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2012年10月4日 星期四

ADHD Diagnosis: Are Preschool Kids Too Young?


It's normal for very young children to talk uncontrollably, have difficulty sitting still at the dinner table, and avoid tasks that require sustained mental effort. After all, many desired behaviors are more developmentally appropriate for elementary-aged children than for pre-schoolers. Are preschool kids too young for an ADHD diagnosis, especially when it is normal for them to be impulsive, hyperactive, and inattentive?

The medical diagnosis of ADHD is given to a child if he or she meets 12 out of 18 diagnostic criteria in two different settings for at least six months. These criteria include behaviors like "does not follow through on instructions," "runs as though driven by a motor," and "often fidgets with hands or feet or squirms in seat." Telling as these behaviors might be, these symptoms of ADHD do not necessarily point to an attention disorder. ADHD symptoms can be red flags for unrelated conditions such as inner ear dysfunctions, learning disorders, or sensory integration disorder. Detecting ADHD in pre-school aged children is even harder because the diagnostic criteria point to behaviors appropriate to their age.

Some experts claim to have determined two behavioral patterns that predict an ADHD diagnosis in late childhood. The first is preschool expulsion due to refusal to join in school activities, aggressive behavior, and the inability to respect classmates' boundaries or personal property. The second is peer rejection, when the child is avoided by other kids. Although ADHD might not necessarily be responsible for these problems, it's best to take your child to a doctor to find out the real cause behind these extreme cases.

But what should you do if your child is diagnosed with ADHD? Try getting a second opinion from a holistic doctor trained in functional medicine. Some psychiatrists make hasty ADHD diagnoses after checking symptoms off a list, but a holistic doctor will put your child through various tests to determine the presence of ADHD and what may have caused it. Meanwhile, making some environmental changes might reduce some of the symptoms. If your child goes to a large preschool, trying moving him or her into a smaller preschool with fewer kids, a strong routine, and less extraneous stimulation. A preschool with a small student-to-teacher ratio will make it easier for your child to socialize and receive the extra attention needed.

Behavior therapy is also very effective for very young children. A large study called the Preschool ADHD Treatment Study just discovered that behavior modification can reduce ADHD symptoms in preschool children, even if they experience severe ones. If your child does not respond to behavior modification, a diet change might be in order. Many cases of ADHD are due to food substances like artificial additives, gluten (from wheat), casein (from milk), and other intolerances. Specialized tests from a holistic doctor can determine if food intolerance is behind hyperactive and inattentive symptoms.

ADHD diagnoses are very useful for identifying problems that can interfere with your child's development, but just remember that there are ways to treat hyperactivity and inattention without subjecting your child to stimulant medications.




Dr. Yannick Pauli is an expert on natural approaches to ADHD and the author of the popular self-help home-program The Unritalin Solution. He is Director of the Centre Neurofit in Lausanne, Switzerland and has a passion taking care of children with ADHD. Click on the link for more great information about what is adhd.





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2012年3月23日 星期五

ADHD Diagnosis: Are Preschool Kids Too Young?


It's normal for very young children to talk uncontrollably, have difficulty sitting still at the dinner table, and avoid tasks that require sustained mental effort. After all, many desired behaviors are more developmentally appropriate for elementary-aged children than for pre-schoolers. Are preschool kids too young for an ADHD diagnosis, especially when it is normal for them to be impulsive, hyperactive, and inattentive?

The medical diagnosis of ADHD is given to a child if he or she meets 12 out of 18 diagnostic criteria in two different settings for at least six months. These criteria include behaviors like "does not follow through on instructions," "runs as though driven by a motor," and "often fidgets with hands or feet or squirms in seat." Telling as these behaviors might be, these symptoms of ADHD do not necessarily point to an attention disorder. ADHD symptoms can be red flags for unrelated conditions such as inner ear dysfunctions, learning disorders, or sensory integration disorder. Detecting ADHD in pre-school aged children is even harder because the diagnostic criteria point to behaviors appropriate to their age.

Some experts claim to have determined two behavioral patterns that predict an ADHD diagnosis in late childhood. The first is preschool expulsion due to refusal to join in school activities, aggressive behavior, and the inability to respect classmates' boundaries or personal property. The second is peer rejection, when the child is avoided by other kids. Although ADHD might not necessarily be responsible for these problems, it's best to take your child to a doctor to find out the real cause behind these extreme cases.

But what should you do if your child is diagnosed with ADHD? Try getting a second opinion from a holistic doctor trained in functional medicine. Some psychiatrists make hasty ADHD diagnoses after checking symptoms off a list, but a holistic doctor will put your child through various tests to determine the presence of ADHD and what may have caused it. Meanwhile, making some environmental changes might reduce some of the symptoms. If your child goes to a large preschool, trying moving him or her into a smaller preschool with fewer kids, a strong routine, and less extraneous stimulation. A preschool with a small student-to-teacher ratio will make it easier for your child to socialize and receive the extra attention needed.

Behavior therapy is also very effective for very young children. A large study called the Preschool ADHD Treatment Study just discovered that behavior modification can reduce ADHD symptoms in preschool children, even if they experience severe ones. If your child does not respond to behavior modification, a diet change might be in order. Many cases of ADHD are due to food substances like artificial additives, gluten (from wheat), casein (from milk), and other intolerances. Specialized tests from a holistic doctor can determine if food intolerance is behind hyperactive and inattentive symptoms.

ADHD diagnoses are very useful for identifying problems that can interfere with your child's development, but just remember that there are ways to treat hyperactivity and inattention without subjecting your child to stimulant medications.




