Adults and ADHD How Common is It

ADHD has become more widely known as a children’s disorder, but it is also something adults have to contend with. Read more about it here.

Attention-deficit/hyperactivity disorder or ADHD is usually diagnosed in children, thought it can often continue on into adulthood. In recent years, adult ADHD has become quite common, though it manifests slightly different symptoms than it normally does in children.

Adult ADHD is usually diagnosed in adults who exhibit inattentiveness in their personal relationships at work and at home with their family. Adult sufferers often find it difficult to sustain a job and a relationship.

Recognizing ADHD in adults

In general, adult sufferers tend to experience problems at work, which usually results in frequent job changes. Because of these problems they tend to have a lower socioeconomic status, by virtue of being unable to sustain a job long-term, which is a primary requirement of career development.

Adult sufferers of ADHD usually have a history of failure in professional and personal endeavors, and end up in lower-level jobs that don’t require organizational skills, and have less responsibility.

Adults with ADHD tend to find it difficult to support themselves, and their families, which often results in the breakdown of the family unit. Adults suffering from ADHD often have a history of multiple relationships and marriages.

Diagnosing ADHD in adults

No one should take it upon themselves to diagnose a friend or self-diagnose. This can lead to misunderstanding. But the more you know about an illness, the quicker you can suggest to a friend to get help. Or if you recognise symptoms in yourself, awareness can help you seek the proper help.

ADHD sufferers fall into three types:

1. The inattentive type
2. The hyperactive and impulsive type
3. A combination of types 1 and 2.

The above types of symptoms generally need to be present for at least six months, and a person must be experiencing difficulties in normal social functioning. If you recognize any of these types, then seek professional help immediately.

Dylan Miles, journalist, and website builder, lives in Texas. He is the owner and co-editor of http://www.healthcareplace.net on which you will find a longer, more detailed version of this article.

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Parenting Skills Needed When Children Have ADHD

It can be extremely challenging for the entire family to raise a child with ADHD. But learning specific parenting skills in relation to ADHD is highly important for the health of the child as well as the relationship between child and parent.

One thing that is really useful for parents is to join a support group that is both educational and socially supportive. Listening to how others are coping with ADHD is one way parents can learn how to interact with their children. If you do not have a local support group, join an online forum or support group.

One very important thing a parent needs to do is set clear goals and limits for themselves and their children. This may be very difficult when you have both an ADHD and a so-called normal child. After these goals and limits are set, it is crucial to be as consistent as possible.

Give your child choices for what they can do. Do not tell them exactly what they will eat, wear and do. The more choices they have, the more independent they will be as time goes on.

However, do not give unlimited choices for each action. For example, the choice of clothing should be limited to two choice. The choices in food should be which two vegetables out of four available.

Keep in mind that a parent’s relationship with their child is essential in any family, but it is perhaps even more important with ADHD children.

For this relationship to work well, you need both time and a willingness to listen and notice. You must make yourself aware of the good behaviors not just the bad behaviors. Spend at least fifteen minutes to half an hour a day with your child with no distractions. Ask the child about their day. Try to eat meals with them as often as possible. Turn off all distractions at meal times — no TV. Simple things like this are the most important in keeping good connections with all your child.

Sharon Owen is editor and publisher of Answers For Your Health. For more information on ADHD see http://adhd.answersforyourhealth.com You want your health questions answered in plain language not doctor speak. Check out the articles and resources at http://www.answersforyourhealth.com

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Family Advocacy - Part One

Who Was Jean Piaget?

Jean Piaget was to cognitive development as Albert Einstein was to physics. In fact Einstein was afan of Piaget’s work. Jean Piaget was born in Switzerland on Aug. 9, 1896. He published his first scientific paper at the age of 10. By the age of 22 he already had a doctorate in zoology. He became interested in psychoanalysis after WWII and attended lectures given by Carl Jung. He then studied in Paris working in Alfred Binet’s child psychology lab. It was there that he first began to notice that children of the same ages answered true/false questions similarly.

