Is it Really ADHD or Just Too Much Pressure?

September 15, 2008

I’ve always contented that we, as a society, are too quick to label our kids with Attention Deficit/Hyperactivity Disorder, pump them full of meds and forget about the issue.  I’ve read two articles recently that support my theory.

I’m not saying that ADHD doesn’t really exist or that there are indeed extreme cases in which medications are needed to moderate behavior.

However, I feel that society finds it easier to tack on the ADHD label than to work on a development issue.

The MSNBC.com article “Who is to blame for boys struggling at school?” talks about how boys are more often targeted for ADHD.

“According to the Centers for Disease Control, in 2003, 14 percent of boys across the nation were identified as having ADHD by the time they reached their sixteenth birthday. And the percentage is continuing to grow.”

It went on further to add.

“Either we are witnessing the largest pandemic in our country since influenza struck in the United States in 1918, or school-age boys are being overidentified and overdiagnosed.”

But if you read the article, the offending behaviors are just typical boy behavior.  C’mon we all did that kind of stuff as a kid.  But because it disrupts the classroom, it must be a medical issue.

Let’s look at why it’s disrupting the classroom.  What are we asking our kids to do in the classroom these days?  The list is getting bigger and bigger by the day.

When I was a kid, kindergarten was more about learning how to behave in school.  We had play time and nap time and we might learn our letters, colors and numbers.

But these days, the pressure is on.  Preschool is now where kids learn the basics – and sometimes even more.  And by kindergarten they are already learning to read.  Some people are even holding their kids out of kindergarten until they are six so they know more going in.

School days are filled with a variety of work and little time to play.  Then the kids come home and have more work to do.  Some schools don’t even allow kids to talk during lunch to keep lunch time to a minimum and get the students back in the classroom.

Kids are kids, they have lots of energy. We must allow them some time to be a kid, to have fun, to goof off.

If they are in school all day and aren’t allowed to talk during lunch, when are they allowed to be themselves? If we don’t give them some time to express themselves and be a kid, they will make their own.

I think it’s unrealistic of a teacher to think (especially with the younger ones) kids are going to sit still and pay attention for 6-8 hours a day. Heck, I know most adults that can’t do that.

It doesn’t mean we should start medicating everyone.

The solution is two-part. Parents need to work with their children on appropriate behavior and offer them an alternative activity during non-school hours to exert some of that energy. Teachers must be willing to teach in a method most conducive to the child rather than what’s easiest for them.

The New York Times article “Training Young Brains to Behave” talks about why kids are so quick to move from one topic to another.  A short-attention span is natural.

“One reason is that an area of the brain that is critical to inhibiting urges, the prefrontal cortex, is still a work in progress.”

It’s not ADHD, it’s a development issue. .

“Some children’s brains adapt quickly, while others’ take time.”

The article goes on further to discuss how much this erratic behavior changed when teachers and parents took time to work with the child on self-control, memory and flexibility.

When this behavior is shaped “it is more strongly associated with school success than I.Q.” 

Imagine that – long-term results without any drugs and all it required was a little effort on the part of parents and teachers.

Finally, the study also said “Although play is often thought frivolous, it may be essential.”

I think as adults we often overlook this very key piece in children’s development. I know for myself, I have to do a mental check to make I’m not overscheduling my kids, that I’m allowing time for them to just play.

What do you think?  Is ADHD overdiagnosed?  Are we putting too much pressure on our youth to succeed?


The Anxiety of the First Day of School

September 10, 2008

My kids started school this week.  Okay, so it was just preschool and they only go for ½ a day two days a week, but for me it was still this big milestone in their lives.

The twins didn’t seem to give the idea of going to school to school a second thought.  But then they have been going to some type of class (gym, art or music) by themselves for more than a year.  And they even went to camp for three hours once a week this summer.

But even so, I got to thinking about the idea of the first day of school.  I remember it being a big point of anxiety for me, but maybe that’s because I grew up a military brat who changed schools quite a bit.  For me, the first day of school each year often meant a new school with new people.  And as a child I was extraordinarily shy.

While I never remember separation anxiety – could be why my kids showed no signs of it – I do remember having butterflies in my stomach and dreading the thought of entering a school where everyone already had their friends established.

But I made it through it.  And apparently my kids did too.  They are lucky in that they got to share this experience with each other.

I remember my first day of school.  I didn’t go to preschool.  My first day was for kindergarten and I had to ride the bus – a really big deal when you are smaller (and younger) than all the other “more experienced” school kids.

I remember standing at the bus stop with my mom waiting for the bus to arrive.  She was telling me how to remember my bus stop so that I could get off in the afternoon.  My bus stop was at the corner of a baseball field.  I was to look for the backstop to know when to get off the bus.

I don’t remember much about that day at school, but I remember the bus ride home.  I sat diligently at the window looking for that backstop.  The idea of missing my bus stop scared me silly.

Then I saw it – the backstop.  I didn’t expect it so soon.  But I got up and got off the bus.  The bus pulled away just as I realized my mom wasn’t there.  Now what do I do.

I’m five.  I’m not allowed to cross a street by myself and here I am at the wrong bus stop.  Who do I go to for help?

While I’m internalizing all this information, the bus has gone on to my correct bus stop a block away.  My mom realized I wasn’t on the bus and realized (I don’t know if another parent or some kids told her) that the previous bus stop also had a baseball field.  And before I know it my mom was there to meet me.

The next day, the parents tied some kind of ribbon to the backstop at my bus stop and I never got off at the wrong bus stop again.

It amazes me that after all these years (really, it hasn’t been that many), that that bus stop tidbit is what I remember about my first day at school.

It wasn’t what outfit I wore or who I met or – God forbid – what I learned that day that stood out.  It was the bus ride.

I wonder what my kids will remember about their first day.  They didn’t ride a bus so that can’t be it.  But I’d love to know what they remember 20 or 30 years from now.

What do you remember from your first day of school?


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