Wednesday, June 12, 2013

Fearfully and Wonderfully Made: The Effect of AD/HD on Preschool Children


 

Fearfully and Wonderfully Made: The Effect of AD/HD on Preschool Children


The early childhood setting is one in which a preschool or daycare environment is focusing on early educational experiences that involve social skills, early reading, academic skills, and physical abilities involving small and gross motor skills. This is a crucial time in a child’s learning process and can affect the rest of the educational process throughout their entire school career. With this in mind, we need to look at ways to help these children in the early childhood environment to learn how to better interact with peers. We also must understand their learning style and how to give them a positive learning experience so they succeed in their academic life.
The social skills developed in the early childhood stage is crucial and children who have AD/HD have poor social skills according to Susan Ashley:
“The majority of children with AD/HD do have poor social skills. Researchers estimate that at least sixty percent of children with AD/HD have significant trouble interacting with others. Psychologists working with AD/HD would put that estimate far higher. Poor social skills are so apparent that children with AD/HD are often rejected by other children after only a single day of contact.”[1]
Ashley also states: “In studies examining the friendship patterns of children, those with AD/HD are consistently rated as the least-liked child in their class.”[2] Children with AD/HD differ socially from the children with ADD in that the hyperactive children are more obvious with social deficiencies. Early signs of children who have poor social expertise are only detected by parental relationships that involve parents listening to their child and looking for signs such as the child telling things such as, “no one likes me or no one wants to play with me.” Ashley suggests that most parents do not want to believe that their child is disliked, so the symptoms go untreated. This is the first mistake parents and teachers can make in the academic career of a preschooler. If one of the main functions of an early childhood facility is social skills this is a crucial stage for the AD/HD child.
            The problem is the need for early detection and diagnosis. Many children are labeled AD/HD and they are misdiagnosed. According to Julian Stuart Haber, “The symptoms of AD/HD may be present in more than thirty other disorders, ranging from problems with the sensory systems, to mental illness, to scholastic, psychosocial, and medical problems.”[3] Haber even suggests that the medications for one disorder might make a different disorder worse. We as preschool educators need to be careful not to label or misdirect a parent in any way when dealing with their precious and unique preschool child. We need to educate ourselves on the various disorders with the same symptoms to give the preschool child with these indicators adequate care, love, and education in social abilities as well as teaching them proper early academics.
According to Katie Blenk:
“Of the greatest concern to a new program considering inclusion is how a teacher manages to give special education services to the children with special needs while giving regular education to the rest of the group. In an integrated school program there really is no such thing as regular education and special education. In every area of educational activities, projects and lessons are appropriate for all children. What is sometimes needed is modification of an activity.”[4]
With this in mind, we need to consider not excluding both types of children in the preschool environment, but rather modification to adapt regular playtime, or educational time to adapt for all learning abilities. The AD/HD disorder can be diagnosed as early as one or two years of age.[5] Young mothers fail to recognize these symptoms of AD/HD in their children due to no exposure to children in general, and the assumption that this is normal behavior for preschoolers. Children mainly play learn and do not have tasks that require long attention spans until they reach elementary school age. Some of these children have exceptional intelligence and may not have to pay attention or study as much in early elementary school, and do not suffer from adverse effects until older grades.[6]
According to Mary Fowler, “Some signs and symptoms during the preschool stage are: the child becomes highly visible, with difficulties arising at home, in school, and with peers. Parents and preschool teachers commonly report the following difficulties: the child’s ability to following directions, stay on task, social immaturities, easily frustrated, temper tantrums, aggressive and destructive behavior, and noncompliance.”[7] These symptoms, moreover, can easily be discarded as the terrible twos or horrible threes by the parents, and can go unnoticed.
            William Sears states that:
“A.D.D. is not a deficit in attention. A deficit means a ‘lack of something,’ implying less of something. But children with A.D.D. sometimes pay more attention to certain topics. What they really show is the two extremes of focus: they are not good at paying attention to things they find boring, but they focus intensely on things that catch their interest.”[8]
 
