A recent national study of approximately 2500 youth with ADHD ages 4 to 17 revealed some alarming findings about how the needs of students with ADHD are NOT being met. Although the majority of students were receiving one or more interventions, the authors, led by George DuPaul, Ph.D. of Lehigh University found that at least one in three students with ADHD received no school interventions even though they showed significant academic and social difficulties.[1] This is especially true for kids from non-English speaking and/or lower income families. Other shocking results: One in four students with ADHD had repeated a grade, one in six had been expelled from school. In addition, middle and high school students with ADHD were less likely than elementary school students to receive any school services despite similar if not worse academic and social functioning.[2]
Honestly, I am quite distressed by the results of this study. Given that school is often the hardest area of functioning for kids with ADHD and there’s been so much professional development for educators about ADHD in the past decade, I guess I had naively believed that things were better than this. While this study sheds a glaring light on the lack of educational support and interventions for ALL kids with ADHD, those youngsters from non-English speaking families or those with fewer means have educational needs that are particularly neglected. Such disparities in who or who doesn’t get help means that education—a fundamental American value as the path for people to overcome racial and/or socioeconomic obstacles to find success on their own terms—is actually thwarting kids with ADHD. This is completely unacceptable. School-based interventions improve classroom behavior, academic performance and social relationships. For middle and high school with ADHD this current is particularly critical: they already run a higher risk for underachievement and dropping out. This current study also implies that services kids receive in elementary school are discontinued as they mature. It’s a sad irony I’ve seen too many times: when kids with ADHD have useful scaffolding and are doing better, the services are later withdrawn because of their success. Instead, these interventions need to remain in place to help with the increasing executive functioning demands for independence in middle and high school. What can you do to make sure your son or daughter is getting the services they need?
- If your child was given a diagnosis of ADHD by a primary care or mental health provider and has not received an IEP or 504 evaluation, call the school and set up a meeting right away. Since your son or daughter already has a diagnosis and meets criteria for one of these interventions, you are entitled to have a meeting. Don’t be afraid to be persistent.
- If your son or daughter already has an Individualized Educational Program, a 504 accommodation plan or a Functional Behavioral Assessment Plan, you can request an informal gathering of administrators, teachers and counselors to discuss the support services that are already in place. You many also ask for a formal team meeting to re-evaluate the existing IEP and make changes to it.
- I recommend at least one informal meeting of the people at school who know and/or teach your child or teen per year so that you discuss academic and social goals and set up a method of communication that works for everyone. It’s great if the student can participate in part of this meeting as well so their perspective is both heard and integrated into the plan.
- If you are unsure about the level of the services that your child is supposed to receive or unclear if the services are indeed being provided, then consider one of these options: A) Asking for someone (of your choice or the school’s) to observe your child in a few different environments at school and share those findings with you and the team; B) Consulting with someone outside of the school such as a learning specialist, ADHD coach or psychotherapist to review what’s in place for your student and make helpful suggestions; C) Speaking with an educational advocate to help you assess your situation and look at possible options.

[1, 2] https://www2.lehigh.edu/news/george-dupaul-1-in-3-students-with-adhd-receive-no-school-interventions
When teenagers get their first job, they're very excited to make and have their own money. Managing that money, though, is often a bit of challenge. They may have held small jobs like babysitting or dog-walking before, but they don't know how to use a bank account, write a check and kept track of what they're spending. Many of them use debit cards without understanding how to monitor what they're spending and overdraw their accounts quickly. This is especially true for teens with ADHD. It's critical for parents to help their kids learn about money management and budgets.
Mistake #2: Excluding them from participating in creating solutions to daily problems.
If you are struggling with a child or teen with ADHD and would like to learn some sure-fire tips for improving cooperation and reducing arguments, please join me for my upcoming 4 session online workshop: https://drsharonsaline.com/product/adhd-teleseminar/ .






"Talking to your teen about self care can be difficult, so we spoke with leading experts on teen psychology to find out the best way parents can approach their teens to talk--and what skills they recommend you try!"
On my recent work trip to CA, I had the privilege of meeting with a group of high school students with ADHD, LD and executive functioning challenges. As we talked about their experiences and brainstormed new strategies, one thing became abundantly clear. These kids carry around A LOT of shame about their struggles, more than I had even previously considered. When I asked them what they thought the ratio of positive feedback to negative feedback was in their lives, including what they told themselves, the overwhelming response was 1 to 30: one positive comment for 30 negative ones.
Since the ideal positivity ratio according to Dr. Barbara Fredrickson is actually 3 to 1—three positive statement for every negative one, their revelation deeply saddened me. Why aren’t kids with ADHD hearing and absorbing acknowledgement about their efforts towards meeting responsibilities and goals and their successes when they do as much as what they could be doing differently or better? How can we help them develop healthy self-esteem and resilience when the dominant message is ‘do something or be someone different’? In my 5C’s of ADHD parenting, I emphasize Compassion, Consistency and Celebration. Compassion: Meet kids where they are and let them know that you understand and accept them even if they don’t understand or accept themselves. Consistency: Notice their efforting as much as their accomplishments. Celebration: Praise big and small accomplishments to counteract the persistent negative self-talk.
Celebration—giving genuine acknowledgment and validation to your son or daughter—matters more than you think it may. Stay in the present as much as you can and keep your worries about how they will manage later in their lives at bay. So much growth and development will happen between now and independent adulthood that you can’t possibly envision yet. What kids with ADHD clearly need most is help NOW feeling better about themselves. You CAN help them with this. Ask them for 2 or 3 highlights of the day when you pick them up after school or while you’re eating dinner. Give them a high five when they hang up their coat or a quick verbal appreciation when they put their dirty clothes in the hamper. Try to focus more on the good stuff so they can too.
Anxiety is a physiological response related to a perceived danger and worried, negative thinking. Basic fight or flight responses are triggered from worries and these reactions are usually disproportionate to the concern at hand. Worry can be productive or poisonous. Productive worry is worry about doing things--completing homework or getting to work on time --and can be helpful in getting things done. Poisonous worry is worry about things you can’t control--the ultimate demise of the planet or whether people like you--and can be debilitating. The first step to dealing effectively with anxiety is to determine which type of worry you are dealing with. Then, engage the thinking brain to slow down the tidal wave of anxiety and emotion volcano by doing two things: 

