Simple Tips for Managing Your Child’s ADHD

One year ago, my oldest son was diagnosed with ADD. The original diagnosis didn’t include the “H” (hyperactive) part–which was mainly based on our therapists’ experience with kids who were super-hyperactive. But, of course, there is a spectrum for these things and it’s my personal opinion that my son does have the “H” part.

Anyway, at this time, we are not medicating him. I’m not against medication, per se. There may come a time when it’s necessary and/or beneficial. But for right now, I just want to make sure we are doing everything in our power to support and manage his ADHD before we turn to medication.

Here’s how we’re doing it:

  1. Daily exercise: every morning before school, I send him outside. Sometimes he shoots hoops, sometimes he rides his bike around the block. Even if it’s super early–I’ve discovered that his brain is much more settled if he gets physical exercise first thing in the morning. Additionally, before his piano lesson, I make him run around the block two or three times. This helps him expend all that pent up energy before settling down to focus on piano.
  2. High-intensity sport: We tried baseball for a few years and it was just too slow moving. He got bored, frustrated and tuned out. We recently enrolled him in Lacrosse which is a fast moving, high-impact, high-intensity sport and he loves it. Right now he plays Lacrosse twice a week with a team and he also plays it in our neighborhood with friends. I’m also thinking about putting him in swimming during the summer. I’ve heard that ADHD kids do well in individual sports like swimming.
  3. To-Do Lists: Every day when he gets home from school, I have a short to-do list ready for him. It’s no more than five items–any more than that and he’ll get overwhelmed. I’ve discovered if I can direct his energy, he is able to accomplish quite a bit of work. He is an expert dishwasher loader, floor sweeper and trash emptier! A to-do list keeps him on track and he also takes special pride in crossing off his list.
  4. Use a timer: I use a timer for everything. My son has a tendency to hyper-focus. He easily loses track of time. A timer keeps him accountable. He likes setting the timer himself: it gives him a sense of control over something that seems interminable, ie. piano practice. Sometimes I’ll even pack a timer in his pocket when he goes outdoors to play or else he’ll totally forget when to come home.
  5. Forego lunch pails: After purchasing countless lunch pails only to have him forget them at school and lose them, I simply pack his lunch in a ziploc bag or recycled grocery bag. That way, if he loses it, it’s not big deal. I also only buy cheap jackets and sweatshirts because chances are, he’ll lose those, too.
  6. Don’t take it personally: ADHD kids often live in their own worlds–and what beautiful, imaginative, creative worlds they are! However, sometimes people misunderstand ADHD people and think they are being neglectful or intentionally forgetful. I’ve discovered that no amount of nagging or reminding is going to help my son remember his lunch or come home at the right time. Instead of getting frustrated or upset, it’s more efficient to build systems and protocol. I imagine these as systems as lane dividers that help keep my son’s car from wandering into opposing lanes of traffic.

Living with someone who has ADHD can be challenging. But I have disciplined myself to truly love and embrace the unique qualities of my smart, ADHD kid. The way he thinks and the ideas he comes up with are startling and brilliant. I can’t imagine him any other way. I love him just the way he is! In fact, I feel blessed to have my ADHD boy!

This entry was posted in ADD. Bookmark the permalink.
  • Kathy K.

    I have two ADHD boys, now men, and I love them too. They are so smart, creative, loyal and funny. You are doing a great job! Bless you.

  • http://nowealthbutlife.com Rae

    Great tips! I especially like the last one. It hurts kids so much when their parents make everything a personal relationship issue rather than just taking care of the situation to prevent problems in the first place.

  • http://stmonicasbridge.wordpress.com Kristen @ St Monica’s Bridge

    That is awesome Elizabeth, it’s simple, straightforward and you are making a difference. And thank you for pointing out that you are not anti-medication. I know people who want to refuse medication because they feel it is saying something is “wrong” with their child, whereas you are using his strengths and keeping him accountable.

    • http://www.elizabethesther.com elizabeth

      I have been in the anti-medication camp and I don’t like it. The reality is, the medication can make a big difference for lots of people. I’m not willing to rule it out entirely–especially if I see that my son is struggling with self-confidence and frustration; ie. he’s trying his best and STILL not making progress. make sense? :)

      • KP

        Yes, thank you for this! My brother has ADD and his medication is a tool that helps him stay focused and function as a human being. There simply aren’t tips and tricks that work for him without being paired with medication (he tried).

