DR. ANTHONY RAO
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The ADHD Excuse

4/15/2015

 
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A parent I know is questioning if her second grader has ADHD. Maybe he does, maybe he doesn’t. There are many things that mimic the symptoms. It takes time to make an accurate diagnosis and well-trained professionals should always be consulted. Meanwhile, her son has picked up on the ADHD terminology. He’s saying he can’t focus on homework because his “brain is distracted.” When he gets caught doing something he shouldn’t – like swearing at his brother – he says he’s “being impulsive.” Are his problems due to an attention deficit? Perhaps. But he’s also complaining that sorting his laundry is way too hard. And the Legos that cover his bedroom floor can’t be organized, because, well – it’s “just too hard.” This boy is smart and I think he’s found a convenient get-out-of-jail-free card … an excuse he can call up whenever the going gets tough. Whether this boy has ADHD or not, excuse-making is a slippery slope. In time, he might start believing these limitations.

If you’re investigating a diagnosis of ADHD, or your child/teen currently has this diagnosis, here’s how to avoid ADHD excuses.

  1. ADHD should never be framed as a serious disability. Tell kids that ADHD is a brain style. It doesn’t completely define who they are or limit what they can do. In fact, this brain style can have great advantages (such as athletic skill, creative thinking, and healthy risk taking). ADHD also lends itself to a mind-set that we adults strive for – living more in-the-moment and being more mindful. Yet, there are potential downsides. There are struggles keeping on task, especially when there isn’t something novel or very interesting to focus on. Patience is a serious challenge. Delayed gratification can be hard too. And, not all risks taken are positive.
  2. Emphasize that what matters is how ADHD fits (of fights against) the demands that different environments place on people.
  3. Remind your child that any problems with ADHD (high motor activity, sustaining focus, and being impulsive) can be worked on with or without medications. Most important, remind them that ADHD symptoms tend to decrease (or drop away) as kids grow – as development of the frontal cortex catches up in teenage years.
  4. Remind your child that their brain always has the capacity to learn and change. Pushing oneself to improve, develop better work habits, and maintain healthy life routines – like getting enough sleep, exercise, and eating right – will help control ADHD symptoms. Watch over-exposure to screens too… those have been correlated to higher ADHD symptoms.
  5. Finally, and most important, push back on any ADHD excuse-making. ADHD should never be a reason to avoid trying new things or giving up.


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