This week, television shows, Hallmark cards and advertisements tell us repeatedly that Valentine’s Day is about celebrating love–romantic love, familial love, friendship love. I even saw a Valentine’s Day card for your dog! It can all be a bit overwhelming, especially if you are feeling less loving than the commercials suggest you should be. I would like to suggest that you can transform this day into something meaningful for you and your ADHD son or daughter by being authentic and acknowledging what is positive in your relationship. Often we are so busy with our chaotic lives that we neglect to notice and name things that are going well and move quickly onto what isn’t working. While it is great to give and receive funny cards and candy on Valentine’s Day, it can also feel wonderful to share and name things that family members like and appreciate about each other. It might sound corny but such conversations or written words, however brief, can have lasting effects. Taking the time to add your own comments about a positive behavior or attitude on a card or at a meal will show that you really see your child’s efforts to do well and encourage more of them.
Even teenagers who can seem indifferent or combative to you actually listen to your positive feedback. The trick is keeping your comments “short and sweet”: you have to grab their attention, be succinct and speak genuinely or your ADHD son or daughter will smell a rat and stop listening immediately. Here are my tips for a Valentine’s Day with REAL heart for you and your ADHD child: 1. Talk to your family and set a time for Valentine’s Day cards, gifts or exchanges. It doesn’t have to be a big deal; just a time when everyone can be together. Make an agreement about the general plan: “We will be giving cards and not gifts.” Or, “We will give gifts that are homemade only.” Or, “No cards, no gifts, only chocolate.” Do what seems natural for your family. Participation is not mandatory but attendance is. 2. If you give cards, write a few things that your son or daughter does that you like. BE SPECIFIC. “I like how you hum when you eat your food.” “I love when you give me a hug before bed.” “I appreciate when you clear your plate after dinner.” “I like your sense of style, even though it’s different from mine.” If you are doing a verbal exchange, plan what you have to say so you it doesn’t seem like you are making things up at the last minute. 3.
When you get together as a family, share your cards or comments without elaborating or dwelling on them. Your ADHD son or daughter has a limited attention span and we want this to be fun. Lingering on topics, even if they are good ones, promotes distractedness. Reciprocity and connection, however brief, are the goals here. Enjoy an authentic Valentine’s Day! Please let me know how this goes!
Most kids tend to stay away from the stuff that scares them. Who doesn't? Anxiety is a powerful force to contend with. If they're not exposed to it, then they're not afraid. But avoidance and depending completely on you for comfort may feel good now but doesn't help them in the long run. They don't learn essential skills for self-soothing and positive self-talk. People build courage by being afraid and doing it anyway. Comfort is important to give but it can't be the only solution.
Learning to tolerate discomfort in the dark takes time. You will probably have to proceed slowly at first. Set up a plan by talking with your son or daughter about what frightens them, when they've managed to overcome that fear and how they did it. You want to identify successful nights and what made them work. Your child wants this to go away and so do you: that's your mutual motivation for creating a collaborative plan. The goal is to strengthen the side of them that wants to do it and make it bigger than the part that doesn't. Use incentives with your plan such as points towards an activity they like (playing a game with you, additional screen time, etc.).
This may sound crazy but let's take riding a roller coaster. Instead of going on the biggest one or even the medium-sized one, you start with something small to build your confidence. Then if that goes well, you can try a larger one. Similarly, leaving your child alone in the dark may be too much right now. Make a game to check the closet and under the bed for unwanted "guests." When it's time to turn out the light, turn on a night light, keep the door open, maybe play some soothing music and leave a light on in the hallway. Limit your time hanging out with them to ten minutes and discuss this well before bedtime. Maybe you'll need to sit in a chair at first, then by the door while humming a favorite tune. When they're doing a better job of managing the separation and falling asleep on their own, consider closing the door halfway. Maybe that's enough. At some point, perhaps you can close the door completely and if you can't that's okay too. The goal is to start doing small changes, let them feel successful and then tackle the bigger stuff.
Be patient. Reducing night-time worries takes time, practice and some stumbling along the way. Stick with the plan you've both created for a few days, assess how it's working together, and make any necessary adjustments. Let your child's desire to do things differently guide you. Courage will naturally follow.