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  • #16
    [COLOR=#3E3E3E]ADHD or Attention Deficit Hyperactivity Disorder ... [/COLOR]

    " Status as a disorder.

    The controversy surrounding ADHD involves clinicians, scientists, teachers, policymakers, parents and the media with opinions regarding ADHD ranging from those who do not believe it exists to those who believe that there are genetic and physiological bases for the condition.[10] While the existence of ADHD is generally accepted, controversy exists over the high rates of diagnosis in children and adolescents, the treatment of individuals with ADHD medically, educationally as well as legally and whether treatment should continue into adulthood.[11][12] The controversies around ADHD have been on-going at least since the 1970s.[13] In the most accepted authority on clinical diagnoses of psychological behavior, the DSM-IV, ADHD is included as a genuine disorder while significant controversy surrounds how it is diagnosed and treated.[12]

    Researchers from McMaster University identified five features of ADHD that contribute to its controversial nature:

    It is a clinical diagnosis for which there are no laboratory or radiological confirmatory tests or specific physical features.

    Diagnostic criteria have changed frequently.

    There is no curative treatment, so long-term therapies are required.

    Therapy often includes stimulant drugs that have abuse potential.

    The rates of diagnosis and of treatment substantially differ across countries.[14] ... "

    http://en.wikipedia.org/wiki/Attenti..._controversies


    "ADHD Is Over-Diagnosed, Experts Say .

    Mar. 30, 2012 — What experts and the public have already long suspected is now supported by representative data collected by researchers at Ruhr-Universität Bochum (RUB) and University of Basel: ADHD, attention deficit hyperactivity disorder, is over-diagnosed. The study showed that child and adolescent psychotherapists and psychiatrists tend to give a diagnosis based on heuristics, unclear rules of thumb, rather than adhering to recognized diagnostic criteria. Boys in particular are substantially more often misdiagnosed compared to girls..."

    http://www.sciencedaily.com/releases...0330081735.htm



    "Overdiagnosis of A.D.H.D.

    When did inability to sit still in class become a medical condition?
    Published on May 24, 2013 by Jann Gumbiner, Ph.D. in The Teenage Mind ..."
    http://www.psychologytoday.com/blog/...diagnosis-adhd
    As someone who worked within a Specialist Residential Psychiatric Care Unit dealing exclusively with the so called worse of the worse cases of young children {up to age 11 years old} diagnosed with ADHD in one of Melbourne's major Hospitals I tend to lean towards to accepting the gist of the above articles and would strongly urge a cautionary approach and avoid unnecessary labelling of young children as suffering from ADHD without extensive and highly skilled Professional expertise providing a firm diagnosis and from people with demonstrated experience and skills working within this field.

    I can state from personal experience that a majority of our young clients, went home far more settled and much better equipped to be able to deal with their 'acting out behaviours', angry emotions following an intensive programme involving a Multi Disciplinary Team approach focussing not only on the child but just as importantly upon the family dynamics and the underlying reasons that lead to the acting out behaviours.
    IknowthatyoubelieveyouunderstandwhatyouthinkIsaid, butI'mnotsureyourealisethatwhatyouheardisnotwhatI meant.

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    • #17
      Originally posted by Pushpita View Post
      Thank you for this information. Can you also tell me if you are aware about the cost and how long it takes for this therapy course in Singapore?
      Drop her an email outlining your situation [email protected] [COLOR=#999999][FONT=Geneva]Phone: 65-6397-6637 Fax: 65-6397-7085 [/FONT][/COLOR]
      "[COLOR=#000000][FONT=Helvetica Neue]I learned long ago, never to wrestle with a pig. You get dirty, and besides, the pig likes it.[/FONT][/COLOR]"
      George Bernard Shaw

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      • #18
        [SIZE=2]"ADHD medication warning[/SIZE]

        October 5, 2013
        • 14 reading now


        Amy Corderoy

        Health Editor, Sydney Morning Herald

        A nine year-old boy has killed himself and two other children have attempted suicide while taking a drug used to treat attention deficit hyperactivity disorder, federal drug authorities have revealed.


