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Responding to ADHD Doubters: Learn history and science that debunks 5 common ADHD myths

ADHD doubter giving a doubtful look to someone who is discussing ADHD with them.

It's a sad but true fact. Many people still, even after the surge of ADHD research over the past 30 years, don't believe it's real. Whether they are misinformed about - or deny - the existence of neurodiversity, their denial likely affects you in some way at work, school, religious groups or social functions. Dealing with doubters means educating them instead of responding to them with anger, frustration or avoidance. Whatever blame, shame and criticism you receive from the doubters in your life tarnishes your relationships. When they deny your reality, they minimize your experience. Support yourself and your neurodiverse kids by challenging myths with these facts.

5 myths commonly believed by ADHD doubters, and why they're not accurate:

Myth #1: ADHD is not real.

Actually...

ADHD traits have been recognized and studied for centuries.

Man in a suit surrounded by newspapers holding a magnifying glass up to a plastic head filled with colorful plastic letters that are spilling over the table, looking like he is researching the brain

The first time a disorder resembling ADHD appears in history is with findings by Scottish physician and author Sir Alexander Crichton in 1798. Since then, reports of ADHD-like traits have been discovered throughout history with neurodivergent explanations and types of treatment. The American Psychiatric Association did not recognize ADHD (as hyperkinetic impulse disorder) until 1968, in its second edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM).

In fact, it took until 1937 for medication to be formulated for ADHD, and it was discovered completely by accident. Dr. Charles Bradley was originally tasked with creating something that would alleviate headaches in children under the care of staff at Emma Pendleton Bradley Home (now Bradley Hospital in Road Island). It was the first children's psychiatric hospital in the nation.

ADHD has had many names.

Previous names used to identify ADHD before its current definition was set forth include:

        • brain-injured child syndrome,
        • hyperkinesis (1968 DSMII),
        • hyperactive child syndrome,
        • and minimal brain dysfunction.

Researchers in the 1970s observed that hyperactive children are likely to experience chronic inattention issues. Both symptoms improved with stimulant medications. Thus, the third edition of the DSM outlined the meaning of ADD in 1980.

More research and awareness has led to more diagnoses.

Because there was a more thorough and accurate diagnostic description, and the terms have become more common in households around the world, official diagnoses started climbing in the 1990s. More parents were able to recognize symptoms in their children. There was also increasing awareness in the medical and expanding mental health fields.

The most recent definition of ADHD was outlined in DSM 5 in 2013. This current description of ADHD in the DSM 5 outlines hyperactivity/impulsivity, inattention and other factors that are specific to people with ADHD. The Centers for Disease Control and Prevention (CDC) gives more details on diagnosis factors, allowing the general public to be better informed when it comes to caring for and interacting with people with ADHD.

Myth #2: ADHD is caused by poor parenting.

Actually...

ADHD is not at all caused by a lack of discipline for children and teens.

Child with ADHD learning to knit with mom next to her on the living room rug.

ADHD is a biologically based condition. According to the CDC, it is the most common neurodevelopmental disorder of childhood. Additionally, it is the most highly inherited mental health issue reported, as over 50% of adults with ADHD will have a child with ADHD. If one child in a family is diagnosed with ADHD, there is a 33% chance that another child has - or will have - it.

ADHD is not just hereditary. Often, difficulties during pregnancy or premature delivery can cause your child, and other children down the line, to experience symptoms. Prenatal exposure to ethyl alcohol, drugs and tobacco are all exposure risks that could impact the neurodiversity of children. Teach your children about these risks as part of supporting a healthy lifestyle. 

Myth #3: ADHD is over-diagnosed and medication is over-prescribed.

Actually...

More research and awareness has led to more diagnoses.

As we discussed earlier, it was just a few decades ago that the medical community really got a grasp on this condition. A lot of research is recent and ongoing. So, of course, there were fewer diagnoses until more recently. At the time of this article, around 10% of children in the United States are diagnosed, with a reported 5% worldwide. The rate of adult ADHD diagnoses is 6.76% and steadily rising.

Getting an ADHD diagnosis isn't easy.

The ADHD diagnosis process, and what it takes to get there, is complicated and thorough. It’s more than filling out a form. Rather, it involves a complete history and assessment of cognitive abilities, learning capabilities and attention.

Medication for ADHD management is closely regulated.

Medication is more stringently prescribed than in the past. Studies have found that when kids and adults with ADHD are given appropriate medications that work for them, medications reduce the need for substance abuse, or self-medication.

It is important to remember that medications do not help everyone who has ADHD. Some people can’t tolerate the side effects or don’t see noticeable positive changes. Of course, pills don’t teach skills. The most effective treatment has been found to be a combination of medication and cognitive behavior therapy, family dynamic and personal education that includes (sometimes extensive) parent training. 

Myth #4: Most kids with ADHD outgrow it.

Actually...

While children diagnosed with ADHD do have the ability to outgrow it, that is not always the case.

Three neurodiverse adults working together on a team, focused and looking at a plan on tablet.

In fact, only around 20% of early diagnoses tend to outgrow their symptoms. In addition, adult ADHD can be more complicated to diagnose, especially in women. Just as the tools to identify ADHD in kids have become more robust over the years, the measures to assess ADHD are better understood and more reliable. However, because of the recency of these developments,  some adults who were told they had ADHD as kids may have been misdiagnosed or their symptoms were (due to a lack of information) completely overlooked in their childhood.

Another very likely factor is that adults have developed personal strengths and habits over the years to help them live more effectively. They simply have more choices and autonomy than children and teens. They can change their environments - home, work and otherwise - and encourage themselves in different, more sophisticated ways. For these reasons, ADHD symptoms may be less likely to interfere with their everyday life.

Myth #5: ADHD is actually a lack of self-discipline.

Actually...

ADHD is a biologically-based disorder related to the neurotransmitters dopamine and norepinephrine.

ADHD is a chronic condition marked by many notable symptoms, including persistent inattention, hyperactivity or impulsivity. While these traits can exist in neurotypical children, teens and adults, they are often observed more frequently and at a much higher intensity in those with ADHD compared to others in similar age and cultural groups.

ADHD is often associated with the belief that there is a lack of self-discipline and inability to participate, focus, or achieve. There is an overall misconception that people with ADHD are lazy and unmotivated. It just isn't true. It’s not about laziness or purposeful distractedness. In fact, I don't like the word "lazy" at all!

Neurodiverse family painting and making crafts at the table. You see their arms painting nature paintings and paint supplies on the table.

It is common that people with ADHD focus more easily on things they like or excel at. This is a trait we can all access to some degree, an indescribable satisfaction with a project or outcome. The focus on this idea or that result is derived from an interest in the activity itself, and the satisfaction of the journey. More engaging activities do find more appeal.

People with ADHD often find lengthier pursuits, things that require concentration or more time on the finite, overwhelming and daunting.

These types of activities include work meetings, classroom lectures, loud events or shows, homework and an array of athletic endeavors. Even with the benefit of of  hyperfocus, folks show adverse feelings toward completing projects, homework sheets and forms. Often, people of all ages with ADHD find the ability to focus on more interactive pursuits like video games and television for more extended periods of time. These activities are inherently captivating - the rewards are built right into them!

While defending the existence of ADHD can be a bit complicated sometimes, it is definitely worth knowing the facts. Have a few go-to facts to rely on when you need help the most. Create a few phrases based on this information that you can use when you encounter a doubter. To keep up your morale, make sure you keep people who acknowledge the truth of ADHD and know about it near and dear. The more support the better!!


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Create Successful Neurodiverse Family Outings Today: Time to connect with the great outdoors!

Neurodiverse family of 4 smiling and taking a selfie on the hood of a car on a sunny day in front of mountains on a family outing.After 18 months of dealing with the stress of indoor COVID living, using screens for social connections, and managing the stress of hybrid education, most of us have been hankering for some much needed rest and relaxation this summer. As we head into the last weeks of summer and for some, the early return to school, it's worth taking some time to savor time outside as part of this reset. Connecting families with the great outdoors benefits individual family members and improves family bonds as a whole. Creating neurodiverse family outings that go smoothly and have everyone feeling like a happy camper, however, can be challenging. It's important to find ways to improve family outings so they work for everyone in your family. Even small adventures can make a big difference. Let's finish off the summer by making memories that are as positive as possible for everyone.

Why getting outdoors for neurodiverse family outings is worth it:

Spending time in nature is beneficial and fun for all of us: we can kick off our shoes and wade into the ocean, hike to a beautiful vista or just have a picnic in our own backyards. It's especially great for neurodivergent kids--those youngsters with ADHD, LD, ASD, 2e and/or mental health issues. When any of us venture outside to a beach, park or any green spot, our entire demeanor shifts. We shed some of the stress of our daily lives, feel more relaxed and connect with the atmosphere around us. Children, teens and adults start to feel a welcome sense of spaciousness and freedom. Neurodiverse family of 4 on a family outing sitting in the trunk of a hatchback, outside on a road during a sunset, wearing masks and backpacks, looking happy together. For neurodivergent kids, especially those living with anxiety or depression, this freedom is often sorely needed. These children and adolescents need a chance to let go from the pressures of all things that they struggle to remember to do and from not feeling good enough at doing them. They spend so much time trying to focus, stay organized and correct their mistakes, that a break to wander, play and explore is a welcome (and necessary) relief. On neurodiverse family outings and excursions outdoors, youngsters and adults alike can just be in the moment. They can enjoy the wide range of outside activities and explore the beauty of the natural environment. They may be happy just to be in a different physical space and do nothing at all. These experiences in nature can be very restorative for them and for you as parents, too. Family outings also provide ideal times for family fun as the 'shoulds' of our daily routines are transformed into games, explorations and discoveries.

Tips to having a successful summer family adventure with neurodiverse kids and teens:

Pick a location that offers something for everyone and doesn't require much planning.

Talk with your family about the available options and what people want to do so you can all work together on making a good experience for everyone. Brainstorm first, and then negotiate any necessary compromises. These outings with your neurodiverse family involve the entire family, so make sure everyone's voice is heard.

Limit your expectations.

Whatever happens has to be okay with you and okay with your family. Share your hopes for the day and listen to theirs. Be open to and make room for spontaneity and go with the flow. The less control you need to exert during the day, the better it will be for you and for everyone else. Remember to play!

Give your teen or child a few specific, simple tasks.

Neurodivergent girl with ADHD looking at a list to pack for a trip next to an empty suitcase on a bed with clothes laid on it. In preparation for your neurodiverse family outing excursion, make a list and write down items that can be checked off. This gives kids more practice in developing those ever-needed executive planning and organizing skills. They'll be less anxious about thinking they'll arrive unprepared or left something important behind, too. Remind them to bring items that help them relax, or a go-to activity if times are tough.

Create some guidelines about appropriate behaviors for your day.

Limit these to 2 things, because the kids aren't likely to remember more than that. These guidelines should revolve around safety primarily, and be logical and explicit (e.g. swim with another person, not alone, and ask beforehand; stay with the group when hiking; play around the picnic area where we can see you).  Remind your child or teen of these 2 guidelines as you arrive at the location. Then ask them to repeat them back to you. This verbal repetition signals to you that they’ve got it.

Focus on the positive.

Family of 4 sitting outside in front of a fire while camping, they're next to a glowing yellow tent by pine trees under a starry night sky. There will likely be a blip or two on your neurodiverse family outings. Something may happen that may frustrate you or other family members. That’s a normal part of being together and doing an activity. Take a deep breath, focus on what's most important and help your son or daughter recalibrate. Ask your family what would help them move on and/or make amends if there’s been an argument. Practice forgiveness and refocus everybody's attention on the positive goals of the day such as exploring a different place or trying a new activity. This especially helps neurodiverse kids overcome the negative memory bias that often leads them to focus more on the negatives than the positives. If they have trouble shifting, look around and notice something in their environment--an adaptation of “I spy”--to become more present. Say something like: “I see a hawk in the sky. How big do you think it is?” “Wow, that biker just rode by so quickly. I wonder how fast she is going?” “Can you pick a cool spot for our blanket so we can have lunch?” 

Enjoy your adventures!


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Regulate Summer Screen Time for Your Child with ADHD and Yourself

Mother with long brown hair and checkered collared shirt and jeans next to her adolescent boy with ADHD with short brown hair wearing a light gray shirt with dark gray long sleeves facing each other in front of a dark pill wall, both staring at their phones.Summer is here! How are your kids and teens with ADHD spending the extra free time? On the one hand, kids and teens have more time to turn to video games and connecting with friends on social media. On the other, they have more time and space to move around now that they aren't required to sit and learn so much. This is a much needed break for kids and teens with ADHD who often self-regulate with movement. But with less structure and help with supervision, parents often have trouble keeping up with the entertainment, energy, and emotions of kids all day, every day. Many parents then turn to screens to help kids take the edge off of an otherwise hectic time. So it's not whether screens are part of summer vacation, but how they are. So how can you help your family better regulate summer screen time?

