As the holiday season unfolds, my clients and friends express feeling very stressed. Some people have a long list of gifts to buy and wait until the last minute to do their shopping. Some schedule back-to-back social plans and celebrate with gusto. Other folks dislike the holidays altogether and would prefer to hide in bed under the covers until January. In general, everyone seems to be in a state of perpetual motion, running from one thing to the next, trying to get things done and seeing family and friends. This pace is not only challenging to maintain, but it's also especially hard for kids and adults with ADHD who get easily overwhelmed, even without the holiday fervor. 
Make a master list, and then break it down into shorter ones. Ideally, your family might stop at 1 or 2 places in one trip, but plan for no more than 3-4 different places in one outing. Strategize by mapping out where you need to go beforehand, and group places together that are near each other.
Social anxiety is a fear that people will scrutinize you in either familiar or unfamiliar social situations, and this negative judgment will have harmful effects on you. These worries about humiliation and rejection are persistent, often last six months or more, and restrict your activities, interests and relationships. The Anxiety & Depression Association of America (ADAA) states that approximately 
Handling tasks and obligations we don’t enjoy is a part of everyday life. There are always meals to cook, laundry to do and garbage to take out. Most of us need to push ourselves to do tedious chores. Those with ADHD find it especially difficult to get started and follow through on boring, unpleasant tasks. This can lead to 
Have you ever asked your teen with ADHD to start their homework--over and over--and, still, they don't sit down to do it? Even if they're failing the class, and it means they won’t be able to play on the basketball team? Even if it means that they won’t be able to go out on Friday night? It’s hard not to become immensely frustrated with their behavior at this point. But, most often, starting tasks with ADHD is challenging because they lack the motivation, either internal or external, that would get them going. How can you, as their parent, assist them in developing much-needed motivation?
Now, as an experienced adult who has cleaned many rooms in your lifetime, you can easily see what needs to get done--especially if you're neurotypical. You can quickly imagine an order in which she could complete the steps and about how long each task would take.
Sit down with your daughter and discuss your concern with her bedroom. Ask her how she feels about it. Does it bother her? Does she have a method of organization that works for her, even if you don't understand it? Help her understand the potential benefits of a clean, inviting room; for herself, her guests and your family. See if she feels a difference between walking into a clean room (you can use yours as an example) and a disorganized room.
Remember, your child or teen might need help figuring out where to begin, or they might want you to stay in their room to help guide them through the process. Your skills, ideas and encouragement can be a key to their success! Good luck with your efforts, and let's get started!!
Neurodiverse families often struggle with emotional reactivity and verbal impulse control. Negative feelings and unpleasant words can intensify in the blink of an eye. Still, when the moments arise, it's hard enough to calm down your own emotions -- let alone the emotions of your child, teen or partner. Where do you even start? When that tone of voice (the one you're all too familiar with) enters the picture, you can use the quick and direct steps of "T.O.V." to help initiate a process of self-reflection and self-regulation for your family and yourself. Tone of voice awareness takes practice, but it's a skill that will improve family communication and connections for years to come.
As much as you may be using "T.O.V." to help improve your child's communication efforts, you need to know your kids could call you out, too! How you respond to this is incredibly important. A good approach is to acknowledge your feelings, or laugh and admit that you are also capable of messing up. While you don't want to create an environment where everyone is calling out "T.O.V." constantly, you do want to lead by example in combative situations, and take the opportunity to practice tone of voice awareness for yourself! Be selective when you use it, and they will be encouraged to do so as well. More than anything, it's important to realize that everyone is human. You can only react to things as your mood allows, and making sure you set everyone up with the proper tools to learn and grow through the aggressive moments can be very impactful.
Have you ever noticed that your child or teen with ADHD remembers negative comments people say to them more than they do positive ones? While all human brains are wired for the negative memory bias, or 
In addition to the negative memory bias, many people with ADHD experience 
When something good happens, teach them that relishing it is important! In our ultra fast-paced world, everyone moves on to the next thing so quickly. Oftentimes, the important integration needed to consolidate memory can be missed. Therefore, negative experiences, strengthened by negative memory bias and ADHD symptoms, aren't being balanced with positive ones. SLOW IT DOWN, and celebrate positive moments alongside them. It's also important to show your child or teen that "celebration" doesn't have to mean a festive gathering with family and loved ones. Rather, it could mean treating yourself to an ice cream or dancing alone to your favorite song. Celebrations don't depend on other people showing up - you can celebrate yourself and your personal accomplishments in various ways that might change over time.
As corny as it sounds, you could even ask them to repeat what they heard you say:
As a parent of a neurodivergent child with ADHD, you might struggle with understanding symptoms of ADHD and negativity. It seems like you're constantly catching your child or teen with a negative attitude. It's 'No' to this and 'No' to that! You might wonder if this is normal during childhood and adolescence or more so for kids with ADHD. Let's explore these 'No's' and see whether they're simply an expression of negativity or something more.
Jared and his family's summer schedule frustration
Recently, I was talking with Jared, an eighth grade boy who was complaining about being bored now that school is over to his mom, Savannah and me. “There’s nothing to do except gaming, and you only let me do that for two hours in the morning and two in the afternoon. What else am I supposed to do?”
His mom gently suggested going back to some activities that had previously interested him before COVID—piano lessons, basketball, tennis or making movies with his friends. "No, no, no. I don't want to do any of those!” His mom turned to me and said, “I used to do this to my mom. There’s never a right answer.”
I wondered aloud if his ‘No's’ actually meant, ‘Forget about it,’ or, ‘I’m not sure and need to think about it.’ Tennis and making movies were hard ‘No’s.’ Piano and basketball were more of an, ‘I’ll think about it.” I asked him why he doesn’t just say that and he shrugged, “I don’t know...I just can’t think about all that stuff at once."
