Understanding ADHD in kids and how to best support them can be pretty overwhelming (I know from experience), so today I’m so excited to have an expert here with me to help you through it!
Lainie Donnell is an educational therapist, a college counselor, and the cofounder of Lila Learning. For the past 16 years, Lainie has been in private practice as an educational therapist and college counselor, bringing to her clients an empathic, enthusiastic and pragmatic approach to their educational journeys.
Her philosophy has been to meet her students where they are currently functioning and help to develop their skills, providing them with a “toolbox” to meet their challenges head-on.
She’s here today to share her expertise on ADHD - from how it might show up in kids to ways you can address challenges related to ADHD and find support for your child.
Lainie’s own experiences with dyslexia, auditory and visual processing issues and ADHD led her to this work. During college, she fell in love with teaching and the classroom and got her Masters degree in special education.
She says that as a child, even though she had a lot of support, she continued to struggle. Finally being diagnosed with ADHD in the 10th grade gave her a new understanding of herself and how she functions (in her case, meds helped a lot, too).
Lainie’s children also have ADHD, so it is both a professional and deeply personal topic for her that is infused into all areas of her life.
Parents of kids with any kind of neurodivergence often feel fear around their future and ability to be successful.
Lainie says, “There are so many success stories, and I just think it's a matter of approach and attitude and a willingness to embrace.”
ADHD refers to issues with self-regulation, working memory, sensory integration and the self-management part of the brain.
Beyond the general diagnosis of ADHD, there are also three subtypes: inattentive, hyperactive and combined.
The inattentive subtype is actually over-attention. The child is paying attention to too many things at a given time. There is too much stimulation, and they can’t prioritize where their attention should go. These kids may not have a lot of behavior issues because they sit quietly, drifting off. Think of a classroom setting with many other students around, stuff hanging on the walls, sounds out in the hallway, etc. all competing with the teacher’s voice.
The hyperactive-impulsive subtype is what it sounds like. The child doesn’t think before they act. They understand consequences but just don’t think about them ahead of time. These are the kids who are often labeled “bad” early on because their hyperactive and impulsive behavior is much more obvious.
The combined subtype combines elements of both. Inattention, hyperactivity and impulsivity might show up at different times and in different situations.
ADHD affects many areas of executive function. Think of executive function like the conductor of an orchestra in your brain. It tells you when to get started with a task, when to manage your time, when to shift to another task, etc.
Working memory is one piece of executive function. It allows us to hold on to information while we’re manipulating it and doing something else. It shows up in so many areas of life, including math, writing and social interactions.
In kids, this might look like interrupting or not responding to social cues. It doesn’t mean that they don’t understand those cues. It’s simply a challenge for them to notice the cue, pay attention to the other person and also hold on to what they want to say.
In the ADHD brain, development of executive function is delayed 3 years, on average. This is one reason why kids with ADHD struggle in relation to their neurotypical peers.
Between the ages of 2 and around 5 or 6, the developmental question kids are trying to figure out is, am I good or am I bad? It’s very black and white at this age. And at this age good/bad is largely based on behavior.
As they grow between ages 6 and 12, the question they’re answering is, am I capable?
If the answer is no, they don’t think they’re capable, it creates more struggle in academics, learning and trying new things.
As Lainie explains, school can be a challenging environment for kids with ADHD. Their self esteem gets wrapped up in recognition, success and benchmarks - academic and social. If they aren’t getting the stars, stickers and check marks, it starts to tear away at kids’ self esteem and there becomes a clear divide between ability levels.
And the cycle perpetuates itself, because when kids have low self esteem and are unhappy, the learning stops.
To parents and caregivers, ADHD can look like a disorder of choice or motivation. They might even view it as laziness. But in the vast majority of cases, no kid wants to fail or let down their teachers or parents. Kids are motivated to please and do well. If they’re not meeting the expectations, it’s because something is in their way.
With little kids, we (the parents) act as their executive function, but you might notice issues with impulse control or dysregulation, hyperfocus at some times and inattention at others.
During adolescence, the signs might become more clear. Some common observations include:
As moms, it’s often hard to know what’s “normal”, especially since there is such a wide range in development among kids. But you might have a feeling in your gut that something is off.
Your pediatrician is a great place to start the conversation. You can also seek out a developmental physician specializing in ADHD, a neuropsych evaluation or other experts.
If a diagnosis comes, it can actually be a gift to your kid. The challenges they’re facing aren’t their fault, and it takes that weight off of them. That doesn’t mean they don’t have to pay attention or do homework. It just means that you can work together to figure out a different way that works for them. The diagnosis will help inform what skills you need to be teaching and what support will help your child most.
Lainie shared some of her top tips for parents of kids with ADHD.
Teach using the “I do, we do, you do” approach. We can’t expect to go totally hands off as our kids get into middle school and high school and expect them to manage their time, schoolwork and other responsibilities all on their own. We have to teach it so that they can do it.
Stop “shoulding” your kid. Instead of thinking they should know this already or they should do something differently, meet them where they are and help them along to where they can be.
Create structure and routine. The ADHD brain thrives on structure but is unable to create it.
Start early working with kids on due dates and planning. Include them in the planning process and choose a paper planner or calendar.
Create a workspace that feels calm, clear and spacious.
Keep morning and afternoon routines very simple and limit the amount of toys, clothes, shoes, etc. so it isn’t overwhelming.
There will likely be resistance, but it is so worthwhile to help your child learn these skills that will support them throughout the rest of their life.
If you’ve been nodding along, this all sounds SO familiar and you want more support, Lainie offers lots of great resources, including the planner, binder, workshops for parents and students and college counseling (links below).
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Welcome back to another episode of Become a Calm Mama. I'm your host. I'm
Speaker:Darlyn Childress, and I'm a life and parenting coach. And today on
Speaker:the podcast, I love this because we're gonna talk about
Speaker:ADHD. And I know You're already like, wait. We're gonna
Speaker:talk about ADHD? This is so exciting. And I'm just I'm not the
Speaker:one gonna talk about it. I'm gonna let you learn from
Speaker:Lainie Donnell. Lainie's here. She is
Speaker:an educational therapist, a college counselor, and the cofounder of
Speaker:Lila Learning, which she's gonna tell us about. And so I've invited
Speaker:Lainie on the podcast to share her expertise
Speaker:about ADHD and Just cognitive
Speaker:function, executive function, things like that. So welcome, Lainie,
Speaker:to the podcast. Hi. Thank you for having me. I'm so
Speaker:happy to be here and talk about one of my favorite subjects.
