Transcript
Assistant Professor Erin Schoenfelder-Gonzalez I’m Erin Schoenfelder-Gonzalez, and I’m going to talk today about why children with ADHD need different parenting strategies and also, five keys to keep in mind when parenting a child with ADHD. If you’re parenting a child with ADHD, you’re probably noticing that you’re already doing a lot more work than other parents and you’re also probably feeling a lot more frustrated and stressed out. That’s not in your head. We know from the research that parenting a child with ADHD does take a lot more.
There are a couple of core reasons why that is. Really, it comes down to self-regulation. Kids with ADHD are not regulating their own engine internally and that would refer to keeping themselves on track, checking in with themselves about, what am I supposed to be doing? What’s going to happen if I do A, B or C? They’re getting more of their self-regulation from their environment. So, whatever’s going on around them is going to have a big influence on how they’re behaving, and this comes down, in part, to dopamine in the brain. And dopamine is that reward chemical that gives us a sense of interest and motivation and focus. And kids with ADHD often have less dopamine in the brain and it’s not being regulated as consistently as it is for other people.
So, that means they’re going to get a lot of dopamine from the exciting things, like videogames or doing something thrilling, climbing to the top of the tree, and they’re not going to get as much dopamine from the everyday things, like putting on their socks or having everything ready to go in their backpack in the morning. That’s going to be less interesting to them. So, that means that if things are going around – going on around them in their environment that are more interesting than what they’re supposed to be doing, they’re going to be drawn to that. This is really frustrating for parents, because you know your child is capable. They know what to do and how to do it, but they’re just not doing it. They’re definitely not doing it consistently, and that is going to certainly come back on you as the parent to have to do more to set them up for success.
Another way we can look at it is to use a term from Dr Russell Barkley, one of the most well-known Researchers on ADHD, we’ve got to “Learn to use our child’s window on time.” And what he means by that is that we all have, kind of, a window of attention that we use to make decisions in the moment, and we, as adults, we can think ahead to what’s coming up, we can predict how things will go. We can also think back on the last time we did this or what we learned long ago about this activity, but kids with ADHD have a very narrow window and they’re going to be making decisions based on what’s right in front of them, right? So, if you ask your child to do something and you’re in their window and then you leave, they’re going to have a lot of trouble staying focused or interested in what you ask them to do and they’re going to be drawn to whatever else is going on that’s exciting.
So, if your child is struggling to use their ‘window of attention’ to keep themselves on track and make good decisions, there are certainly some things that you can do as a parent to support them, and I call these the five keys to parenting a child with ADHD. Kids with ADHD do need more. They certainly need more from their parents than other kids do. The first key is that kids with ADHD need more positivity, more positive feedback in their lives, and the reason for that is that they’re getting a lot of negative feedback. They probably have a lot of adults who are on their case. They’re getting more reminders, more redirection, more corrections. They might also be getting negative feedback from other kids in their class or kids on their sports teams who are getting annoyed with them or frustrated.
So, as a parent, we can, kind of, amp up our positive feedback to try to balance out all those tough moments throughout the day. This means that we’ve got to look for the small things. You may be having a really tough behaviour day with your child, but piling on more correction and more negative feedback is really only going to make that spiral worse for them. If we can find little things to praise and be positive about, that can start to turn that cycle around. It may mean asking them to do something simple, like, “Pick up your socks, please.” Just breaking down what we need them to do so that then, we can give them positive attention for that. “Thank you for listening the first time. Really appreciate you jumping on that.” “Thanks for starting to get dressed.” To keep themselves on track because they’re not having that wide window of attention, to keep themselves on track they’re going to need more of that positive feedback while they’re doing something. They need you to help them self-regulate and know that they’re on the right track.
The second key to parenting a child with ADHD is that they’re going to need more planning. Because kids with ADHD are so in the moment, they’re not planning ahead for what’s coming up. You, as a parent, unfortunately, it’s more work, but you can step in and help be their frontal lobe, that part of the brain that plans and comes up with a strategy. So, you know by now what the situations are going to be for your child where they struggle, where they’re going to get distracted and off task. You may notice it’s that transition from the house to the car in the morning when it’s time to go to school or go to the bus stop. You may notice just those last steps of getting everything they need, finding their socks, putting their shoes on, are going to really get them thrown off.
