February 20th, 2009
Misbehaving Kids with ADHD: Try Positive Time Out
[ The following is a guest post from Dr. Steve Curtis, a Child Clinical Psychologist and author of Understanding Your Child's Puzzling Behavior. ]
Your little Henry is bouncing off the wall and not listening to a thing you say. You have had it and are ready to get in you car and head for the open road. Your mother-in-law and husband both think he’s a normal boy and resist any kind of super duper treatment such as stimulant medication or more comprehensive behavioral intervention. They talk about this together in a coffee shop while you are left to fend for your life.
Parents of children with ADHD come to me frequently in this distressed state of mind. Many just do not know what to do. After a period of time, many successfully resolve their differences and try the medication. Some opt for more natural remedies. Others keep themselves miserable for a long period of time by doing nothing. For all three of these examples, eventually an implementation of an effective behavior management program is a must. There are many sources of information about how to implement an effective program with the classic being the resource by Russell Barkley, Taking Charge of ADHD. Dr. Barkely presents the frequently recommended strategies of providing a predictable routine, catch the child being good, teaching appropriate behavior, and using external reinforcement.
One of my favorite strategies is to use the “positive time out.” Positive time out is when you put your child in time out when he/she is being good as opposed to bad. When a child is seen doing something desirable, he/she is told to go to time out. When in time out, the child is given a compliment for the positive behavior. Time out can still be used for more negative behavior, but the positive time out should be used far more frequently. If used in the right way, positive time out will result in fewer tantrums and more positive behavior of the child.
Children with ADHD often are only spoken to when they are doing something impulsive and inappropriate. In fact, parents of these children often only use their names when they are given a directive that the child does not want to do. Positive time out helps the parents establish a more positive relationship with the child by implementing a positive intervention. This intervention may sound very counter intuitive, but it works. Try it, you ‘ll like it. I use it with my own kids all the time. Our home atmosphere is very positive as a result. Let me know how it worked.
Steve Curtis, PhD., NCSP
Child Clinical Psychologist
Nationally Certified School Psychologist
Author, Understanding Your Child’s Puzzling Behavior
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