The benefits of online connection for kids with ADHD

Though screen time has a negative reputation, it's not all bad. Games are great for developing problem-solving skills and hand-eye coordination. Kids experience a motivation to excel. They also practice picking themselves up after making mistakes to try again--a helpful experience for those with rejection sensitive dysphoria that often accompanies ADHD. Older adolescent with ADHD and her younger brother, both with brown curly hair and cream colored tops, both look at a phone with a yellow case with great interest.Social media has the potential to help kids and teens with ADHD expand their social groups and foster stronger connections. They can become part of supportive communities that help them learn to express themselves and develop a stronger sense of self and identity. After years of feeling behind in certain areas compared to their peers, finding ways to improve their self-esteem and sense of belonging makes a big impact on kids and teens with ADHD. Access to the internet, with its vast amount of information, also encourages learning. It can nurture the interests of kids and teens with ADHD. If a child doesn't have access to a yo-yo teacher in their neighborhood, they can learn the basics and some fun tricks on YouTube. Importantly, they can also learn at their own pace. Sometimes kids with ADHD fall behind with certain styles of learning used in school, so having the opportunity to experience how they learn best encourages them to self-advocate for accommodations that might help them succeed now and in the future.

The side effects of too much screen time

Unfortunately, there are "side effects" to getting too much screen time on a regular basis. Too much screen time can actually take a bigger toll on developing children than we often realize. Screens are associated with negative health implications like:

    • Sleep issuesTeenage boy with ADHD with shaggy brown hair wearing a blue and white striped shirt lying on the white ground next to his tablet.
    • Low energy
    • Decreased productivity
    • Eyestrain
    • Headaches

Screens - and the applications and games we use on them - can also be highly addicting. We want the summer to be fun for our families, so it can be very difficult to work with them on rules for screen time. But it is important to explore these options to help improve their health and encourage your family to engage with the world around them.

A few simple tips to help you regulate summer screen time with your family:

Discourage late-night screen usage

Sillhoette of teen with ADHD with over-ear headphones on while playing video games on a screen that is radiating light against a dark background If you need to, consider shutting down the internet or turning off phones to discourage late-night usage. Some families choose to have a phone basket or cubby to put everyone's devices in. Doing this an hour or two before bed will help everyone fall asleep faster. Many families choose not to keep television sets or computers in bedrooms to help discourage any over-usage. This should help to improve your child's sleeping patterns, which often aggravate any cognitive or energy issues they may be having.

Co-watch with your children

When possible, make sure that what your kids are viewing or interacting with is age-appropriate. It can actually be really fun to engage with them and their favorite video games, television series, and movies. Ensure that any news they are getting is from reputable sources. Monitor their social media usage to promote healthy interactions. Set child locks on devices and applications for the times when you are not around to co-watch.

Limit screen time

Young boy with ADHD in a bright blue shirt taping together cardboard in a craft project next to a bunch of craft supplies in a large art room.The Centers for Disease Control and Prevention (CDC) recently reported that children and teenagers spend an average of six to nine hours per day on screens. Bringing this number down is a lot easier in the summer with so many other activities and crafts to try and things to get into. Everyone should really be getting a much-needed break during this season. Follow my parenting acronym "SCREENS" to help you create regulate summer screen time with collaboration and an overall effective plan. Try to stick to a rule with screen time for all of your kids, so that no one feels left out or discouraged. If you're feeling confident, try a "no screen day" once a week. See what kinds of events and other things your children come up with in the meantime. A digital break is great every now and then for everyone, and I highly encourage it. If you can, try to abide by similar rules. You might find that it benefits your own mental health in the long run. There is overwhelming evidence to support that Mother Earth does, indeed, have some sort of integral connection to--and influence over--all living cells. Incorporating outdoor activities into your routine can optimize your body’s function with access to fresh air, sunshine, plants, animals and other environmental factors. Try planting a garden. Enjoy long walks with family pets. Do some yoga or play some frisbee in the yard. Multigenerational family of 6 eating and sitting at a picnic table outside during a bright sunset Encourage your children (and yourself, if you can) to be outside, screen-free, for at least an hour on the days that it is nice outside. And really, if you're dressed appropriately, even rainy days can be fun to play in! Just be sure to check for upcoming storms and that the air quality is reasonable, especially with the unexpected weather we've been having and the increasing natural disasters happening around the world. Also, join your kids for family walks, bike rides, or other explorations. There is no denying that screens play a pivotal role in growth and development in this day and age. After a long year of online learning, it is also imperative to make sure that your family has a plan to regulate summer screen time this year. It's not always easy, but I promise it's worth it.


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Couples Living with ADHD: Healthy practices that focus less on fairness and more on companionship

Couple with ADHD sitting outside on a sunny day laughing and drinking cranberry juiceWhether you have ADHD, your partner does or you both do, there’s one thing for certain: the tasks of living--whether fun or tedious--can often seem overwhelming and unmanageable. Executive functioning skill challenges, learning disabilities, ASD, anxiety or depression can add to the complexity of any relationship. Sometimes these challenges are met with humor, empathy and compassion. Other times, couples living with ADHD produce resentment, frustration and blame. How can you and your partner live with ADHD more successfully while nurturing a healthy companionship?

Exchange fairness for collaboration

Begin by forgetting about fairness. Focusing on equality leads a couple down a rocky path. It may seem that one person does more of the heavy lifting. Whether or not this is true, we all have roles to play in our partnerships and in our families.

Older male couple sitting at the table and working on tasks together

You need to learn how to negotiate what these are so that there’s flexibility and compromise instead of rigidity and contempt. Healthy relationships are all about give and take, effective communication and acceptance of the other person’s strengths and limitations.

In partnerships, people have different skill sets. One person may be the organizer and the motivator. The other might be better at following lists, coming up with fun ideas or recalling specific memories from five years ago. Instead of concentrating on fairness, shift your attention to what will help nurture your relationship, foster closeness and be useful in getting things done.

Make collaborative agreements with plans for accountability and lean into each other’s strengths. This way, you can break down tasks into manageable parts or delegate chores based on interest and capability. Instead of fairness being your goal, aim for effectiveness and equanimity.

Neurodivergent couple working together as a team to get laundry done and having a good time

I’m better at social planning, cooking, dealing with medical issues, reserving places to stay on vacations and making sure we celebrate holidays, birthdays and our anniversary. My husband takes care of the garden, goes to the dump, manages structural house problems and deals with airlines. Together we take turns with the laundry, grocery shopping and walking the dog.

How do you and your partner divide tasks? What skills do you and your partner each have? If the division of labor seems imbalanced, how are you addressing that? Do you make joint lists and assign the tasks so one person isn’t doing it all? Zoom out and think about the big picture.

Rinse, wash, repeat: Stop having the same argument

Most couples have the same arguments over and over again. Whether it’s about money, who’s doing (or not doing) what or how to parent the kids, people get caught up in (and sweat) the small stuff. As adults living with ADHD, you are more likely to struggle with impulsivity, emotional control, prioritizing and time management (among other executive functioning skills) compared to other couples. Here are 5 strategies to reduce frustration and foster positive connections and companionship with your partner:

1. Communicate clearly and cleanly:

Black couple sitting on a couch and having an important, effective discussion

What is the music between you and your partner? How you talk to each other and negotiate issues is critical for creating a harmonious soundtrack between you. Practice reflective listening when you aren’t upset so you can use it when you are. When the temperature is hot between you, there’s usually no listening.

        • Set aside 10-15 minutes at least three times per week and mark your timer.
        • The first person speaks and the second one listens, periodically repeating back what is being said using this formula: “I heard you say X, did I get that right? Is there anything else?”
        • At the midpoint, you switch roles.
        • Then when you are getting agitated and heading down the slippery slope towards a blowout, call up this exercise. This way, you will each feel heard.

The goal isn’t for a solution but just to improve listening and acknowledge your partner. Afterwards, refrain from going back into the content and decide when you can return to the topic for a solution. You are working together, not against one another.

2. Make requests, not demands:

Instead of wagging your finger or raising your voice in self-righteousness or holding onto your need to be right, keep the playing field level. Asking your partner invites their participation. If they struggle to follow through on things, find a calm moment and brainstorm together what would assist them with persistence and completion.

It’s natural for ADHD brains to wander, even if a person has a list to aid them. When you work as a team, the probability of reaching a goal is much stronger. Acknowledge and appreciate when your partner does something you’ve asked, or at least made a solid effort. This will encourage them to keep going. 

3. Give your partner the benefit of the doubt:

ADHD couple having a close, calm and quiet moment outdoors togetherWe all know that it’s more satisfying to accomplish what we set out to do than to leave things unfinished. Most people with ADHD would rather be successful in what they attempt but may fall short, despite their best efforts. They frequently carry around a deep-seated sense of shame about their limitations, which spills over into their relationships.

Perhaps your ADHD partner resents you because you don’t have ADHD and things seem easier for you, or they don’t like how you tell them what to do. Maybe they name you as the problem in the relationship because you have ADHD and think everything is your fault. Relationships work best when you give your partner the benefit of the doubt rather than assuming they do things on purpose.

4. Be accountable for your actions and inactions:

Relationships succeed when both parties are accountable for what they bring to the table--the good, the bad and the ugly. Brainstorm tools that will help your relationship, such as writing things down, using alerts and alarms, sending neutral reminders via text message, creating family bulletin boards and/or online calendars.

Start with one change at a time--that’s what people can handle. When there are several things on the list, “I wish you wouldn’t do,” or, “I wish you would start doing,” becomes overwhelming and, at times, humiliating. 

5. Foster closeness and fun:

Many couples living with ADHD are so busy dealing with the pressures and responsibilities of daily life, that they’ve lost track of what drew them together in the first place. Nurturing your positive connection is essential for growing your love.

ADHD couple riding a bike together and laughingFind some time to remember what you like about one another. Take turns choosing an activity and mix things up by trying something new. Instead of going out to dinner again, try a whitewater rafting trip for the day, get food from a new restaurant and have a romantic picnic, be a tourist in your own town, or visit a new museum. Develop a shared interest such as playing tennis, learning salsa or baking bread. Make time for intimacy.

If you are not connecting positively, you will negatively. Anger and hostility also reflect a deep connection, just not a productive or pleasant one. If these activities are tough for you because there’s too much blame or resentment, I encourage you to seek counseling.

 


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Dinnertime for the Family with ADHD: How to make family meals more enjoyable for all

Dinnertime for the ADHD family of 6, happily enjoying a meal and laughing as the youngest child speaks. Dinnertime can be a wonderful opportunity to catch up with your family, learn what's going on in each other's lives and share the delightful experience of a tasty meal. It has the potential to be an enjoyable break in your day where you can check-in with your family (and yourself) and connect with each other. However, if that doesn't sound like your experience, you're not alone. Dinnertime for families living with ADHD can look quite different. Your child or teen face unique challenges that make it difficult for them to calmly transition to the table and be ready to eat what's served. I'll discuss some of these challenges as well as how to help everyone feel more prepared and excited to enjoy a meal with one another.

Why mealtimes can be challenging for kids and teens with ADHD

Getting everyone to the dinner table

Kids and adult with ADHD often get overwhelmed when they're asked to stop one activity and start another. Shifting from one task to another involves executive functioning skills such as impulse control, cognitive flexibility and organization that they might struggle with. Knowing how to wrap up where they are in a project, remembering where they're leaving off when it's time to return, and moving onto something new can be challenging. Hyperfocus on a project or activity makes this even tougher because of a lack of awareness of how time passes. Think about how time goes fast when you're having fun but even more so. Leaving a fun computer game or playing hoops with your neighbor to eat a meal with your parents, no matter how many warnings your mom or dad gave you, can still come as a shock that they now have to process. So getting to the table with a smile may well not happen.

Arriving in a good mood

Boy with ADHD sitting outside on a rock looking upset with his arms crossed and looking at the camera Ideally, family members come together around the table in a friendly, happy mood. However, that can be a lot to expect at dinnertime for your ADHD family. Expecting kids to reign in emotions from the events of their day or even their last activity might be too much to ask. If they're overwhelmed with having to stop what they were doing to eat at what they think is an inconvenient time, they'll probably bring this upset to the table. They might also have had a difficult day  and aren't up for cheerfully sitting around you to eat dinner. Displeasure about the food or anxiety about the noise or conversation could also contribute to a foul mood. Chat with your child or teen about how to join the family and participate in the meal with more equanimity. Learning how to do this takes time and practice. Eating what's served We all can agree that eating well is one of the keys to living well. Yet, nutrition can be a hard enough thing to handle for yourself, let alone when you are raising a picky eater. Having a well-rounded diet is important, yet it can seem almost impossible with a sensory sensitive child or teen with ADHD who, for example, only likes white-colored foods. As you try to get a handle on it and ensure that your family is getting all of the vitamins and minerals they need, things can get a little dicey (pun definitely intended) with so many different food preferences. Dinnertime for your ADHD family can feel like a rollercoaster ride. "Picky eaters" make up 26% of the American population, while anywhere from 13 to 22% of children  are reported as "picky eaters" at any given time. People rarely consider it a chronic problem since it is so prevalent in children, especially aged 2-5, and see it more as a passing phase. However, about 40% of children are reported to have inconveniently specific eating preferences that last more than two years, and this is especially common for children diagnosed with ADHD.

7 tips to help make dinnertime more enjoyable for your ADHD family

1.  Ask your child or teen about their food preferences.

Do you consider your kid or teen a picky eater? Not being interested in the meal served can add stress at dinnertime for any family. My guess is they aren't selective about their foods because they prefer dine exclusively on lobster rolls or prime rib. Rather, kids with ADHD who have strong taste preferences often like familiar foods, like crackers, mac and cheese or PB&Js. Girl with ADHD looking down with her palm on her face in front of her dinner plate that has a pile of carrots beside a cup of orange juice Eating their preferred foods consistently might not offer them the best nutrition. But the stress of needing to swallow foods you don't like--while also in an upset mood or heated emotional environment--isn't good for the body, either. Having a familiar, fulfilling meal can help them get the sustenance and energy they need without needing to add more stress to an already stressful day. Ask them questions about the foods they like. Is it the flavor, the texture, the fact they can hold it in their hands? This will help you better grasp their eating needs as well as gain understanding about their experiences. Kids with ADHD want to be understood more than judged. Taking the time to inquire about their perceptive is meaningful to them and helpful to you.

