy.
ADHD goes away on its own as children get older: About 65% of children with ADHD continue to have symptoms into adulthood. If detected late, the treatment will be difficult, in the long run seriously affecting the child's life, even giving rise to criminal behavior, addiction, speed racing...
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