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ADHD & YOUR
CLASSROOM
A LITTLE
ABOUT ME
WHAT IS ADHD?
DIAGNOSTIC CRITERIA
Present 6 or more symptoms in at least 2
settings (5 for older teens and adults)
Symptoms present prior to 12 years of age
Must impact well being and functioning
3 types of presentations:
Inattentive Hyperactive/impulsive
Combined
Must not be better explained by another
disorder
INATTENTION
Fails to give close attention to details
or makes careless mistakes
SYMPTOMS
Has difficulty sustaining attention
Does not appear to listen
Struggles to follow instructions
Has difficulty with organization
Avoids or dislikes tasks requiring sustained
mental effort
Loses items
Is easily distracted
Is forgetful in daily activities
HYPERACTIVE/
IMPULSIVE
Has difficulty remaining seated
SYMPTOMS
Talk excessively
Acts as if driven by a motor; adults will often feel
inside as if they are driven by a motor
Blurts out answers
Runs about or climbs excessively;
extreme restlessness in adults
Difficulty engaging in activities quietly
Fidgets with hands or feet or squirms
in chair
Interrupts or intrudes upon others
Difficulty waiting or taking turns
OTHER
SYMPTOMS
Emotional Dysregulation
Emotional Dysregulation
Rejection Sensitivity
Rejection Sensitivity
Altered Time Perception
Altered Time Perception
Hyperfocus
Hyperfocus
Impaired Executive
Impaired Executive
Functioning
Functioning
Sensory Issues
Sensory Issues
Problems with Memory
Problems with Memory
Auditory processing Issues
Auditory processing Issues
WHY IS THIS IMPORTANT?
Mental Illness
Depression, anxiety, eating disorders, poor self
esteem, conduct disorders, substance abuse
Physical Illness
Linked to overall lower physical functioning,
risk of traffic accidents & injuries
Relationships
Rejection, instability, susceptible to abuse
untreated 2x as likely to divorce
Between 25% and 40% of people in prison have ADHD
School & Work
Reduced academic achievement, frequent
job hopping
DEBUNKING SOME
MYTHS &
MISCONCEPTIONS
# 1 PEOPLE
WITH ADHD
JUST NEED TO
TRY HARDER.
Executive (Dys)function
Executive (Dys)function
Your ability to regulate your brain
Your students could be
over OR under stimulated
Easy or basic things
Easy or basic things
are often boring
are often boring
# 2 PEOPLE
WITH ADHD
CAN'T EVER
FOCUS
Interesting
Challenging
Urgency
Emergency
Using anxiety to create a constant
Using anxiety to create a constant
state of urgency is not uncommon.
state of urgency is not uncommon.
Arousal is still arousal.
Arousal is still arousal.
# 3 EVERYONE
WITH ADHD IS
HYPERACTIVE
Internal vs External
Internal vs External
Presentations
Presentations
Inattentive Presentation
Inattentive Presentation
Maturity & presentation
Maturity & presentation
# 4 ADHD IS
A LITTLE
BOY
DISORDER
Not a childhood disorder
Not a childhood disorder
Girls & Underdiagnosis
Girls & Underdiagnosis
Lack of studies
Misconception Inattentive most likely
Socialized to hide symptoms
Chatterbox vs hyperactive
4%
4%
of adults have ADHD, a
of adults have ADHD, a
substantial proportion
substantial proportion
are undiagnosed
are undiagnosed
# 5 ADHD IS A
LEARNING
DISORDER
Twice Exceptional (2e)
Twice Exceptional (2e)
Highly comorbid with
Highly comorbid with
learning disorders
learning disorders
Some issues with brain maturation
Some issues with brain maturation
Inconsistent performance
Underdiagnosed
Creative
Divergent thinking
Intelligence is accelerated, but social
and emotional growth is delayed
# 6 ADHD IS
THE RESULT
OF PARENTS,
DIET, TV ETC
Genes:
60-90% heritability
Not just 1 gene
Diet:
Some evidence for
certain food dyes
Screen time:
Inconclusive for worsening
No evidence of causality
# 6 ADHD IS
THE RESULT
OF PARENTS,
DIET, TV ETC
Prefrontal Cortex:
Cognitive control
Decision making
Attentional control
Limbic System:
Behavioral and
emotional responses
Basal Ganglia:
Inter-brain communication
Motor control
Executive functioning
Reticular Activating System:
Arousal
Sleep/wake
Fight/flight
# 6 ADHD IS
THE RESULT
OF PARENTS,
