Here are slides used in this talk given on September 9, 2013.

1. Created September 2013
ADHD in Children
Presented by NAMI PA, Main Line,
an affiliate of the National Alliance on Mental Illness
Presenter:
Aita Susi MD
AITASUSImd.com
610 308 8454
Please view the final slide for NAMI PA, Main Line contact information
and the link to the complete YouTube video of this PowerPoint with narration.

2. History
The video that launches after this slide provides narration for the History of ADHD.

3. Diagnosis
 Need 6 criteria in 2 different settings
Ex. School and home
 Onset before age 7
 Evidence of problems in daily living
 2 basic varieties: inattentive and hyperactive
 Many ways to diagnose
Who How
The video that launches after this slide provides narration for the Diagnosis of ADHD.

4. Inattentive
Difficulties with
details sustained attention
follow through listening
organization loosing things
distractions boring tasks
remembering

5. Hyperactive
 Difficulties with
fidgeting staying in your seat
climbing quiet play
excessive talking taking turns
interrupting blurting out answers
“on the go” all the time

6. Over diagnosis
 Normal childhood behavior is diagnosed as illness
 Behavioral problems are diagnosed as illness
 Other conditions the can look like ADHD are
misdiagnosed as ADHD (anxiety, depression, mania)
 Provider inexperience

7. Under diagnosis
 “That’s just the way she is”
 Daydreaming doesn’t catch attention
 Chaos in the household due to parental or sibling
mental illness, divorce, or other difficulties can pull
attention away from a child with ADHD
 Shame
 Provider inexperience

8. Multiple diagnoses

9. Difficult aspects of ADHD
 Excessive talking
 Disturbs others (can’t sit still, hits)
 Inappropriate comments
 Doesn’t listen
 Lose things
 Homework difficulties
 1-2 yrs delayed socially because don’t know how to
read social cues
 Engage in risky, impulsive behaviors
 Risk of MJ and alcohol use if ADHD is untreated
The video that launches after this slide provides narration for the Features of ADHD.

11. Parental stress
 Managing calls from the school about behavioral
problems
 Handling homework that takes a very long time to
complete
 Books, papers, hats, etc get lost
 Needing to repeat yourself
 Difficulties with social interactions
 What if the parent has ADD too?
Take-home message: Be patient

12. Positive aspects of ADHD
 Creativity
 Smart
 Spontaneous
 Works quickly
 Good at problem solving
 Emotional sensitivity
 Exuberance

13. Some famous people with ADHD
 Robin Williams
 Walt Disney
 John Lennon
 Russell White
 Greg Louganis
 Thomas Edison
 Dustin Hoffman
 Michael Phelps
 Leonardo da Vinci
 Albert Einstein
 Galileo
 Henry Winkler
 Henry Ford
 Jason Kidd
 Dwight D. Eisenhower
 Salvadore Dali

14. Myths vs facts
 Caused by poor parenting
 Biological and often genetic
 If 1 child has it, all of my children will
 Not all children in a family will have it
 ADHD is not a disability
 ADHD is recognized as a disability by ADA and IDEA
 Medication is the only treatment
 There are several treatment options
 Kids with ADHD want to behave badly
 Kids with ADHD cannot be consistent in their behaviors

15. The ADHD brain

16. ADHD treatment
 Get the ADHD brain “on line” with medications that
stimulate the brain
 Provide behavioral modifications via rewards that
stimulate the brain
 Teach family members and teachers how to work
with an ADHD brain to get the best results possible
Take-home message: The ADHD brain needs
to be stimulated
The video that launches after this slide provides narration for ADHD Treatment.

17. MTA study
 14-month study with 500+ children ages 7-10
 4 groups of children
- Medication - Behavioral therapy
- Combo - Usual community care
(2/3 received some meds)
 All 4 groups had a reduction of ADHD symptoms
 Significantly greater improvement in the medication
and combo groups with those in the medication
group doing a little bit better
Take-home message: Medication is the best

18. MTA follow-up
 2 yrs after the end of the study
 Symptoms remained better than baseline in all groups
 There were no differences in symptoms between any of the
groups
Take-home message: It doesn’t matter what
you do, but do something

19. Risks of not treating
 Poor academic performance
 Low self-esteem
 Less emotional stability
 Less success in the future
 Physical injury
 Higher rates of substance abuse
Take-home message: Less chances of living to
their full potential

20. Medications
 Short acting and long acting
 2 basic types
 Amphetamines (ex. Vyvance, Adderall)
 Methylphenidate (ex. Conterta, Methadate)
 Used less often
 Atomoxetine (Stratera)
 Alpha agonists (Clonidine, Guanfacine)

21. Behavior modifications
 Behavior breaks down when the demand placed on a
person exceeds their ability to complete the task
 Want your child to develop skills to master life
 Learned helplessness can be the result of not taking
the time to teach a child how to master life with an
ADHD brain
Take-home message: Pills don’t teach skills

22. What you as a parent can do
 Pick 2 or 3 key areas to address
 Discuss these with your child and set clear
boundaries with clear consequences
 Remain neutral when there are violations and simply
institute the agreed upon consequences
 Maintain a loving relationship with your child
Take-home message: Clear consequences
delivered with neutrality
The video that launches after this slide provides narration for Advice.

23. Tips and ideas
 Use a timer
 1 instruction at a time
 Frequent praise (ratio of 3:1 at least)
 Charts to check off items
 Rewards to stimulate the brain
 Provide choices
 Give reminders and support
Take-home message: Be creative, be patient

24. Other points to keep in mind
 All looks normal on the outside - inside there are
things going on/not going on that we can't see
 Keep your cool. When there's a problem - no raised
voices, no pointing
 ADHD kids are very needy. Recognize that & adjust
to it but don’t judge
 Get help for yourself when you need it
Take-home message: Be patient and stay calm,
remember your love for your child

25. Resources - Books
 Raising Boys With ADHD: Secrets for Parenting Healthy,
Happy Sons by Mary Anne Richey and James Forgan
 The ADHD Workbook for Teens: Activities to Help You
Gain Motivation and Confidence (Instant Help Book for
Teens) by Lara Honos-Webb
 The Survival Guide for Kids with ADD or ADHD by John
F. Taylor Ph.D.
 Taking Charge of ADHD: A Complete Authoritative
Guide for Parents by R. Barkley
 1-2-3 Magic Effective Discipline for Children 2-12 by
Thomas W. Phelan, Ph.D.

26. Resources – Web sites
 Children and Adults with ADHD www.chadd.org/
 Jim Forgan Ph.D. http://jimforgan.com/
 A magazine with tips for parents
http://www.additudemag.com/

27. Further questions?
Feel free to contact me
Aita Susi MD
aitasusimd@gmail.com
610-308-8454
The video that launches after this slide provides narration for the Q&A.

28. Created September 2013
Presented by NAMI PA, Main Line
an affiliate of the National Alliance on Mental Illness
www.NAMIpaMainLine.org
info@NAMIpaMainLine.org
The PowerPoint presentation for this document can be found at:
www.NAMIpaMainLine.org/info-resources/info-on-mental-illness-coping/
The full YouTube presentation can be found at:
https://www.youtube.com/watch?v=B65vP0hyVwQ&list=UUz6Wc-
NdgxpG0zb6oBSLowA
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