2. Take their preferences into consideration when introducing new foods at mealtime.

sweet potato fries on a wooden serving board with ketchupIf you're concerned about your kid's limited food preferences, try working with them slowly over time on expanding their food preferences. Forcing them to eat a meal that you might love, but they don't, will only lead to an unpleasant experience for your family. See if you can find a new food once in a while that might be a healthier version of their favorite foods, but still meet their preferences. If your child loves french fries, try an often healthier alternative - sweet potato fries. Then, gradually move on to other similar foods. When they're trying new foods, don't set your expectations too high. You might think you have all the information and that you definitely got it right this time. The bottom line is--it's still up to them to decide, and it still might not work. Prepare yourself for this scenario so you don't give a strong reaction in the moment. The goal isn't to shame your child or teen into eating. Showing support and acknowledge for their courage in taking a risk will help them feel more comfortable with trying new foods in the future.

3. Set up reminders leading up to mealtime.

Give your child or teen time to prepare for an upcoming meal time. Use a reminder system to let your child or teen know that food will be prepared and ready to serve soon. I'm not referring to yelling up the stairs, "Dinner in 10!" Raising your voice won't support any calm transition. It can actually be triggering, so it's best to avoid at all times, even when it's not out of anger or frustration. If your child or teen has headphones on or their door closed, they're not going to hear you anyway. Kids with ADHD working together focused intently on their physics project at a tableInstead, knock on their door or calmly approach them (while respecting their privacy and physical boundaries) and let them know that dinner will be ready in 15 or 10 minutes and then with a 5 minute warning.  Ask them to acknowledge the reminder using the Rule of Three so you both understand that they get it. Another option is helping them set up reminders in their phone, watch, alarm clock or other device. This promotes their independence and helps them build strategies for time management skills.

4. Keep your child or teen informed with what's on the menu.

Inform your child or teen about what's for dinner. This eliminates unknown variables that might make them anxious about mealtime. Kids and teens with ADHD struggle with enough anxiety in their lives; knowing what's next on the menu takes away unnecessary anticipation and worry. They might also plan accordingly - perhaps avoiding a similar meal at lunchtime.

5. Better yet, let them have a say in what's on the menu.

If your child or teen helps create the menu, then they're more likely to want to eat what's on it. Chances are, not everyone in the family agrees on the same food preferences. You will likely have to compromise and agree to mix things up. If there is a food you all love and crave every week, like pizza, then consider having a weekly Friday Pizza night! Transforming dinnertime into an ADHD family tradition is fun and promotes family bonds. Weekly family meeting with family with kids ADHD discussing and planning upcoming dinnertime mealsWeekly family meetings are a perfect time to discuss ideas for upcoming meals. Collaborating on meals takes pressure off of planning and shopping for meals on your own. It also leads to a happier outcome for all and teaches essential living skills. If you're looking for new ideas or inspiration, try looking on Pinterest from saved or new recipes, or dusting off those cook books to pass around. Encourage your kids to notice what they crave throughout the week, too. They can write them down or text them to you. Then, talk about this during your weekly family meeting.

6. Have easy, preferred food options available as back-up.

It helps to know if there's food on the menu that your kid knows they won't like. That way, you won't make more than necessary, and there will be no upsetting surprises. You can prepare (or they can do this themselves) a safe choice ready for them to eat instead. Maybe that's a quick sandwich or an easy, go-to microwave meal.

7. Involve your child or teen in the meal prep process.

Creative looking meals with pasta hair and bread faces with vegatable facial features made by kids with ADHD for family dinnertime If there's time and interest, involve your child or teen with the process of prepping, cooking and serving the meals. This is a great way to get them in the ready-to-eat mindset and teach them how to cook. Their body and mind are excited to eat thanks to the food's aroma and occasional taste. They're also looking forward to relaxing at the table after some physical work. They're ready to jump in as soon as it's ready! Making and serving food is also a time to get creative-- a common strength for people with ADHD! Whether it's trying a different ingredient, cooking it differently, serving it on the dish in a fun design or setting up the table with a new aesthetic, it can help your kid get engaged and lead to a fun, enjoyable meal with your family.


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Negative Memory Bias and ADHD: Tips to Help Kids and Youth with ADHD Remember the Positives

Neurodivergent teen with ADHD with pink sweatshirt and pink hair and teal headphones on a bed doing homework with on a laptop in her roomHave 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 negativity bias, the minds of kids and youth with ADHD seem more vulnerable to holding onto what is "bad" more than what is "good." The combination of the negative memory bias and ADHD symptoms such as working memory challenges, emotional dysregulation and low self-esteem can make it even more challenging for people living with ADHD to balance out with positive memories. Let's dive more into the impacts of the negativity bias on people with ADHD, as well as helpful strategies you can use to help the children and youth in your life focus more on the positives.

The impacts of negative memory bias in children and youth with ADHD

This negative memory bias is strengthened for kids and youth with ADHD during childhood. It's common for family members, peers, teachers, coaches and other influential people in children's lives to criticize children and youth with ADHD. Oftentimes, people might intend to offer feedback, but kids still interpret the statements as criticisms. They're not remembering things, not doing things properly, keeping things messy, not controlling themselves, etc. These encounters are opportunities to focus on, remember and learn from as children with ADHD grow up. But focusing on the negatives can contribute to negative self-talk, as well as feelings associated with shame, anxiety and depression. Young sad girl with ADHD wearing a flower shirt and pink backpack sitting alone in a classroom at a desk with blue chair turned to the side with her hands over her eyes, dwelling on a negative experience and showing the impact of the negative memory bias on kids In addition to the negative memory bias, many people with ADHD experience Rejection Sensitive Dysphoria, which involves having a heightened response - often physical, mental and emotional - to rejection, criticism, mistakes and other negative experiences. Putting more weight on these negative experiences over positive ones can impact behavior and decision making, such as people-pleasing, striving for perfection or avoiding situations that might have negative outcomes (even if those same experiences could also lead to positive outcomes). While our ancestors needed the ability to learn and remember lessons from tough experiences for survival, people today also need to learn how to retain lessons from good experiences. This is especially true for children and young people with ADHD. Beneficial experiences not only serve as the foundation of self-esteem, secure attachment and self-management, but they also nourish inner strengths. How can we help balance the weight of negative experiences with positive ones for children and youth with ADHD?

Working memory, the negative memory bias and ADHD

In order for the good moments to outmaneuver the negativity bias, they have to be installed in the brain's neural structures. This process requires holding the thought in the working memory long enough to be picked up by short-term memory structures and then transferred to the long-term memory. Of course, people with ADHD, by definition, typically struggle with working memory challenges. Therefore, this transfer doesn't occur as frequently as we would like, if at all. So the key issue here is "long enough." While there is no research to give us a specific time for this, "long enough" usually means holding a positive emotion, desire, action or outcome to actually feel it--to reflect on it and let it sink in. I would venture to guess this means up to a minute if not longer. How can you assist your ADHD child or teen to do this more successfully?

5 tips to help children and youth with ADHD focus on and remember the positives:

1. Teach and value the importance of celebration.

Young happy child with ADHD running on the beach while playing with wood toy airplane at sunset, overcoming the negative memory bias by spending time enjoying and celebrating her accomplishment of making the toyWhen 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.

2. Ask questions about 'highs and lows' at dinnertime

Practice doing highs and lows of the day at dinner with the family. Encourage everyone to say something. Don't ask questions about the statements during the sharing. Instead, if you want to follow up on an issue, ask first. We are trying to create a safe place to hold both the positive and negative occurrences simultaneously; giving them equal weight. This process will create new, essential neural pathways. If daily highs and lows are too much for your family, then do them once a week at regular meal, like Friday dinners. Try to stay as consistent as possible to create the strongest impact on balancing out the negative memory bias.

3. Give genuine, positive feedback daily that is succinct.

Honestly, nothing is too small to be acknowledged. When you do this, make sure you get down to your child's physical level. If your ADHD teen is taller than you are, ask them to sit down so you are at the same level. Put a hand on their arm or shoulder, if that's comfortable. Maintain eye contact with them if you can, and be clear that they get it! A young adolescent boy with ADHD in a low mood while talking to his dad about an experience his dad says is positive to overcome the negative memory bias and ADHD symptoms As corny as it sounds, you could even ask them to repeat what they heard you say:

    • Parent: "Look I really want to make sure that you understood what I said. Can you please repeat it?"
    • Child: "Do I have to?"
    • Parent: "Yes."
    • Child: "Fine, I heard you tell me that you appreciated that I hung up my coat when I got home." Or, "I heard you say that you liked when I got off my computer right after the timer went off."

These exchanges build the neural pathways we are seeking to create and  increase inner strengths, balance out the impacts of negative memory bias and foster interpersonal connection. Kids and youth with ADHD often interpret feedback in any form as negative. Be aware of how you word and how they interpret your statement. Try the ADHD Adapted Sandwich Feedback Method to formulate more neutral and effective statements.

5. Explain the subjectivity of criticisms and negativity.

A mother consoling her teen with ADHD and praising her neurodiverse strengths and differences

Kids with ADHD often endure frequent criticism, or perceived criticism, from influential people growing up. Your child or teen may be motivated to focus on these encounters so they learn not to remake "mistakes," "improve" their abilities and behavior, rebuild self-esteem, gain acceptance and avoid further criticism.

Children and teens might not yet understand, however, that that criticism can be unwarranted and ableist. In other words, people often make remarks that neglect to accept the differences that come naturally with neurodiversity. Children, instead, deeply value the opinions of - and need support from - their family, friends and community. Instead of questioning the validity of the statement, they tend to trust what they have to say. Review with your child or teen the importance of valuing each others differences. In addition, lead by example by outwardly expressing appreciation for their - and other people's - different strengths and overall differences. Explain how criticisms can be subjective, and why people might make inaccurate statements or remarks without thinking them through. This can be confusing, so remain approachable and check-in when moments are calm to see if they need support with understanding statements and situations.

5. Keep it up, regardless of any unwelcome response that you may receive.

Remember, the pull towards negativity and retaining bad experiences is longstanding and ingrained. Stopping your efforts to counteract it will likely increase its influence. Educating your teen on the impact of the negative memory bias and ADHD symptoms might help them stay motivated to focus on the positives, too. Though you might not see a difference right away, your values and recognition are making important, life-long impacts on your child or teen's thought processes, motivation and self-esteem. Start building the GOOD today!


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ADHD and Negativity: Why ADHD kids and teens say "No" and how to help them communicate

Girl teen looking annoyed as she sits on the couch while her parent responds to her ADHD and negativity by pointing their finger at her.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?”

Boy with ADHD looking frustrated after saying no while at the kitchen table and his parents confused and frustrated in the backgroundHis 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

Mother pointing her finger at her child with ADHD and ODD who has their arms crossed and saying no to a taskKids 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.

      1. Start by discussing some plans and ground rules about explosions or meltdowns in your home.
      2. 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.
      3. 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.
      4. 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.
      5. Plan to revisit your plan weekly and post it in the kitchen where everybody can see it.

Acknowledge your ADHD child or teen's efforts to improve communication

Mother laughing and making eye contact with her daughter teen with ADHD who is also happy and smilingShifting 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.


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Dads with ADHD: How to use your unique strengths to assist your kids

Dad with ADHD sitting on the floor in front of the couch with his son having an emotional conversation As a father with ADHD, you know firsthand what your neurodivergent child or teen lives with every day. Because boys are more likely than girls to be hyperactive or impulsive, ADHD in boys is often displayed and diagnosed earlier and more often. But you may or may not have been assessed when you were growing up. And, although you have symptoms and traits of ADHD, you may still not have a formal diagnosis. Whether you've struggled personally or professionally with issues related to concentration, emotional regulation, organization, impulse control or productivity, you may find parenting particularly challenging. It can tough to be collaborative, stay curious and validate what's going well when you wrestle with impatience, frustration and anxiety. Yet, there are many benefits that are unique to dads with ADHD.

Here are 5 ways that dads with ADHD can especially connect with their kids:

1. Dads with ADHD can hyperfocus on their kids.

Dad with ADHD and his two daughters practicing a dance in the living room and smiling Having a parental figure who can zoom in and pay full attention on an activity is very useful for kids with and without ADHD. Dads who narrow their focus on doing something with their children can make them feel like they are the most important person in the world. This intense concentration facilitates meeting kids where they are, engaging in active listening, and working through small difficulties with precision. When you are hyperfocused, your ability to be an ally and your curiosity about your child opens doors to conversation and comforting support. Figure out some activities that you both enjoy, put down your phone and shine your spotlight of attention on your son or daughter.

2. They help to normalize what makes children different.

Father with neurodiverse son sitting on the couch and having a conversation while holding their phones Men who have ADHD are learning to cope with their differences through structure, education, and a whole lot of patience. Dads with ADHD are doing this while raising kids who may share similar strengths and challenges. Hopefully, as an adult, you've reached a point where you value your uniquely wired brain and learned to live with it with compassion and pride. Watching their fathers learn to accept and appreciate their quirks in a healthy way can truly help children to develop more positive thoughts around what makes them different and special.