Dr. Yannick Pauli is an expert on natural approaches to ADHD and the author of the popular self-help home-program The Unritalin Solution. He is Director of the Centre Neurofit in Lausanne, Switzerland and has a passion taking care of children with ADHD. Click on the link for more great information about what is adhd.





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2012年2月6日 星期一

What the Year Might Hold For Our Young People


January was the time for resolutions and predictions for the upcoming year. So, I gave it a try, but instead of peering into a crystal ball, I worked from some intriguing scientific research as it relates to young people.

Mark J. Penn wrote a book published in 2007 titled: "micro trends: the small forces behind tomorrow's big changes." Using polling data, Penn looks for micro trends that are bubbling in our society which might become very influential in the near future. He looked at 82 groups that are starting to exert an influence on our society, basically groups with at least one percent of the population that might be increasing to become more influential. I picked out those surprising trends he discussed that relate to young people. This might indicate some characteristics we might be seeing more in the future.

Old New Dads: Fathers are becoming increasing older at the birth of their children, with "the proportion of dads over 40 skyrocketing." This will mean that any gathering of parents will become more multi-generational and any generational gap between children and their parents will be even more extreme, at least so far as the difference in age between father and child.

Pampering Parents: Parents have come to believe that while they are strict with their children, most other parents are too permissive. The author concludes that on a strict/permissive scale the whole society has moved drastically to the permissive side and is more "child-centered." Unless there is a reversal of this trend, this suggests children's rights will only increase, with parents blaming "other" parents for not being strict enough.

The Mildly Disordered: The percentage of children with diagnosed disorders is skyrocketing, the author seeing this as partly being driven by affluent parents wanting proof as to why their child is under-performing. A child who 25 years ago might have been seen and treated as "irritable" is now likely to be diagnosed with Sensory Integration Dysfunction. One result will be an increasing number of children who feel they need outside, and perhaps professional and medication, help in order to be "normal." If this trend expands, we will see in the future a decreasing sense of personal independence and responsibility, and an increasing sense of group dependence and responsibility.

High School Moguls: We have talked of the tendency to extend childhood during the last century. During the twentieth century, a child's opportunities to work and make money had been limited to paper routes, baby sitting, lawn care and other low paying, low responsibility jobs. However, largely through the Internet, this is all changing with many teens and even pre-teens creating very successful businesses online. The author estimates about 8 percent of all teens, about 1.6 million young people in the US, were making money on the internet. Contrary to mainstream trends of children remaining dependent for long years, there is this contrary trend of young entrepreneurs coming onto the scene that could change childhood back to where children again have the opportunity to realize their potential as did young people before the 20th century.

Aspiring Snipers: Starting in 2006, polls indicated a small but increasing number of young people with career aspirations to be a sniper/sharpshooter. The author speculates that this might be a beginning trend of respect for the military and law enforcement. It also could be an indication of the desirability to achieve the kind of self control, discipline and patience that is required of a sniper, as opposed to simple bravery in the face of the enemy. He also speculates that it might be a result of interest in shooter video games. If the impulse is to take out the bad guys and develop considerable self-control, then this well might be a good thing if it continues to build.

Vegan Children: The author has data indicating that about 1.5 million children ages 8-18 are vegetarians, something almost unheard of 50 years earlier. He sees this as a beginning trend of children taking on more responsibility for what they eat, with an emphasis on eating more vegetables and less meat. This could well be a trend consistent with greater environmental concerns, and if this trend continues to grow, the changes in our society, and eating habits, and food production could be profound and far reaching.

Social Geeks: As of 2007, technology was changing from something for introverts to something for extroverts. Where technology used to appeal to the brilliant social losers, it is now appealing more to those socially oriented. The computer savvy nerd seems to be disappearing. The Social Media of today is the obvious result of this trend becoming mainstream even since this book was written. All indications are that this will just continue to become even more mainstream.

Video Game Grown-ups: The image of video game players being teens is firmly locked in our consciousness. However, every year the average age of video gamers is increasing-much faster than just the count of years would indicate. The author points out that the average age of gamers was 24 in 2002, but the average age had become 33 by 2006. In just four years, the average age had increased by 9 years. Video gaming will not be just a passing phase for teens, but something they will grow with through the years. It already is being adapted by businesses and the military for training purposes and it seems likely all of us will have to learn at least some basic facility with video gaming.

America's Home Schooled: In just 30 years, home-schooling has gone from illegal in most US jurisdictions to where it is very common and rapidly growing for many different reasons. Homeschooling is not only growing in numbers of students, but it is also expanding to include online courses or degrees, as well as college courses and degrees. It seems to have the potential to totally revise the foundations of our education system as school districts and colleges learn how to adapt to the ability of parents and students to create their own approach to education.

So where does this leave us? Many of the trends are counter to each other, and while some are expanding, others might just be passing fads. However, looking at poll research for the answers gives us more grounded food for thought than just pure speculation.




Lon Woodbury, MA, IECA, CEP, is the owner/founder of Woodbury Reports Inc. and http://www.strugglingteens.com. He has worked with families and struggling teens since 1984 and is the Host of Parent Choices for Struggling Teens at http://www.latalkradio.com/Lon.php on LATalkRadio, Mondays at 12:00 Noon, Pacific Time. He has worked as an Independent Educational Consultant to help parents of teens making poor decisions select a private, parent choice program that would help return the family to normalcy. Through interviews with parents, communication with professionals who know your child well, and then thoroughly researching viable options, we can help parents make the right choices that will help your child get back on the right path. For more information about Woodbury Reports Inc., call 208-267-5550.





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