        He’s in his twenties now, working on finishing his bachelor’s degree, holding down a full-time job, and generally thriving – but without the meds, life would look very different for him.

  • http://inthesheepfold.blogspot.com Kelly@inthesheepfold

    We deal with ADHD as well. These are useful, practical pointers. We have learned our lesson with lost items. We use brown bags for lunch. Most clothing that tends to get lost (jackets and sweatshirts) we buy at consignment shops.

    Not worth straining a relationship over a $75 North Face jacket! You can teach responsibility without putting a bundle of money on the line.

    • http://www.elizabethesther.com elizabeth

      SO TRUE! I learned this the hard way when I bought him an expensive Hurley jacket for Christmas one year. He lost it very soon after. He was upset and so was I. It’s not worth the strained relationship.

  • KatR

    I’m curious how you decide when to chalk something up to ADHD, and when to hold him accountable when he forgets things (and “hold him accountable” sounds harsher than I mean it to, but I can’t think of a better way to phrase it). For example, if he forgets to bring his lunch or his homework to school, would you bring it to him?

    • http://www.elizabethesther.com elizabeth

      Great question! I take it case-by-case. My son forgets his lunch at home about 1x/week. He also forgets homework at home 1-2x/week. I used to run it to him, I don’t anymore. I know that sounds harsh. I did it when he was younger. But now that he’s in 4th grade, I’ve told him that he is responsible for this. I can do the small management things, but ultimately, real life demands that he figure out a system that works for him. If it were a Big Deal Project–I might take his work to school. But I don’t want him to become dependent on my helping him with everything. He is fine eating after school when he forgets his lunch. And it also acts as a good real-life reminder to check his backpack before he leaves for school each day! :)

      • KatR

        Actually, it doesn’t sound harsh. As he gets older it makes sense that he would have to figure out his own “lane dividers”.

        • http://www.elizabethesther.com elizabeth

          Yes. At some point the training wheels have to come off and he has to figure out how to ride the bike on his own. I think it’s also a matter of expectations. If I know he has done his best and put in as much effort as he can, then I’m not going to brow beat him for forgetting to bring a xeroxed worksheet back to school! :) For me, the integrity of his character and his morally appropriate behavior are more important.

          Three cheers for lane dividers!

      • Anonymous

        Any advice for a grown-up whose mom DID run him his homework every day he forgot, even into the college years? Does anyone have experience in guidelines for adults such that you aren’t micro-managing them or breathing down their necks or anything? I was reading your list, laughing, picturing asking my husband to do some of these things, but they really seem like great ideas!

  • Steph

    Sounds like you’re a great mom!

  • Smoochagator

    Elizabeth, you are my HERO! As an adult woman with ADD and the sister of an ADHD boy (well, he’s 26 now, but he was diagnosed as a boy) I have to say that this list is some of the best advice a mom could give another mom about “managing” ADHD.

    • http://www.elizabethesther.com elizabeth

      Thank you. I have to be honest and admit that for much of his very young years I was constantly frustrated and nagged him perpetually. But now I know better so I try to do better. :)

  • http://simply-rea.blogspot.com Rea

    Excellent tips. My son has Asperger Syndrome, which shares some commonalities with ADHD so I’m interested in seeing how some of these might be applied to his needs specifically. But mostly it all boils down to the last paragraph…loving and embracing their unique qualities. Some days that is harder to do than others. Some days I just wish for him to be ‘normal’. But when I think about what that means I wonder “What qualities would I give up?” And I can’t imagine him without all of the little quirks and twists that make him who he is, because in the end THAT is the child who I love.

    • http://www.elizabethesther.com elizabeth

      I figure I’m probably the only person in his life who will love him unconditionally. If he doesn’t have that love from me, where will he find it? So, yes, I embrace him..as he is. But I also try to help him learn skills that are more difficult for him to master—because later in life I won’t be there to help him! :)

  • http://www.amberpeace.com Amber-Lee

    I have ADHD and wasn’t diagnosed until I was 24. Do you know how frustrating it was to losing things/forget things constantly growing up and my parents respond with “well, if it was important to you, you wouldn’t ” There were other things, too that I look back and see were ADHD issues, but they weren’t addressed.
    Oh, as for having someone who will love him unconditionally, I would say my husband has done a WONDERFUL job of loving me despite all the DSM numbers that are on me. So if he decides to marry one day, don’t let him settle for someone who doesn’t accept his quirks, too!