3. They can often better understand their children's emotions.

All children experience frustration, anger, sadness and fear. During these moments, they may well lash out verbally or physically in aggressive ways. These big feelings can be confusing as well as overwhelming. Dads who live with ADHD may well understand those feelings differently than a neurotypical parent. Men with ADHD often struggle with anger management, intense shame and fear about not measuring up. Dads with ADHD have to go deal with these tougher emotions while supporting and guiding their kids towards developing self-regulation tools that are actually hard for them too. Consider joining with your son or daughter on some aspect of self-Control that you could both improve together. When you work collaboratively, you can model and share emotional intelligence and hard-earned coping strategies.

4. They are often natural problem solvers.

Dads with ADHD have experience learning about themselves and, if they're diagnosed, what an ADHD diagnosis entails. Because of this, they have cultivated many tools to manage challenges. They have natural empathy and useful insights that can help with problem-solving. Our children want to feel heard and assisted with their troubles. However, they also need a good sounding board for their own ideas. Whether it's working through math homework, trying to deal with a bully at school, or deciding what new sport to try, you can step up and be the confidante your son or daughter needs. Your support assists them to build resilience and confidence to figure out future issues as well.

5. They can help children develop healthy life strategies.

A young boy with ADHD sitting at a table and pointing his finger at a dry erase calendar in a classroom with a teacherWhen parents develop healthy coping mechanisms for the many challenges that life brings forth, they demonstrate how to engage in self-care. They also show how routines and relationships can bring meaning and satisfaction to life. Children, always watching and listening, will learn these tools and values from early on through adulthood. Parents with ADHD have a unique opportunity to lead by example while not expecting perfection from themselves. As a father with ADHD, you have a chance to help your kids dismantle gender stereotypes and that having strengths and vulnerabilities and asking for help are normal parts of being human.

Here are a few specific self-care areas that dads with ADHD can focus on:

      • Getting enough sleep.

        Sleep deprivation is known to exacerbate ADHD symptoms. Your immune system’s ability to defend you from outside stressors is highly reliant on factors such as the amount of sleep you get on a regular basis. Without adequate sleep, it can be difficult to focus on simple tasks throughout the day. Sleep deprivation can also affect memory and reduce your problem-solving skills, which are already pain points with ADHD. Practice regular sleep and wake times and set up routines (with incentives if necessary) to facilitate this process.

      • Keeping a family planner or calendar.

        Many parents use a calendar, planner, or to-do list to stay on top of everyday tasks. Dads with ADHD often integrate planning functions in their daily work life so why not apply this skill at home? Use a whiteboard, Post-it notes on a wall calendar or a chalkboard to set up daily and weekly routines. This helps kids see what's coming and learn how to organize themselves accordingly. When you rely on this and encourage them to do the same, they will improve their own planning and prioritizing skills.

      • Seeking outside support.

        If you don't know how to do something at work or at home, you'll probably seek assistance, perhaps online or in person. Kids with ADHD often expect themselves to be able to do things on their own. They also set unrealistically high standards for themselves. Show your child or teen that it's important to ask for help when you need it. Whether it's managing learning issues, ADHD or mental health challenges, find support in your community for your youngster and for yourself. This could take the form of reading books. It might mean finding family or individual counseling or coaching, or consulting with a physician about medications. Talking to educators or other parents at school or taking a parenting class can also be helpful.

      • Engaging in regular physical exercise.

        Have you ever seen a dad running at 7:30 am, pushing a stroller, and holding a dog's leash? How about hitting the gym right after work for 20-30 minutes to get their heart rate up before heading home? Many dads who struggle with ADHD develop a regular exercise routine. This helps regulate their emotions and clear their minds. Dads will often work their exercise in with their kids, too. Evening hoops in the driveway, playing catch, and early morning stretches are ways to bond with kids and get some mental clarity.

What you need to remember, regardless of your circumstance, is that you are the best father for your child/children. You have helped to bring them into the world, you have nurtured them, and you have loved them to the best of your ability and within your personal resources. It's time to start valuing your unique self and the meaningful connections you have with your children. A father high-fives his young, neurodiverse, adolescent son, both smiling


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Gender, Sexuality and ADHD: Parenting Children and Youth with ADHD Exploring Their Gender and Sexual Identity

Neurodiverse and gender-diverse teen wearing rainbow eye makeup and happy face nail polish laughing and looking to the side in front of a pink background

Growing, learning and exploring gender and sexuality

Neurodiverse and neurotypical children, teenagers, and young adults are constantly questioning things. As their brain develops, they learn more about themselves and the world around them. Therefore, it's natural for them to be inquisitive. Part of this curiosity and self-reflection include topics related to values, beliefs and morals, as well as questions of all aspects of identity. Many young adults explore race, religious and cultural identities, as well as gender and sexuality. When the child has ADHD, the unique facets of this condition can influence this process. It takes courage and maturity to explore each of these areas. It's especially tricky in our Western culture for any adult to acknowledge that they are questioning their gender or sexual identity. It's a particularly delicate process for children and teenagers. If your child or adolescent approaches you with this topic, they trust you enough to discuss something very personal and possibly uncomfortable.

Supporting your child's exploration

ADHD teen with red hair and blue makeup smiling with mother and grandmother in the kitchen 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.

Language is important

There are a lot of terms related to gender questioning and sexual identity. However, these two processes are not the same and involve different interventions. I encourage you to educate yourself about them. Here's a short introduction to some of the more common terms:

    • Biological sex

      Refers to the physical anatomy of a person that identifies them as male, female, or intersex. This includes their physiology (genitalia and body type) and genetic differences (hormones and chromosomes).

    • Gender identity

      The way someone perceives themself as male, female, both, or something entirely different. A person's gender identity can be the same or different from the sex they are assigned at birth. Cisgender people have a gender identity that matches their sex assigned at birth. In contrast, trans people have a gender identity that is different from the sex assigned at birth. This is where appropriate pronouns - like she, he, and they - can be discussed. However, pronouns don't always match gender identity.

    • Gender expression

      The way anyone communicates their gender identity to others. Often, this is expressed through appearance and play choices.

    • Sexual orientation

      Defines who a person is physically and emotionally attracted to, based on their own sex/gender. This particular topic can be a little more difficult to work through, though, especially if the parent, guardian, or confidante is less familiar with gender identity.

Three neurodiverse teens walking in a parade smiling and wearing LGBTQ pride clothing, a pride flag and unicorn onesie 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 rejection sensitive dysphoria. You should therefore take a giant step backward to look at the entire picture. This will set the tone for your whole family’s response.

Tips to help you connect with your child and uplift their truth

1. Listen to your child.

We have all been taught active listening at one point or another. However, try reflective listening so they feel heard and validated. Repeat what you hear them say, and avoid giving advice or telling them what to do. If needed, this can happen later. Make sure to pay attention to how you respond. Does it feel like positive feedback or criticism? Avoid interruptions or any responses that could indicate judgment. Right now, your neurodiverse child needs to feel accepted.

2. Acknowledge their courage.

Your neurodiverse child is so brave already. Therefore, opening up and sharing this with you - especially if they struggle with ADHD - is a pivotal and beautiful moment. Let them know how much courage you see in them. Acknowledge their resilience, and let them know that they have made the right decision in opening up the conversation with you. Tell them that you love them for who they are.

3. Avoid standards of gender normativity.

Gender-diverse young adult with ADHD wearing a blue and red striped shirt smiling and wrapping their arms lovingly around themself in front of a pink background

Examine how you view gender in your own life, and reach out to specialists and read literature. Meanwhile, really work to allow your child to feel comfortable and open. Be sure to ask about your child or teen’s preferred name and pronouns. Also ask how you can make changes without feeling like you are walking on eggshells. Above all, respect your child's privacy and decisions. Remember, the way you interact with your neurodiverse teen will influence the way their siblings and other family members do, too.

4. Help your child make thoughtful decisions.

No matter how accepting and open you and your family may be with your child's exploration, not everyone is tolerant. Ask them about any times when their gender identity or sexual orientation has been met with nasty, offensive or even dangerous reactions from others. Discuss safety precautions, and explain how hurtful comments and behaviors, no matter how painful they may be, say more about that other person than with your child.

Strategize appropriate verbal and behavioral responses to negative comments and identify caring adults who can offer support. Neurodiverse kids, who may impulsively react to their big feelings that seem unmanageable, will benefit from these solid stand-by tools for heated or hurtful moments. In addition, if things have been tough, and they are feeling particularly overwhelmed, consider letting your child take a mental health day. This can significantly help neurodiverse children and teens rest, regain clarity and regroup.

5. Seek expert help.

You may have questions during this time. Similarly, your child may want to interact with someone else to help them examine their thoughts and feelings. Your usual team of helpers may not have the necessary expertise. Ask trusted health care providers, friends or family to assist you in finding the resources you need. In addition, consider seeking out online resources, parenting groups, therapists, or gender specialists to help your child through this time of self-discovery.

Recommended resources on neurodiversity and gender diversity:

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Kick off the Summer with 6 Easy Strategies for Better Living with ADHD

Neurodiverse kids and adults at a summer party smiling and having a great time playing tug-of-warA Covid-vaccinated summer is finally here! What a beautiful season, especially for families who can spend a little more time together without all of the classes, extracurricular activities, and other school year obligations. It’s a time of year that people get to feel relaxed and have a little less structure than a school year allows. Yet, routines are still key when raising a child with ADHD, no matter what the season or the stage of development they are in. So what does a balanced summer look like? Abandoning all structure for the summer won't be best for kids and teens with ADHD and will definitely throw the family out of whack. While spontaneity is important (and fun) from time to time, it is important to maintain a simplified routine to set expectations and build good habits. Routines offer organization and predictability to kids with ADHD. They comfort them, even if it sometimes seems counter-intuitive. Some relaxed and effective strategies for starting and maintaining summer routines include:

Establish an appropriate summer bedtime.

The sunlight dances in your yard a bit longer than usual during this time of year, so it can be very difficult to make sure everyone sticks to a healthy sleep schedule. While bedtime might be between 8 pm and 10 pm during the school year, stick to a similar window in the summer as well. Talk with them about their ideas for this window, share your own and create a compromise solution. Use incentives and consider doing a calming activity like listening to music or reading a book together as part of the night-time ritual. Setting predictable times to slow things down and turn off the lights will not only help their bodies stay healthy but also assist them in feeling refreshed the next day.

Create a summer morning plan.

Many kids want to sleep in as late as possible and do as little as possible in the summer. But they really need a consistent wake-up time, whether that's 7:30 am to make it to camp, work or summer school, or 10 am on the weekends. Let them sleep in a bit longer than during the school year, but collaborate on a range of wake-up times. It could be 8-9 am on some days and, for teens, 10-11 am on others. Consider planning some day trips where an early morning start is essential and they're motivated to rise and get going. Morning light can help their body to regulate their metabolism and optimize cell functioning as well. Use incentives here too: link tasks they have to do in the morning to privileges they desire in the afternoon or evening. Continue to group activities like brushing teeth, washing faces, and eating breakfast so they stay in the groove for when school is back in session. 

Limit electronics.

The days can get away from you in the summer. But the sun is shining for much longer, and outside stimulation is so incredibly good for childhood development. Movement is more possible during the summer since they aren't sitting at their desk inside for most of the day. Try to stick to a rule with screen time for all of your kids, and encourage them to be outside for at least an hour on the days that it is nice outside. Join them for family walks, bike rides or explorations. If you need to, consider shutting down the internet or turning off their phones to discourage late night usage.

Stick with family meals. 

It's easy in the summer to be looser about regular meals. Some families resort to grab-and-go dinners more than usual. Setting times that work with your child’s hunger patterns can help everyone avoid low blood sugar and emotional meltdowns. Make the effort, at least a few times per week, to have a family dinner. Eating together, however brief it may be, offers a grounding opportunity for connection. Plan special meals together and have them help with the cooking and even the shopping. You're teaching them an important life skill while having some fun. Then, they will have something to look forward to throughout the day when their stomachs start to rumble. If they have a regular eating schedule already established during the school year and are naturally hungry at those times, stick with them. 

Fill up your cup

In the summer, as people are out and about with their families, you may engage in unhelpful comparisons to other parents. Perhaps you question your parenting abilities next to families with neurotypical kids. Cultural standards of parenting are idealized and can cause a lot of stress. As a parent to a child with ADHD, it can be difficult to remember that they always love you and are looking to you for comfort and guidance. (Yes, even when there are disagreements and emotionally turbulent times.) During these warm, sunny months, I encourage you to be gentle to yourself. Take time to fill your cup up and do things that nurture you. When children and teens experience a happy parent, they are more likely to work with them and learn from them.

Build self-esteem with positive reinforcement.

Children are already susceptible to bullying and negative self-talk. A lot of self-esteem-related issues regarding appearance float around in the summer and it can be hard for kids and adults alike to stay body positive. Talk about any body image issues with respect and acceptance, and, if necessary, plan a visit to your primary care provider. Improve self-esteem by encouraging them around daily activities and noticing when they follow through and cooperate. Celebrate their efforts and successes. Something as simple as, “You did such a great job handling your bad mood earlier” or "Nice job clearing the table when I asked" can really make a difference and turn things around. The summer is a prime opportunity to build up their self-confidence and focus on their progress as much as their accomplishments. This will help them thrive and become more resilient when the school year begins again.  As carefree as the summer can be for many, there can still be tense and confusing times for kids with ADHD and their families. Try out some of these additional tips to foster a summer of sanity.