Speaker:Why don't you introduce yourself? Give us a little background of, like, You
Speaker:know, what what you'd what how you got into this? Like, why do you why
Speaker:do you work as an ed therapist? Yeah.
Speaker:So I was diagnosed actually in 2nd grade with dyslexia
Speaker:and auditory and visual processing issues and a Whole bevy of
Speaker:other things. But then I didn't realize that I had
Speaker:ADHD until I was in 10th grade.
Speaker:And so even though I Got a lot of help
Speaker:and support. Things just kind of I kept tripping
Speaker:over myself. I always say, you know, we tend to
Speaker:get in the way of ourselves. So we figured that
Speaker:out or a neuropsychologist figured that out. Kind
Speaker:of armed with that information, I was able
Speaker:to under understand myself a little bit better. I
Speaker:did go on medication, which was game changing for me. It It is not
Speaker:game changing for everyone, but it can be for some. It was
Speaker:just better able to understand my executive function
Speaker:difficulties. And then from then on,
Speaker:college, back and forth whether I become a psychologist or what I'm gonna do, and
Speaker:then I kind of fell into teaching. Absolutely fell
Speaker:in love with the classroom, and working 1 on 1. Got
Speaker:my master's in special education, got my
Speaker:education specialist teaching credential, and then eventually
Speaker:Started working in the evenings as an educational therapist, kinda
Speaker:stuck with that after I had children and left the classroom.
Speaker:I've been doing that ever since. So, this is
Speaker:a very personal topic for me. It's a professional topic for me,
Speaker:And both of my children have ADHD. And so,
Speaker:it's, on every level. I am surrounded by it
Speaker:day night. There is no escaping this.
Speaker:Yeah. I just felt so encouraged
Speaker:By Your Story, and how I think when we're
Speaker:raising kids and they have neurodivergence, like you You said, you know,
Speaker:you dyslexia and visual processing and then later
Speaker:ADHD. It's so easy as a parent to think, oh my god. How are they
Speaker:ever gonna be successful? And then you come on the podcast in your
Speaker:own personal story, and you're like, well, I'm I have a master's in this,
Speaker:and I do this. And I, I obviously went to college, graduated
Speaker:from college, you know, learned to read. There's so much hope, I think,
Speaker:just for anyone who has, Right now, I was raising a kid and
Speaker:feels discouraged. It's like, oh, no, Lainie. Right. A success story, and
Speaker:there are so many examples of that. That's encouraging just by
Speaker:itself. There are so many success stories and I just think it's a matter
Speaker:of approach and Attitude and a
Speaker:willingness to embrace, because it was very much
Speaker:something that was talked about in my family. It was just
Speaker:part of the conversation, and, I was taught
Speaker:early on about how to advocate for myself, How to Speak Up. I do
Speaker:think there was a piece of it in my personality that I was
Speaker:never kind of a quiet person. However,
Speaker:Our early self esteem, we go from hopefully a loving
Speaker:home and then we go to school and our self esteem is very much
Speaker:wrapped up in What happens in the school arena, whether
Speaker:it's social or academic and we get our stars and our stickers and our checks
Speaker:and our check pluses. And when those things
Speaker:aren't happening, it starts
Speaker:to tear away at your self esteem and you Very clearly start
Speaker:to see the divide between not really the haves and the have
Speaker:nots, but the, able and the unable,
Speaker:especially with reading. And so I was a otherwise
Speaker:fairly happy kid and then I wasn't. And so we see
Speaker:that with students all the time. But if we've got low
Speaker:self esteem and unhappiness, once that emotional
Speaker:layer And it comes over a student,
Speaker:learning stops happening. It's so critical to kind
Speaker:of understand where that self esteem piece Fitzhinn.
Speaker:I feel like I might have just gotten off topic. That's okay. No.
Speaker:It's good. I always say, You know that we have
Speaker:these developmental stages that we go through. And when you're 2 to
Speaker:5, 2 to 6, the developmental question is, am I good or am I
Speaker:bad? And we want a kid Mhmm. They think of it as very,
Speaker:binary like that, black and white because they're little. Yes. Yes. And we want them
Speaker:to answer, I am good. Right? Like, at my core Right. I'm a
Speaker:good kid. And that's why it's so important how we parent.
Speaker:And then from 6 to 12. The
Speaker:question that they're answering is, am I capable? Mhmm. And I think what
Speaker:you're talking about really addresses that is, like, if the If they come up
Speaker:with the answer of no, I'm not capable, that
Speaker:will create that longer term struggle in academics
Speaker:and struggle in trying new things and, sticking
Speaker:to something, all of that. Yeah. And I think part of
Speaker:what you were saying, am I good or am I bad in those
Speaker:Early years when we're in school in the traditional
Speaker:setting, that's typically based on behavior. How they feel
Speaker:with their good or bad. And so when we look
Speaker:at ADHD, ADHD is the the umbrella
Speaker:term. That is the diagnostic term now. There's no
Speaker:ADHD and ADD. The umbrella term is ADHD and
Speaker:it's a it's an issue with the, you know,
Speaker:Self regulation, working memory,
Speaker:sensory integration, self management part of the
Speaker:brain. Okay. And so that's kind of
Speaker:the umbrella of ADHD and then we've got 3 subtypes to that
Speaker:can be diagnosed. We've got inattentive, hyperactive
Speaker:and combined type. Now, inattentive
Speaker:is very misleading, because it's not an inattention.
Speaker:It is not that these students can't pay attention. It's
Speaker:actually an Over attention to too
Speaker:many things, too much stimuli at a given time. So take
Speaker:the classroom for instance. We've got a student who's sitting there With,
Speaker:you know, anywhere from 18 to 30
Speaker:other kids all around them. And so there's all that stimuli.
