I'm taking a course in the nurtured heart approach of parenting
And while I have nothing against it The author instantly starts with how the rate of A DHD has risen eight fold from 1980 to 2007. This is the only way he approaches the statistics. My question is if in 1980 autism was diagnosed as one in 10,000 and today it averages one and 68 and AD HD is a common comorbid of autism doesn't it make sense that the ADHD rate has increased? He is quoting the statistics of the ADHD rate increasing as evidence that it is over prescribed and that medication Sends a message to the child that something is wrong with them adoesn't work
Is it me or is this a blind statistic?
Maybe I'm being sensitive because we just took my oldest To the dr today to have him diagnosed with ADHD and be medicated.
Post by mrsbuttinski on May 17, 2017 18:54:07 GMT -5
Figures don't lie, but liars figure.
I'd like to see the numbers from which this individual is working. Rates of ADHD have trended up for a number of reason; I doubt the 1 kid in 68 with comorbid ASD is making that big an impact on the 1 kid in 10 with ADHD. It's probably more a growing awareness and acceptance of the condition especially now that there are effective strategies for treatment that include medications as well as less stigma associated. Back in the dasy
Relative to the rise in ASD dxs, I suspect the increase is a bit more complicated. Years ago, many kids with ASD who had intellectual disability years ago were not fully dxd; the medical establishment felt it was unnecessarily cruel to families to add autism to the mix. And of course the expansion of the diagnostic criteria to include people who are could be seen in some contexts to be different, not disabled has added to those numbers. But I do think there are some other factors that could perhaps overlap with the increase in cases diagnosed.
I've heard a lot of interesting arguments. The number of babies who are born prematurely and survive (preemies are at risk for ASD); the increase ARTs which have led to an increase in multiple births (being a twin is a risk, as is being premature), societal changes that have led to people having children at older ages; changes in the workplace that may have led to marriages of people who have ASD traits(lucrative salaries for people who would have not be as attractive as mates with the increase in jobs around IT and engineering coupled with more women being in the workplace). And that's not even playing into the notion of genetics loading the gun and something environmental pulling the trigger.
As for this parenting approach. I can see where this would bother you, maybe you can take away the parts that apply and work for you. Or maybe you need some other parent training.
The books intro sucks. He quotes these figures and statistics and sites their sources yet then concludes them to something unrelated. He even says he wrote this book with a therapist who after 10 years was unable to help a child and was ready to quit the field implemented his approach and had such a positive result it changed her view of therapy He expressly states that no child should need medication for ADHD and that we are just choosing to mask the problem instead of fixing it and any child can learn to direct their intensity in a positive way
The nurtured heart approach is not a bad approach and it's actually very commonly used in schools in New Jersey basically it is engage and stimulate the positive behavior and shut down the inappropriate behavior instead of ignoring you are sending a clear boundary of know but you were not engaging the child and giving them a stimulus
I'm taking the class because as a CASA it counts in my continuing education class requirement and because the topic transforming the intense child was intriguing I just wish he didn't write the book with such a superior tone
Post by mrsbuttinski on May 18, 2017 7:17:34 GMT -5
My kid drives in New Jersey; this dude doesn't want to be on the road with him unmedicated. Trust.
Fix the problem? We've gone about as far as we can re-wiring DS's brain through CBT and Social Thinking. Fixing societal expectations the nastiness of individuals who would bully my kid is above my paygrade.
I honestly hate the first few chapters of most parenting books, and that one was one of the biggest offenders. The formula seems to be that they first have to sell you on themselves and their methods, ad nauseum, before they can tell you what they think you're supposed to do. Skip ALL that mess and get to the point. But for some of these books that would only be about 50 pages long.