    • Anonymous

      Do you have tips for how you manage this as an adult?

      • http://www.amberpeace.com amber lee

        Honestly, the tips Elizabeth put here help as an adult, except it is for you. Everything goes on my calander. I exercise. I don’t do this enouch, but watch your sugar and caffiene intake.

    • Tammy

      I had a good friend in our last city who was a mom with ADHD…she was slim and blond and did an endearing job of flitting from one task to another tending her family …one day I said to her “you arent a mom with ADHD, you are Tinkerbell spreading pixiedust across your world” :0)

  • Debbie

    This is great stuff. My oldest is 5 and about to enter kindergarten. While he’s too young for a diagnosis I do suspect he struggles with some form of ADD. I thought it was just normal age-appropriate behavior until I started seeing the major differences between his behavior and his younger brother’s. We’re already starting to implement timers with pretty good success, I think we’re going to start using some of the other ideas you share here, especially as school starts in the fall. I’m wondering if labels on easily lost items help much. Our school for next year recommends using them but that is an expense in itself, especially if they don’t work well.

  • http://thewinedarksea.com/weblog.php Melanie B

    These are all great. My mom, sister and brother are all ADD and my eldest is looking like she might be. Like Debbie above, I thought it was just normal age-appropriate behavior until I started seeing the major differences between her behavior and her younger sister’s. I’m working on finding ways to help her cope.

    Any hints on issues like spacing out while she’s getting dressed/ fastening her car seat buckles, etc. ? I hate nagging her but she really has a hard time getting things done in a timely manner and sometimes we are in a hurry and I find myself yelling.

  • Cara

    Sounds like a good list. Aout the sports, you might try martial arts for your son if you are looking for an individual sport. I used to teach tae kwon do to little kids and had several ADHD kids in my class. I saw amazing growth from them. I think the emphasis on discipline, instant activity, and individual aspect of it helped. Anyway, just a thought.

  • http://godfamilybaseball.blogspot.com Sandy C.

    I have a 23 year old son who was diagnosed as ADHD at age 7 and placed on medication for one year. He didn’t do well on meds and we tried other things similar to what you are doing. Swimming was great for him and we met several other ADHD kids who benefited from swimming. I remember a bag tag one of the kids had which said, “chlorine is my ritalin.”

    So glad you have found things that are working.

  • Christopher Bennett

    Elizabeth:
    All of your aforementioned points are good ones. I would, however, suggest you pick up a copy of “Scattered: How Attention Disorder Originates and What You Can Do About It” by Gabor Mate, MD. I am a psychiatric nurse practitioner and one of my specialties is the treatment of ADHD (in adults). I also have ADHD and suffered from it all of my life. There is nothing I have learned from coursework or conferences or MY OWN extensive clinical experience that compares to this text. Suddenly, after reading this text, my own life was explained to me. And I realized just how many patients that I could have done so much for had I read this book. You would do yourself AND your child a great service to read this text, even if, in the end, you only agree with 50% of it.

    Not that you are asking my opinions, but from my own life and of that of my patients, let me suggest the following: there is no easy answer regarding medication. What I can tell you is that as the academic work requires more executive functioning the less he will be able to cope. The higher his IQ the greater his ability to cope without medication. But as I mention in the following, even high IQ doesn’t protect you from the ravages of the disease.

    These are the pitfalls. I have $40,000 in debt from a graduate program at Vanderbilt that I failed out of due my inadequately treated ADHD and my own lack of maturity in taking my own deficits seriously (I have since completed a program elsewhere and am doing well with my life). My favorite supervising physician, who is a board certified addictionologist and physiatrist and an attorney (an MD/JD), also has ADHD. She is in her 50′s and has only been diagnosed fairly recently in her life. Two failed marriages and dozen of lost jobs, in addition to a strong possibility of losing her medical license due to some impulse control issues she had in her recent job — this is the pain that has lain in the wake of her own untreated ADHD. For my own sake, once I failed out of Vanderbilt, I accepted the unfortunate fact that I had to be medicated and my life has been good henceforth.

    This beast is serious business and can wreck your life. I’m currently paying out the teeth for my own mistakes. However, not everyone needs medication. Medication is not the panacea for a very complex neurodevelopmental disorder. But, at least according to empirical science of the matter, the overwhelming majority of children and adults with the disorder require medication for at least a significant portion of their lives. That is, of course, if they do in fact really have ADHD.

