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do children with attention deficit disorders and their environment it is not easy. As anarchists, nags, or dreamers, they fit into our hard well-organized life. And parents are sitting between two stools. Because experts disagree on symptoms, causes and the appropriate treatment. We have an expert, Prof. Dr. Gerald Huether, interviewed on the subject.
Julian is intuitive and curious. The eight-year-old wants everything know every second and has a new idea. But every fly on the wall
distracts him from his homework, in class without being asked, he bursts in between, he sits still for a minute and goes straight into the air when something does not work, as he imagines: A case for the diagnosis of attention deficit hyperactivity disorder? Julian's parents are happy that she and her son for the difficulties of their difficulties with it have a name. Like countless other mothers and fathers also is not a psychological disorder common in children diagnosed as ADS. About five percent of all children will be affected.
But parents, doctors, teachers, therapists and scientists in one little more than the use of the term for a set of abnormalities. Causes, diagnosis, therapy - nothing is without controversy. Besides the most common school of thought to represent all recognized experts always dissenting views. (See also our interview with Prof. Gerhard Huether on the following pages.) Parents bring all little, except perhaps a bad conscience. They cared
too little or not at the correct Junior, had not brought up the junior or simply would give him drugs just so they could demonstrate a low-maintenance child, consistent judgments of outsiders.
increase the number of small patients who presented in medical practices due to concentration problems, cognitive impairment, impulsivity, restlessness or alleged notorious belligerence be.
But no one knows if this is not only to increased awareness by parents or teachers due. Above all guys do when combined with hyperactivity (ADHD) on the attention. The variant of Traumsuse, which is never with her thoughts on the matter concerned, particularly girls.
Because they are not as demanding in their environment, their ADS problem remains frequently undetected and untreated. In any case, the balancing act is not easy: What is an ADHD child is different from a lively, creative offspring or an ADS case of a quiet, unhurried child
Complex diagnosis - the doctor? as a detective
"The diagnosis is difficult," says graduate medical Ralf-Peter Roeder, Coburg on the social pediatric center (SPC) treated ADHD children. For typical symptoms such as concentration and attention problems, restlessness and impulsive behavior may be due to other causes. Like a detective, the doctor gathers information and therefore put them together like a puzzle to a picture. Often the young patients, for example, already strained in infancy as children scream or "difficult eater" their parents. And in infancy is usually interpreted to have first interesting not the little ones can play concentration or show fear of possible Dangers. In kindergarten and at school they make themselves as unpopular bully to act more quickly than they think.
If the teacher or the teacher, the parents in the difficult access to the child indicates, feel they quickly put in the pillory. They can also be difficult to assess whether the educational professionals have the welfare of this child, or rather their own stress-free working environment in mind. Finally, they bear responsibility for their other charges, who are to play or learn undisturbed. Parents should also be active and can create a professional diagnosis, if ...
- parents and children are suffering from the situation
- to show the symptoms
for more than six months - have begun schonvor the difficulties of the child the age of six,
- the child not only at home or only in kindergarten has problems, but everywhere.
first contact may be the pediatrician, who will transfer as a social-pediatric or child psychiatric center or to an expert in private practice. Helpful for diagnosis in addition to their own experiences are also reviews by kindergarten teachers or teachers.
The self-esteem from building: you do everything right and everything always goes wrong
Children and Young Doctors Ralf-Peter Roeder of Coburg SPZ know of the suffering of the families. The children feel that they offend, despite all the goodwill and much effort and not so everywhere, as their environment thinks that they should be. Because nothing works out, they are rarely praised but often admonished and punished. The result: the basement and must be taken with much positive feedback and praise in the therapy and home back up. Many children with ADHD also show disturbances in social behavior and suffer from reading, spelling and numeracy challenges. Anxiety disorders or depression occur mainly in ADD children without hyperactivity.
suffers the young and the parents too: They are no longer clear with their children. They doubt themselves and their parenting skills, have feelings of guilt for having done something wrong. At the same time they feel the young hard as rebellious, disobedient and constantly, without hours or days of relaxation.
need help then all: mothers and fathers in parent training to learn to see the positive and endearing side of her offspring and to understand that he is with his behavior is as unhappy as she. "Parents understand then that the normal is for her child a tough piece of work," said Ralf-Peter Roeder. They practice in training a parenting style that offers support and guidance to the young. How to deal with these children belong there but also not to expect too much - neither of himself nor the young, the expert said the Coburg SPZ. . Give the family without conflicts, it does not, either with or without ADD child
Who is to blame: genes, upbringing, environment?
about the causes of the disorder argues the experts. According to popular belief, the brain metabolism of the person concerned is impaired. Twin studies also show that the predisposition may be inherited. About a quarter of children with ADHD also has an affected parent, and more than half of parents with ADHD an affected child. Agreement among physicians and biologists, however, that ADHD is not caused by the malfunction of a single gene. The parents remain in the duty: "The brain is developing rapidly. Play the education, the suggestions by the environment, for example, the flood of Stimuli, a major role, as becomes evident predisposition, "says graduate medical Ralf-Peter Roeder.
What does that mean for treatment? Here's a particularly violent religious war is raging in the drug therapy with the drug methylphenidate, which was mainly as Ritalin, known to the public. to do only a few therapists, psychiatrists and doctors, day after day with the little fidget have opposed it out of hand.
keep Like Ralf-Peter Roeder them the drug is essential if a child does not otherwise comes to rest. General Chemistry without therapy. " In addition to swallowing tablets are for example for the little ones or behavioral training exercises focus on the program.
why parents give their children Ritalin and keep this for themselves
parents are reluctant to commit themselves publicly Ritalingabe. You have to fend off vehement hostility to immobilize her child with drugs, so that it "belongs to" adapt and inconspicuous. The affected families are, however, the positive effects: the young can concentrate better in school and comes with better. The children no longer feel like an outsider, leisure activities with friends are fun, family life gives way to the constant voltage.
However: The drug does not cure, but relieves the symptoms. It affects about 80 percent and must often be taken for years. Undesirable side effects are to be accepted. Some children also feel alienated from itself. There is also the feeling: "I'm not quite right in the head and has to take something that I may be normal."
The many question marks about the attention deficit disorder still much room for alternative explanations and treatments mean. Many parents try by "Special micronutrients, no phosphates, no white sugar, special algae. Scientific evidence is lacking. Even the ever suspected food additives as a trigger could not have a debt to be assigned.
Some children can be helped by homeopathy, as a study showed, in cooperation with the University of Bern. The classical homeopath Martina Andrich has occasionally ADHD children in the practice, which they can help. If it has informed in detail about the history and symptoms, it selects the suitable individual agents. Thus, the behavior of violent youth is significantly improved. And at a very fidgety child she saw on your next visit to the already relaxing facial features of the mother, that the homeopathic substance has brought success.
help in everyday family life
Children with ADHD can not control their behavior and regulate adequately. You need "stable relationships", which give them support:
- Provide clear structures in the daily routine.
- Speak directly to your child. His attention must first be "fetched" to be. Tell him clearly as possible what you expect of him.
- Set clear rules and check for compliance.
- , set limits, but they tolerate occasional slip-up.
- you praise a lot.
- Involve your child in many everyday work, even if not everything works right away.
- Trust your child small tasks to which it can handle by itself.
- Provide plenty of exercise and opportunities to let off steam, preferably in the fresh air.
- Provide opportunity to relax and dream. Activate as many stimuli as possible. Not always have to tootle on the radio.