Anyway, ADHD. It's tricky, IMO. I do think there is a set out there who take a kid who is fed an inappropriate diet (in the public schools here they feed breakfast and lunch at no charge and it is a lot of sugar and food dyes esp breakfast) and doesn't get enough sleep, and when the kid can't sit still for 8 hours a day with a 15 minute recess at age 5, they jump to meds. And some lifestyle changes and some school changes and accommodations to be more developmentally appropriate would probably work for a lot of these kids. BUT there is no question that ADHD exists, and that a lot of kids who have it do need meds (and often their parents have tried increasing sleep and appetite and changing diet and behavior mods and everything else possible before trying meds -- I know we did). So how do you measure the "truth"? We know that not so long ago ADHD was called "minimal brain dysfunction." Who would seek that label? In the 90's when ADHD made it into the DSM, I remember a lot of chatter about it being fake and overdiagnosed etc. There still is some chatter but more awareness also. The stigma is much less. The awareness is much more. And yes, it is easier to get that dx and Rx than it used to be. No psychiatrist required in a lot of cases (and none available either).
I honestly hate the first few chapters of most parenting books, and that one was one of the biggest offenders. The formula seems to be that they first have to sell you on themselves and their methods, ad nauseum, before they can tell you what they think you're supposed to do. Skip ALL that mess and get to the point. But for some of these books that would only be about 50 pages long.
Skip all that mess unless you are told otherwise. If you have a child with developmental, behavioral and/or mental health conditions- best to work with his/her team on parenting and discipline. The Typical Kid User's Manual does not apply. Maybe there's a book your psychologist or dev pedi can suggest, like the The Explosive Child or Parenting Yor Aspergers Child, but maybe it's best not to foray into Barnes & Noble and look randomly.
Anyway, ADHD. It's tricky, IMO. I do think there is a set out there who take a kid who is fed an inappropriate diet (in the public schools here they feed breakfast and lunch at no charge and it is a lot of sugar and food dyes esp breakfast)
There's not enough science to suggest that this is a real cause of the increase in ADHD. The number of kids who react to dyes is really insignificant, to all but that one kid. There are also kids who react to healthy unprocessed foods-fruits are a major cuplprit.
Most current research on sugar just doesn't support it as impacting behavior.
It's and doesn't get enough sleep, and when the kid can't sit still for 8 hours a day with a 15 minute recess at age 5, they jump to meds. And some lifestyle changes and some school changes and accommodations to be more developmentally appropriate would probably work for a lot of these kids.
Sleep is huge. Kids don't often get enough with late dinners, homeworks and activities. And blue light from screens can impact the quality of the sleep they do get.
IME, families don't jump to meds until kids are older. It's pretty rare for families to choose medication much before 7-8 unless the child has impusivity with dangerous behavior.
BUT there is no question that ADHD exists, and that a lot of kids who have it do need meds (and often their parents have tried increasing sleep and appetite and changing diet and behavior mods and everything else possible before trying meds -- I know we did). So how do you measure the "truth"? We know that not so long ago ADHD was called "minimal brain dysfunction." Who would seek that label?
That label was originally used for dyslexia/specific LD; ADHD kind of got lumped together with that.
In the 90's when ADHD made it into the DSM,
ADHD made it into the DSM-II in 1968. It was recognized earlier, much as SPD is today. Over a century ago it was called hyperkintetic impulse disorder.
I remember a lot of chatter about it being fake and overdiagnosed etc. There still is some chatter but more awareness also. The stigma is much less. The awareness is much more. And yes, it is easier to get that dx and Rx than it used to be. No psychiatrist required in a lot of cases (and none available either).
I honestly hate the first few chapters of most parenting books, and that one was one of the biggest offenders. The formula seems to be that they first have to sell you on themselves and their methods, ad nauseum, before they can tell you what they think you're supposed to do. Skip ALL that mess and get to the point. But for some of these books that would only be about 50 pages long.
Skip all that mess unless you are told otherwise. If you have a child with developmental, behavioral and/or mental health conditions- best to work with his/her team on parenting and discipline. The Typical Kid User's Manual does not apply. Maybe there's a book your psychologist or dev pedi can suggest, like the The Explosive Child or Parenting Yor Aspergers Child, but maybe it's best not to foray into Barnes & Noble and look randomly.
