Unlocking the Potential: Understanding ADHD In Children
Discover the variety of effective treatment options for ADHD in children at J. Flowers Health Institute.
Table of Contents
Introduction
Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental condition. It affects approximately 6 million children between the ages of 3 and 17 in the United States. This makes it one of the most common childhood disorders.1
Demystifying ADHD in Children
Inattention
- Sustaining focus
- Following instructions
- Completing tasks
Hyperactivity
- Physical movement
- Fidgeting
- Restlessness
Impulsivity
- Act without considering consequences
- Interrupt others
- Struggle to wait their turn
- Have difficulty regulating their emotions and behaviors
The Neurobiology of ADHD in Children
Brain Structure and Function
- The prefrontal cortex: Responsible for higher-order cognitive functions like planning, decision-making, and inhibition. It has been found to be less active or have reduced volume in those with ADHD.4
- The basal ganglia: Involved in regulating movement and reward processing. It has shown altered connectivity and dopamine signaling in those with ADHD.5
- The cerebellum: Plays a role in motor coordination and cognitive processes. it has exhibited structural and functional abnormalities in people with ADHD.6
Neurotransmitter Imbalances
Genetic Influences
ADHD in children has a strong genetic component, with heritability estimates ranging from 77% to 88%.10
Environmental Factors
- Prenatal exposure to substances like alcohol, tobacco, or certain medications during pregnancy12
- Premature birth or low birth weight, which can affect brain development13
- Exposure to environmental toxins, such as lead or polychlorinated biphenyls (PCBs), during critical periods of brain development14
- Psychosocial factors, such as maternal stress during pregnancy or early childhood adversity, can also influence the risk of developing ADHD15
Dispelling Myths and Stigmas Surrounding ADHD in Children
Myth: ADHD is a Result of Poor Parenting or Lack of Discipline
Myth: Children with ADHD are Lazy or Unmotivated
Myth: ADHD is a Childhood Phase that Will Be Outgrown
Accurate Diagnosis of ADHD in Children: The First Step Toward Support
- Preschool-aged children: Difficulty following instructions, excessive fidgeting, and difficulty playing quietly or engaging in activities.
- Elementary school-aged children: Trouble staying focused, frequently losing or forgetting items, and difficulty waiting their turn or interrupting others.
- Adolescents: Struggles with organization, time management, and completing tasks or assignments on time.
Diagnostic Process
The diagnostic process often includes:
- Clinical interviews: Healthcare providers will conduct interviews with the child, parents, and teachers. The goal is to gather information about the child’s behavior, symptoms, and developmental history.
- Behavior rating scales: Standardized rating scales, completed by parents, teachers, and the child, can help assess the presence and severity of ADHD symptoms in different settings.
- Cognitive and psychological testing: Assessments of cognitive abilities, academic achievement, and emotional functioning may be conducted to rule out other potential contributing factors.
- Medical evaluation: A physical examination and review of medical history may be performed to identify or rule out any underlying medical conditions that could be contributing to the symptoms.
When it comes to ADHD in children, a comprehensive evaluation is necessary to ensure an accurate diagnosis. This helps the treatment team develop an appropriate treatment plan tailored to the child’s specific needs.
Comprehensive Treatment Approaches for ADHD in Children
At J. Flowers Health Institute, we believe in a comprehensive and individualized approach to treating ADHD in children. Our team of experts uses a combination of evidence-based interventions tailored to each child’s unique needs.
Medication Management
- Stimulants: Medications like methylphenidate (Ritalin) and amphetamines (Adderall) work by increasing the availability of dopamine and norepinephrine in the brain. This improves focus and reduced hyperactivity and impulsivity.16
- Non-stimulants: Medications such as atomoxetine (Strattera) and guanfacine (Intuniv) can also be effective in managing ADHD symptoms, particularly for children who do not respond well to or cannot tolerate stimulants.17
Behavioral Interventions and Therapy for ADHD in Children
Cognitive-Behavioral Therapy (CBT)
CBT is an effective psychotherapeutic intervention that helps children with ADHD develop coping strategies and problem-solving skills.
- Cognitive restructuring: This involves recognizing and challenging irrational or distorted thoughts that can lead to problematic behaviors.
- Behavioral modification: Children are taught to replace maladaptive behaviors with more positive and constructive ones through reinforcement and practice.
- Emotion regulation: CBT equips children with strategies to better manage their emotions. This reduces impulsivity and improves self-control.
- Problem-solving skills: Children develop a structured approach to identifying and solving problems. This enhances their decision-making abilities.
Parent Training for ADHD in Children
- Understanding ADHD in children: We educate parents about the neurobiological underpinnings of ADHD, dispelling myths and promoting a deeper understanding of the condition.
- Effective behavior management: Parents learn evidence-based strategies for setting clear expectations, implementing consistent routines, and using positive reinforcement to encourage desired behaviors.
- Communication techniques: We equip parents with effective communication skills to foster open dialogue, active listening, and conflict resolution with their child.
- Stress management: Caring for a child with ADHD can be challenging. Our programs offer techniques for parents to manage their own stress and promote overall well-being.
Social Skills Training for ADHD in Children
- Nonverbal communication: Children learn to interpret and respond appropriately to nonverbal cues, such as body language and facial expressions.
- Conversation skills: We teach children how to initiate, maintain, and appropriately end conversations, as well as active listening techniques.
- Emotion recognition: Children develop the ability to recognize and understand their own emotions and those of others. This promotes empathy and emotional intelligence.
- Conflict resolution: Our therapists equip children with strategies for resolving conflicts in a constructive and respectful manner.
- Peer interaction: Through group activities and role-playing scenarios, children practice appropriate social behaviors and develop confidence in social settings.
Our Integrative Approach to Treatment
Addressing Comorbid Conditions
- Anxiety
- Depression
- Learning disabilities
- Oppositional defiant disorder
Creating a Supportive Environment
Strategies for Parents and Caregivers
Navigating ADHD in School Settings
- Developing Individualized Education Plans (IEPs): IEPs outline specific accommodations and modifications tailored to a child’s unique needs, such as extended time for tests, preferential seating, or the use of assistive technology.
- Fostering open communication: Regular communication between parents, teachers, and school staff can help identify challenges and implement effective strategies for supporting the child’s academic and social development.
Addressing Social Challenges
Building a Supportive Community
- Valuable resources
- Information
- A sense of connection with others facing similar challenges
A Comprehensive Path Forward for Treating ADHD In Children
At J. Flowers Health Institute, our team of experts is dedicated to providing exceptional care and guidance to help children with ADHD unlock their full potential.
Our Goal in Treating ADHD in Children
- Medication management
- Behavioral therapies
- SupportÂ
Contact J. Flowers Health Institute Today
If you suspect your child may be struggling with ADHD, or if you’re seeking support for an existing diagnosis, we encourage you to schedule a consultation with our team.
- Understanding
- Empowerment
- Unlocking your child’s full potential
Resources
- https://www.cdc.gov/ncbddd/adhd/data.html
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10519745/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3827008/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2894421/
- https://www.frontiersin.org/articles/10.3389/fncom.2022.849323/full
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4811332/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2958516/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9331391/
- https://medlineplus.gov/druginfo/meds/a603013.html
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7046577/
- https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2022.751041/full
- https://pubmed.ncbi.nlm.nih.gov/30353263/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4010942/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3002184/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2186370/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3666055/
- https://www.webmd.com/add-adhd/adhd-nonstimulant-drugs-therapy