Speaker:There's Stuff on the walls. They're thinking about after school. The
Speaker:air conditioning just kicked off. Maybe someone is
Speaker:walking outside and their shoes are kind of clicking. Someone is playing
Speaker:with a pencil. Oh, wait. And the teacher's talking and doing
Speaker:something, and, oh, the seat is a little uncomfortable. And I
Speaker:can tell ever so slightly that one of the legs of my chair is
Speaker:a little shorter than the other so I can wiggle. And so
Speaker:It's all equal stimuli all at one time
Speaker:and the inability to prioritize your attention To be
Speaker:able to go, oh, wait a minute. The teacher's talking. I should be
Speaker:focused there. So that brain is unable to kind
Speaker:of Click in and go, oh, I should just pay attention to the
Speaker:teacher. So it's not inattention. It's kind of overattention
Speaker:or an inability to kind of manage your So that's
Speaker:inattentive then hyperactive and impulsive. Right?
Speaker:It's exactly what it sounds like. So unable to
Speaker:regulate your, reactions, your behavior,
Speaker:they I remember years ago, instead of ready, aim, fire,
Speaker:it was fire, ready, aim. And so you just don't
Speaker:think before you act. You don't think about the consequences. It's not that you
Speaker:don't comprehend consequences. It's that they don't occur to you
Speaker:before you Actually take that action. And
Speaker:so going back to what we were saying, the kids
Speaker:who are a behavior issue Get the sense that
Speaker:they're bad early on because those are the students who
Speaker:are most obvious. They are the most obvious students who
Speaker:are struggling. The inattentive students fit
Speaker:quietly. Those are the ones who are drifting off
Speaker:thinking about Whatever it is that is way more
Speaker:interesting and that is providing some dopamine to them than what is
Speaker:going on in the classroom. Yeah. And so that sense of
Speaker:good and bad early on in relation to behavior happens,
Speaker:very quickly for those kids who have combined and hyperactive Div or
Speaker:impulsivity issues. Yes. The inattentive
Speaker:students often it gets very internalized because
Speaker:because of just that, it's just happening inside, and so it's a very hidden
Speaker:disability. Yeah. My son Yeah.
Speaker:Lincoln was diagnosed ADHD at 6. Primarily
Speaker:Mhmm. I got him, You know, resources
Speaker:and, like, you know, sought out trying to figure out what was going on is
Speaker:because he was getting in trouble so much in school. And I didn't
Speaker:I didn't understand what was happening. But, also, I really
Speaker:was so aware that he needed to believe that he was, like,
Speaker:Good boy. I never use that language at all in parenting, but that's how they
Speaker:think of themselves. Yeah. Yes. Yes. Yes. And I was concerned
Speaker:that, You know, being have a red card every day. Like, you know,
Speaker:the teachers will have your start on green, and then you have a yellow card,
Speaker:and then your red card, and you have to turn your card. All of those
Speaker:I know. Those way ways that
Speaker:teachers manage their classroom work 1st, a lot
Speaker:well, I don't know if they're healthy at all, but, you know, they work for
Speaker:some kids and doesn't have a long term effect. But on
Speaker:a kid that's trying to decide or figure out, like, my good
Speaker:boy, my good girl, what's going on? They're in trouble all the time. That's
Speaker:not good long term. Yeah. No. I do feel
Speaker:that I was gonna say, I think Lincoln has grown out
Speaker:of his hype his combined type, but then now I'm thinking about Oh, I hope
Speaker:so. Good. It's probably still the impulsive yes.
Speaker:Like purchasing. Exactly. Yeah. Yeah. It's
Speaker:it's it's the dopamine seeking. We
Speaker:lack dopamine, and the only times that
Speaker:so this is the The beauty and the
Speaker:evil of this is that the only
Speaker:time when you, Attention is a
Speaker:nonissue. Impulsivity may be a bit of an issue, but not
Speaker:hyperactivity. If
Speaker:the situation is such high interest that
Speaker:it is no problem to pay attention because your body is giving you
Speaker:So much of the chemicals that you need to feel good
Speaker:and excited. So for some students, those are Legos. So
Speaker:parents always come to me and they're like, well, He can sit and do Legos
Speaker:for 3 hours, but then it's time to do homework and he can't sit
Speaker:still. Or, Thomas Brown talks about,
Speaker:the student he had who was a hockey player, one of the best goalkeepers
Speaker:of all time And had the worst case of ADHD he
Speaker:had seen in his career, as of yet.
Speaker:And so a goalkeeper, he that's all he wanted to do and so
Speaker:it was absolutely no problem. Or,
Speaker:You know, my nephew is an incredible
Speaker:reader, but we used to literally have to pull the book out of
Speaker:his hands to get him to engage. Joy. And so
Speaker:it just kinda depends on what that high interest activity
Speaker:is. And then the other instance where attention is not an issue for
Speaker:kids with ADHD. Is that if the,
Speaker:if the consequence is so negative that it
Speaker:wants to be avoided. So that's why we have our last minute Larry's. So
Speaker:at 9 o'clock, the night before something is due for our students, If
Speaker:there's no other learning disability, they're gonna kick into gear and they
Speaker:are gonna write some kick butt essay and Get
Speaker:it done and maybe get it turned in the next day. I don't know. Once
Speaker:they've gotten that dopamine kick, they're all of a sudden, like, there's a
Speaker:huge let down, and they're like, oh, I don't know. I wrote it. I don't
Speaker:know if I turned it in, but that's a whole other conversation.
Speaker:But those are the 2 instances where Attention isn't a problem.
Speaker:And for a mom or a parent, or a caregiver,
Speaker:it's confusing because they're like, I see that they can do it. They just aren't
Speaker:doing it. So it looks like a disorder of choice. It looks
Speaker:like a disorder of choice or motivation, and
Speaker:I don't really blame You know, teachers or parents,
Speaker:when they say, like, he's just so lazy or he's so
Speaker:unmotivated. Well, I really subscribe to Rick
Speaker:LaVoy, who is amazing, and I would encourage anyone to look him
Speaker:up. But there really is a myth of laziness. Like, it's it's
Speaker:No. My partner Liz and I always say when we're presenting to teachers
Speaker:and parents, we always say
Speaker:that no kid, And unless there is a like
Speaker:diagnosable, ED, emotional disturbance,
Speaker:something behavior based, no kid is
Speaker:wanting to fail their teachers or their parents or
Speaker:wanting to not meet the expectation that is being
Speaker:presented to them. Right? If they are not meeting those
Speaker:expectations, not getting the sticker or whatever it is,
Speaker:And then something is in their way. It is not their motivation
Speaker:to disappoint. It is their motivation to please
Speaker:and do well. And so there's another piece of the puzzle missing when they
Speaker:are not doing well. Mhmm.
