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Hi, my name is Dr. Craig Childress, a licensed clinical psychologist in Pasadena,
and I specializes in treating
ADHD spectrum disorders,
behavior in children,
parenting and family relationships.
And today I'm going to talk to you about recommendations for disciplining a child
In brief the typical approaches to working with children with ADHD
medication behavior management strategies.
Behavior management strategies like star trek point systems, timeouts
things like that.
In terms of the medication both a medication and the behavioral management
systems wind up treating the symptoms of ADHD but not the cause.
The cause of ADHD
lies in the various brain systems involved, sensorimotor processing,
language and communication, relationship systems, motivation systems.
The underlying brain systems are the cause.
The symptoms of the behavioral emotional expression
and so while medication is helpful in treating the symptoms,
it does not really
do what i would want it to do. If it was my child with ADHD, I want
to get rid of it. I want to treat the cause of the underlying brain systems.
The other thing about medication is there is
more recent studies that suggest that
it only has an effectiveness in treating symptoms for about two years
the children with and without medication had roughly the same outcome.
This was a a long-term follow-up to the MTA study, you can find on the
national institute of mental health website, a brief synopsis of it.
And so I'm not a big fan of clinical practice, I'm not a big fan of medication.
If need be to help the child out, that's fine,
but I thought I'd rather work other systems and other things.
In terms of the behavior management strategies,
I was trained as a behavior psychologist, and usually behavior management strategies
are not particularly effective.
Yes I can control the behavior of a child
but actually what the research suggests in working with ADHD kinds
is it's not particularly helpful and may actually be
may actually sad in the place somebody ADHD processes
that is designed to manage.
And so I'm not a big fan of these behavioral interventions.
What I would recommend in terms of parenting a child with ADHD is
to commit your involvement.
These kids need our time involvement, more so than the typical kid
and so if we
recognize that and commit our involvement
things will go a lot more smoothly.
recommendation I would have
is to maintain a positive emotional tone.
What we want to work on some else of the relationship systems and
a positive tone and warmth and affection
it builds relationships.
breaks a relationship. Warmth in positive emotional tone.
Another recommendation on this is
it's important to communicate parental authority
but how much and in what way
is all depends on what sort of brain systems are involved and so I would
in relying and over relying on the authority system, the dominance
you have to do what I tell you to do because I can't control punishments.
Another recommendation I would have is to establish rhythms with these kids.
The hyperactivity and impulsivity they're very disorganized
what they do.
And what we want to do is formal relationship with them and then get
some rhythms to their activities and the basic rhythm is a turn taking rhythm,
back and forth
and that's the fundamental rhythm of dialogue and communication.
So we want to gauge these kids of dialogue back and forth.
One of the research studies talked about pendulum swing,
moving back and forth between the parents and the child, then organizing the
And finally I think it's important for parents
to resolve their own emotional and stress issues.
That there's a connection system in the brain where we feel what another person
feels, what allows us to feel what the actors feel in movies.
Well we feel their experience.
Children feel what their parents feel.
So if the parent isn't in too much stresses, too anxious or too depressed
or too angry,
imports that experience and it's too painful for him.
Just like in the move where the movie gets too scary and it's just
overwhelming to us what we do. We break connection, we look away.
That happens with our kids when the parents are too angry or too depressed
or too stressed,
they can't tolerate that pain.
So they'd break connection with the parents
and that's the source of a number of other problems that begin the casket to
emotions in communications and other systems.
So the best thing you can do for your child
is to resolve the family stresses, resolve your own personal stresses
and a happy parent can result in a happy child.
Thank you so much.