        In a safety update, the Therapeutic Goods Administration urged doctors to ensure parents are aware that suicidal thoughts and behaviour can be a rare but potentially disastrous side effect of ADHD medication Strattera.
        The news comes as figures obtained by Fairfax Media show NSW is Australia's ADHD drug capital, with medication use continuing to rise.
        Medications, including Strattera and stimulant Ritalin, are prescribed in NSW at almost double the rate of Victoria, Department of Health and Ageing data indicates.
        Advertisement
        Experts say doctor attitudes and a lack of alternative options such as counselling could be behind the higher prescribing rates in NSW.
        Child psychiatrist and University of Adelaide professor Jon Jureidini said the numbers of children on ADHD medications should be ''orders of magnitude lower''.

        ''The reality is that there is still bad prescribing going on, lazy prescribing,'' Professor Jureidini said.
        Parents should be informed there was no evidence proving medication gave long-term benefits, and it was used for managing symptoms, not treating the underlying condition, he said.
        More than 28,000 NSW children, or 1.6 per cent, took ADHD medications in 2012, a Fairfax Media analysis found. Since 2005, the number taking ADHD drugs has increased by 133 per cent, while the child population rose by 4 per cent.


        Read more: http://www.theage.com.au/national/ad...#ixzz2gmx9UyEF
        IknowthatyoubelieveyouunderstandwhatyouthinkIsaid, butI'mnotsureyourealisethatwhatyouheardisnotwhatI meant.

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        • #19
          "How to manage difficult behaviour

          October 3, 2013

          Michaela Fox

          Challenging. Spirited. Explosive. Insistent. These are just some of the labels used to describe children displaying difficult behaviour. For parents struggling with endless tears or tantrums, it can be exasperating and leave them feeling at a loss and out of love with their child. The good news is that there are many things parents can do to support behavioral change, and it begins with emotional regulation.

          Psychologist and author of Talk Less Listen More, Michael Hawton, says dealing with a child’s difficult behaviour is a common parental concern. He believes that the vast majority of problem behaviour in children is to do with self-regulation. “Difficult behaviour in children usually begins with an emotional overreaction, Hawton explains. “When children lose “it”, they are essentially losing the ability to self-regulate.” Encouraging emotional regulation, where we teach them to gain control over their feelings, is therefore an essential part of parenting.

          The early years can be particularly challenging for parents, says Hawton. The typical toddler is impulsive, wilful and unpredictable. “It can just be a collision of not enough sleep, the wrong food, a bad moment and you have this confluence of factors resulting in a complete meltdown.” But there’s a reason why these years are charged with emotion. The pre-frontal cortex is the part of the brain that controls our feelings. It keeps growing until we’re in our mid-twenties, explains Hawton, so even through late childhood and adolescence, children are still developing that capacity to be able to regulate emotion.
          Hawton, who also runs online parenting courses, believes that the journey to a more harmonious family life starts with helping kids use their “mental brakes” and develop self-control.

          Accelerators & Brakes

          Parents can help their children learn to control impulsive behavior (accelerators) and develop impulse-control skills (brakes) says Hawton. Children who develop defiant behaviour have really good accelerators but poor brakes. “Children can be taught how to successfully wrestle with frustration,” he says. “As a parent you can help them grow connections in their mind in a way that enable them to use their mental brakes better.” Research shows that children who can control their impulses do better in social and academic situations. And, importantly, it will help improve family life.

          Sorting behaviour

          Most behaviour can be sorted into ABNS (annoying but not serious), Wanted (the behaviours we wish to develop and encourage) and Unwanted (the more serious behaviours such as hitting and throwing tantrums), argues Hawton. “Parents need to identify what behaviour they’re prepared to live with or ignore and what behaviour they won’t tolerate,” he says.