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ADHD and Anger in the Family: Manage Outbursts with STOP-THINK-ACT

Young teen with ADHD and anger looking at the camera with heated emotionsLet’s face it: the past 18 months have been rough. For kids and adults living with ADHD, there’s been more challenges than ever managing disappointment, frustration and anxiety. As we transition to a new normal, it’s worth learning from those struggles and angry outbursts that might have arose. It's time to re-thinking our relationship with anger.

Everybody has those moments when a switch suddenly flips and a volcano of angry, negative emotions erupts. Before you know what’s happening, you say or do things that you’ll surely regret later, but you can’t stop. Relationships, school and work are all affected by this emotional dysregulation. Why does this anger occur? What can you do differently this summer to cope with it when it arises?

The Amygdala Takeover

The amygdala is the fight-or-flight organ in the emotional region of the brain. The prefrontal cortex, on the other hand, is the seat of executive functioning skills, often referred to as our thinking brain. When the amygdala becomes activated, it takes over running the brain and the prefrontal cortex goes temporarily offline. Feelings rule the day as adrenalin courses through our bodies, ratcheting up the intensity of our reactions, words and behaviors.

Coping with Anger and the Amygdala Takeover

Child with ADHD feeling anger with his arms crossed and smoke coming from his earsTo re-stabilize, you have to stop this flood by slowing down your breathing, heart rate and blood pressure and power up the thinking brain.

In ADHD brains, where executive functioning challenges often outnumber strengths, the extra burden of effectively dealing with a rush of strong emotions, such as anger, can be especially tough. Both kids and adults with ADHD may react quickly with volatility instead of responding more patiently with consideration.

When there’s an amygdala hijack, people need enough awareness to keep it from steering them into a tailspin. This is especially difficult for maturing brains with ADHD. Many kids, teens and emerging adults simply do not have the ability to slow themselves down to prevent outbursts. ADHD can make exerting impulse control even more difficult.

Develop and Practice Self-Awareness

Developing awareness of anger starts with body awareness. Help them reflect on and notice the physical signs that let them know they're about to erupt. What is happening inside their body when they're not agitated? What’s different when they're worked up? Maybe their heart starts beating faster or they begin perspiring. Perhaps they speak louder or breathe very fast. Practice this for yourself, too.

We want to teach kids how to identify the signs of anger building up inside of them. We also want to provide tools they can use to slow themselves down before outbursts. Research has shown that it takes the body 15-20 minutes to fully recover from an amygdala takeover. Many children and teens have told me that they dislike the term “calming down” but prefer “slowing down” because it makes more sense to their lived experience with ADHD.

Grandfather angrily pointing his finger at a surprised and defensive teen boyIn order for any techniques to work, kids have to practice regularly and when they're not in a crisis. This is why body scans, meditation, journaling, coloring, listening to music, jumping on the trampoline, listening to stories, etc. are important activities to engage in regularly. Once a day or a few times per week, pick 15-20 minutes of Slow-Me-Down practice sessions. Before bed can be a great time because you get a double win: building skills and slowing down before sleep.

Have Coping Tools Ready for Angry Outbursts

In the moment of an angry outburst, you need a strategy. Having a plan for anger and explosions gives everybody in the family predictability about what will happen and what to do when they occur. This strategy promotes several executive functioning skills that your child or teen really needs, such as impulse and emotional control, shift/flexibility, planning/prioritizing and self-evaluation (metacognition). Instead of being surprised each time emotions heat up and improvising when you’re also upset, rely on my newly updated STOP-THINK-ACT sequence.

Respond to Anger with STOP-THINK-ACT:

1. STOP Call a break in the action and implement a predetermined 'Time Apart.'

Have a cue ready for angry outbursts. Create a signal for the family so everybody knows when to begin the slow down process. Younger children might be uncomfortable with separation or self-soothing and may prefer being with you for a hug and a story. Tweens and teens will likely be happier to go to their room.

Using Time-Aparts effectively depends on knowing what triggers your kids and YOU when there’s no meltdown. Write down a list of alternative activities or self-soothers and post it on the refrigerator and in your kids’ rooms. Set a timer and take some space yourself.

If you are struggling to keep your perspective, use my secret: go to the bathroom. Take a few minutes to center yourself. Breathe, wash your hands and say something encouraging to yourself like “You can do this” or “You’ve been here before, you’ll survive this too.” Wash your hands and breathe until you’re feeling a bit calmer. This works every time for me, no matter what chaos is happening on the other side of the door.

Once the family volcano has quieted down, the anger has calmed, and your timer has gone off, you’re ready to move to the THINK phase.

2. THINK – This is a time to come back together and listen, really listen, to what your child or teen is telling you.

Father sitting calmly with his son, cooling down after an outburst.

Ask them to review what happened and what they would have wanted to do differently. Reflect back what you hear them say. See if they can use “I” statements. Ask them to share their experience, feelings or observations.

This is NOT the time to teach anything. Your job is to acknowledge their reality, their feelings of anger and other emotions, and talk about what you noticed occurred as neutrally as possible.

Be accountable yourself, honestly talking about what you might have done differently and wondering with them about possible alternative actions on their end. You can summarize what you hear but there’s no interruptions and no blame. Once everybody has spoken and felt heard, it’s time to figure out how to move on. You are ready to ACT.

3. ACT This is when you brainstorm ideas and use problem-solving techniques to go forward.

Your focus is on figuring out the NEXT RIGHT THING to do. Ask them,  “Where should we go now? What do you think we should do?” Whether it’s an apology, making amends, cleaning up a mess or agreeing to disagree, start by meeting them where they are.

You’re not lecturing them about outbursts or what they did wrong. This isn't the time to discipline them or explain the future pitfalls of whatever poor choice they made. Instead, you're collaboratively identifying the next logical step. You are demonstrating how to practice the self-control and compassion you’ve been preaching, and you're pivoting away from anger together.

The time for teaching a lesson about anger, explaining a logical consequence to outbursts or offering feedback is later. Good times for this can be before bed, when your child is open to talking or at a meal several hours from now. Maybe it's on a walk with the dog later or the next day. You want your child or teen to stay emotionally regulated and avoid another provocation.

When everybody is settled, moving forward like this allows their brains to stay modulated and keeps a recurrence of the recent amygdala hijack at bay.

Father hugging his young daughter after to console after an outburst with the mother smiling in the background


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6 Helpful Tips for Dealing with Rejection Sensitive Dysphoria

Teen boy with ADHD and rejection sensitivity dysphoria, sitting on a chair, looking down to the side with his arms crossed, unhappy, while his teacher speaks to him.

What is Rejection Sensitive Dysphoria?

ADHD has a large group of companions that like to come along for the ride, whether that's anxiety and depression, learning disabilities, or autism. Rejection sensitive dysphoria (RSD), while not a formal diagnostic category, describes experiences that often occur with ADHD. People struggle with letting go of past hurts and/or rejection and struggle with heightened emotional sensitivity. They may hold onto unkind words or actions directed towards them for months or years. RSD can also reflect a personal belief that you have let someone down. Because many ADHD children and adults may already experience a feeling of otherness, they often already feel like they are at a disadvantage. We live in a society that teaches us to be people-pleasers. This makes it even harder to avoid sensitivities. Here are some great tips to help you work with rejection sensitivity and reduce its tumultuous effects, whether you need a little reassurance or you're helping a loved one who is struggling.

How to Manage Rejection Sensitive Dysphoria

1. Combat rejection by reinforcing strengths

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, acknowledging their positive efforts and rewarding activities really helps them feel more confident. It can also help them see things from a new perspective and shift from negative self-talk about rejection. This can encourage them to approach future situations bravely as well.

2. QTIP - Quit Taking It Personally!

Many kids and adults with ADHD struggle to separate when a statement is directed specifically at them or when it's something more general. They take things personally that may not be personal. Assist your child or teen to pause before responding to a question or answer by saying, "That's a good question/comment. Let me think about it." Then, they can better assess what's being said. Remind them that other people can say thoughtless or hurtful things sometimes that are more about them than you. The rejection they perceive may not be purposeful.

3. Develop affirmations

Developing mantras or affirmations assists in reducing the noise of negative thoughts that can come with Rejection Sensitive Dysphoria. Try positive phrases like:

      • "I am stronger than I think."
      • "My mind is uniquely wired and creative."
      • "I can make a mistake and be a good person."
      • "I can take risks and see what happens."

Sit down with your child or teen and brainstorm some things to say to the negative voice in their heads. Post them somewhere they can see and recall them when they need a boost. Maybe even make time in the morning or before bed when you both say your own affirmations. Starting your day with a positive thought can really help when feelings of doubt creep in. This is also a fun evening activity that can calm them before sleep.

4. Remember that all emotions are valid

As parents, we never want our kids to feel bad. It can be extremely difficult to watch them struggle with sensitivity issues or peer rejection. When someone struggles with Rejection Sensitive Dysphoria, they have often lost hope in their social abilities, been unable to forgive themselves for what happened and feel shame about their experiences and their emotions. It is very important to remind them that every emotional experience is valid. Offer a listening ear to hear about what big feelings they may have. Be supportive without problem-solving.

5. Be prepared to handle outbursts

Anger is a notable side-effect in people diagnosed with Rejection Sensitive Dysphoria. Many people internalize their emotional responses. This can be harmful, especially over extended periods of time. They may lash out as a result, or react in ways that are not as kind as you would like. If you are working with the sensitivities of a child or teenager with ADHD, it could be beneficial to have an action plan when experiencing a notable outburst. Use my Stop, Think, Act tools, pre-arranged 'time aparts' to cool down, or other relaxation techniques to cope with outbursts. There may be some benefit to having a room or area designated for your child to slow down and recover.

6. Emphasize family connection

Adolescent girl with ADHD planting in a garden with her family in the sunshine As always, connecting with your family is important. Engaging in fun and memorable activities can really help reduce emotional sensitivities related to acceptance. This will allow your kids to rediscover and nurture the joy of being together, instead of perpetuating a sense of rejection and low self-worth. They can also practice their social skills in a safe place. Once in a while, invite a friend to join you. Surreptitiously check out your child's interactions and responses to what the other child is saying or doing. Then you can talk about these at a later during quiet time. Or, just use the information in monitoring dinner table conversation and behavior. Kids with ADHD and Rejection Sensitive Dysphoria really need to feel the consistent, loving presence of their parents as an antidote to the painful social experiences they may be having or perceiving. For those older teens and adults who may be experiencing symptoms of Rejection Sensitive Dysphoria and would like to gain more insight into what it could mean for you, check out this free online test offered by our friends at ADDitude. My ADHD Solution Deck is also a helpful to have on hand, helping you employ strategies that can help your ADHD child or teen in the moment as they face a social or emotional challenge related to RSD.


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Parenting Older Teens with ADHD: Land the helicopter and focus on scaffolding

9 different portraits of happy looking, diverse teens stitched together side-by-side into one image Launching older teens with ADHD can be both exciting and nerve-wracking. Your adolescent might be preparing to leave the shelter of high school for college, a gap year, trade school, an apprenticeship or a job. How do you know when to support them and when to let go? What signs indicate they are ready for the independence they desire? Teens with ADHD who often need more support for longer than is typically expected. Therefore, parenting older teens with ADHD might come with even more questions and concern. Above all, for scaffolding to be successful, your kids need to participate in its design. When parents practice compassion, collaboration and consistency with their teens, they foster much smoother transitions to adulthood.

Helicoptering vs. Scaffolding

A cartoon of a male teen with ADHD wearing headphones walking and looking his phone while his parents which are drawn like helicopters are flying above him and spying through telescopes at his phone to show helicoptering instead of scaffolding parentingThere’s a big difference between being a helicopter parent and one who uses scaffolding. Helicopter parents exercise constant supervision and are over-engaged in their teen's academic and social lives. They're directing things to go a certain way. In addition, they're doing things for their kids instead of letting them try more often on their own. In contrast, parental scaffolding helps teens prepare for adulthood by helping them practice independence. Instead of telling older teens and young adults how to do things and what they should choose, you discuss options. Then, when they're 18 or older, they decide what makes sense. Rather than provide the answers to their dilemmas or problems, you offer resources and point them in the right direction. Therefore, you replace reminders with mutually created systems that foster self-reliance. You do this even if it means that your son or daughter may not succeed at something as often as you’d like. Teaching executive functioning skills, facilitating opportunities for self-reflection and exploring obstacles that prevent follow through and completion become your focus now. As the parent of two emerging adults, I know how tough it can be to witness our children struggling and succeeding--on their own terms. Although it’s much easier to say what we think and tell them why we are right, this type of communication doesn’t result in a trusting relationship. Scaffolding strategies will show more respect for their growing maturity.

Fostering Connected Independence

Connected independence is really our goal now. Ideally, our emerging adults see that we can assist them or offer advice when they seek it, demonstrate empathy regardless of the situation, and believe in their abilities to make good choices. Parents are there for you as needed, but they're not running the show. In the meantime, to get to that place, your older adolescent will test all kinds of limits and resist taking directions from you, no matter how right you are. Teens with ADHD really need to learn from experience. For most parents, and for kids themselves, it’s a confusing time. It’s also an opportunity for you to examine your dreams for them and let them go. Take a minute and consider your agenda for your child and the type of pressure you may be placing on them. How is it working? If it’s not, do you know why? Try doing more of what works. 

Tips and Tools for Parenting Older Teens with ADHD

Use these tips to foster connected independence in your family and strengthen the scaffolding of growing executive functioning skills to better help teens prepare for adulthood.

