3/9/20 ATTENTION-DEFICIT/HYPERACTIVITY DISORDER (ADHD) Michelle Deen, Registered Psychologist Rocky View Schools 1 TEST YOUR KNOWLEDGE OF ADHD ADHD QUIZ 2 THE ANATOMY OF ADHD 3 KEY AREAS OF THE BRAIN ARE IMPLICATED IN ADHD: 1. CORTICAL REGIONS • PREFRONTAL CORTEX (EXECUTIVE FUNCTIONING) • ANTERIOR CINGULATE CORTEX (DECISION- MAKING, IMPULSE CONTROL) 2. SUBCORTICAL REGIONS • AMYGDALA (FIGHT, FLIGHT, AND FREEZE RESPONSE) • BASAL GANGLIA (DOPAMINE RELEASE, MODULATION OF BEHAVIOUR, RESPONSE TO REWARDS) 3. CEREBELLUM (COORDINATES BALANCE AND COMPLEX MOVEMENT) ADHD Neurobiology 3 1
3/9/20 THE ANATOMY OF ADHD 4 EXECUTIVE FUNCTIONING Air Traffic Control 5 Kids, marshmallows and the psychology of self control 6 2
3/9/20 THE COOKIE PROBLEM PROBLEM TO BE SOLVED: WHICH GIRL WORE WHICH COLOR? ´ RACHEL, LINDA, AND EVE WERE FRIENDS SITTING IN A CIRCLE ON THE GRASS. ´ RACHEL PASSED THREE CHOCOLATE CHIP COOKIES TO THE PERSON IN BLUE. ´ EVE PASSED THREE MACAROONS TO THE PERSON WHO PASSED HER COOKIES TO THE PERSON WEARING GREEN. ´ EACH PERSON PASSED THREE COOKIES TO THE FRIEND ON HER LEFT. ´ RACHEL, LINDA, AND EVE WERE DRESSED IN RED, BLUE, AND GREEN, BUT NOT NECESSARILY IN THAT ORDER. ´ THE PERSON WHO WAS WEARING GREEN DID NOT GET A MACAROON. THE PERSON WEARING RED PASSED ALONG THREE OATMEAL COOKIES. ´ WHO WORE WHICH COLOR? 7 RED BLUE PURPLE BLACK GREEN YELLOW ORANGE RED BLUE PURPLE BLACK GREEN YELLOW ORANGE RED BLUE PURPLE BLACK GREEN YELLOW 8 WHAT DO EXECUTIVE SKILL WEAKNESSES LOOK LIKE IN CHILDREN? ´ ACTS WITHOUT THINKING ´ GETS OVERLY UPSET ABOUT “LITTLE THINGS” ´ INTERRUPTS OTHERS ´ OUT OF CONTROL MORE THAN PEERS ´ OVERREACTS TO SMALL ´ LOW TOLERANCE FOR FRUSTRATION PROBLEMS ´ UPSET BY CHANGES IN PLANS ´ OVERWHELMED BY LARGE ASSIGNMENTS ´ TALKS OR PLAYS TOO LOUDLY ´ CAN’T COME UP WITH MORE THAN ´ RESISTS CHANGE OF ROUTINE ONE WAY TO SOLVE A PROBLEM ´ ACTS WILD OR OF CONTROL ´ DOESN’T NOTICE IMPACT OF ´ EASILY OVERSTIMULATED AND BEHAVIOR ON OTHERS HAS TROUBLE CALMING DOWN ´ GETS STUCK ON ONE TOPIC OR ACTIVITY 9 3
3/9/20 WHAT DO EXECUTIVE SKILL WEAKNESSES LOOK LIKE IN CHILDREN? ´ FORGETS ´ SLOW TO INITIATE TASKS HOMEWORK/FORGETS TO ´ RUNS OUT OF STEAM BEFORE PASS IT IN FINISHING WORK ´ LEAVES LONG-TERM ´ DOESN’T BOTHER TO WRITE DOWN ASSIGNMENTS UNTIL LAST MINUTE ASSIGNMENT ´ CAN’T BREAK DOWN LONG- ´ LOSES BOOKS, PAPERS, NOTEBOOKS TERM ASSIGNMENTS ´ FORGETS DIRECTIONS ´ SLOPPY WORK ´ LACK OF TIME SENSE/URGENCY ´ MESSY NOTEBOOKS CAN’T ´ FORGETS TO BRING MATERIALS HOME FIND THINGS IN BACKPACK ´ KEEPS PUTTING OFF HOMEWORK ´ PASSIVE STUDY METHODS (OR DOESN’T STUDY) ´ CHOOSES “FUN STUFF” OVER HOMEWORK 10 UNTIL THEY ARE FULLY DEVELOPED IN CHILDREN, PARENTS AND TEACHERS ACT AS “ SURROGATE ” FRONTAL LOBES FOR CHILDREN. 11 PRESENTATIONS OF ADHD • ADHD, PREDOMINANTLY INATTENTIVE PRESENTATION • ADHD, PREDOMINANTLY HYPERACTIVE-IMPULSIVE PRESENTATION • ADHD, COMBINED PRESENTATION 12 4
3/9/20 WHAT DOES ADHD FEEL AND LOOK LIKE? • WHAT'S IT LIKE TO HAVE ADHD? • MISUNDERSTOOD MINDS ADHD SIMULATIONS 13 14 COMPREHENSIVE APPROACH TO ADHD MULTIMODAL TREATMENT 15 5
3/9/20 ADHD RESOURCES • Centre for ADHD Awareness Canada - https://caddac.ca/adhd/ • Children and Adults with Attention-Deficit/Hyperactivity Disorder - http://www.chadd.org • Additude Magazine – http://www.additudemag.com • Books for parents of children with ADHD: o Understanding Girls with ADHD by Kathleen G. Nadeau, Ellen B. Littman, and Patricia O. Quinn o Raising Girls with ADHD: Secrets for Parenting Happy, Healthy Daughters by James W. Forgan and Mary Anne Richey o Smart but Scattered: The Revolutionary "Executive Skills" Approach to Helping Kids Reach Their Potential Paperback by Peg Dawson and Richard Guare o Taking Charge of ADHD, 3rd Edition: The Complete, Authoritative Guide for Parents by Russell A. Barkley • Children's fiction and nonfiction increases awareness, understanding, and appreciation of people with disabilities. As such, the following books may be helpful for Kristine: o Joey Pigza series by Jack Gantos o Cory Stories: A Kid's Book about Living with ADHD by Jeanne Kraus o The Survival Guide for Kids With ADHD by John F. Taylor o A Girl’s Guide to ADHD (Don’t Lose This Book!) by Beth Walker o Attention Girls! A guide to learn all about your ADHD by Patricia O. Quinn 16 6
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