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ZaccheoTM is a trademark protected copywrite ADHD Co-existing Problems Interventions P resented b y: D ianne Z accheo MSW FTC M edical F amily T herapy.

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Presentation on theme: "ZaccheoTM is a trademark protected copywrite ADHD Co-existing Problems Interventions P resented b y: D ianne Z accheo MSW FTC M edical F amily T herapy."— Presentation transcript:

1 ZaccheoTM is a trademark protected copywrite ADHD Co-existing Problems Interventions P resented b y: D ianne Z accheo MSW FTC M edical F amily T herapy C onsultant The Coaching Centre, London England

2 ZaccheoTM is a trademark protected copywrite This Presentation Will Explain ADHD Characteristics Comorbidity & Related Problems Children with ADHD Experiences Academic underachievement & failure What is Best Treatment The Zaccheo Coach model A Call for Increased Recognition

3 ZaccheoTM is a trademark protected copywrite What is ADHD? A Neurobiological Disorder Brain Regions and Genetic Factors Twin Studies: highly genetic in twins Cardinal Symptoms: Inability to Sustain Attention Distractibility Hyperactivity Three Sub-Types DSM-IV vs. ICD-10

4 ZaccheoTM is a trademark protected copywrite Historical Overview Dr George F Still, British Paediatrician, Original Quotes Lancet, 1902: A persistence in a degree unusual not corresponding to environment Abnormal incapacity for sustained attention, parents & teachers notice these children are a danger to self & others Below average degree of moral control Call for active recognition

5 ZaccheoTM is a trademark protected copywrite Research Findings Research confirms Studies show the rate of brain utilising glucose is lower in ADHD Significant evidence of brain regions: Prefrontal cortex which regulates attention, distraction leading towards ‘self regulation’ B. Developmental delays up to 3 years, Dr Shaw Chicago Exercise and its enormous benefits Newer medications to fine tune effects non stimulant types The uses of Coaching approaches Boy to girl ratio increasing ‘4 to 1’

6 ZaccheoTM is a trademark protected copywrite DSM-IV ADHD & Subtypes Innattentive Type Hyperactive Impulsive Type Combined Type ADD highlighted by daydreaming forgetful under activity difficulty sustained effort ADHD highlighted by over-activity racing Impulsivity, excessive behaviours fidgety Combined Type both inattentive & hyperactive impulsive usually adolescents

7 ZaccheoTM is a trademark protected copywrite Children, Adolescents & Adults with ADHD Have Problems: Hyperactivity, Inattention, Impulsiveness Trouble sustaining mental efforts Poor working memory forgetfulness Internal motivation goal directed self-talk Organisation losing things Making & prioritising decisions Readiness towards responsibility Remaining on task Communication and articulation skills Social interaction skills

8 ZaccheoTM is a trademark protected copywrite Comorbidity: Co-Existing & Related Disorders Self development, Behaviour, Education, Social, Family & Community Low Self Esteem & Low Self Worth Faulty distorted self perception Oppositional Defiant Disorder/Conduct Disorder Tourette’s, Autistic Spectrum & Asperger’s Language & Communication disorders Development Delay Social and relationship problems Academic under performance and achievement Depression, Anxiety, OCD, Substance Abuse, Self Harming, Eating Disorders, Suicidal Criminality, Gambling

9 ZaccheoTM is a trademark protected copywrite Adolescents with ADHD at Risk ADHD Poor achievement Academic Failure Motor problems Dyspraxia ASD Aspergers Emotional Maturity Intelligence ODD Conduct Disorders

10 ZaccheoTM is a trademark protected copywrite AN IMPARED SENSE OF TIME Has no 'sense of time' Does not get ready on time Does not plan for future Does not estimate time correctly Crises may be frequent This affects Planning Prioritizing Scheduling Following a Plan

11 ZaccheoTM is a trademark protected copywrite We Know what ADHD is…… Hey Stupi d We just don’t agree about what to do about it… Treatments? Punishments? Parent-Child Strategies Psychotherapy Ritalin???? Vitamins God Help us ! Pray

12 ZaccheoTM is a trademark protected copywrite Statistics Long term studies over 30 Years % of Children with ADHD developed Conduct Disorder & Oppositional Defiant Disorders Links between aggression in Boys to skill deficits especially Executive Functions: poor planning,  abstract reasoning, problem solving, attention span,  concentration, inability to delay gratification,  controlling short term behaviour to achieve long term goals

13 ZaccheoTM is a trademark protected copywrite Statistics % of Adolescents with ADHD will exhibit pervasive conduct problems into adulthood % Adolescents with ADHD show significantly higher arrest rates Conduct Disorder increases risk of criminality 55% 35 % of Children with ADHD leave school with no qualifications

14 ZaccheoTM is a trademark protected copywrite Statistics taken from Prison Untreated ADHD and Co-existing Problem? Prisoners: Personality disorders & reading disorders cause problems of great magnitude 56% found positive for ADHD scores 48% exhibit neurological impairment 62.% Positive for Dyslexia ADHD & Conduct Disorder highly associated with Driving Offences

15 ZaccheoTM is a trademark protected copywrite What Evaluations can be done Medical Diagnosis & Testing Medication for Symptom Relief Psychological & Mental health for Comorbidity Intellectual Assessment Academic assessment, interventions & support IEP Speech and Language Assessment Learning Disorders Assessment Neurological Assessment 12 to 37 % may have: Chromosome abnormalities, thyroid Neurofibromatosis, other neurological disorders

