Saturday, August 31, 2013

Good Nutrition Can Lessen AHDH Symptoms


I just received this information today from "ADDitude" magazine. They outline several ways to relieve symptoms of ADHD without medication.
I have seen these ideas discussed over the past several years, and some in particular ring true:
- fatty oils / fish oil
- iron, zinc & vitamin C and vitamin B6
- lots of protein in the diet to keep energy steady throughout the day

They note that for the fish oil, "The best supplements have two or three times more EPA than DHA."

I know that the "gentle" forms of iron work much better -- the other types are constipating. I buy my "gentle" iron at Whole Foods.

Vitamin B is very helpful in reducing anxiety. While a student may not exhibit outward signs, he may feel stressed at school when he gets reprimanded for not being on task, or when he realizes that he forgot something.


I really like most of the suggestions. However, the slideshow veers away from nutrition into lifestyle recommendations. I must caution that the "brain games" they recommend, such as CogMed (or Lumosity), do not have research to support long-term results. They are expensive and put a kid in front of a screen even longer.

I think a good antidote for our computer-addicted kids is some time outdoors.

Furthermore, I have not found compelling research on the effectiveness of NeuroFeedback. There is a lot of promising marketing, but it's expensive -- too expensive to experiment with at this time, in my opinion. I love the idea behind it -- teaching yourself to control your inner systems -- but I don't know how it works with younger children.

Friday, August 30, 2013

Organizing Binders for School


Suggestions for Organizing School Work
From That Crumpled Paper Was Due Last Week by Ana Homayoun (2010)
& Seeing My Time by MaryDee Sklar (2012)

Supplies needed:


1.     Have a separate binder for each subject. Each binder should be 1”, with 5 tabbed dividers. (If there is a subject with very little paperwork, like wood shop or health, get a ½” binder for that class.)

Obviously, if a teacher requests something different, such as a 2” binder, get that for that class.

2.     Put one clear transparent pocket divider in the 3-rings, in the front of everything else. This is where you will stuff any papers that need to go back and forth from school to home.

3.     Behind the transparent pocket divider, put one pack of 5 dividers: (1) notes, (2) homework, (3) handouts, (4) tests/quizzes and (5) blank paper. Write these labels on the top of each tabbed divider.

4.     In the very front of the first divider, put the syllabus for the class.

5.     Do not use spiral binders or spiral notebooks. Use loose-leaf paper from the back of the binder.

If a teacher specifies a spiral binder, he or she may want you to paste papers into it, such as science labs or history hand outs. This can get very messy, since the handout is usually the same size as the spiral binder. See if you can find a Science Lab Book, which is bound and bigger than 8 ½ x 11, or a spiral binder with the spiral on the top rather than the side. These are easier to work with over the semester. For an example, see:
http://shopping.netsuite.com/s.nl/c.ACCT126734/it.A/id.195/.f

Using This System:
At school, take the binder you need for your class with you. Put it on the desk, open it up, and take out one piece of paper to take notes. When taking notes is finished, put it in the “Notes” section.

If you are in a rush, just put any notes or other papers you get in the clear pocket in front.

When you get home, take out all your folders, one at a time. Go through the papers in the front clear pocket. Put any notes in the Notes section. Do any homework you need to do, and put it back in the clear plastic folder to turn in.

If you get back any handouts or quizzes/tests, punch them with the 3-hole punch and put in the correct place.

·      Everything should be 3-hole punched.

·      At the end of every semester or quarter, take everything out of the binders and file them at home.


HANDOUTS: Papers of information that the teacher hands out go here. This is not homework. Sometimes, it might make sense to put some of these under the “notes” section. You decide in that case.

QUIZZES/TESTS: Quizzes are the bases for tests; tests are the bases for final exams. Keep all quizzes and tests, even ones that don’t have a good grade. It is useful to go back and review those ones in particular! (Parents: do not stress out so much about a bad score – your child may try to “hide” those quizzes from you, and then they get lost.)

PAPER: Reinforced paper is one of the best things ever invented. The back of each binder should have twenty to thirty sheets of this paper. (Otherwise the backpack gets too heavy.)


SCHEDULE A TIME WEEKLY TO ORGANIZE EACH BINDER. Find a time that works for both of you and one of your parents. For example, Saturday afternoon at 3:00 pm. Once you get used to this, you can go through 7 binders in less than one hour.