Speaker:Yeah. Yeah. Oh my goodness. I just keep thinking of my
Speaker:own son and how how much it
Speaker:has helped our relationship understanding how his brain works
Speaker:because Right. It is really easy to give you
Speaker:know, Lincoln is lazy. You know, Lincoln is, you know, kind
Speaker:of these Labels that then erode his
Speaker:concept. If I say you're lazy, then he's gonna hold that as
Speaker:an identity. And I would rather I always say, like, procrastination is
Speaker:your friend, bud. Instead of getting angry with him, I'm like, yeah.
Speaker:It creates urgency for you, and then that Lights Your
Speaker:Fire. I would not I wouldn't choose to be that way because
Speaker:it would be too stressful to me, but I'm Right. Motivated
Speaker:differently. And I was gonna say about the
Speaker:inattention and the high interest attention. I sometimes call it
Speaker:hyper hyper hypertension. Like, hyperactive
Speaker:Hypertension. And I'm Hyperfocus is a
Speaker:thing. Yeah. Yeah. Oh, yeah. And it's so cool to Go ahead. Finish what
Speaker:you're saying. Yeah. To watch him be able to, like, you know,
Speaker:play the guitar for 3 hours or when he was little, play Legos for hours
Speaker:at a time or build The most incredible Hot Wheels
Speaker:contraption as a little kid or, you know, whatever it was that he
Speaker:was interested in, he would stay in it for a long time.
Speaker:And it's really amazing. Attention is I
Speaker:mean, I have a student who he's in 6th grade
Speaker:and, Yeah. His ability
Speaker:to, take a deep dive and retain
Speaker:information about Any piece of history related to
Speaker:wars in the world, it's beyond me,
Speaker:and it's it's not It's so interesting because at one point, his mom
Speaker:was like, is he autistic? Is this like a savant tendency? And I'm like, no.
Speaker:No. No. No. No. No. No. This is not who he is.
Speaker:This is his hyper focus and that is
Speaker:the amazing thing about this ADHD brain is that
Speaker:It just works differently. It's not any better.
Speaker:It's not any worse. It feels worse because
Speaker:of the structure In which it has to function
Speaker:in K through 12. Mhmm. Right? And
Speaker:the classroom environment, you know, Teachers, what
Speaker:what parents need to know and I I
Speaker:love teachers. I loved being a classroom teacher. I
Speaker:I continue to maybe, not maybe, but
Speaker:to have faith in teachers. What you have to understand is that
Speaker:When teachers go get their credential,
Speaker:okay, they get 1
Speaker:semester, One class in special education in the state
Speaker:of California. Okay? And it doesn't vary by very
Speaker:much in other states. And that class
Speaker:covers everything that falls under special education, which is
Speaker:a huge, huge area. And then they're
Speaker:supposed to go into these classrooms, and we have this
Speaker:mandate, federally, that we're supposed to have inclusion,
Speaker:which is a beautiful concept of including all students
Speaker:in all classrooms. And the the theory
Speaker:behind it is to
Speaker:Is to look at neurodiversity, respect
Speaker:brain differences, strengths, challenges, yet our teachers
Speaker:Art really prepared to go in there and do that. And so
Speaker:we haven't given them the support, but meanwhile,
Speaker:Parents are depending on our educators and our teachers to give them
Speaker:the heads up and say, here's what's going on. But teachers don't
Speaker:Always know that. They don't know always what they're looking at. You'd
Speaker:be so surprised, and one of my
Speaker:absolute favorite things to do is to get into pre service
Speaker:programs with teachers doing, simulations
Speaker:and talking about what learning disabilities look like in the classroom, But also
Speaker:getting into the schools, and working with
Speaker:teachers so that they can understand what it looks like within the classroom.
Speaker:Because It's also I think for parents what they need to understand
Speaker:is also it's it's a whole personality type. It's not just an
Speaker:attention issue. This also includes, you know,
Speaker:immense emotionality of very high sensitivity. You
Speaker:know, if your kid is, You know, you just said to
Speaker:them, I need you to go clean your room. And they're like, why are you
Speaker:yelling at me? Right? That highly highly sensitive kid.
Speaker:Speaking of room, chances are they take their shoes off and that's
Speaker:where their shoes are gonna stay for weeks on end. Right? And you
Speaker:go and you tell them, please go clean up your room. And they go in
Speaker:there and they clean it up and then you go into their room and go,
Speaker:wait. You just said you cleaned your room. And It looks
Speaker:like absolutely nothing has happened. They literally don't
Speaker:see what you are seeing. It they
Speaker:don't see the shoes that are in the middle of the floor or the pile
Speaker:of sand that fell out of their shoes. It's just not part
Speaker:of what they are processing. It's not a vision thing. It's just that they're
Speaker:not seeing it. But it it really is
Speaker:so much bigger. You know, it's that time management piece. It's
Speaker:that peer interaction. It's that ability to give and take
Speaker:in a conversation. It's that, You
Speaker:know, a lot of people don't know about this thing called working
Speaker:memory and working memory is a piece of,
Speaker:your what's called executive function. And you can think about
Speaker:executive function. Liz and I always say it's like the It's like
Speaker:the conductor of an orchestra in your brain, and it's happening right
Speaker:here in your frontal lobe. Okay? And there's this
Speaker:little conductor in your brain who is basically,
Speaker:telling you, okay. It's time to time manage. Okay. Stop
Speaker:time managing. It's time to actually get started with this task. Let's Move on from
Speaker:this task and let's go to the next task. And so there's this
Speaker:little conductor telling you what to do and, oh,
Speaker:Hold this really quiet right here. Let's keep the violins at this level so
Speaker:that we can bring in the percussion. That is part of the working memory.
Speaker:It's like Holding on to information while you're
Speaker:manipulating it and doing something else. So for example,
Speaker:Let's say I'll come back to the peer interaction piece, but just so I can
Speaker:explain what this working memory is. So let's think about,
Speaker:learning order of Okay? If we learn order
Speaker:of operations in math, we've got to also have some math
Speaker:fluency. Right? We've gotta know our multiplication table. We've
Speaker:gotta remember how to add and subtract and carry and do all of those
Speaker:things. Right? And then you've gotta learn This order operations,
Speaker:that's PEMDAS. Right? Math is not my strong
Speaker:suit, but, you've gotta hold on to all of that
Speaker:Background knowledge while doing the order of
Speaker:operations. When you have 4 working memory and you
Speaker:can't hold on to those math facts and that Fluency of maybe
Speaker:your multiplication table, the order of operations isn't
Speaker:actually gonna happen. Okay? It's the same thing with algebra.