16 ZaccheoTM is a trademark protected copywrite What works Best? Treatments & Interventions Gain as much information as possible Learn about individual ‘uniqueness’ Be Consistent, patient & flexible Structure environments at home & school Teach appropriate behaviour Prompt and Reward appropriate behaviour Academic support

17 ZaccheoTM is a trademark protected copywrite Interventions and Treatments Interventions for Home Environment Skill Building for Developmental Delays Self Esteem building Coaching (versus Traditional Therapy) Exercise, Relaxation Techniques Social Skills Training Art & Music Therapy, Support Groups Equine & animal therapy Neurofeedback

18 ZaccheoTM is a trademark protected copywrite Forms of Therapeutic Help Direct planning & instructions Role modelling situations Role play Positive reinforcement Therapist and Coach giving feedback Peer feedback Peer interaction Conversational, social, emotional skills training Frequent Coaching and maintenance

19 ZaccheoTM is a trademark protected copywrite Family Management Parents learning about ADHD Child management strategies Parental ADHD Under Control Juggling ADHD & Sibling Issues Parent Teacher Child Relations Parent Advocacy Programmes ADHD Support Groups Consensus & Continuing Education

20 ZaccheoTM is a trademark protected copywrite Designing Interventions Knowledge Trust & Respect Clear Rules & Routines Structure & Boundaries Fair but Firm ADHD is an explanation not an excuse Accept Differences & Uniqueness Learn About Medication Protection From Risk factors & Potential Threats Consistency, Reliability, Responsibility Reframing ADHD builds hopes & bridges

21 ZaccheoTM is a trademark protected copywrite Multi-Disciplinary Team Approach Reaching Consensus in Service delivery Education for professionals Advocacy for children & families Appropriate Courses and Skill Building Community Outreach Local Support Groups Self education for sufferers

22 ZaccheoTM is a trademark protected copywrite Is it ADHD, ASD, Aspergers, HFA, Depression, ODD, CD, OCD, PDD, LD, MR, RAD, Gifted, ??? Statistics 70% will have 2 nd or 3 rd disorder Assessments must be multi-disciplinary Intellectual, psychological, language, social, behavioural, overshadowing symptoms There are more than 10 possible co-existing conditions to test for

23 ZaccheoTM is a trademark protected copywrite How to make comparisons Make complete lists of all behaviours Check off the similarities to other disorders Understand stages of childhood development Seek out Specialists Doctors, Psychologists, etc. ren_and_teens.htm ren_and_teens.htm n_children.htm n_children.htm m m

24 ZaccheoTM is a trademark protected copywrite Compared to ADHD Problems in Communication Here follows a list for Aspergers Syndrome: Monopolises discussion Of topic with own agenda Unable to read non-verbal cues Monotone Advanced vocabulary Limited facial gestures And facial expressions Trouble joining in with conversations Bland emotional expressions Limited range of topics

25 ZaccheoTM is a trademark protected copywrite AS Problems with Play & Social Friendship Little Imaginative play Poor cooperative play Dominates play Insists other play same Way as them Trouble with play group Invades personal space Plays along side not w-peers Uses playmates as objects Difficulty sharing things Poor sportsmanship Wants complete control over whatever is happening Poor eye contact Little interest in others Lacks empathy Egocentric bubble May prefer to be alone Fails to compliment peers, friends, others Cannot function in groups Lacks social sense Unable to read social cues/ feedback Better w-younger peers Better with adults Emotionally detached Lacks reciprocity in relationships

26 ZaccheoTM is a trademark protected copywrite AS Social Skill Deficits Repetitive organising of toys Does not repair conflicts May prefer to play alone Does not accept views others Limited pretend or thematic play Cannot tolerate criticism Lacks flexibility in play Does not initiate contact Ritualistic forms of play Does not express joy easily Rigidity in rules /everything Limited shared enjoyment Limited play interests Accepting suggestions 4 play Accepting others mistakes Apologising Voice volume may be loud Accepting losing at games

27 ZaccheoTM is a trademark protected copywrite Tips to help you calm upset Remain calm regardless of how out of control Prompt to use cool down methods- breathing Intervene before the upset know the patterns Attempt to redirect with pleasurable tasks Praise attempts at cooling down/successfully Find persons he/she can talk to when upset Provide safe calm spaces to go when upset Stay out of power struggles Be a soothing presence Reduce your language lower the tone of your voice Find the root of the problem No demands except for safety Don’t try to talk during full blown upset Use a problem wheel to look at what patterns exist

28 ZaccheoTM is a trademark protected copywrite 123 Problem Wheel shows what the pattern is Every pattern has a trigger When same repeats Same happens There is a point of no return There is manipulation There are habits that drive Behaviours wanted or other There is a pay-off Honeymoon time

29 ZaccheoTM is a trademark protected copywrite A Call For Urgent Recognition Uniformity among all professionals Awareness & Education re: ADHD Early Recognition of children in Schools Parents Training Programmes Awareness in the community Police, Dept SS all Service Delivery Appropriate Provisions in Health Care Mental Health Care Doctors Police, Prisons,


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