Anyway, ADHD. It's tricky, IMO. I do think there is a set out there who take a kid who is fed an inappropriate diet (in the public schools here they feed breakfast and lunch at no charge and it is a lot of sugar and food dyes esp breakfast)
There's not enough science to suggest that this is a real cause of the increase in ADHD. The number of kids who react to dyes is really insignificant, to all but that one kid. There are also kids who react to healthy unprocessed foods-fruits are a major cuplprit.
Most current research on sugar just doesn't support it as impacting behavior.
It's and doesn't get enough sleep, and when the kid can't sit still for 8 hours a day with a 15 minute recess at age 5, they jump to meds. And some lifestyle changes and some school changes and accommodations to be more developmentally appropriate would probably work for a lot of these kids.
Sleep is huge. Kids don't often get enough with late dinners, homeworks and activities. And blue light from screens can impact the quality of the sleep they do get.
IME, families don't jump to meds until kids are older. It's pretty rare for families to choose medication much before 7-8 unless the child has impusivity with dangerous behavior.
BUT there is no question that ADHD exists, and that a lot of kids who have it do need meds (and often their parents have tried increasing sleep and appetite and changing diet and behavior mods and everything else possible before trying meds -- I know we did). So how do you measure the "truth"? We know that not so long ago ADHD was called "minimal brain dysfunction." Who would seek that label?
That label was originally used for dyslexia/specific LD; ADHD kind of got lumped together with that.
In the 90's when ADHD made it into the DSM,
ADHD made it into the DSM-II in 1968. It was recognized earlier, much as SPD is today. Over a century ago it was called hyperkintetic impulse disorder.
I remember a lot of chatter about it being fake and overdiagnosed etc. There still is some chatter but more awareness also. The stigma is much less. The awareness is much more. And yes, it is easier to get that dx and Rx than it used to be. No psychiatrist required in a lot of cases (and none available either).
I've been reading parenting books since WAY before my kiddo had a diagnosis. Hell, before I was ever a parent. Some are definitely better than others. I'm of the "take something from each and ignore the rest" camp. But there does exist a formula for many of selling you on the author and method for a lot of pages before telling you squat.
I call bullshit on diet not contributing to ADHD symptoms. You take a subset of typical kids and feed them nothing but Cocoa Puffs and Lunchables and tell them to sit still for 6 hours and there will be some behavior and attention issues. I'm not one of those who thinks diet is a cure for anything so put them on GFCF nothing but cardboard and water or that ADHD is a made up disease but I absolutely think that high sugar, high food dye, low protein diets can cause issues. They certainly make DD's ADHD worse when she has a period at, say, her grandmother's house which exists in a vortex where Froot Loops are made sans dyes apparently. Also I'm not talking about occasional treats. I'm talking about as staples of the child's diet. Sadly the Pop Tart Lunchables scenario is very common in schools, at least around here. The school breakfasts hand snacks here are just dreadful. Lunches are not really that great either.
I absolutely believe meds are a last resort for a lot of parents. No one I personally know jumps there. But there are people whose child is struggling in school, maybe the teacher suggests attention issues, they take them to the pediatrician, pediatrician says there are symptoms of ADHD, does a Vanderbilt, prescribes a med, child improves on meds (and most experts agree that *anyone* would focus better on stimulants, not just ADHD kids as it was previously thought, which is why there is a street market for Ritalin and Adderall), end of story. Yes I agree it is probably jidsnpast kinder age or first grade, when the school demands increase and the teachers begin to really bring up attention problems. Since other things can cause ADHD type symptoms (anxiety, home life issues, or even just general immaturity or other things), perhaps more analysis is warranted.
I also mistyped my thought about the DSM. I meant it went into the DSM in the 80's (under that name), and in the 80's and 90's that was all the talk.
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