Speaker:Think about all the steps that go into algebra. There's so many
Speaker:little pieces of that. And if there's one little cog
Speaker:that is a little off, then they can't do that.
Speaker:But if you put a multiplication chart in front of them
Speaker:And you help their working memory a little bit, oh, all of
Speaker:a sudden it's no problem to do an algebra problem. It's the same
Speaker:thing with writing an essay. When you think about writing a paragraph or a
Speaker:3 paragraph essay, you're thinking about sentence structure, you're thinking
Speaker:about the actual topic, You're thinking about the organization of the
Speaker:information, transition words, spelling, punctuation. Right?
Speaker:Your audience. Am I doing 1st person? Do I have to do 3rd person? Right?
Speaker:There's so many things that you have to hold on to while actually
Speaker:performing that task. So if we go back
Speaker:and we think about working memory and then we go back to
Speaker:thinking about peer interaction, You've got to remember, well,
Speaker:right now, darling, you and I are talking and I've got to remember,
Speaker:okay, this is my professional hat right now. So I need to be speaking to
Speaker:you professionally. Right? And I also need to,
Speaker:you know, remember all the things that I know about
Speaker:ADHD Gie, while also holding on to the question that
Speaker:I'm actually trying to answer at the same time. And so
Speaker:I have to hold on to all of those things while I'm performing this
Speaker:task. Well, a 9 year old boy who just wants
Speaker:to Get out what they wanna say and the, you
Speaker:know, and remember that there's some social cues coming at
Speaker:them. If they're struggling with, you know,
Speaker:not knowing the social cues, but attending to those
Speaker:Social cues while they're trying to have a give and take in a conversation
Speaker:that can create quite a problem because kids wanna be heard. Right? And
Speaker:if you've got a kid who's doing nothing but interrupting
Speaker:and touching and grabbing and trying to insert themselves,
Speaker:Well, you're gonna create quite a problem for yourself, right?
Speaker:Yeah. So that peer interaction becomes,
Speaker:a real issue. And so that's just a Piece of that kind of
Speaker:bigger personality type that comes with the diagnosis
Speaker:of ADHD, that often gets overlooked.
Speaker:And, you know, we just think of it as attention or a school
Speaker:disorder, but this is a a lifelong thing, let me tell you.
Speaker:Yeah. So what would you say are the, like
Speaker:I don't know. I don't have a number, but, you know, the 5 things that
Speaker:kind of Are telltale signs or hallmarks of
Speaker:ADHD? So and that might be a too complicated of a question, but you had
Speaker:said in the beginning, you know, there was, like, The, you know,
Speaker:the different impulse control, self regulation, you
Speaker:know, these kind of you said them really fast, and I thought that was really
Speaker:helpful to For a parent who's listening and they're they either have
Speaker:an ADHD kid and they're, like, wanting to be like,
Speaker:yes. Yeah. No. That, That's what we saw. That's what we saw. They were really
Speaker:Yeah. Solidifying their own experience, or a parent
Speaker:who's like, I don't know. I have clients all the time who are like, We're
Speaker:not sure if we should have him diagnosed or her diagnosed. We're we're
Speaker:exploring that. It's kind of in the language right now, especially for
Speaker:girls and and adult women. And Yeah.
Speaker:I I think as a parent, sometimes we don't even know what we don't know.
Speaker:And so what would you say are the things that that
Speaker:parents should be looking out for or, you know,
Speaker:screening for, just a few of them. I
Speaker:think, I think at the the middle and high school
Speaker:level, I would say one of the biggest things Is that
Speaker:they live in the gap between intention and follow
Speaker:through. Mhmm. So they have all the best
Speaker:intention of okay. I'm I I I'm gonna get all
Speaker:my homework done or okay. I'm I'm gonna yeah, mom. I'm gonna clean
Speaker:my room. You know? And then it doesn't happen. And then
Speaker:everything, you know, where it was, you know, it was said that it's going
Speaker:to happen and then nothing happens. There's no actual follow Drew.
Speaker:So living in this gap between intention and follow through.
Speaker:Yeah. I've definitely seen that. Yeah. Yeah.
Speaker:But it not so like you're saying, like, middle school and high school
Speaker:more, less in elementary school because I think we kind of manage
Speaker:it differently when they're young. Their executive function. Mhmm. We
Speaker:are we act as their executive function when they're really little.
Speaker:There's this, you know, this sense in schools that, like, once they get to
Speaker:middle and high school, you hear it from teachers all the time. Like,
Speaker:okay. They they've gotta do it now. They've gotta
Speaker:practice, and my response to that is you've gotta teach
Speaker:it so then they can do it. We can't just all of a sudden be
Speaker:hands off, and and I don't think that, you know, doing it for
Speaker:them constantly. But I remember, In my
Speaker:master's program or it was in master's or credential. I don't remember,
Speaker:but it was we were always taught that, I
Speaker:do, we do, you do. Mhmm. And so as a teacher, I
Speaker:would do it, you know, model it And then we would do it
Speaker:together, and then eventually the theory is you would do it on your own.
Speaker:Mhmm. And so I think what you have To remember with ADHD
Speaker:is that with executive function, with that little conductor who's living up here
Speaker:in your frontal lobe, on average On
Speaker:average, your executive function in the ADHD brain is
Speaker:delayed at like on average 3 years. So when we
Speaker:get to 7th grade or 6th grade, you've
Speaker:gotta remove 3 years from that. Okay? Maybe 2 depending
Speaker:on who the individual is. And
Speaker:remember like we can't in in psychology
Speaker:they called shoulding shoulding yourself. They should be able
Speaker:to just look at their assignment planner. They wrote it
Speaker:down. They should be able to. We can't do the
Speaker:should thing. Let's actually meet our kids where they are and
Speaker:then help them along to where they can be.
Speaker:And so I think that, you know, you're right.