We talked about how saying ‘No’ flat out like that gives him space to think about something without any pressure. The 'No' seemed to be less of a problem with ADHD and negativity, and more of a request for space to think. The gears in my mind immediately started turning.
The impact of ADHD on negativity
Due to working memory and processing speed challenges, kids with ADHD and negativity challenges are often feeling overwhelmed—emotionally, cognitively or socially. They simply lack adequate amounts of dopamine and norepinephrine in their brains to help them process and recall information efficiently. Over time, becomes hard to keep up with all of the activity around them.
These are mostly unconscious cognitive processes that kids struggle to articulate. Instead, what most kids tell me is that they simply feel flooded and agitated. They lash out and regret their words and actions afterwards. They might also be coping with anxiety or symptoms of rejection sensitive dysphoria. These challenges that commonly occur with ADHD can appear as negativity.
Negativity in public vs. at home
Kids and teens with ADHD try to muddle through and manage these feelings at school and with friends. However, they don’t feel obligated to make the same efforts at home.
Jared once told me, “I’m not going to be suspended from my family." They don’t have to hold it all together with people they know love them, and whom they love too (despite any actions to the contrary). But this doesn't mean you have to endure inappropriate language, fury and sometimes aggressive behaviors. This doesn't foster a positive connection between you, nor does it teach your child or teen how to manage their intense feelings effectively.
Check in with your child or teen about 'NO.'
In a calm moment, sit down with your child and talk about ‘NO.’ Put on your Sherlock Holmes hat, take out your curiosity and gather some information about your child's challenges with ADHD and the negativity that you experience.
Reasons and meanings behind 'NO' often depend on the situation, so it might help to bring up some specific instances for an effective discussion. Is saying ‘NO’ about setting appropriate limits, expressing their opinion, being contrary, slowing things down or something else? Maybe it’s a combination of things. Brainstorm alternatives to ‘NO,' and come up with a few words or phrases to use when they need time to think about something.
Create a plan with your child or teen on how to address oppositional behavior
To address ADHD, negativity and flat-out oppositional behavior, you have to create a collaborative action plan.
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- Start by discussing some plans and ground rules about explosions or meltdowns in your home.
- Ask your ADHD child or teen to describe what words or actions constitute over-the-top moments, and then offer some of your observations. To avoid blame, use the phrase,"I've noticed that things get out-of-control when..." and be as specific as you can.
- Consider sharing something about what triggers you and how you'd like to change your response. This normalizes their experience which reduces shame about struggling with meltdowns in the first place.
- Together, write down a list of your combined ideas and ask them to link these behaviors to logical consequences. Remember, punishments for kids don't teach any skills. Kids with ADHD and feelings of negativity need tools to help them calm themselves and communicate in these tricky moments.
- Plan to revisit your plan weekly and post it in the kitchen where everybody can see it.
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Acknowledge your ADHD child or teen's efforts to improve communication
Shifting away negativity takes time, repetition and encouragement. It involves identifying emotions and needs, and then communicating them effectively. Therefore, it's important to allow your child the chance to process and respond at their own pace. It's a cycle of practice, stumble, try again and practice some more. Regardless of your own frustration, try to acknowledge and validate any and all efforts your child or teen shows.
Managing ADHD and negativity is tough parenting work. Make sure that you practice your own self-care and have support for yourself from close friends, family members, a therapist or coach to assist you. The more you can respond instead of react and regret, the better it will be for everyone in the family.
Read more blog posts:
- ADHD, Defiance and COVID: What can you do instead of yelling?
- ADHD and Anger in the Family: Manage Outbursts with STOP-THINK-ACT
- Create Successful Neurodiverse Family Outings Today: Time to connect with the great outdoors!
Watch on YouTube:
- ADHD and Oppositional Defiance (ADDitude Mag Q&A with Dr. Saline)
- Anger Management with ADHD (ADDitude Mag Q&A with Dr. Saline)
- How to Get Your Teens to Open Up (WWLP 22 News interview with Dr. Saline)
Deeper dive: https://drsharonsaline.com/product/whats-up-with-all-this-anger/ https://drsharonsaline.com/product/home-seminar/
Talking through everything with your child can be incredibly emotional for both of you. Therefore, it isn't something that should be taken lightly. In neurodiverse children--those with ADHD, ASD, 2E, anxiety and more, natural challenges with executive functioning skills can make these conversations even more overwhelming. Above all, breathe, and stay compassionate. Ask more questions than you give advice. This is a private process of discovery that your child has decided to share with you. It can be tough for both of you but in very different ways. Therefore, you should save your reactions and questions for later. Then, direct them to your primary care provider, pediatrician or mental health professional. Your job is to be steady as they navigate this bumpy terrain.
When your child approaches you with a conversation about their gender or sexual orientation, consider your response before reacting. They are asking you to perceive them differently than you might have before. This can be very difficult to deal with emotionally. No matter how much support and love you give, teens with ADHD quickly pick up on facial expressions and body language that could feel critical. Many kids and teens with ADHD suffer from symptoms of 
To re-stabilize, you have to stop this flood by slowing down your breathing, heart rate and blood pressure and power up the thinking brain.
What everyone needs to remember is that simply having Rejection Sensitive Dysphoria does not make you a human who is weak or incapable. You are just wired to feel things more intensely and replay unpleasant interpersonal interactions over and over. RSD is linked to social insecurity. A helpful tip is to consistently reinforce the strengths of your child or teen with ADHD. What do they love to do? What do they do well? Acknowledging their work, 