Strategies for parents
The ADHD Parent
Bill has worked in the field of additional support needs (ASN) for around 20 years and held senior positions with both local authority and independent schools. His recent appointments have included leading and managing the inclusion team within a local authority and running a residential special school for young people with autism and other neurodevelopmental disorders. He has postgraduate qualifications in Autism and Social, Emotional and Behavioural Difficulties as well as in the clinical assessment of autism and adult ADHD.
Bill is currently Acting-Chair of the Scottish ADHD Coalition and Vice-President of the UK ADHD Partnership. His interests lie in improving the diagnostic pathway for children and young people, residential care, and in complex comorbidities.
Let’s look at some strategies…
Step 1: The Basics
These are the tried and tested first steps improving yours and your child’s experiences with ADHD.
Stop Blaming Yourself
Feelings of failure as a parent are common among those whose children have ADHD. No parent is perfect and its impossible to manage behaviours properly without first understanding them.
So give yourself a break, look at what you’ve done in the past that hasn’t worked and ask yourself why, rather than viewing this as evidence that you have failed. Parenting is a difficult enough job without piling blame on yourself.
Be open to the fact that you may also have ADHD
ADHD is the most heritable psychiatric disorder. This means that there is a high possibility that one or both of the parents of a child with ADHD also had it in childhood and still experiences some or all symptoms in adulthood.
ADHD can have a significant impact on an individual’s ability to function as a parent, which in turn can exacerbate your child’s ADHD symptoms.
If you think that you may have ADHD you should contact the group. We will be able to advise you on what you should do next and can provide you with support and strategies. If you are an adult who has already been diagnosed with ADHD, please see our Strategies for Adults.
Learn and Understand
By far the most important stage in managing behaviours is beginning to understand them. All behaviour is a form of conscious and subconscious communication. Until you begin to understand what the young person is communicating, the ways you respond to their behaviours could be doing more harm than good.
There is a lot of information out there, but not all of it is reliable. As well as signing up for our information sessions, have a look at our Guidelines and Information Resources page for the most trusted sources of information out there.
Seek Support
We know how hard it can be as a parent of a child with ADHD. There is no shame in accessing support services; in fact, some of the best parents we know can testify that accessing our support group changed theirs and their families lives. We offer opportunities to talk to other parents, learn of important information, receive advocacy services and representation at key meetings, and even just to call for emotional support. Whatever kind of support you are looking for, give us a call! You won’t regret it.
There are also a range of other forms of support available online, including forums and helplines. Get in touch and we can signpost you to these.
Step 2: Build a System
Make sure that your child knows what is expected from them from the very beginning, what the consequences of negative and positive behaviour are, and how their behaviours are connected with the consequences.
If you need support with building this system, get in touch and we can arrange a session with an experienced worker.
Establish clear boundaries
Your primary role is as your child’s guardian and caregiver, not their friend! If you get the balance wrong between parenthood and friendship, it can be very difficult to enforce discipline when it is an essential part of your child’s development.
It is natural for children to test and push boundaries if they are unclear. Make sure that what is and is not acceptable is clear to them and make sure that a house “code of conduct” is written down, to prevent future disagreements (“you never said that!”).
Ideally the boundaries should be the same for all children in the household. If the child with ADHD has particular difficulties (for example controlling their temper), then you should explain to them and their siblings why you are responding differently to them.
Set up an effective discipline system
Be proactive, not reactive. Set up a discipline system that is clear, simple, and written down. Discipline methods should reinforce appropriate and positive behaviours through a rewards system (see “incentivise good behaviours” below).
They should also respond to negative behaviours with time-outs and a loss of privileges, but these should be implemented consistently from the beginning.
Be careful to “protect” some of the activities that are an important part of your child’s life. An example might be not allowing your child to go to football practice because of bad behaviour at school. Football might be the only activity that your child gets a sense of accomplishment from all week.
Make sure that all adults who care for your child are consistent in the implementation of the discipline system or it simply won’t work!
Establish and maintain a consistent morning and evening routine
Mornings and evenings can be common periods of conflict in families affected by ADHD. One of the main reasons why mornings can be difficult is that those with ADHD often struggle both with sleep and with waking up. They find it difficult to manage their time, create mental “task lists” (i.e. shower, dress, breakfast, pack bag, bursh teeth, etc.) and can often become distracted.
Sleep is a common and significant problem for those with ADHD. A lack of sleep can significantly exacerbate ADHD symptoms. One of the ways you can improve your child’s sleep is to establish a consistent evening routine, with a curfew for stimulating activities such as screen time, followed by a “winding-down” period. Have a look at our guide for improving sleep.
Create timetables (visual timetables can be very effective for younger children, those with autistic spectrum conditions, and those with learning difficulties or disabilities), which break morning and evening routines down as much as possible into stages or “tasks”.
Help your child learn from their mistakes
Children with ADHD can often struggle to connect their negative behaviours with the consequences of these behaviours. In an understanding and compassionate way, help them to see the connection, reinforce that you are on their side but that what they have done is not appropriate, and explain why this is. Pictures can be a very effective way of doing this, especially for younger children.
Step 3: Specific Strategies
These strategies are widely agreed as some of the most effective ways to manage and improve ADHD behaviours.
Our Information Sessions are a really effective way to learn why these strategies are important and some of the best ways to implement them.