    If he starts to develop significant behavior problems (which happens in approximately 35-50% of children with ADHD), march yourself promptly in the office of a therapist who is certified in applied behavior analysis. You will save yourself a lot of agony. It would have saved my parents a lot of agony, and would have saved me a lot of failures in life.

    Anyway, the text — it will tell you most everything that is supported in the literature that is helpful for ADHD short of medication. It’s phenomenal. Gabor Mate presents the most comprehensive theory of ADHD out there. I would also check out the work of the great legends in the ADHD literature such as Daniel Amen and Hallowell and Ratey (“Answers To Distraction”).

    Christopher Bennett, MSN, PMHNP-BC, CARN-AP

  • http://delight-designs.com Char

    Thanks for this post! My son is 9, and has been on meds for about a year. My husband and I were both anti-medication initially, but the more he struggled, the harder we had to think about our position. It was a good decision for him and for us. I am more and more impressed all the tiem with his abilities to cope in tough situations, and I’m so proud of him – he has to overcome so much just to do the “normal” things in life. I am hoping to get him started with swimming this year too.

    Thanks again for sharing what has worked for you. I need to read #6 over and over again…

  • Tammy

    My husband had a chum in college who had ADHD, smart fellow…lacrosse was his saving grace in terms of burning off energy. He ended up a nationally ranked player and got into the Naval Academy & had a successful career and a lovely family. He talks fast and his quirkiness was so engaging …he could sell ice to eskimos.

  • Crissy

    I love this!!! I am a Public School Special Ed. Teacher and we do a lot of these things in our classroom. I really wish more parents would take the initiative to work with their ADD/ADHD children in ways that promote tolerance and acceptance of their differences instead of always butting heads with them.

  • http://www.geekforhim.com Matthew Snider

    As that kid in high school and now the adult at age 34 – you are DEAD on.

    Easy simple steps can make a world of difference.

  • http://www.brownieblogging.blogspot.com Brownie

    Hi – this is my first time on your blog. I was looking for a a sort of “kindred spirit” blog with someone who has an ADHD son and goes to public school. My little boy IS the super hyper in ADHD and we have managed him as well as we can with about anything we can think of (okay – I haven’t gone the extreme of the Fiengold diet). He was in preschool last year and in Kindergarten this year. He has a 1-1 all day long to prevent him from running from the room – not running to something, or away from something, just running. He has a mental health practitioner with him to help him learn appropriate behaviors.

    He is an incredibly happy boy but he was not learning in school. We started medication 2 months ago. When we finally made that decision I said to his mh staff “but meds was supposed to be the last resort!” She very gently said ” Brownie, you’re there.”

    I have to say that the medication has been wonderful for him. We didn’t give him meds to make it easier for his teacher or the rest of the staff – we started it for him.

    It was also hard for me because I’m coming out of the homeschool camp – having homeschooled my daughter for 9 years. When it was time for Red to start school my husband said absolutely not to homeschooling. I am glad that my husband was firm on this. It has been good for him.

    Also all of my friends and the majority of my blogger “friends” are homeschoolers. There is just a different mode of thinking there – not bad – but not what I need right now.

    Sorry I rambled :)

    I do blog about my son – he is such a joy to me, but he keeps me BUSY!

  • Julia

    My son is almost 7 and diagnosed ADHD and ODD. We recently started medication, which was a very difficult decision, but it is helping. I am constantly wanting to help him find a physical outlet, but my son doesn’t want to “do” anything. We’ve tried soccer, karate, baseball, and football. He enjoys swimming but is not very good at it yet. He has a hard time excelling at sports even riding his bike, and therefore wants to give up. I am sure his ODD plays a part as well. We always make him stay in for the duration of the season, but any ideas on how to help him find his knitch? Something that can burn his energy that he actually might look forward to?

  • http://www.kellyasummers.blogspot.com kelly summers

    Your last point was like a jab to my heart. My husband, though never diagnosed, says he has ADHD. I do believe him, but I rarely think about what that means for the way he functions and acts. I find myself so hurt by the way he just forgets or doesn’t listen to what I say. Of course, he tries. He loves me and wants to engage, he just has a lot of other things going on in his head. It’s frustrating, but it’s interesting to see what may be going on in his head. Thank you for this post. I have a feeling our future children will probably be a lot like their dad :)