He returned to Switzerland and spent many years studying and conversing with children. He realized through his conversations that when asked a question a child did not necessarily give an incorrect answer just because the answer wasn’t an adult response. They instead gave logical answers based on the knowledge that they had within them. He concluded that if adults try to teach children to quickly that it prevents them from reinventing it themselves, thus making it their own.

His career spanned nearly 75 years and he is credited with developing several new fields of science including developmental psychology, cognitive theory and what later became genetic epistemology. Without him, some of today’s modern methods would have never come about. Many of his theories are still the basis for modern child development including the “Theory of Knowledge Construction.” This theory is based upon the principle that when a child comes into contact with a new piece of information, his mind must understand it in a way that fits his current view of the world. If it doesn’t fit the mold then the child will re-construct their knowledge so they can assimilate the new information. It is much like constructing a building - you cannot start with the top, you must build the foundation first and then develop up from the base.

Four Stages of Cognitive Development in Children

Let’s take a minute to get a feel for Piaget’s 4 stages of cognitive development in children. Remember, he spent most of his life studying and interacting with children and I think his theory makes a lot of sense.

Stage I: Sensorimotor (Infancy)

Infants learn about the world around them through sensation and movement. The focus at this stage is on motor and reflex actions. They take a great interest in the faces and voices of caretakers. Parents can aid in their development by making faces, talking and singing to their little ones.

Stage II: Preoperation (Toddler & Early Childhood)

This stage’s main focus on the child’s intellectual development is language and using symbols (e.g. words and pictures). The child will act intuitively at this stage. They have active imaginations and vivid fantasies. It is not uncommon for the child to personify objects, thus giving toys and dolls human like qualities. Parents should take the time to help them learn language and promote their imaginations ,as well as pay attention to how they play with objects.

Stage III: Concrete Operation(Elementary & Early Adolescence

During this stage children start to process abstract concepts such as numbers and relationships. Before a child could only manipulate things physically. Now they begin to be able to manipulate them mentally as well. To do this they need concrete examples or they will not
understand the concept. A child’s development should focus on giving concrete examples of ideas.

Stage IV: Formal Operation (Adolescence & Early Adulthood)

This is the stage where children begin to reason logically and analytically without needing concrete examples as before. Children are now capable of hypothetical and deductive reasoning. Encouraging young people to consider multiple possibilities will help their development at this stage.

All of these stages represent areas of opportunity or risk of failure when it comes to helping your child get through the world. This task is tough enough for two parents who are normal by societies standards. Throw in a parent who suffers from a mental illness and you face a much greater challenge. This is the reason I started with the 4 stages of development - so that parents could see areas that they could reach out to their children in an appropriate way and affect them in a positive manner.

Some General Statistics

~*~Almost 1/3 of American women and 1/5 of American men provide evidence of psychiatric disorder in the past 12 months. Of these women, 65% are mothers; 52% are fathers.

~*~Women and men with mental illness are at least as likely, if not more likely, than those without psychiatric disorder to become parents.

~*~The majority of adults falling into psychiatric diagnostic categories (affective disorders,anxiety disorders, PTSD, psychotic disorders, etc.) are parents.

~*~1 in 4 American families are affected by parental mental illness.

Why Parents Don’t Seek Help

One of the biggest reasons that adults don’t seek assistance for their mental problems is due to the stigma that is still attached to having a mental illness. Unfortunately many people still do not view mental illnesses as a medical problem but as a personal flaw or weakness in the person. You still hear the mentally ill referred to as “crazy,” “loony,” “nuts,” “psycho,” or even worse terms.

One of the other reasons for not seeking treatment is that mental illness is the primary reason for custodial challenge. Some studies have reported as many as 70-80% of parents with a mental illness have lost custody of their children due to their illness (Burton, 1990). There remains a strong misconception that mentally ill parents are violent and are therefore at an increased risk for abusing their children. While this may be true for alcohol and drug abusers, it is not true for parents with psychiatric disorders getting treatment.