Speaker:In elementary school, we do a very good job at being their
Speaker:executive function, but I think that when
Speaker:we're hands off and it's not happening, that's an
Speaker:additional telltale sign. Wright. That they're not writing
Speaker:down their homework, that, you know, all of a sudden,
Speaker:the backpack the backpack is a huge telltale sign. Are
Speaker:there, Are all their rappers mushed at the bottom of
Speaker:their backpack in elementary school? Are they,
Speaker:you know, is everything just getting piled in there?
Speaker:I think that that is a a a big thing and a commonality
Speaker:that I see quite, quite often.
Speaker:I think also a piece of ADHD that
Speaker:often gets overlooked is the sensory piece.
Speaker:That not alone, a
Speaker:sensory integration issue alone is not
Speaker:A single sign of ADHD. However, when you couple
Speaker:it with, my mom always used to say that she could have
Speaker:done surgery on me while I was watching TV. Mhmm. You know, there's this
Speaker:like full buy in and she could talk to me right here, you know, right
Speaker:in my ear and, You know, I wouldn't hear anything she
Speaker:said. So if you couple that with the
Speaker:messy room and the inability to follow through And then
Speaker:you added, oftentimes you have a sensory issue. So
Speaker:sensory integration is kind of what it sounds like.
Speaker:So Typically with the ADHD person,
Speaker:their senses are heightened. So either they're very loud or
Speaker:maybe they're quiet. Maybe sounds are too loud
Speaker:or too quiet. I don't wanna belabor it, but I just think for moms
Speaker:who are watching their kids, I hear it all the time. Like, they don't know
Speaker:what's normal. So you have, like, 3, 4, 5 year
Speaker:old, and they're all, you know, Bumping
Speaker:into each other and and, you know, big feel temper tantrums and
Speaker:all of these things. But I found, Like,
Speaker:with Lincoln, particularly, it all just seemed a little heightened,
Speaker:a little outside of the norm. His his Mhmm. Temper
Speaker:tantrums were more extreme Oh. And lot
Speaker:lasted longer. He had more instances
Speaker:of hands on others. He would be hands on
Speaker:others more aggressively than maybe the other kids. It's like he didn't
Speaker:have any breaks In his, like no. Yeah.
Speaker:Brakes, like, not b r e a k,
Speaker:but brakes, like, for a car, like car brakes.
Speaker:Yeah. My son who is absolutely
Speaker:his brain is incredible. Like, I've
Speaker:never seen a brain like this, but he has a lot
Speaker:with his ADHD. And He
Speaker:is turned on in the morning and he is not able to turn
Speaker:off until night. I do believe kind of
Speaker:this mom gut. And if there's a question
Speaker:you're feeling like kind of different,
Speaker:I believe in diagnosis. Like, oh, I'm
Speaker:not stupid. I have a MAP disability. That thing. Like,
Speaker:I knew I was trying so hard, but It just
Speaker:wasn't clicking and then they find out that there's actually something
Speaker:going on. It's not their fault. And so to take
Speaker:that off of them, It's such a gift and to make it part
Speaker:of the conversation and not and the
Speaker:isn't I have ADHD, so I can't blah
Speaker:blah blah or, you know, we're not excusing that.
Speaker:You don't have to pay attention or you don't have to get your
Speaker:work done. It's I have ADHD, so we've got to figure
Speaker:out a different way to accomplish this task. So it's just
Speaker:gonna look different. It's not a reason not to. It's just figure
Speaker:out a different way. The path is gonna be different, but I
Speaker:encourage Parents to get answers and
Speaker:yes, pediatricians are a good first stop and
Speaker:I adore my pediatrician, But I also think
Speaker:that we to the experts in the area. So
Speaker:seeing someone, you know, for a neuropsych evaluation or seeing a child's
Speaker:Beatrice or a developmental physician who specializes
Speaker:in ADHD. I think those are
Speaker:some of the better Outlets to go to if you
Speaker:want the diagnosis, then you can, you know, have
Speaker:conversations about medication or educational therapy.
Speaker:Strictly speaking, research in science based
Speaker:peer reviewed, you know, journals. What we know right now,
Speaker:best outcomes we have right now are
Speaker:a combination of medication with some
Speaker:cognitive behavioral therapy, educational therapy, behavioral
Speaker:therapy, The the 2 together. Just taking
Speaker:a pill, it's a pill, not a skill. Just taking
Speaker:the pill is one step. Not going to create
Speaker:the skill set that you need, so I encourage that, like, approach. Parents
Speaker:come to me and they say, well, what about diet? And what
Speaker:What about and I'm like, yeah. Do it all. If
Speaker:I do this, then all of a sudden it's It's a fix. There's no fix.
Speaker:There's nothing broken. We need to get away from this idea that, like,
Speaker:there's something to fix. There isn't anything to fix. Alright.
Speaker:So, let me just recap. You said if you
Speaker:are thinking that your child has some sort of
Speaker:Saenz. Maybe these hallmarks of impulse
Speaker:control, dysregulation, skill gaps, like what you've
Speaker:described, messy backpack or hyperfocus at times
Speaker:and then inattention at other times, all of those things. That your
Speaker:first stop maybe is your pediatrician. And
Speaker:Yep. And then we wanna move into a
Speaker:what you you know, you said it fast, so I wanna really slow it down
Speaker:for the listener, neuropsych evaluation.
Speaker:That's something that I think people don't know to ask for or that they that's
Speaker:what you're seeking when you want to get
Speaker:Not want to get a diagnosis, but wanna get clarity on what's going on,
Speaker:and you do that through a child psychologist or child psychiatrist.
Speaker:Yeah. Developmental pediatricians won't do a neuropsych,
Speaker:but they are usually just have a larger depth
Speaker:of knowledge, because they typically specialize
Speaker:in those issues. I wanted to just say a quick note
Speaker:about the neuropsych. Just kinda differentiate for
Speaker:a second between the a neuropsych evaluation and a psycho
Speaker:That evaluation that the schools provide because there's a lot
Speaker:of confusion for parents. You know? Well, my son got tested
Speaker:at school. The testing that the school does is
Speaker:not diagnostic is not a diagnostic tool. It's
Speaker:purely To, assess
Speaker:how they are accessing curriculum and to assess
Speaker:what the school needs to do to Help them access the curriculum
Speaker:where a neuropsych evaluation is an independent
Speaker:evaluation, and it is stick, with diagnosis
Speaker:codes, etcetera. That's what we did with Lincoln
Speaker:at at, he was about 6,
Speaker:and it was pretty comprehensive. And it
Speaker:wasn't covered by our insurance, or maybe it was, but we had to find
Speaker:somebody. And it was it's unfortunate. It's it can be
Speaker:cost prohibited and also hard to find people who do
Speaker:these. And so I would just encourage parents to, like, Keep working at
Speaker:it because like you said, Lainie, that the diagnosis will
Speaker:help inform what you need to be teaching, what
Speaker:skills you need to be developing and also the medication
Speaker:conversation. Yeah. And whether that's, like, the right fit and
Speaker:and that kind of thing. I always say to my my parents, I'm
Speaker:not a drug pusher by any means, but we do know what the
Speaker:science says. And the science also says
Speaker:The earlier a pharmacological intervention is put in place
Speaker:with kids with ADHD, the less likely
Speaker:They will engage in risky drug
Speaker:related behaviors later on.
