Umi Zafirah Othman Nur Hayati Amin Zakiah Bahtiar Tuan Ahmad Hasanuddin. What is ADHD? ADHD is a condition of the brain that affects a person's ability to pay attention. It is most common in school-age children. According to professionals in the diagnosis of ADHD (WHO,1990), there are 3 main characteristics associated with ADHD that are; 1. Inattention 2. Hyperactivity 3. impulsivity Always described as having a short attention span or very distractible. The following are examples of how an ADHD child may demonstrate his/her inattention in the classroom. Often has difficulty sustaining attention in task/activities. Often seems does not listen when spoken to directly. Often loses things necessary for tasks or activity. Is often easily distracted by extraneous stimuli Forgetful in daily activities. An ADHD childs hyperactivity can be fairly visible in a classroom, and can be manifested in any of the following examples; Often leaves seat in the classroom. Often runs about or climbs excessively in situation where it is inappropriate. Is always on the go and acts as if driven by a motor. Often talks excessively. Impulsivity: An ADHD child may also demonstrate impulsivity in the following ways; Often has difficulty awaiting turn (ex:playing game) Often interrupts or intrudes on others. Difficulty thinking before acting (e.g., hitting a classmate when he/she is upset or frustrated) BEHAVIORAL OR LEARNING PROBLEMS ASSOCIATED WITH ADHD. 90% of children with ADHD are unproductive in schoolwork and underachieve in school. 20% have reading difficulties. 50% shows social skills problems. 30% display clinically defined anxiety disorders. 33% experience major clinical depression.
WHAT CAUSES ADHD? ADHD is believed to result from a complex interaction of genetic, biological and environmental risk factor. These risk factors may lead to a chemical imbalance in the brain that impairs the ability to sustain attention and filter irrelevant distractors. Hence, there is a delay in the maturation of the brains ability to achieve mastery of self-regulation. GENES ADHD has a strong genetic basis in the majority of cases, as a child with ADHD is four times as likely to have had a relative who was also diagnosed with attention deficit disorder
NUTRITION & FOOD: Certain components of the diet, including food additives and sugar, can have clear effects on behavior. Some experts believe that food additives may exacerbate ADHD. And a popular belief is that refined sugar may be to blame for a range of abnormal behaviors. Some studies also suggest that a lack of omega-3 fatty acids is linked to ADHD symptoms. These fats are important for brain development and function, and there is plenty of evidence suggesting that a deficiency may contribute to developmental disorders including ADHD.
BRAIN INJURY: Brain injury may also be a cause of attention deficit disorder in some very small minority of children. This can come about following exposure to toxins or physical injury, either before or after birth. Experts say that head injuries can cause ADHD-like symptoms in previously unaffected people, perhaps due to frontal lobe damage.
The management of ADHD: The best way of managing the symptoms of ADHD is through a multimodal approach, i.e. through a combination of efforts involving professionals, parents and teachers. There are 4 basic parts to this approach (MOE, 1999): 1. Education and understanding ADHD 2. Behavior management (home and school) 3. Appropriate educational interventions. 4. Medication (for some cases)
Strategies for coping with inattentiveness: Seat the students near the teacher. Cue student to stay on task (use a private signal) Pair oral instructions with written instructions. Break assignments into smaller parts. Handle assignments and examination papers one page at a time Enlist the help of a student buddy. Strategies for coping with hyperactivity: Provide opportunity for breaks from sitting Give a student a seat where it is possible to stand up during lessons without disrupting the class. Build movement and interactive elements into lessons. Give the student two seats so that there is always somewhere definite to go. Make sure a written behavior plan is near the student. You can even tape it to the wall or the childs desk. Give consequences immediately following misbehavior. Be specific in your explanation, making sure the child knows how they misbehaved. Recognize good behavior out loud. Be specific in your praise, making sure the child knows what they did right. Attend to positive behaviour with compliments and reinforcement. Set clear rules for class participation. Explain consequences if rules are violated, and apply them consistently.