DIET, TV ETC
Dopamine:
movement, memory,
pleasure and motivation
Norepinephrine:
alertness, arousal,
attention
# 6 ADHD IS
THE RESULT
OF PARENTS,
DIET, TV ETC
Dopamine:
movement, memory,
pleasure and motivation
Norepinephrine:
alertness, arousal,
attention
# 7 ADHD IS A
MODERN
DISORDER
Earliest medical
Earliest medical
reports come from
reports come from
the 18th century
the 18th century
First clinical description
First clinical description
comes from 1902
comes from 1902
ADD was added to
ADD was added to
the DSM 3 in the 80s
the DSM 3 in the 80s
# 8 ADHD
MEDICATION
IS ADDICATIVE
When used correctly,
When used correctly,
stimulants don't produce a high
stimulants don't produce a high
15%
15%
of adults with ADHD
of adults with ADHD
abuse or are dependent
abuse or are dependent
on substances
on substances
The most common reason for substance
The most common reason for substance
abuse is self medication
abuse is self medication
Treatment significantly
Treatment significantly
reduces the risk of
reduces the risk of
substance abuse
substance abuse
ADHD & YOUR CLASSROOM:
RETHINKING NORMS
Take the time to examine why
certain things are important to you
Allow more flexibility, especially
with reoccurring problem areas
Know the difference between big
things and little things
ADHD & YOUR CLASSROOM:
PRESENTING LESSONS
Provide an outline of your
lesson students can
follow along with
Try to keep a
consistent flow
throughout
Use multi sensory
presentations and try to
avoid 'text on slides'
Provide self correcting
materials that allow
students to fail
Explain the 'why' always
ADHD & YOUR CLASSROOM:
PRESENTING LESSONS
Provide an outline of your
lesson students can
follow along with
Try to keep a
consistent flow
throughout
Use multi sensory
presentations and try to
avoid 'text on slides'
Provide self correcting
materials that allow
students to fail
Explain the 'why' always
ADHD & YOUR CLASSROOM:
TESTS & WORKSHEETS
Consider offering untimed
tests to certain students
Make the important points
easy to find
Keep formatting simple
and consistent
Provide an alternative
environment to easily
distracted students
ADHD & YOUR CLASSROOM:
KEEPING FOCUS
Give instructions one
step at a time
Combine
written/verbal
instructions with
visual examples
Focus on quality
rather than quantity
for assignments
Keep time spent on
sustained attention and
active learning balanced Allow students to
make active
decisions in the
learning process
Q&A

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ADHD and your classroom.pdf

  • 3. WHAT IS ADHD? DIAGNOSTIC CRITERIA Present 6 or more symptoms in at least 2 settings (5 for older teens and adults) Symptoms present prior to 12 years of age Must impact well being and functioning 3 types of presentations: Inattentive Hyperactive/impulsive Combined Must not be better explained by another disorder
  • 4. INATTENTION Fails to give close attention to details or makes careless mistakes SYMPTOMS Has difficulty sustaining attention Does not appear to listen Struggles to follow instructions Has difficulty with organization Avoids or dislikes tasks requiring sustained mental effort Loses items Is easily distracted Is forgetful in daily activities
  • 5. HYPERACTIVE/ IMPULSIVE Has difficulty remaining seated SYMPTOMS Talk excessively Acts as if driven by a motor; adults will often feel inside as if they are driven by a motor Blurts out answers Runs about or climbs excessively; extreme restlessness in adults Difficulty engaging in activities quietly Fidgets with hands or feet or squirms in chair Interrupts or intrudes upon others Difficulty waiting or taking turns
  • 6. OTHER SYMPTOMS Emotional Dysregulation Emotional Dysregulation Rejection Sensitivity Rejection Sensitivity Altered Time Perception Altered Time Perception Hyperfocus Hyperfocus Impaired Executive Impaired Executive Functioning Functioning Sensory Issues Sensory Issues Problems with Memory Problems with Memory Auditory processing Issues Auditory processing Issues
  • 7.