1. Listen with genuine curiosity:

A mother practicing scaffolding techniques and talking with her teen with ADHD outside on a bench Acknowledge what you hear and use reflective listening tools to show this: “I heard you say X, did I get that right? Is there anything else?” Ask questions using how, what, when and where instead of why. Pause before thinking and reflect on what you are going to say. Are you telling them what to do? If so, how can you reframe that into a question.

2. Separate your anxiety from theirs:

When we are worried about the choices our older adolescents are making, we share our anxiety--out loud or nonverbally. Monitor your concerns, keep them separate from those of your son or daughter and talk about your feelings with someone else--a friend, family member or counselor. Part of maturing into adulthood is knowing that your parents believe in your capacity for resilience. If you need to share your worries with your child, then do so neutrally.

3. Pick your battles:

A father practicing parental scaffolding strategies and having an important discussion with his neurodiverse teen outside on a bench under a tree Figure out what your bottom line is about certain touchy subjects and negotiate compromises. Perhaps it is setting house limits about substance use, agreeing on minimum GPA, managing finances, or respectful language. Agree on your role for giving reminders and when you will say nothing. In general, waiting 24 hours to process something upsetting lets everybody cool down enough to have a real conversation. Effective compromises usually mean that you give a little, they give a little and nobody is fully happy with the solution. Of course, you need to intervene in matters of health and safety but discuss in advance what those might be.

4. Maintain your perspective:

Negotiating the passage to adulthood takes time, practice and frustration. Take a giant step backwards to look at the entire picture. Should your child stay in college when they're failing 3 out of 4 courses? Similarly, is keeping a miserable job with an abusive boss worth persistent high stress, insomnia, substance abuse or self-harming behaviors? Probably not. Place your attention on who they are more than what they do. Parenting older teens with ADHD often involves given them extra time and space to figure things out without excessive pressure from you. They already feel ashamed of their struggles. Remember, most kids want to grow up and be self-reliant like their peers. Talk about what they envision for themselves and help them find a counselor who really understands ADHD.

5. Facilitate learning life skills:

A mother hugging her neurodiverse adolescent daughter around the shoulders from behind while they both smile and look at the cameraThe ADHD brain matures more slowly than neurotypical brains, lagging up to three years. Collaborate with your emerging adult on lagging skill areas that frustrate them. Often these involve organization, time management, planning and prioritizing. Let them take the lead on picking the ONE area that needs to be improved. Brainstorm possible solutions, explore the steps needed to work on this skill and clarify how you can help. In addition, talk with them about managing their own healthcare, prescriptions, budgets and transportation. Most young people I work with still need assistance in understanding how to do these things.

6. Stay steady:

Emerging adulthood is a time of great change and instability. Kids come and go from your house, moving around as they try to understand the world around them and what really matters. Be there as a steady force in the midst of all of these ups and downs, loving them with open arms and a zipped mouth. They are learning as they go along: that’s what this developmental stage is all about. Expect them to reject you and your advice and give them the gift of compassion anyway.  Remember what you were like at your kid’s age. What would you have wanted most from your parents? Would it have helicoptering or scaffolding strategies? I would have liked fewer questions about how I was going to use my college degree and more trust in the process of my explorations. Ultimately, I figured it out, and I bet you did too. Your teen will too.

A neurodiverse teen girl holding a lit lightbulb in-front of a black background that has big white question marks all over it.


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Moms with ADHD: Nurturing your power of authenticity

A young child hugging and kissing his neurodiverse mother on the cheek she smiles and embraces himParents are jugglers. Education, events, extra-curricular activities, hobbies, sports, chores, work--at any given time we've got several balls in the air. On top of managing all of this, women have to deal with the additional issue of cultural standards of motherhood that lead us to comparing ourselves to some idealized version of what being a mother should be. We all do this, and it's harmful to our self-esteem and self-confidence. For moms with ADHD, it can be even more challenging to tackle everyday tasks.

Finding confidence as a neurodivergent mother

If you're a neurodivergent mother, you might feel like you come up short next to neurotypical parents. What you need to remember, regardless of your circumstance, is that you are the best mother for your child. You have birthed or adopted them, you have nurtured them, and you have loved them to the best of your ability and within your personal resources. It's time to stop looking at what you are not doing, and start valuing your authentic self. Our kids are our greatest teachers, and the lessons we learn from them aren't always easy ones. But, regardless of the ups and downs, the most important thing is to nurture our connection with them. We are often judged as parents based on how our children act and what they achieve, instead of who they are as people. Maintaining authentic connections with your neurodivergent child, and conveying your love for who they are, demonstrates what good parenting is all about. Yes, you will get angry and frustrated. Yes, you will laugh and cry with them. And yes, this is what makes you a strong, helpful and attuned mother. Here are some helpful steps moms with ADHD can take to move towards nurturing authenticity in relationships. Let them also remind you of what a powerful mother you truly are.

Four ways moms with ADHD can nurture authenticity:

1. Notice your courageous behavior over the years.

It's important to stop comparing your insides to other people's outsides. You are the best mom that you can be given the resources that you have. As a neurodivergent mother with ADHD, it's unhelpful comparing yourself to neurotypical moms or moms with neurotypical children. Everyone's circumstance is different. Reflect on ways that you've taken risks and done things with your kids that made you feel proud. What are things you do with your child that make you feel good about yourself? Is there a specific family memory that makes you feel happy? Have you advocated for them in a unique or special way, or have they helped you to be an advocate for yourself? Write some of this down so you can keep it for the good times and the bad when it can really help you to reinforce your self-esteem.

2. The key to self-forgiveness is owning your stuff.

A side view of a neurodiverse mom looking compassionately at her neurodiverse child in the eye and resting her hand on her shoulder.

No matter who we are, we have our moments and slip up sometimes. Consider giving a genuine apology about a recent event as a surprise gift to your children and to yourself. Express how you are working on changing your behavior to change things in the future. And then work on it. I have worked through many things with my kids, including my reactivity. I try to own my stuff as much as I can and they certainly let me know when I don't. When I've done something that hurts them, I don't make an excuse. I say, "I'm sorry that I did that and that I hurt you." It helps to take the pressure out of a situation and to make everyone feel more at ease with each other. When you do this for your kids, you are directly modeling accountability. This is a crucial lesson in their development and can be so rewarding. Remember, we are all fallible, we are all human.

3. Show up for yourself as much as you do for others.

Many women think that being a good person is about sacrifice. We believe we need to prioritize others before ourselves. We give and give and give and then feel bad when we can't give more. Because of this, it can be so easy to criticize yourself when you aren't showing up the way you think you should. This isn't good for us or our children, to see us stress about things in this way. Sometimes, we (moms) try to control situations or people in an effort to fit our reality into our perfect picture in our minds. My inner critic often says to me, "You know what? You can do this better." It's debilitating because it makes me feel like what I do is never good enough. I know where it's coming from in my family history. Have you considered where your thoughts stem from in your history? What would it be like to show up for yourself without judgment? What does your inner critic say to you? Mom with ADHD with her neurodiverse daughter stretching next to each other, touching their toes and looking at each other on the living room floor

For moms with ADHD, it's important to accept yourself with your blemishes, quirks, and all. This takes mindfulness. What can you say to yourself instead of thinking so negatively? Vocalize and acknowledge the aspects of yourself--what works and what could be improved. Acknowledge the beauty in the balance. This helps fill up your emotional bucket.

Having difficulty focusing on the good? Keep a journal every night and write down three things that went well that day. They can be really small. It can be something as small as "I liked the stir fry at dinner," or "My toothpaste was refreshing," but it can move mountains in helping you to focus on the positive.

4. Nurture connections instead of solving problems.

As mothers, we can be quick to find solutions for our children's issues. But it is very rare that people want us to solve their problems for them. Our children want to feel heard and assisted with their troubles, not necessarily told what to do. Meet your kids where they are and brainstorm solutions together. Use your creativity, energy and strategic thinking to guide both of you to options organically. Be an ally. As a mother with ADHD, there are so many unique facets to your personality that aid you in being an adventurous and caring parent. Focus more on those instead of your limitations. No matter what, make sure to nurture yourself so that you can show up for your family.  If you don't put your oxygen mask on first, you won't be able to assist anybody else.

A portrait of a neurodiverse mother standing between her two children as she smiles and rests her head on her taller teen


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Post-Pandemic Self-Care for Parents: 12 Tips for Wellness Practices in a New Normal

Parents holding their daughter's hand outside at the park together with masks on in post-pandemic world.Over the past year, we've touched on the importance of self-care for parents during the pandemic. It’s essential for parents to take care of themselves during these times, especially parents of children and teens who struggle with ADHD, learning disabilities, anxiety and other issues. After finally having adjusted to personal care practices in quarantine, it may be time to start considering adjusting to life in a new normal. Here are some tips to help update practices of post-pandemic self-care for parents. Although the road to conquering COVID-19 remains long, there does seem to be a light at the end of the tunnel. With vaccination rollouts happening at a relatively fast pace in the United States, and increasingly more common elsewhere, it's time to prepare for entering social situations. This may require a little extra energy right now, but there are ways to help make the transition easier and more exciting for you and your family. It starts with a solid self-care routine for parents that might look much different than what you're used to. Here's my advice.

12 tips for post-pandemic self-care for parents:

1. Expect that things will look different post-pandemic.

Change can be difficult. It's normal to feel anxious about another change.  To help adjust, plan for unpredictability and some discomfort with the world reopening. And when the discomfort overwhelms you, see if you can find comfort knowing that change is a catalyst for growth.

2. Create a safety net.

Identify what you need to feel safe leaving your house. Post a list to remind your family of self-care items, for parents and kids. Common list items may include your run-of-the-mill wallet (forms of payment, photo ID, etc.), mask, hand sanitizer, keys, and cell phone. Bringing a water bottle, notebook to keep yourself occupied in semi-public situations, a book, and other items may help you shift slowly into a more social mindset. Five hands in the air, each holding a different piece of pandemic self-care PPE, in front of a plain blue backgroundPost-pandemic, your safety net may also expand to include your vaccination card, immune boosters, a thermometer, or oximeter. Be sure your children and teens with ADHD have extra masks and hand sanitizer as they will likely lose things along the way. These items will help you feel more comfortable with this shift.

3. Navigate the social scene slowly.

Give yourself time and space to enter the world and meet with people. Follow your own levels of comfort. Keep in mind that your capacity to handle social situations may have changed quite a bit in a more isolated environment. Self-care considerations for parents might look different now than they did pre-pandemic. Give yourself grace and space to accept your new energy levels, and adjust your calendar according to them (instead of the other way around).

4. Wonder instead of worry.

Shift the perspective from worrying about what might happen to curiosity about the future. Curiosity is the starting point for all creativity and knowledge, after all. Recall times in the past when you’ve been courageous and link those experiences to what’s going on now.

5. Expect awkward moments and accept them.

One parent with a mask on looking at the camera and two adults socializing with masks on in the background post-pandemicIt can be hard to know what to do and say post-pandemic. It's been a long time since many of us were around humans in person regularly. Putting words to how you feel can help people understand your thought process and brain space. Making jokes can help other people feel comfortable. Honestly? They're probably feeling similar and are not sure how to explain it.

6. Create statements to connect.

Practice makes perfect. Because you now have a shared experience, your small talk might look a little bit different. In fact, it might not be small talk at all. Create a list of statements, thoughts, and questions you'd like to use to engage with people post-pandemic. Questions like "How are things going?" "What are you doing?" "Are you able to work?" "Have you gotten a vaccine yet?" and more can really relay that you care, and open up a deeper conversation. Always keep in mind that saying something positive will help the person you're speaking with be comfortable with you. This is one way self-care for parents can positively impact family and friends, too. Kind observations and new things learned can help create depth in your interactions. Positive statements will also leave a better - and perhaps lasting - impression on your acquaintances, family, and friends.

7. Be empathic.

It’s been hard on all of us. What’s been tough? What’s gone well? Be sure to engage these questions with yourself often, and acknowledge that others may be struggling with the same thoughts. Open yourself to the fact that you have a shared experience in this pandemic, and there are more opportunities to bond moving forward.

8. Start small.

Instead of expecting to go back like gangbusters, be kind to yourself and pace your exposure and contact. This will be difficult for the parents who tackle a million things a day, and who are used to a hectic family schedule. You and your children have missed your friends, but heading back into the world can happen gradually for your family. Self-care for parents means allowing yourself to dip your toes in first.

9. Acknowledge the stress pile-on of the past year.

Our stress bucket, already filled to the brim, is now overflowing. Take some time each day to decompress. Everything has been heavier, and you have been managing as well as you can, given whatever resources (external and internal) you have. Give yourself credit for what you and you'r family have done, not what you haven't done!

10. Mind your sleep.

Close up of a person gripping their hands over their face in distressAll of this uncertainty can affect your sleep. What can help to interrupt this pattern is to adjust your bedtime ritual. Keeping away from bright lights and screens for about an hour before you go to bed is ideal for better sleep. Getting some time outdoors during the day will help to naturally regulate your sleep cycle. If your sleep continues to be uneven, consult with your doctor.

11. Simplify your to-do list.

We are living on an information overload. Television, phones, radios, and other technological devices are providing information at a rapid pace. Meanwhile, we consume messages from the world around us in multiple other forms of media. There is a lot going on all around us constantly, and it can be hard to absorb everything, let alone have the energy to personally contribute to anything. Multitasking is really a myth. To reduce overwhelm, make a conscious effort to do one thing at a time and no more than two. Boundaries are an important component of self-care for parents and can make a big impact on your wellbeing.