Speaker:Really important statistic because it's, it's
Speaker:something that parents come to me a lot with, especially families that have
Speaker:addiction, within their family
Speaker:history, we actually know that if we
Speaker:intervene earlier, we have better outcomes with that. So
Speaker:I thought I would just add that in there because I know that's a fear
Speaker:for a lot of families. Well, it's like parents feel afraid of
Speaker:the medication in the 1st place, and then they're afraid of what if they
Speaker:don't do it. And it's it's a difficult
Speaker:balance. It's a difficult conversation, attention with you
Speaker:know, it's hence, within us. And and so that's why it's
Speaker:really helpful to have the data and to then have somebody, you
Speaker:know, a professional who you're having conversations with.
Speaker:What are some interventions that you
Speaker:see really being effective? And How do you
Speaker:help support your kids once they are diagnosed and you're
Speaker:like, okay. So this is our situation. We're figuring out meds.
Speaker:How can families support their kids in the home? What are some things that
Speaker:you you kind of say, like, basic things with ADHD? You should do
Speaker:these 3 or these 5 things, whatever. Right.
Speaker:So I'm going to give them. I'm also gonna preface
Speaker:it with these don't necessarily work for me in
Speaker:my home because there is this pushback
Speaker:by my children because of the nature of what I do,
Speaker:that they don't necessarily wanna listen to me. So I'm gonna
Speaker:tell you some things that work for my families, but they don't
Speaker:always work for me and I just have to be honest about that.
Speaker:It's not necessary, but we do appreciate your honesty. It's
Speaker:funny because I'm a parenting coach, and you would, You know, it's
Speaker:like, oh, do your do you never yell at your children? Right? Like, because I
Speaker:teach parents how to be calm. I'm like, oh, no. Sometimes I do, and
Speaker:I know how to repair that. I know why I'm yelling. I know how to
Speaker:get out of the spiral, and I know how to talk about
Speaker:it. So it's not, And none of the strategies are, like,
Speaker:surefire perfect. It just helps to have
Speaker:some tools in our toolbox. Yes. And so I think that's what everyone
Speaker:I think that one of the key things that you can do early on I
Speaker:remember with my daughter, when
Speaker:In kindergarten, I remember she had to do something with, I think
Speaker:it was like a leprechaun trap or something. And so we
Speaker:Early on, we used to create little calendars and
Speaker:we would sit down and we would write the due date on
Speaker:the date that it was due. And so working backwards
Speaker:and teaching them very early on, about
Speaker:how to what's called backwards plan from a due date
Speaker:To, to actually get to that due date.
Speaker:So I think including that them in that planning
Speaker:process is really important. Helping them to,
Speaker:create a workspace that feels calm and
Speaker:clear and large, a large workspace.
Speaker:The ADHD brain thrives on structure and has
Speaker:a complete inability to create it.
Speaker:They cannot create their, Yep. Their own
Speaker:structure. They don't necessarily, they for sure don't know where
Speaker:to begin. Helping them to,
Speaker:Prioritize, figure out. Okay. Well, get this done. I'll be
Speaker:back 30 minutes and then we can figure out what the next thing is.
Speaker:And kinda scaffolding that and and modeling. For my middle
Speaker:and high schoolers, we use a paper
Speaker:planner, because The research still
Speaker:tells us that analog or writing is still
Speaker:the best for our brains. Though schools
Speaker:now provide these online platforms with due dates,
Speaker:which is so lovely and Don't get me wrong. I'm very very
Speaker:grateful for it. They're just that. Their due dates, it's a
Speaker:to do list. It is not a plan.
Speaker:So helping them to learn how to plan out their
Speaker:day while also Understanding the bigger
Speaker:picture of I have an orthodontist appointment on Tuesday, and I
Speaker:also have volleyball for 2 hours. So the ortho and
Speaker:volleyball. So Tuesday night is a terrible night for me to get
Speaker:work done, so I better plan for Monday and Wednesday.
Speaker:Right? So really mapping out when things are
Speaker:going to happen. You will for have some
Speaker:resistance. Ultimately, I think that students will be
Speaker:incredibly grateful for that. My business partner and
Speaker:I, after years years of working with A variety
Speaker:of different planners. We developed 1, the
Speaker:Lila plan. It's now sold on our website
Speaker:and it's a tool that incorporates both,
Speaker:you know, morning activities, after school activities,
Speaker:Tools to kind of help you think about, this is on
Speaker:Friday. What do I need to do on Thursday and Wednesday and
Speaker:Tuesday? And it comes with an instructional video, so you're not
Speaker:just like handed a planner and, you know, go for it. Mhmm.
Speaker:We also have a binder That is a whole
Speaker:system for middle and high schoolers. Elementary schools,
Speaker:again, typically are the executive function for these kids.
Speaker:Do I wish it was different? Yes. I wish that starting in 2nd
Speaker:grade, we were teaching these skills explicitly. So and then I
Speaker:think, You know, reaching out for help finding an educational
Speaker:therapist who is able to help with the school
Speaker:based skill. You know, educational therapy, it's kind of
Speaker:like physical therapy for skills in school.
Speaker:Physical therapy, you go to build up a muscle or, you know, something
Speaker:was broken and you need to relearn how to, you know, use your
Speaker:Appropriately well in educational therapy, we focus
Speaker:on how do we break down the society. Okay. We have to study. How do
Speaker:we study and how do we study in a way that's good for my
Speaker:learning style, right? How do I? I'm really
Speaker:A bodily aware and kinesthetic. How can I turn
Speaker:my studying into movement? Things like that. And so
Speaker:those skills that You know, curriculum based instruction just
Speaker:doesn't seem to be able to make time for doubly helpful.