Some students, especially those with ADHD, need to organize their binders daily. “Having a time every night to check binders and planners, organize papers, and get assignments sorted out will probably be an essential part of their daily structure. … For many of these kids, a timer is essential. For instance, setting a timer for twenty minutes before your son starts a homework block for him to clean out his binders, recycle necessary papers, make sure all homework is in his planner, and get any necessary materials to the space where he or she will be doing homework will help him or her to be able to complete the work with less distractions.”

PLANNER: Ideally, the school planner will have the block schedules noted on each page. It should have enough room in each block / column to write down the assignments. If it is too small or crowded, find another (larger) planner at an office supply store.


Diagnosing ADHD with Brain Imaging


from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3656087/figure/pone-0063660-g002/

In a related field, autism research, new findings show a brain-scanning measurement of "grey matter (GM) volumetric data, to assess whether individual ADHD adolescents can be accurately differentiated from healthy controls based on objective, brain structure measures..."

from Autism Speaks, http://asdresearchinitiative.wordpress.com/2013/05/24/grey-matter-adhd-autism/ 

While this study is looking for biological measurements to identify people with autism spectrum disorders AND ADHD, it explains that the screening mechanism is a good way to detect ADHD. Rather than compare brain waves (see my blog post here), it looks at actual structures of different parts of the brain.

Many doctors and psychologists say that there are usually enough (subjective) behavioral reports from parents and teachers to determine if a person suffers from ADHD. However, these objective biometric tests may be useful in deciding on medication/s, which could be enormously helpful.




Strengths vs Weaknesses

Dr. Ed Hallowell and Dr. John Ratey have written many popular books on ADHD. While Dr. Hallowell is more open to alternative treatments (such as nutritional supplements), he also emphasizes the human spirit in his advice. One area I really resonate with is "strengths-based treatment."

Simply stated, continue to develop your talents and skills. Go for what you like. Spend time on things that get you into the flow (for more about Flow with a capital F, see http://www.psychologytoday.com/articles/199707/finding-flow).

In a chapter called "The Key to Treating ADHD," Hallowell and Ratey have this to say:


            Once the diagnosis is made, the next step is to find and develop your talents. People often ask me, “What are ADD people good at?” My answer is, “You never know. But whatever you do, don’t stop looking.” You can’t predict what your talent will be. …
Whatever you call it, the development of talent is a crucial but often neglected goal of the process. You build a life on your talents and strengths – what is right and good about you – not on your weaknesses, however skillfully they might be corrected. …
            Because we use the medical model in psychiatry, we make diagnoses as other specialities do. We diagnose depression or biopolar disorder or schizophrenia or anxiety, and then we begin to prescribe remedies for what’s wrong.
            However, when we do that we leave the patient without her most powerful rememdy: the healthy part of her mind, the talented part, the successful part, the harmonious part.
            I have sat on the other side of the desk – the patient’s side – and listened to myself be diagnosed, and I have felt my heart sink as my problems and weaknesses or my children’s were enumerated without any mention of what we did well. At those times it felt as if my greatest allies were being taken away, leaving me and my kids alone to fend for ourselves without our best troops at our side. …
            It is important to get into a positive frame of mind. Without positive energy, treatment fails. This might sound like a minor point, but in fact it is crucial.

Brain Screening Can Help Diagnose ADHD

This technology, called electroencephalogram (EEG) or quantitative electroencephalogram (qEEG), has been around for many years. It can help diagnose ADHD by detecting brain-wave patterns that are distinctive to people with ADHD. People with ADHD have areas of their brains that are *under-aroused* or hypoaroused. When the ratio of under-aroused brainwaves is greater to active brain waves, it may indicate a disorder that responds well to stimulant medication. As stated by Edward Hallowell and John Ratey in Delivered from Distraction (2006), "New studies have shown that people who show the characteristic pattern of cortical hypoarousal are likely to respond well to stimulant medication. This provides an elegant physiological link between diagnosis and treatment" (p. 124).

Very recently -- July, 2015 (9 years after Delivered from Distraction was published!), the NY Times reported that this method has finally been approved by the Food & Drug Administration. So, if you are unsure whether you or your child has ADHD, this non-intrusive test can help you determine the diagnosis.

From the New York Times, http://www.nytimes.com/2013/07/16/health/brain-test-to-diagnose-adhd-is-approved.html: "The test uses an electroencephalogram, or EEG, with sensors attached to a child’s head and hooked by wires to a computer to measure brain waves. ... The test takes 15 to 20 minutes, and measures two kinds of brain waves — theta and beta. Certain combinations of those waves tend to be more prevalent in children with A.D.H.D."

from http://www.sydney-neurofeedback.com.au/QEEG.htm