Still, for these reasons many people are afraid of getting the help that they need. They are afraid their symptoms may give the impression that they would be an unfit parent. If they are seen as unfit they could lose their children. Therefore families may not receive the services they need to raise healthy children. Thus a vicious cycle begins.

Warning Signs

The following is a list of symptoms that could indicate that children are not dealing well with a parent’s mental illness. Mind you, these are also signs for other causes such as trouble in school, peer pressure, sexual problems, abuse, relationship problems, substance abuse, a change in circumstances at home and a host of other issues. Still, I felt they were worth mentioning. If you notice any of these things in your children over a continual period for 3-4 weeks, please seek help for them. Never turn a blind eye and think that the problem will solve itself.

*moodiness

*bad temper or irritability
*crying a lot
*sleeping problems
*lying
*not talking to people or going out with friends
*eating more or less than usual or skipping meals
*giving up hobbies
*arguing
*feeling lazy, bored or tired
*stealing or getting into trouble
*not looking after themselves (hygiene)
*low self-esteem
*acting recklessly
*drinking alcohol or using drugs
*skipping school
*preferring to be alone

How Children are Affected - Risk or Resilience?

As seen above in Jean Piaget’s “Theory of Knowledge Construction,” children are only capable of understanding things if they have the knowledge from the preceding level of development. At each level they can be affected either adversely or positively by their interactions with their parents - regardless if the parent has a mental illness or not. The challenge here is the capability of mentally ill parents to provide what is needed at each stage. (This is where you want to go back and re-read the section on the 4 stages of cognitive development.) It is up to us as parents to provide them what is needed and as a mentally ill parent that becomes quite a challenge.

Now, research clearly indicates that parental mental illness increases the risk of the child developing emotional or behavior problems. (I’m leaving out genetics here since it is a different issue.) Children with the most serious emotional disturbances, served by systems of care across the U.S., report high rates of parental mental illness, psychiatric hospitalizations and substance abuse (Comprehensive Community Mental Health Services for Children and their Families Program, Annual Report to Congress, 1998). This report shows nothing of the relationship between the age of a child and their exposure to parental mental illness. Some feel that if children are exposed repeatedly at a young age their risk is higher. However, some studies have failed to find conclusive results regarding age or developmental stages in regards to their level of risk (Oyserman et al.; Weissman, 1989).

Stressors outside of the family detrimentally affect children of parents with a mental illness. Stressful issues that increase the likelihood of emotional or behavioral problems are minority status, low levels of education, stigma, single parenthood, social isolation and poverty (Biedel & Turner, 1997; Hammen et al., 1987; Harnish et al., 1995; Sameroff & Seifer, 1983). These types of issues are difficult at best for a child to cope with but when you add in a mentally ill parent the problem is simply compounded massively.

The gender of the child also appears to play a roll in how they react to a parent’s illness, although there is conflicting evidence in how exactly. Some studies show that girls are more adversely affected and some feel that it is boys who have a worse time coping. Studies have shown, however, that girls are more prone to develop depression and boys are more likely to exhibit conduct problems (Cummings & Davies, 1994).

It is well documented that children with greater intelligence, better social skills and stronger cognitive processes have been shown to be more resilient to their parental mental illness (Beardslee & Podorefsky, 1988; Radke-Yarrow & Sherman, 1990.) Cognitive skills such as a positive and coherent self-concept, a positive attribution style, effective coping and problem solving abilities have been associated with positive outcomes among children in general and specifically among children with depressed mothers (Beardslee & Podorefsky, 1988; Downey & Walker, 1989; Radke-Yarrow et al., 1995)

Terry J. Coyier is a 37-year-old college student studying for an Associates of Applied Sciences degree. She is also a freelance writer who writes about bipolar disorder and other mental illnesses. Terry was diagnosed with bipolar ten years ago. She lives with her son in the Dallas/Ft. Worth Metroplex. Terry is an author on http://www.Writing.Com/ which is a site for Writers and her personal portfolio can be viewed here.

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