12. Consciously lower your expectations (or allow some grace into your life).

We have numerous factors that lead to persistent weariness. Making sure the well-being of our children is taken care of while developing and growing our relationships across the board isn't an easy feat. That, coupled with stressors like work, home and family obligations and other variants can really take a toll on you. Consider making fewer plans, and lower your expectations for what you “should” accomplish. Focus on what nourishes you instead.

Maintaining your post-pandemic self-care practices

A picture of a dog on the ground next to someone practicing parental self-care yoga in the background Once you are able to focus on the smaller circumstances and practices that make things better, you can practice gratitude more - perhaps even with your ADHD child! Acknowledging the positive, noticing individual talents and doing activities together all show your ADHD child or teen that you care about who they are and you are glad that they are in your lives. It can also help them express gratitude that you may not otherwise feel on a daily basis. The past year has been difficult for everyone. It's important that we all learn to care for ourselves as we move forward. Self-care for parents positively impacts kids, too. Family relationships often improve and parents model healthy behavior for kids and teens. So whether you're experiencing resilience fatigue - which comes from being depleted mentally, physically and emotionally - social anxiety, or otherwise, it's time to prioritize your wellbeing. As we approach re-opening, keep in mind the 5 C's of ADHD parenting. Once you've established your own self-care routine, consider talking to your teen about creating one, too!


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5 Tips for Parenting Neurodiverse Kids on the Same Page

Two parents in a disagreement with their arms crossed and looking away while sitting next to each other on a couch Parenting with a former or current partner who doesn’t share your views about neurodiversity, including ADHD, learning disabilities, twice-exceptionality or autism, can be very challenging--for you and for your child or teen. Neurodiverse kids really need consistent messages, similar schedules and clear expectations. If they are moving from one household to another, this regularity becomes essential. This can be difficult enough when parents live together and even tougher when they don’t. Perhaps your parents or in-laws help with childcare but don’t believe in neurodiverse diagnoses or understand them. In these situation, parenting neurodiverse kids on the same page as other caregivers can seem nearly impossible.

Aiming to be steady, not perfect, when parenting neurodiverse kids

Your goal isn’t perfection--being consistent at all times--but rather steadiness. Steady household routines and steady parenting help children and teens learn what to expect. Because of this, cooperation improves and anxiety is reduced. Being able to predict what’s coming, more or less, helps them manage their emotions. In addition, it helps them organize their stuff and plan for the transitions.

Shifting from one thing to another and demonstrating flexibility are tough for many neurodiverse kids. They can make these adjustments more readily if there is a repetitive pattern along with helpful checklists. This goes for working on similar executive functioning skills at school and home, too.

When parents are separated or divorced, you're not with with your ex for a number of reasons. However, you are still connected through your child(ren). You may not like each other, and you might not want to be friendly. That’s up to you. You may live with a partner who has totally separate ideas about parenting from you. Either way, you’ve got to find ways to work together when it comes to parenting your neurodiverse kids - it's in the best interest of your children. Research has found that the best measure of a child’s well-being after divorce is how the parents can get along. What can you do to coordinate care across multiple households with less stress and more cooperation?

Follow these tips for more effective partnership parenting:

1. Finding a way to work together:

Two people hitting elbows with each other for teamwork of parenting neurodiverse kids

If you are unable to have civil conversations, find mutual ground or discuss delicate subjects without major arguments, determine how you will communicate about touchy subjects. Practice reflective listening so each person feels heard and understood as a first step towards compromise.

If talking is difficult, agree to send fact-based emails about your child or teen with updates about what’s happened at your house this week, issues with school or friends or any concerns. Perhaps create a general daily routine which can be adapted to the needs of each household and share it online. For some people, even these steps are difficult. I would strongly recommend that you seek counseling with someone who is educated in parenting neurodiverse kids.

2. Prioritize your neurodiverse kid's needs:

Decide what issues are the main priority for your child based on information from school, extracurricular activities and/or medical needs. Identify your child’s strengths and challenges and find a place of agreement or overlap. Lean into the challenges that you both perceive first. Pick something small to address that can span both households. Then, outline how you’re going to address this. If you are unable to figure this out on your own, seek some help from your PCP or pediatrician, or consider counseling. Remember, your child’s welfare is the center of the story not your issues with your (ex) partner. 

3. Create similar routines:

Someone looking at their online calendar on a tablet

Things don’t have to be identical at each household or between each partner in the same household, but they need to resemble each other. When it comes to parenting neurodiverse kids, it doesn’t help your child to play ‘good cop’ and ‘bad cop.’ Supporting routines and collaborating as adults isn’t about control or who’s got the power in the family. Rather, it's about what serves the best interest of your child. Perhaps your son has different sets of chores at each house, but you agree that he has chores. Maybe your daughter does her homework at different times but has comparable bedtimes. Setting related guidelines about screen usage is also important.

4. Parenting neurodiverse kids with a unified treatment approach:

Many parents don’t agree on medication, counseling, coaching or tutors. What do you agree on when it comes to parenting your neurodiverse kids? You may have different opinions because you have different knowledge bases. How can you meet in the middle? Who could assist you with this? I encourage you to talk to your PCP or pediatrician about this or maybe take a webinar together that focuses on parenting neurodiverse kids.

5. Set logical consequences:

We know that punishment is ineffective. Punishment won't help for parenting neurodiverse kids, and it doesn’t teach any skills. Learning effective self-management skills is critically important for them so then can eventually move into self-reliant adulthood. What do consequences look like in each house, and for what offenses?

When there is similarity in how parents deal with issues, and when the adults come together on big issues based on shared values and morals, children and teens respond with more cooperation. Make a collaborative plan as a family for what you are going to do to manage misbehaviors, backtalk, aggression, lying etc. Consider creating a contract that everybody signs so your child sees that you are taking this seriously.


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Beyond Sibling Rivalry: How to Mediate Sibling Relationships Complicated by ADHD

Stressed mother with her down and her hand over her face as her children are angry at each other sitting on either side of herAre you tired of the arguments between your kids? Our sibling relationships are often the longest we experience in our lifetime. We all develop many integral skills within these core relationships. With siblings, we learn how to relate others, how to practice social skills and learn to negotiate. We also deal with  competition, disappointment, jealousy and fairness. Sibling relationships are integral to our lives and sense of ourselves. For kids who do not have siblings, this structure affects them too. Some may be happy to be single children and others may long for a sibling. As parents, our job is teach our kids how to work things out on their own and when to intervene constructively. In families living with ADHD, sibling relationships can be especially tricky to navigate.

The neurotypical child's perspective in their sibling relationships

Siblings who identify as neurotypical often experience feelings of "otherness." They can feel left out while their neurodivergent sibling receives what they perceive as "special care," attention or favoritism. They might not be given the benefit of the doubt as often as their brother or sister. This fosters resentment towards the parents and the sibling. Neurotypical siblings might also receive harsher responses or more demanding behaviors from parents who may have higher expectations for them. They’re sometimes asked to be patient when they really feel angry or ignored. Often, non-ADHD siblings can struggle with a pattern of negative emotions towards their families which are difficult to reconcile. Kids have shared with me:

    • Embarrassment (eg. when their sibling experiences public meltdowns, school struggles, and behavioral issues).
    • Frustration (eg. if they have been exhibiting patience with annoying behaviors and have politely asked their brother or sister with ADHD to stop unsuccessfully).  
    • Guilt (eg. when they are thriving and their sibling with ADHD is clearly struggling;  this can even lead to under-performance in some areas to relieve discomfort of their brother or sister). 
    • Pressure to be the "good kid" (eg. to set an example for the rest of their family and avoid causing their family additional stress). 
    • Hiding true feelings (eg. denial of any uncomfortable or conflictual issues so they remain "healthier" than the sibling with ADHD, in comparison).

Leveling the playing field to discourage sibling rivalry

As parents, you want to encourage role flexibility in your family. No child should the "good" one nor the "bad" one. If there is more than one child in a household with ADHD, learning disabilities (LD), or Autism Spectrum Disorder (ASD), it can be especially challenging for everyone to thrive because of how issues with attention, learning, or processing information manifest differently between family members. Father in a light blue long-sleeve collared shirt laughs and bends over as he walks around his living room holding his daughter with pigtails and a yellow shirt on his back. She has her arms out like she's an airplane, and their both laughing and having fun. Actively teach your children that we all have strengths and challenges. The goal is creating as level a playing field as possible within the family unit so kids can be both "good" and "bad." In fact, we all have executive functioning skills that run smoothly and need tweaking. Name what they are for each person, and discuss an approach where each person can work on improving one issue. Emphasize this so your child with ADHD doesn't feel stuck as the person who needs all of the help in the family. There are ways to help diffuse the tension in sibling relationships and create a stronger family ecosystem.

1. Choose empathy in your approach.

Working through issues with your ADHD child can set a very important example for how the rest of your family works together. Your children are always watching you, so it's important to practice self-control and figure out what helps you manage yourself better when you are triggered. Take time to look at the big picture, understand every side, and practice compassion. Using humor can help to keep you level-headed and light-hearted. Your other children will follow your lead, and this will set an achievable example for the future. 

2. Practice themes of fairness and inclusion.

The world is already designed to make people feel a greater sense of competition. There is no need to overwhelm growing children with more comparison issues. Because children with ADHD often are the focus of more worry and concern, a parent's extra engagement might stir up feelings of jealousy and comparison.

If you start to notice any extra stress or tension in any child, spending quality alone time with each could help boost their esteem. Fairness doesn’t mean equality but rather feeling listened to and included in the plans you create for the family. Use incentives and reward charts for everyone, but the expectations can differ according to age and ability. 

Two teenage siblings, sisters wearing white t-shirts sitting on chairs sideways next to each other, facing away away from each other, but looking at each other smiling. The girl on the left is on wearing green shorts, sitting on a gray living room chair, and holding a notebook. The girl on the right is wearing orange shorts, sitting on a yellow chair and is holding coffee.

3. Handle disagreements with the same finesse as every day conversations.

Practicing fairness with every child, no matter their neurological capabilities, is essential for fostering healthy sibling relationships. It also reduces any built-up tension or feelings of rage a child could experience at feeling less than. Talk with your partner (or a caring friend) about when to intervene in sibling arguments. Safety is a primary concern, of course, but also avoiding unnecessary escalations and hurtful statements is important. Then discuss with your kids about when you will intervene, when you will warn them to take some space and how they can ask for help when they are stuck with each other. Teach kids to deal with their conflict effectively, model how to negotiate problems, set up a plan for taking space when things escalate and come back later to discuss how to move forward and make amends.

4. Spend quality alone time with each child.

Each of your children benefits from alone time with each parent. Whether it's a special activity or doing some errands with a Starbucks at the end, the point is to hang out together. My uncle used to schedule one-on-one time with each of my cousins once a month. One of my clients takes her daughter on errands on Saturdays that involve some stuff for the family and some fun time like going to Starbucks or getting ice cream. These types of quality time make a huge difference in nurturing parent-child connections and fostering healthy communication.


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Returning to School with ADHD: Tips on helping anxious kids transition smoothly

Teen girl with ADHD sitting on the ground in front of her locker with her hands on her head looking anxious and downBack to school is normally a time of excitement with a splash of worry thrown in. But this year, with the shift from remote learning to in-person or hybrid instruction, it seems that there’s more worry with just a splash of excitement. For neurodiverse kids who found online learning more helpful in certain ways, this could be even less exciting. Returning to School with ADHD isn't easy. How can you assist your child or teen with ADHD reduce their back to school worries and make a smooth transition? 

Start by discussing and accepting their feelings and your own worries.

Everybody feels uncertain and uncomfortable right now. Change, in the midst of COVID numbers rising again and the confusion about getting vaccinated, make us all feel insecure. How do we reintegrate as a society? Is it safe to gather? What advice do we follow? Following the CDC guidelines seems to differ among various people. You have to follow your own guidelines about what makes you feel safe while understanding that kids need to return to some degree of normalcy. 

ADHD teen with anxiety about remote learning while he sits at a desk in front of his laptop and holds his hands to his head and looking distressed

During the pandemic, we’ve been separated from so many aspects of our typical lives. As parents, you’ve been stressed thin with juggling work, school supervision and the regular demands of family life. In this strange, extended period, kids of all ages, whose social and emotional development highly depends on social interactions, have missed having close peer connections and struggled navigating the complexities of online relationships for more than a year.

Kids with ADHD who’ve been doing hybrid or remote learning have also been able to move around physically, follow impulses and refrain from practicing the emotional regulation that’s required of them in the school building. These adjustments will change once they are in classrooms.

Preparing anxious kids for the returning to school with ADHD not only relies on reviewing the various alterations to the school environment but also practicing necessary social skills, COVID hygiene and academic adjustments. Follow these steps to promote confidence, strategies and resilience in your student.

Tips to help anxious kids transition to returning to school with ADHD and confidence:

1. Manage your own concerns first.

Kids have incredible radar. They easily pick up when their parents are stressed or anxious and it increases their own distress, conscious or unconscious. The first step in decreasing the anxiety your child or teen is feeling is to lower your own.

Take a few minutes and discuss your concerns about returning to school with ADHD, anxiety and COVID concerns with your partner, a friend, extended family member or counselor. Write these down and then strategize responses or to-do action items to each one by creating an “Anxiety Decelerator Plan.”

This ADP will help you feel like you have some control. For instance, if your child needs more support than they received in the spring, one of your action items should be to contact the school adjustment or guidance counselor and set up a meeting. 