And so, that means you can plan and set things up in advance for them. That mean – might mean having a box of socks right by the shoes, by the door, even though everybody else keeps them in the bedroom. That might mean the night before, having a routine with your child where they’re going to fill their backpack with what they need for the school day. And it might mean that when your child’s going to enter a new situation, like a new after school programme or a birthday party, you’re going to have to plan ahead for what might be difficult and prep them for that and go over, really clearly, what the expectation is and what the limits are and what the positive rewards are and what the consequences might be.
The third key to parenting a child with ADHD is that they need a lot more feedback. This ties into number one of being more positive, also. Kids with ADHD do need more correction. Sure you’ve noticed that if you’re parenting a child with ADHD already, but they are going to need feedback that’s in the moment, in their window of attention. They’re going to need, again, lots of self-regulatory feedback from you to stay on track. Keeping that dopamine flowing for them on those boring tasks, by letting them know, “I appreciate you, you’re doing great. Thank you. This is showing all your positive qualities,” really naming those out.
They’re also going to need feedback that’s corrective or redirecting them in the moment. So, rather than waiting ‘til after soccer practice to let them know all the ways that they screwed up and could do better next time, they’re going to need that feedback in the moment. They’re going to need someone to let them know, “Right now is the time for eyes on your Coach.” They’ll need that in advance, as well as during something like soccer practice or an activity. So, this is more work. It does mean you have to get in the window of attention more often for your child and stay there while you deliver that feedback, for it to be meaningful and to hold their attention.
The fourth key for parenting a child with ADHD is that they do need more reward built into their day. Again, this has to do with dopamine. They’re not getting that natural sense of reward from their daily activities the way that other kids are. That means we’ve got to dial into what is their currency? What do they care about? What’s meaningful and motivating to them, and how can we help them get that throughout their day? One good way to build in more reward is to think about all the things that are most boring and difficult for your child and think about how we can link that to the things that are more rewarding, exciting and interesting for your child. So, if they are playing videogames, their favourite thing, and you’re going to ask them to turn it off and do homework, you’re going to have a big dopamine crash to deal with and probably a lot of crankiness. But if we can swap it and say, “I know you’re excited about videogames. When your worksheet’s done, you can have your screentime.” Stagger it so the rewarding thing is after the boring thing. That’s going to keep that motivation and that dopamine flowing for them and help them stay focused. This also means, in the classroom, we’re going to need to work with Teachers to make sure they’re getting that positive feedback and that they’re seeing a sense of reward from their good efforts. And that can take a little extra work, but hopefully, save everybody time in the end by supporting your child and staying on track.
The fifth key to parenting a child with ADHD is that they’re going to need more practice. To master a routine, they’re going to need a lot more repetition, doing the same thing the same way every day, for it to become a habit. Other kids may master it a lot sooner and while your child knows what to do, again, they need to self-regulate in the moment and get that environmental feedback in the moment to stay on track with their new habits. I’m a huge fan of roleplay for kids with ADHD and it may sound silly, or like it’s unnecessary, but practising very simple things that are new for them can go a long ways. For example, we’re going over to grandma’s house. Last time, it did not go well. My child was climbing on the furniture, grabbing stuff that was breakable, being rude to grandma. Today we’re going to practice before we go over. We’re going to talk about what to focus on, that our goal of the visit is to talk with grandma and spend time with grandma. We’re going to talk about rules and expectations. What are the house rules and what are some expected behaviours that would be nice? Like saying, “Hi grandma,” and looking her in the eyes when we arrive.
And then, let’s actually roleplay it, and we can have fun with that. We can make it silly. You can use stuffed animals to be grandma, whatever it may be. Let them be grandma and you be the kid, and practice exactly what’s expected in that setting. They’re going to need that with staying organised, as well. Coming up with ways of storing their belongings in the same place every time and setting up their routine so that they can start it and stay on track.
I want to end by saying if you’re parenting a child with ADHD, you are working a lot harder, you’re dealing with a lot more stress and frustration. But your efforts will pay off to set your child up for success and help them get on a positive path through their teen years and into adulthood.