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| by Dr. Douglas Cowan |
What should the goals for counseling be when the
patient has Attention Deficit Hyperactivity Disorder?
Every therapist will have their own opinions, but I'll give you some of my thoughts. First, it is important to teach the child or teen with ADHD how to recognize problems and how to solve problems. There are many good problem solving techniques that young people can quickly learn, and these are great tools to teach them. Second, it is important to teach the child or teen how to think before they act, how to be less impulsive, how to have greater self-control. Without good internal controls the natural tendency toward impulsive behaviors will cause the ADHD person many heart aches. Third, it is important to teach the child or teen with ADHD to respect others, and other's property, as well as to respect himself and his property. Fourth, it is important to teach the child or teen to monitor his or her thoughts. It has been reported that the thoughts of ADHD kids are Off-Task at least 60% of the time compared to non-ADDers at only 20% of the time. ADHD kids also tend to have more negative thoughts. Teach the child to be aware of his or her own thoughts, and to control them to be on-task more and to be more positive. Fifth, teach the child social skills as needed. Some kids have great social skills, some do not. Moral reasoning often needs to fit into here as well. It is odd to say, but there are some kids that I see who seem as if they have no conscience whatsoever. Moral reasoning is often more important than just the social skills training. Many sociopaths have great interpersonal skills, but without the morals or values to guide them. Finally, anger management training and relaxation training as needed. I'm sure there are many other goals which are equally noble, and which ought to be mentioned. But this was my list of thoughts, and I think each goal listed above is important to deal with and achieve in counseling/therapy. If I could accomplish the above list with a client, then I would consider the therapy to have been a success. |
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| by Dr. Douglas Cowan |
Thank you for all that you do in the classroom! It is
hard enough being a classroom teacher today, but
when you add to the difficulties two or three
children with either Attention Deficit Hyperactivity
Disorder, or minor head injuries from FAS, managing a
classroom can be a real challenge!
The ADHD Information Library has designed a web site just for you classroom teachers. We have taken 500 classroom interventions that we have gathered over the years from dozens of sources, and placed them on the site for you to visit, consider, and use if appropriate. Consider it a resource from classroom teachers to classroom teachers. The site is located at http://www.ADDinSchool.com, and we would invite you to visit often. Here are some of the tips for teachers that are also on the site. They are just a brief look at the 500 interventions available. 1. Use rows for seating arrangement, and avoid tables with groups of students. Having groups at tables maximizes interpersonal distractions for the ADHD child when he is trying to do individual work. Where possible, it may be ideal to provide several tables for group projects and traditional rows for independent work. Some teachers report that arranging desks in a horseshoe shape promotes appropriate discussion while permitting independent work. Whatever arrangement is selected, it is important for the teacher to be able to move about the entire room and have access to all students. 2. Have distractible students seated near the teacher, as close as possible without being punitive. Locate the student's desk away from both the hallway and windows to minimize auditory and visual distractions. Keep a portion of the room free of obvious visual and auditory distractions. For example, have one area of desks that doesn't have interesting objects hanging over it that invite the child to study them rather than her/his work. 3. Use desk dividers and/or study carrels. Be sure to introduce their use as a "privilege" or pair appropriate carrel usage with reinforcement, so these study aids are not perceived as punishment. 4. Seat appropriate peer models next to ADHD child. 5. Stand near the student when giving directions or presenting the lesson. Use the student's worksheet as an example. Please consider some of these ideas that have been passed on to us at the ADHD Information Library over the years from professional educators. And please visit our teacher resource at http://www.ADDinSchool.com. |
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