Constance J. Fournier

 Attention Deficit Hyperactivity Disorder (ADHD) and types of ADHD  Basic interventions with ADHD  ADHD and the typical comorbidity

Inattentive symptoms  Often fails to give close attention to details, or makes careless mistakes  Difficulty sustaining attention in tasks or play (rule governed behavior)  Does not seem to listen when spoken to directly

 Inattentive symptoms continued  Does not follow through on instructions, fails to finish tasks (not due to oppositional behavior or inability to understand)  Difficulty organizing tasks or activities  Avoid, dislikes, reluctant to engage in mental effort tasks  Often loses necessary things

 Inattention symptoms continued  Often distracted by extraneous stimuli  Often forgetful in daily activities

 Hyperactivity symptoms  Fidgets with hands, feet, squirms in seat  Leaves seat when remaining seated is expected  Runs or climbs excessively; adolescents report restlessness  On the go, driven by a motor  Talks excessively

 Impulsivity symptoms  Blurts out answers before the question is completed  Difficult awaiting turn  Interrupts or intrudes on others (butting into conversations or games)

 Inattentive type  Hyperactive-Impulsive type  Combined type  Helps to put on the tri Venn diagram  Diagnosed before age 7

 Inattentive/impulsive  Hyperactive  Combined  Not otherwise specified

 Precorrections  Two desks  Supply paper and pencils  Direct questions specifically to the child(say two questions)  Allow to give hints

 Developing rapport with students  Announce that this is special time  Only rules—do something together, no hurting self, others, or objects  Let student pick activity  Do a running commentary on the actions  Do not correct behavior unless it is hurting self, others, or object

 Three people in a group, one is the counselor, one is the observer, and one is the child.  Observer: give feedback of what the counselor did well, and what they might do better  Game 1: Marcus  Game 2: Courtney

 Needs to be safe  Needs to be predictable  Helpful to most children because across the table eye to eye is very uncomfortable  Sit beside or at angle, not directly across if at all possible

 pattern of negative, hostile, defiant behavior  often loses temper  argues with adults  refuses or defies adults’ requests  deliberately annoys others  blames others for own mistakes  touchy and easily annoyed by others  angry and resentful  spiteful, vindictive

 aggression toward people and animals  bullies, threatens, intimidates  initiates fights  used a weapon that can cause serious harm  cruel to people  cruel to animals  stolen while confronting victim  forced sexual activity

 destruction of property, e.g. fire setting deceitfulness or theft, e.g., breaking into a house  serious rule violation, e.g. truancy  other considerations  Impairs social, academic, occupational functioning  not other disorders

 Only after age 18  Pattern of disregard for and violation of rights  failure to conform to society norms  deceitfulness  impulsivity, failure to plan ahead  irribility, aggressiveness  disregard for safety of self or others  consistent irresponsibility  lack of remorse

 Emotional callousness is being considered for ODD and ASP  Inability to take others’ perspective  Disregard for feelings or pain caused to others  Actions for self

 Parent training (Barkeley Program for Parents)  Supportive environment  Structure  Predictability  Contracting

 Precorrections  Giving choices  Giving hints  Using self monitoring

 3. Top: positive  2. Middle: feedback with “I” messages  1. Bottom: positive

 Case 1: Your colleague starts talking about students when you are out for coffee. You like him/her, but know this is a small world.  Case 2: You are at an IEP meeting, and a teacher who needs to participate is distracting him/her self and you by constantly texting under the table. He/she is a very good teacher.

  Children and adults with Attention Deficit Disorders   Combined resources   National Association of School Psychologists   Department of Education

  National information center for children and youth with disabilities   American Academy of Pediatrics   American Psychological Association   American Academy of Child and Adolescent Psychiatry