can adhd be treated with only behavior modification or does one still need meds
can adhd be treated with only behavior modification or does one still need meds
ABSOLUTELY!!! I have 2 boys that have ADHD and are not on meds. partly because one had a SEVERE reaction to Concerta.
I am a behavioral tech. and have been for 6yrs, so I made up a behavior plan for them (2 different ones actually, because you often will find that one will work for a while and then stop working.. the good news is, in my experience when I switched to a new one and then that one seemed to stop working, going back to the other one worked well.)
The 1st one I did was kinda complex and alot of work on our part ,but worked the BEST for our sons....
I printed out sheets of "play money" in $1, $5, $10, and $20 (you can usually find these on the net on educational site designed to teach about money. Some sites want to charge and then send you a package of play money, but their are many that you can just let you print them out and then you can always make copies as needed and keep an original for your own files. Try typing in free printable play money)
Then them all out into single bills.
I made three lists which I posted in their rooms and in the kitchen.
The 1st list was the "EARN" list...
This listed in very simple broke down details both simple tasks that you knoe they will almost always achieve ( brush teeth in the morn. , brush teeth at night, no hitting siblings that day, etc) You don't want to set them up for total failure all the time.Then you get to more and more troublesome tasks depending on the child. Each task has a dollar amount next to it SET IN STONE. And the more important or most problematic tasks (no outburts,no bad notes from school, no "bouncing off walls" etc) Whatever is the hardest thing you are dealing with at the time earns the biggest bucks!
Then comes the lose list...
Set up basically the same. The smaller the offence , the smaller amount . The bigger the offence the larger amount owed. And you actually exchange the cash back and forth I would suggest if it is for more than one child , printing them out on different colored paper. And regardless always date and initial the bucks you pay them, this lowers the temptation of them trying to sneak extra bucks. (hiding places rarely work). Scratch through when they pay for things and then re use bucks.
Then the spend list.....
The oblect to this list is 1. to show them that like us,if we want to do some thing or get something we have to have money to pay for it. 2. In order to have money we have to earn it.
List any and ALL things they enjoy doing . T.V., radio, playing outside (like $5per 30 mins or per hour) Again little pety stuff are cheap, the most fun cost more. And certainly favorite activities cost enough that they actually have to "save" for. Again the object is, nothing is free. They have no bucks... they grab a book. But all three list should have the amount posted ahead of time so there is no question. That way when Jr. argues, or back talks, or says an ugly thing to Sally, no discussion is to be had because it's all been discussed and posted ahead of time. You or Dad, or what ever authority figure in the house just calmly and simply say "pay me".
You can also off verbally some times chances to earn extra bucks.... clean out the car for mom, or any other "favor". Or if you catch them doing some thing out of the ordinary, like helping Sallypick up her books she dropped... toss them a 5 or a 10 and say good job.
The 1st month or so, is the hardest, he may get in debt $1000 ...and you may feel like giving up... but I PROMISE, I have given copies of this to many friends after I made it up... and EVERYONE said the same thing. But if you stick it out it works.
the other (more simple one) that I started doing was a consequence and a reward jar. Sit down and really think HARD of twenty or thirty of each. Again some can be as simple as. . .Apologize, making eye contact and explain WHY you're sorry, or write a one page essay/apology letter re the offence. This one is a good one b/c they practice writing, and neatness, spelling, and puntuation is required or they re write. Also since it is a punishment- depending on the age, they look up spelling. Another one could be grounded to room 1hr. , or do something ( maybe a chore for the person your offence was against), or grounded for a day to room for a day , another a week, All groundings of doing nothing but sitting in rm with a book. I also reccomend adding 5 or 10 "mercy" tickets, meaning if they draw that slip they "get away w/ it (this time).
The reward jar is similar... stay up an hr. late... trip to gas station for a treat... 1hr free time with mom or dad doing anything they want. (adults MUST not put them off if they draw this. Its also WHEN they want, within reason.)This is an awesome one for the earn list in the first plan. It gives them control.
***Remember rewards do not have to cost money, they can or they can just be things the child REALLY likes.
I really hope this helps. My name is Michelle, feel free to email me if you want/ need some help or encouragement.
Best of luck!
Michelle
theshivecrew@yahoo.com
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