  • 8. WHY IS THIS IMPORTANT? Mental Illness Depression, anxiety, eating disorders, poor self esteem, conduct disorders, substance abuse Physical Illness Linked to overall lower physical functioning, risk of traffic accidents & injuries Relationships Rejection, instability, susceptible to abuse untreated 2x as likely to divorce Between 25% and 40% of people in prison have ADHD School & Work Reduced academic achievement, frequent job hopping
  • 10. # 1 PEOPLE WITH ADHD JUST NEED TO TRY HARDER. Executive (Dys)function Executive (Dys)function Your ability to regulate your brain Your students could be over OR under stimulated
  • 11. Easy or basic things Easy or basic things are often boring are often boring # 2 PEOPLE WITH ADHD CAN'T EVER FOCUS Interesting Challenging Urgency Emergency Using anxiety to create a constant Using anxiety to create a constant state of urgency is not uncommon. state of urgency is not uncommon. Arousal is still arousal. Arousal is still arousal.
  • 12. # 3 EVERYONE WITH ADHD IS HYPERACTIVE Internal vs External Internal vs External Presentations Presentations Inattentive Presentation Inattentive Presentation Maturity & presentation Maturity & presentation
  • 13. # 4 ADHD IS A LITTLE BOY DISORDER Not a childhood disorder Not a childhood disorder Girls & Underdiagnosis Girls & Underdiagnosis Lack of studies Misconception Inattentive most likely Socialized to hide symptoms Chatterbox vs hyperactive 4% 4% of adults have ADHD, a of adults have ADHD, a substantial proportion substantial proportion are undiagnosed are undiagnosed
  • 14. # 5 ADHD IS A LEARNING DISORDER Twice Exceptional (2e) Twice Exceptional (2e) Highly comorbid with Highly comorbid with learning disorders learning disorders Some issues with brain maturation Some issues with brain maturation Inconsistent performance Underdiagnosed Creative Divergent thinking Intelligence is accelerated, but social and emotional growth is delayed
  • 15. # 6 ADHD IS THE RESULT OF PARENTS, DIET, TV ETC Genes: 60-90% heritability Not just 1 gene Diet: Some evidence for certain food dyes Screen time: Inconclusive for worsening No evidence of causality
  • 16. # 6 ADHD IS THE RESULT OF PARENTS, DIET, TV ETC Prefrontal Cortex: Cognitive control Decision making Attentional control Limbic System: Behavioral and emotional responses Basal Ganglia: Inter-brain communication Motor control Executive functioning Reticular Activating System: Arousal Sleep/wake Fight/flight
  • 17. # 6 ADHD IS THE RESULT OF PARENTS, DIET, TV ETC Dopamine: movement, memory, pleasure and motivation Norepinephrine: alertness, arousal, attention
  • 18. # 6 ADHD IS THE RESULT OF PARENTS, DIET, TV ETC Dopamine: movement, memory, pleasure and motivation Norepinephrine: alertness, arousal, attention
  • 19. # 7 ADHD IS A MODERN DISORDER Earliest medical Earliest medical reports come from reports come from the 18th century the 18th century First clinical description First clinical description comes from 1902 comes from 1902 ADD was added to ADD was added to the DSM 3 in the 80s the DSM 3 in the 80s
  • 20. # 8 ADHD MEDICATION IS ADDICATIVE When used correctly, When used correctly, stimulants don't produce a high stimulants don't produce a high 15% 15% of adults with ADHD of adults with ADHD abuse or are dependent abuse or are dependent on substances on substances The most common reason for substance The most common reason for substance abuse is self medication abuse is self medication Treatment significantly Treatment significantly reduces the risk of reduces the risk of substance abuse substance abuse
  • 21. ADHD & YOUR CLASSROOM: RETHINKING NORMS Take the time to examine why certain things are important to you Allow more flexibility, especially with reoccurring problem areas Know the difference between big things and little things
  • 22. ADHD & YOUR CLASSROOM: PRESENTING LESSONS Provide an outline of your lesson students can follow along with Try to keep a consistent flow throughout Use multi sensory presentations and try to avoid 'text on slides' Provide self correcting materials that allow students to fail Explain the 'why' always
  • 23. ADHD & YOUR CLASSROOM: PRESENTING LESSONS Provide an outline of your lesson students can follow along with Try to keep a consistent flow throughout Use multi sensory presentations and try to avoid 'text on slides' Provide self correcting materials that allow students to fail Explain the 'why' always
  • 24. ADHD & YOUR CLASSROOM: TESTS & WORKSHEETS Consider offering untimed tests to certain students Make the important points easy to find Keep formatting simple and consistent Provide an alternative environment to easily distracted students
  • 25. ADHD & YOUR CLASSROOM: KEEPING FOCUS Give instructions one step at a time Combine written/verbal instructions with visual examples Focus on quality rather than quantity for assignments Keep time spent on sustained attention and active learning balanced Allow students to make active decisions in the learning process
  • 26. Q&A