In the event of attention deficit disorder with or without hyperactivity (ADHD), the medical team first sets up a non-drug treatment (psychotherapy, rehabilitation, parental guidance). If this continues lacking, a psychostimulant drug might be given cases.
HOW TO HELP A CHILD WITH ATTENTION DEFICIT, IMPULSIVE AND / OR HYPERACTIVE?
To be effective, the management of children with ADHD is multidisciplinary. It is as early as possible as soon as the diagnosis of ADHD is made by a medical specialist.
Depending on the needs of the child, treatment may involve:
- the child’s doctor or pediatrician,
- a psychiatrist,
- a psychologist,
- a psychomotor therapist,
- a speech therapist,
- an occupational therapist,
- a social worker.
While there is no cure for ADHD, a set of measures can reduce the symptoms as much as possible. They also attenuate the consequences of ADHD on the development of the child, and on his relations with those around him.
NON-DRUG MANAGEMENT OF CHILDREN WITH ADHD
The terms of care
Therapeutic management always involves collaboration between the child, the parents, and the teachers, and has several components.
Information and guidance for parents
Always essential, it represents the first level of support. It takes place:
- during traditional consultations with one of the specialists who takes care of the child.
- or during specific sessions (parental guidance program, group of parents).
What psychotherapy propose to a child suffering from an attention deficit and/or hyperactive?
Psychotherapy is individual or group. It generally uses different techniques and the behavioral and cognitive or family therapy near me, acting on behavior, thoughts, emotions. During the sessions, the child learns to self-observe and to modify his behavior, through new learning. Then, he puts them into practice in his daily life, with the collaboration of his family and school environment.
Other techniques, called “problem solving”, encourage him to seek thoughtful, non-impulsive and non-violent strategies in the face of a difficulty, relational.
Encouragement and rewards encourage the child with ADHD to continue these new adaptive behaviors. The efforts made also improve self-esteem and interpersonal relationships.
Rehabilitation of disorders associated with ADHD
Depending on the case, it may be:
- speech therapy sessions, in the event of written language disorders, oral language disorders or logico-mathematical disorders.
- rehabilitation in occupational therapy and/or psychomotricity if the child has difficulties in acquiring motor coordination (dyspraxia) with repercussions in school or daily life.
The goal of family therapy is to strengthen family skills to help parents better manage their child’s behavior, deal with difficult situations and teach them useful strategies adapted to their child’s problems.
Consultations between parents, child, and psychiatrist (or psychologist) help the child in his psychic work by focusing on family dynamics.
Care can be provided by doctors (psychiatrist for example) or re-educators (speech or ADHD therapist near me for example) practicing in private practice or in specific structures:
- Centers for early medico-social action (CAMSP): their mission is to screen, diagnose, treat, and rehabilitate young children before they enter primary school.
- Specialized education and home care services (SESSAD): these medico-social structures provide specialized support by developing care and rehabilitation actions in the places where the student lives (school, home).
ATTENTION DEFICIT DISORDER WITH OR WITHOUT HYPERACTIVITY: WHAT DRUGS?
Treatment with medication:
- is not systematic.
- in no way replaces non-drug measures.
- must be chosen and implemented by an ADHD specialist, who appreciates the relationship between the risks of the treatment and the expected benefits.
The drugs prescribed for ADHD are psychostimulants, which have the role of stimulating the central nervous system (brain). Only one of these products is available in France: methylphenidate.
Its intake requires close medical supervision. Indeed, this substance, derived from amphetamines, can have various side effects: insomnia, slowing of height and weight development, heart palpitations, decreased appetite, headaches, diarrhea and abdominal pain, mood disorders…
The prescription conditions for this drug are therefore very strict:
- methylphenidate is reserved for children over 6 years old.
- its initial prescription takes place in a hospital setting (department specializing in psychiatry, neurology, or paediatrics).
- the prescription is made for a maximum of 28 days on a secure prescription; it details very precisely the quantities prescribed for a period defined by dates.