Speaker:Yeah. Okay. This is all so good. Calendaring out big
Speaker:projects, creating a large workspace that is really, you
Speaker:know, conducive to learning to plan you know, sitting
Speaker:there, no distractions, structuring, you
Speaker:know, having structure, using a planner, and then getting some
Speaker:support. I love all these they're very focused on school,
Speaker:so maybe I'll just share on another episode of what I've done in my
Speaker:family. I I noticed that with my with my son that,
Speaker:like, what you're saying, like, they can't create structure but thrive from
Speaker:it, how important it was that I had A pretty
Speaker:solid routine. Like, what was done in the morning, very, very
Speaker:simple, bare necessity, the 5 things before we go to school.
Speaker:And then the rhythm of the afternoon was really simple. Really not
Speaker:a lot of toys, not a lot of clothes, not a lot of shoes.
Speaker:Mhmm. A lot of rhythms around when we would do things. And
Speaker:in retrospect, I am thinking like, oh, I really did
Speaker:create all of that just to manage for myself,
Speaker:but probably because of Lincoln. Like, it just he needed this
Speaker:this drum, like, boom boom boom in the background
Speaker:Mhmm. So that he could kind of know where he was
Speaker:in space and time and what was coming next. The emotional coaching things
Speaker:that I teach around self regulation and
Speaker:processing emotion, not going against someone else's body. It
Speaker:also all kinda stemmed from having this impulsive
Speaker:kid. So I it's interesting to me in, like, Now he's a
Speaker:grown up, but realizing a lot of the things that
Speaker:I needed to figure out in parenting were probably because I was
Speaker:rich ADHD kid. There's no doubt
Speaker:ADHD is one of the most heritable trait Mhmm.
Speaker:Or, diabetes, which means that Chances are
Speaker:very high that mom or
Speaker:dad, possibly uncle also has ADHD
Speaker:and it's an interesting thing. It's very much
Speaker:a spectrum disorder. It looks very different in different kids
Speaker:And adults. As a mom with
Speaker:ADHD, parenting children with ADHD, I think it
Speaker:It could be a whole other topic, because it's
Speaker:an incredibly challenging thing, you know? When you
Speaker:have to recognize The things that you struggled with in
Speaker:your children, it brings up a whole other level of
Speaker:difficulty. Yeah. And when you're the mom the guilt. And
Speaker:you listen to these podcast episodes, and the the teacher like myself
Speaker:is like, create routines, create structure, and you're like, I don't know
Speaker:how. And I find that Right. You know, I must teach this
Speaker:way for a reason. Like, okay. Here's step 1. We're gonna start here. We're gonna
Speaker:this is like Mhmm. A skeleton outline of how bedtime should go or
Speaker:a skeleton outline of how mornings you know, your morning routine.
Speaker:Because I do think A lot of us, even with
Speaker:without ADHD, aren't it's so overwhelming to
Speaker:parent kids, and then your kids are wild. And it's like, What's the most
Speaker:important thing? What am I supposed to be focusing on right now? Like, kids make
Speaker:us feel like we have ADHD, but then if you actually have it, it's even
Speaker:more complicated. Yes. Yes. Yes. A
Speaker:100%. Yes. Good. Well, I so appreciate
Speaker:you coming on and helping us understand a little bit about what
Speaker:ADHD Dee. Looks like in our
Speaker:kids and those signs, those things to be looking out for, I
Speaker:think anyone listening It's like, oh, yeah. I saw yeah. That's
Speaker:uh-huh. I've seen that. Okay. Okay. The now putting the pieces
Speaker:together, maybe we get some support, helping us figure out how to
Speaker:start with that and then what to do, how to create more school
Speaker:success, how to protect their self concept and their self
Speaker:esteem as they develop. Yeah. So important.
Speaker:Yep. And that your planner sounds amazing. So we'll definitely some of you have
Speaker:Kids, you know you have ADHD kids, and you have a middle school and high
Speaker:school, and you're like, wait. What did you say about that planner? Do I need
Speaker:that? You do. So, you know, we'll put the
Speaker:Website in the show notes, but go ahead and share with us where can people
Speaker:find out about you and the planner.
Speaker:Www. Lila, lila,
Speaker:learning .com and that's where you can find our planner, our
Speaker:binder, And also we do student workshops,
Speaker:parent and workshops teaching teachers we co in
Speaker:schools. And then my personal website
Speaker:is edther com, and that's where
Speaker:you can find out about me and my ed therapy and college Counseling
Speaker:practice and if you have any questions, I'm happy to answer them.
Speaker:But, yeah, I'm here to answer questions or help or get you in the
Speaker:right direction and I'm really glad I got to talk to you today. Thank
Speaker:you. Yeah. Just in case it wasn't clear, it's edtherapist.com
Speaker:and lila learning .com. So be sure to go
Speaker:and find all of Laney's resources. And
Speaker:Even going on a website kind of gives a parent guidance of like, oh,
Speaker:this is what I should be looking for. These are the types of supports I
Speaker:need. This is what it looks like. I think it can be really helpful even
Speaker:if you're, you know, you're fully booked, but having a parent just kind
Speaker:of see, oh, this is what bed therapist, Dew.
Speaker:I need that, and then start to seek out resources. I love
Speaker:it. Yeah. And there's a database called,
Speaker:AET online associate educational therapist,
Speaker:and you can search for educational therapist across
Speaker:The United States. Search your ZIP code and who's there and what
Speaker:they're doing, so that's a really good resource too.
Speaker:So good. Yeah. Well, we'll I'll have you on again because I
Speaker:think it would be great to talk about what it's like
Speaker:having ADHD and then just parenting in general and
Speaker:then particularly parenting kids with ADHD. Thank you. Thank you. I'm
Speaker:sure everyone is gonna love this episode. And,
Speaker:yeah, please check The show notes. Go to Laney's
Speaker:website. And, obviously, or always, if you want
Speaker:some parenting support, you can reach out to me at callmama
Speaker:coaching.com. So, yeah, we're we're here. Both of
Speaker:us are here as a resource to you. So wishing you a
Speaker:great week, and thank you so much to Lainie. You're welcome.
Speaker:Thank you.