2. Identify their worries.

We can’t assist kids in turning down the frequency or intensity of their anxiety unless we know what’s causing it. Worried thinking and environmental triggers set children and teens off and then they fall down the rabbit hole. We want to stop this tumble.

During your weekly or twice a week check-in meetings (these are a must), explore what might be uncomfortable or uncertain about in-person/hybrid learning. Write these down. Pick one fear together to address first and when its volume is lower, you can pick another. Remember, people can really only change one thing at a time. 

3. Consider past success.

Kid with ADHD wearing a mask and raising his thumb out the car window, excited as he returning to school.When kids are anxious, they experience amnesia about times in the past when they overcame obstacles. Talk about a situation ortwo from the past when there was a challenge that they dealt with successfully. What happened? What did they rely on inside of themselves to do this? Did anyone assist them? Write down their responses: they are critical pieces of your youngster’s resilience toolkit that they need for bouncing back from anxiety.

Link some of these tools to the worry that you both have agreed to work on. Cue them to use this tool and check in about how it’s going at your meetings. Brainstorm what you can do to assist them that works for both of you (especially for tweens and teens).

4. Avoid reassurance, and rely on acknowledgment instead.

Anxiety loves reassurance. But while reassurance brings about a short-term relief, it increases long-term anxiety because it doesn’t teach kids the skills they need to do this for themselves. What parents need to do is acknowledge the fear and validate their concerns.

Say something like, “Yes, of course you are worried about returning to school. It's a big adjustment. What did we do when we needed to make a change last year? How can we use those strategies for this transition?” Making these connections for kids fosters their capabilities for self-reassurance and resilience.

5. Create a new normal.

Nothing is the same, and even though we desire our old normal, it’s not here. Welcome and adapt to new rhythms instead of fighting them. Identify available resources that you have now and didn’t before: safe social interactions, outside exercise, educational tutors and better intervention. This shift in your focus will aid your kids with ADHD who naturally wrestle with flexibility pivot more successfully.

Teen girl with ADHD leaning over a desk and looking at her mother as they discuss returning back to school


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Recognizing ADHD in Boys and 4 Ways to Help Them Succeed

Boy with ADHD resting his head on a pile of brightly colored folders at school and looking at the camera We know that ADHD affects both the person who has it and their family. Over six million children and adolescents in the United States have been diagnosed with ADHD. While most ADHD profiles are not gender-specific, there are a few key differences between ADHD in girls and ADHD in boys when it comes to diagnosis and developing routines or treatment.

What is unique about ADHD in boys?

A young boy at recess teasing a girl, showing a social and emotional challenge for ADHD in boys, who is on the ground with her head down on her knees while two other kids watch in the background As you wash the dishes, you look out the back window and smile at your kids playing in the dirt. Your young son, Damon, is singing and running in circles with that contagious, boundless energy that makes you smile. Your daughter is writing with chalk on the patio while the sun sets. Later, the kids come inside screaming. It turns out Damon has been “annoying” his sister. He has been having issues sharing their outdoor toys and even damaged one. Your son has been having small, fiery outbursts at his sister. They don’t last very long and he is otherwise a well-behaved kid. While you explain to both of  them why sharing is important, you notice his eyes look out the window, his foot starts tapping and then he bends down to playing with his shoelace. Because boys are more likely than girls to be hyperactive, ADHD in boys is often displayed earlier and often. The current ratio of boys to girls with ADHD is 3:1, with some studies suggesting 4:1. Noticing that your son is unusually energetic, impetuous or spacey can lead you down the path towards an accurate diagnosis. Hyperactivity, impulsive behavior, and inattention are all attributed to boys with ADHD. These are also common traits in younger children and preschoolers, who naturally experience difficulty paying attention and following directions. If your child is still in early developmental stages, keep an eye on these behaviors and seek out patterns if there is cause for concern.  Regardless of how ADHD manifests itself in your son, there are ways to reduce symptom flare-ups and actively help him succeed. Here are a few tips to help encourage your growth together.

4 Ways to Support Your Neurodiverse Son during Childhood and Adolescence

1. Boot the stereotypes.

“Boys will be boys” though, right? Not so much, actually. Learned behavior and stereotype indicators can lend to biases, conscious or otherwise. Yes, historically, boys are more aggressive. ADHD in boys often shows up as more oppositional than their female counterparts. However, this isn’t the case for every male child or adolescent. All small children start out with open hearts and minds, and some mischief in their eyes. Believing boys are more aggressive or shrugging off any signs of aggressive behavior can both enable negative patterns and drive you further from diagnosing anything behavioral-related. Now is also a good time to address any biases you may have developed on your own over time. Books, peers, and outside sources can really help. But it's most helpful to make yourself fully aware of the lens through which you are viewing your child. 

2. Meet them where they are at.

Aside from unconscious bias, it can often be difficult to approach a child with ADHD during a fallout or in the midst of chaos. It is important - especially in stressful spaces - that you choose mindfulness. Choosing mindfulness in every situation will improve your communication skills with everyone around you, especially a child who may be struggling. This begins with allowing your child space when they need to calm down. If you are mindful of their emotions at the moment, then they will be more open to responding instead of reacting. The ramifications of ADHD in boys can be excruciating. Even early on, they can be excluded because of increased aggression, or the aforementioned gender bias. They may thrive with attention and want to hold the spotlight a bit more than usual, resolving in aggression from other students and children. However, receiving negative feedback in these instances can be earth-shattering for your son, especially early on in development. Just imagining how this much critical  feedback will probably increase your stress levels. Approaching them with compassion can do wonders for their self-esteem. 

3. Teach effective coping strategies.

Boys with ADHD often struggle with managing their emotions and can misinterpret social situations or miss social cues. Because of this, they are more likely to resort to humor as a way to deflect their issue or cope with discomfort. Peers may find this annoying. And this is just one key example of acting out. As much as - or even more so than - girls, they need to be taught effective coping strategies for managing limited verbal impulse control and emotion dysregulation.  Boy with eyes closed with his hands together above his head in a yoga class with other kids to calm ADHD in boys and girls One of the biggest things to keep in mind is that boys tend to experience fewer problems in an activity-oriented social world. In these spaces, common traits for ADHD in boys such as risk-taking and aggression can be viewed in a positive manner. Finding them a group hobby, like improvisational theater, a team sport or another extra-curricular will encourage social interaction and help with symptom management. Mindfulness is also a highly effective coping strategy for people with ADHD. Research has largely supported the fact that meditation for mindfulness can expand the brain’s capacity to hold attention. This is absolutely amazing, and something I think all parents can approach at a reasonable pace for both themselves and their children.  Starting with just one minute a day of stillness or silence in gratitude is a great place to start. If your child requires a little more interaction with their senses, try playing a tranquil piece of music that calms them. Of course, like girls, they also benefit from direct instruction about organizing, planning, prioritizing, flexibility, and time management. 

4. Set goals in line with their ideas.

Father with his arm around his son, both looking at the camera, in front of a brick wall showing family and ADHD in boys Building awareness of themselves is key as boys in general mature more slowly than girls. Working together with that awareness can help to empower your ADHD son in navigating his every day. Ask questions that bring focus to how, when, and what more than why. Learning about their likes and dislikes together will help them not only to connect with you but for you to better identify triggers and their ideas of success. Here's an easy, useful activity for self-discovery. In a quiet moment, explore these questions with your son:

    • What type of learner am I? 
    • What am I good at, and how am I good at it? 
    • Which tasks are most challenging for me?
    • When am I able to focus best?

These questions will help them to start verbalizing their thoughts and examine themselves--building the foundation for the all-important executive functioning skill of self-evaluation. For school-aged children, the following additional questions are often key to identifying study patterns and habits. They can help you set concrete, achievable goals that will not overwhelm your child. (Or you!)

    • What helps me pay attention in class? 
    • What distracts me during homework or other activities? 
    • When am I planning to do X and how can we assess the time needed for that?  

As always, there are many ways to help your son live with more satisfaction and self-confidence. Check out my 5 C’s of ADHD Parenting for more.


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The Truth about ADHD in Girls, and 5 Ways You Can Help

Raquel is a bright, creative girl who likes singing, dancing around the house and riding her bike. She is an eighth grade girl with ADHD and mild dyslexia and receives support services at school through her IEP. She can be articulate, warm and funny. Raquel also has also developed a nice group of friends over the past year. Shana can be easily distracted and inflexible about routines. Her room is very disorganized and meals are difficult since she’s particular about her food and doesn’t like to hear other people chew. Bedtime and morning routines often deteriorate into yelling matches if she’s not getting what she wants immediately. In addition, she procrastinates about cleaning her room for months at a time. Life at home with her parents and two older siblings is marked by tension, arguments and disappointment, which nobody likes. For parents of girls with ADHD, can you relate?

Symptoms of ADHD in girls

Although the basic diagnostic criteria for ADHD are the same for all genders, ADHD often looks different for females than it does for males. While you may see signs of physical and verbal impulsivity and hyperactivity in your daughter, you are just as likely to see silliness or spaciness, shyness, daydreaming, perfectionism, anxiety, forgetfulness, emotional dysregulation, trouble making and keeping friends and picking at themselves.

A cartoon of a neurodiverse girl with ADHD frowning sitting holding her knees with a thought bubble with a scribbled lines in it.

These signs can be overlooked in favor of boys who demonstrate more externalizing symptoms of ADHD and draw more attention from the teacher in class. For every girl who is diagnosed with ADHD, there are three boys with the condition.

How the presentation of ADHD in girls impacts a diagnosis

Girls with ADHD are diagnosed on average up to five years later than boys. Boys are diagnosed more often with hyperactivity/impulsivity, usually exhibiting inappropriate, aggressive or impulsive behaviors. Girls tend to have the inattentive type of ADHD, with more internal traits. This explains why we miss diagnosing ADHD in girls so much of the time. Both boys and girls with ADHD have brains that mature more slowly than neurotypical kids, with a lag of to three years. Higher rates of anxiety and depression often accompany ADHD in girls or may well overshadow or mask it altogether.

Unique challenges for girls with ADHD

While girls with ADHD can pay attention and focus well on things that interest or come easily to them, it’s their difficulties with uninteresting, unpleasant tasks where their ADHD brains struggle. Some deficits may be more obvious than others. Kendra gets to school on time but can’t keep your bedroom organized or meet deadlines for assignment. Zara gets her work done but is distracted so easily that it takes her twice as long as it should.

To make things more difficult, many girls with ADHD or LD will deny their executive functioning challenges and academic issues due to embarrassment or low self-worth. 

Teacher helping a neurodiverse girl with ADHD do school work in the classroom

Ashamed of their difficulties and overwhelmed by frustration or fear about possible negative outcomes, some girls with ADHD will do anything to avoid disappointing friends and family, including themselves. Their challenges with verbal expression, auditory processing or verbal control make it harder for them socially. Girls are often conditioned to believe that they define themselves through their relationships. So when girls with ADHD misread cues or don’t hear what someone is saying because they are distracted or struggle to express themselves, they have a much harder time relating to their peers with the expected verbal connections.

Many girls will suffer silently rather than appear different from friends. Teachers and parents may miss seeing the ADHD that really exists as girls try to fly under the radar. Addressing this shame is a key feature of any therapeutic work for girls with ADHD. Of course, everybody with ADHD has serious executive functioning challenges, but all neurodivergent people have personal strengths.

Here are some ways that you can support girls with ADHD in your life:

1. Manage your own reactivity:

Father holding his hands to his temple in distress while his daughter with ADHD is screaming next to him on the couch with her hands in the airWhen you are triggered by your daughter, it’s really difficult to show up as the parent you want to be. Figure out the internal signals that you are being set off and create a plan to calm yourself down.

Take a timed break from each other, go to the bathroom or step outside. Your emotional response will simply activate her even further.

In a calm moment, discuss what’s okay to say and do when she’s upset and what isn’t. Ask her to think of a logical consequence for cursing you out or a way that she can make amends for leaving a sink full of dirty dishes.

2. Set up weekly meetings:

To avoid nagging and arguments, sit down together once or twice a week. Assist them to organize their daily and weekly schedules and set up doable routines. Work with their desire for mastery and independence. Offer girls choices and incorporate their ideas for any programs you create. This will increase their buy-in.

3. Determine their executive functioning age:

Kids develop in uneven ways. They are stronger in some areas than others and this patterned development is especially true for both boys and girls with ADHD. If your daughter is 12, she may act 12 in her self-care (hygiene and ability to take care of the cat). But she may be more like a nine year-old in her organizational, planning and focus skills. Talk with her about her strengths and challenges and pick one skill to improve.

4. Make a study plan:

young girl doing work with mother on the computer with headphones onFigure out together where, when and how homework or hybrid school will occur.

If your daughter gets easily overwhelmed or distracted, help her (or ask the school to) break assignments down into smaller, manageable parts.

Teach her about time: what it feels like and how to work within its limits. This doesn’t come naturally to many kids with ADHD.

5. Offer empathy for their struggles:

Overcoming shame and learning how to advocate for herself are the best things you can teach your daughter to do. Perhaps you’ve had to learn these skills, too. What negative things does she say to herself? How can the two of you reframe these criticisms into something more positive? What tools does she need to talk honestly and non-judgmentally about her executive functioning challenges so she can get the accommodations and support she needs?

Recall times she’s faced her fears or her embarrassment before, and write down these moments of resilience. Hang it up in her room so she can look at the list. It's too easy to forget the wins!


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