          Consistent boundaries

          Many behavioural difficulties are the results of not having consistent boundaries in place, says Hawton. “For way too long we haven’t given parents a permission slip to be able to put limits on their kids because of the positive parenting trend.” You don’t have to be positive with your children all the time, Hawton explains. “Kids need to be loved, but they also need to have limits in order to learn flexibility. Research shows that kids do far better in environments that provide them with warmth, love and structure.”

          Empathy

          Parents simply listening in an empathic way can resolve some difficult behaviour, says Hawton. You teach them a language that they can use as they grow older. “You can sometimes de-escalate the emotion and help them self-regulate if you listen to them at a emotional feeling level,” he says, adding that these times are an opportunity to strengthen the bond with your child.
          Stay Calm

          The best way to deal with your child’s meltdown is to respond quietly and calmly. “If you yell at them, their accelerators work harder and this leads to high emotion which intensifies the problem.” The reason parents yell, is because they panic and they don’t know what else to do, explains Hawton. Approach the problem less emotionally and hold yourself together if you want your child to do the same. The key to keeping calm is to practice before a crisis, just as a pilot does. This way you can avoid panicking when it does occur.
          Develop your own drop-down menu of tactics for dealing with stressful situations, suggests Hawton. It’s important that your strategies are established ahead of time so you can access them at a moment’s notice. By having a simple, easy-to-remember model of what to do, parents have a better chance of responding consistently and calmly. Regularly review your own drop-down menu or even write it down and place it somewhere prominent.

          It’s important to remember that there’s no malice behind your child’s behaviour, says Hawton. “A child’s capacity for controlling their emotions is related to their developmental stage,” explains Hawton. “Frustration tolerance is an ability that continues to grow all the way through childhood.”
          “There’s a sense that you can love your kids but not really like them much at times.” The reason parents get in that bad place, explains Hawton, is because they take umbrage at their child’s rudeness or defiance and they don’t know how to help their child deal with it. Hawton says that most parents are trying their best. “No one plans to scream and yell at their kids, but they don’t know what to do instead.”
          Life with a challenging or “difficult” child doesn’t have to be a perpetual battleground. “Keeping calm, in control and managing our responses are key to helping our children regulate their emotions.”




          Essentially what we Nurses did in the Programme I worked at as part of our day to day interactions with the children, the majority of the Parents needed to be taught how to utilise these same skills.
          With the 'Consistent boundaries' concept , one critical aspect the article misses is the need to provide negative consequences, clearly defined beforehand and spelt out to the child before acting upon them, if his/her inappropriate behavior does not stop. It is critical that the negative consequences are always followed through on if it gets to this point.
          http://www.essentialkids.com.au/youn...paign=spirited
          IknowthatyoubelieveyouunderstandwhatyouthinkIsaid, butI'mnotsureyourealisethatwhatyouheardisnotwhatI meant.

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          • #20
            Originally posted by Pushpita View Post
            Thank you for this information. Can you also tell me if you are aware about the cost and how long it takes for this therapy course in Singapore?
            If you still looking for ADHD therapy in Jakarta, you can try BrainFit Studio. http://www.brainfit.co.id/whocan/2/9...tention-issues
            *There is 2 version. English and Bahasa. Please click flag banner to switch the language.

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            • #21
              There is a free talk about autism,the [FONT=arial]Speaker: [/FONT][FONT=arial]Dr. James W. Partington[/FONT][FONT=arial] is the founder of Verbal Behavior & BCBA with 39 years of experience[/FONT], the tittle is [FONT=arial]Developing an Effective Language Based Program for Children with Autism on [/FONT]Saturday, 2nd of Nov from 9-12:30
              [FONT=arial]at Jun Njan Restaurant, Jl. Pluit utara no 41, Jakarta Utara[/FONT], its [FONT=arial]Free of charge, if you need more info let me know.[/FONT]

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              • #22
                Thanks Lantern, I did write to her but no reply. What to do?

                Thanks

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                • #23
                  To Dhita, Thank you for the information. I have been trying to contact them with the numbers given in their web page (Brainfit) but no one picks up the phone. Any chance you have any communication with any staff there?