 
Sears also suggests having a reward system and giving some rewards that have historical positive results with children such as: tickets and tokens, connecting the dots (to form a picture), happy and sad faces, happy hands, a behavior bus that has a task in each bus window and when the task is accomplished the child receives a happy face sticker in the windows that accomplishes the goal, give-and-take system which rewards for good behaviors and take-away rewards for bad behaviors.[9] These are just some practical suggestions that could really help a child with AD/HD.
According to Laura Stevens:
 “MRI helps researchers view the brain. In some studies, researchers have determined that the right side of the brain is generally smaller in children with AD/HD than in those who do not have AD/HD. This may be important because certain neurotransmitters that affect mental and emotional functioning are located in this portion of the brain.”[10]
Stevens also states: “There is a strong genetic component to AD/HD.” Stevens gives data that proves if a parent has AD/HD a child has a fifty-seven percent chance of having it, and a thirty-two percent chance if a sibling has it. Identical twins with AD/HD are more likely to have it than fraternal twins. But she also states that not every identical twin with AD/HD has a twin with it, therefore genes are not everything.[11]
Steven suggests twelve effective ways to help children with AD/HD, which are:
1.     Improve the child’s diet.
2.     Carefully choose sweeteners.
3.     Trace food allergies.
4.     Add essential fatty acids to the child’s diet.
5.      Choose vitamins, minerals, and other supplements carefully.
6.      Solve the yeast connection (a breakdown of bacteria due to taking antibiotics).
7.       Identify inhalant allergies.
8.      Identify chemical sensitivities (insecticides, etc.).
9.      Investigate lead and aluminum poisoning.
10.   Enhance perception (check child’s reading comprehension).
11.   Consider crawling lessons (for children who hurried through the crawling stage).
12.   Try biofeedback (an electronic device that monitors brain waves).[12]
These are drug-free suggestions that may help the AD/HD child, however this takes studying the child in great length which unfortunately, parents may not take the time to do.
            According to Sandra F. Rief, children with AD/HD have trouble with organization, time management, and study skills. The teacher can help the child by organizing the child’s workspace and materials.[13] Organizational methods will hold the child on task and teaches lifelong administrative talents that will enhance their capability to stay on task. Reif also suggests encouraging good social skills by pairing the AD/HD child with positive friendships instead of negative ones.[14] Since social skills are the primary goal of most preschool children, then it would be prudent for the preschool teacher to expose the child to non-stressful social encounters as much as possible. The pairing with children and adults who give the AD/HD child a positive relationship will most likely produce a constructive outcome ending in affirmation instead of frustration.
 
 
            In conclusion, as educators and parents, the AD/HD child is worthy of our attention in providing an educational plan for them in the preschool environment. For that reason it is prudent to meet these kids where they are and to better enhance their preschool experience, impact later educational success, and present the gospel to them in a positive non-frustrating environment. As a parent, we would be wise to seek counsel, try to keep an open mind with doctors, teachers, and other family members, to do our best to provide close attention to details in childhood behaviors, attention spans, food intake, and the cause and effect of these factors in behavioral issues in our children. We need to remember that God has made children perfectly and wonderfully just the way they are (Psalm 139:14), ever instilling this God-ordained purpose in the child. Our goal being the impartation of confidence in the fact that God has designed them as a special design for his glorification, just as He has ordained other persons and their giftedness for the same purpose. Yes, the AD/HD child is a gift from the God who is perfect and accomplishes His will in and through His crown creation of humanity. God has designed AD/HD intentionally, just as He created each human being uniquely. We, as His creation, cannot complain, or show displeasure with what He deems as a masterpiece (Ephesians 2:10).





[1] Susan Ashley, ADD and ADHD Answer Book (Naperville, Illinois: Sourcebook, Inc, 2005), 172.
[2] Ibid., 172.
[3] Julian Stuart Haber, ADHD The Great Misdiagnosis (Lanham, New York: First Taylor Trade Publishing, 2003), 37.
[4] Katie Blenk, Making School Inclusion Work A Guide To Everyday Practices (Cambridge, MA: Bookline Books, 1995), 69.
[5] Mary Fowler, Maybe You Know My Kids A Parent’s Guide to Identifying, Understand and Helping Your Child with AD/HD (New York, New York: Carol Publishing Group, 1996), 36.
[6] Ibid., 37.
[7] Ibid., 75-76.
[8] William Sears, The A.D.D. Book New Understandings, New Approaches to Parenting Your Child (Canada: Little, Brown and Company, 1998), 4.
[9] Ibid., 100-101.
[10] Laura J. Stevens, Twelve Effective Ways to Help Your ADD/ADHD Child (New York, New York: Avery Penguin Putnam Inc, 2000), 24.
[11] Ibid., 25.
[12] Ibid., 37-163.
[13] Sandra F. Rief, The ADHD Book of Lists A Practical Guide for Helping Children with AD/HD (San Francisco, CA: Jossey-Bass, 2003), 209-211.
[14] Ibid., 155.
Thank you for taking the time to read my contemplations.

 Blessings,
©Darla J. Smith
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