Stay positive
It may sound obvious but positivity can be hugely important for those who frequently experience negative feedback to their behaviours, as well as depression. Praise is good but make sure it is specific. Positive feedback can lose its impact if children either don't understand why they are being praised or realise it isnt justified.
Be as brief as possible when giving instructions
Children with ADHD can struggle to take in too much information at once, particularly if the instruction is verbal. This can make them overwhelmed, embarrassed and anxious. Be clear and concise with your instructions and write them down or illustrate them with pictures wherever possible.
Incentivise good behaviours
ADHD can impair the "reward" system of the brain, meaning that those with ADHD will often not receive the same kinds of internal rewards for good behaviours as their peers. It can be helpful to create your own reward system in the home. Children can respond well to being involved in the setting-up of incentive schemes. Involve them in the discussion and have them consider what is a fair reward for specific behaviours. Make sure the system is regularly "refreshed" to avoid it becoming stale.
Plan and set routines
Children with ADHD can have huge difficulties transitioning between activities and completing tasks that involve a number of "sub-tasks", for instance, getting ready for school or getting ready for bed. Help them by breaking activities into task lists and visualising the day, week and even month for them.
Be ready to intervene early
Every child has their own "warning signs". Remember, children with ADHD often struggle with emotional regulation. If your child becomes visibly frustrated or over-stimulated, intervene early (but calmly), using a distraction, such as an alternative appealing task . It can help to talk your child through previous situations that became difficult to help them understand why you might intervene in the future.
Encourage exercise
Regular exercise is hugely important for a child with ADHD. Research has shown that it can significantly reduce typical ADHD symptoms and improve their sleep, which itself can be a significant factor in mitigating ADHD symptoms. Make sure the exercise is not too close to bedtime as it can take a long time for a child with ADHD to settle after exercise.
Treat a good night’s sleep as a necessity
Poor "sleep hygiene" has been shown to exacerbate ADHD symptoms. Stick to a regular routine at bedtime (and in the morning) to help the child get used to the transition. A long period of "settling down" should be implemented, during which the child should avoid overstimulating activities, such as video games and television. Televisions (and consoles) in bedrooms can be a huge source of conflict, especially when it is time to switch them off and go to bed. Try to keep the bedroom as a place for low stimulation activities. Reading has been shown to lower heart rate and encourage good sleep hygeine.
Be willing to compromise
If three out of four tasks have been completed but your child is showing warning signs, perhaps that's enough for today. As a caregiver, it is not always easy to know how much your child is capable of. There will be an inevitable process of determining whether they are trying to manipulate their way out of doing what they've been asked to or are simply incapable of more for now. It is possible to achieve a "firm but flexible" balance, but it can take time and work.
Stay calm
Children mimic behaviours. If you are dealing with a child who is in a heightened emotional state, the best thing you can do is remain calm (but not cold). It may take some time (years for some) but every time your child will be observing the way you respond and will eventually have developed the self control to try to do the same. Sometimes all it can take is one time when they kept their cool for them to learn how much better they feel when they reign in their emotions.
Look after yourself
You need to be at the top of your game to support children with ADHD well. If you are physically and emotionally exhausted you could actually be doing more harm than good. Make sure you take breaks whenever you can, going for a walk, to the gym, or reading a book away from the kids.
Step 4: Improve your child’s emotional wellbeing
Poor self-esteem, social isolation, anxiety and depression are all common among young people with ADHD. These are some strategies you can use to improve their emotional wellbeing and mental health.
If your child’s mental health is a serious concern, they may require help from a trained mental health professional. We can help you get the support that is right for you. Please contact us and we will do everything we can.
Set aside a special time for you and your child
Children with ADHD often function much better when they have one-to-one time. They are also likely to experience much more negative feedback than their peers and siblings as a result of their behaviours. These one-to-one sessions can help balance out the negative interractions you have had with your child, giving both of you an opportunity to bond without distractions. You can play a game, go for a walk, draw or simply relax with them in their bedroom. It can make all the difference in the world to an unhappy child with ADHD.
Recognise your child’s successes, however small they might be
Positive feedback is often quite rare for a child with ADHD to hear and can have a hugely positive impact on them. Be careful to make sure the feedback is specific to their acheivements, is delivered with no one else present, and is deserved.
Make sure your child knows that you love them unconditionally
It is okay to not like your child sometimes! That doesn’t mean that you don’t love them! Make sure they know that you love them and value them no matter what they do. This will help them to see that you are on their side and that if they make a mistake you will still be there for them. Children with ADHD can often assume that their parents don’t love them if they don’t have this love reinforced.
Identify and encourage your child’s strengths
As a child with ADHD it can often seem as though there is nothing they can do right. Losing confidence in this way can make them unwilling to try new things and can severely impact on their mental health. Find something your child loves doing and encourage them.
Do not underestimate how much of an impact experiencing success can have on a child. Help them build an “island of competence” in what they perceive as a sea of incompetence. Soon they will be building their own islands as their confidence grows!
Help your child build positive relationships
Sometimes your child might be really struggling with social relationships. Feelings of social isolation can have a significant impact on your child’s mental health.
Help them to understand why this might be and how they can make things easier for themselves (for instance, not playing so roughly with other children). Try to arrange ways for your child to socialise by signing them up for art, sports or youth clubs or speaking to other parents about arranging times for your children to meet with both of you there.