                  Would appreciate if you can let me know.

                  Thanks

                  Comment


                  • #24
                    Hmm, that's funny that there was no response from Dr. Marcou. Here is the full set of contact information I have for her (last updated in 2009, but as far as I know it is still correct). Maybe you should try her website -

                    [COLOR=#000000][FONT=verdana]Dr Roby Marcou Developmental and Behavioural Paediatrics Clinic[/FONT][/COLOR]
                    [COLOR=#000000][FONT=verdana]10 Sinaran Drive[/FONT][/COLOR]
                    [COLOR=#000000][FONT=verdana]#10-12 Novena Medical Center[/FONT][/COLOR]
                    [COLOR=#000000][FONT=verdana]Singapore 307506[/FONT][/COLOR]
                    [COLOR=#000000][FONT=verdana]Phone:65-6397-6637[/FONT][/COLOR]
                    [COLOR=#000000][FONT=verdana]Fax: 65-6397-7085[/FONT][/COLOR]
                    [COLOR=#000000][FONT=verdana]Office Email: [/FONT][/COLOR][email protected]
                    [COLOR=#000000][FONT=verdana]WWW: [/FONT][/COLOR]DRROBYMARCOU.COM.SG
                    [email protected]
                    [email protected][COLOR=#000000][FONT=verdana][/FONT][/COLOR]

                    Comment


                    • #25
                      Hi Folks, having lived with ADHD myself and not understanding the issues as a child born in the 70's, i was always threatened to be taken to borstals and bad boy schools etc. i don't know if this can help but this is my own experience with growing up with ADHD and not knowing what it was or what the heck was wrong with me. These type of disorders were treated with electric shock treatment according to my dad...narrowly escaped being connected to the acme home shock treatment kit! nothing like some DIY therapy to get the daemons out!

                      My Parents grew up during WW II and were one week away from being invaded before the bomb as dropped so there was mostly crazy people and normal people, Being the attitude of the day. Fortunately i didn't grow up when they burnt witches!

                      I had serious concentration issues and anything that was not an "extreme concentrate/essence of interest" bored the shit out of me and my focus at school was so bad i pretty much didn't do well. I even wrote my own notes to get out of several months of classes because they were so boring and droney (i also needed glasses as i couldn't see the blackboard and pulled away from schoolwork - but after my glasses, it don't change) when i was 13. Subsequently i was put on daily report so i had my homework written down each day by the teacher and signed by my parents and a weekly sign off by the headmaster. Each day i would go home and do my homework as written in the book in about 1 hour and went from C and D grade to A and B overnight. This told me about 20 years later that with clear direction i can achieve top results, but thinking and concentration was an isssue. In my life now i need very clear concise to the point information or i get lost and have no idea what is going on.

                      Concentration, no memory, super energetic etc. but it gets more complicated at that. I crave solitude as much as i crave social interaction however i ant to be the center of attention. When i teach others now the details and fine points are so important. i call it the nitty gritty or the grit. - essence, concentrate otherwise my attention drifts and i start day dreaming about much more exciting things

                      What really helped me so much that it became instinctive n a very short time was playing music, however i put all my attention into that my dad rang the school and took me out of music classes, guitar and clarinet tuition. so i rebelled and don't focus in maths and made up stories in English that made the teacher believe i had read the books which was taking candy from a baby. Horticulture and Engineering was my other focus. Practically i see something done once or twice and i have got it and repeat that with 99% accuracy in the first few attempts.

                      Later on in life i did this with racing 750cc supersport motorbikes, flying fixed wing gliders and electronics. I was always so eager to get resolve and a perfect result. I got incredibly bored with some jobs as they seemed routine mundane and simply so frikin easy. I didn't even want to go to work at times.I moved into computers and picked that up so fast it scared me and my wife at the time. Within one year i went from knowing nothing about computers to be able to diagnose a computer issue with 100% accuracy over the phone. i built my own computer business building networks for small business and did very well at it!

                      What really helps me to stay calm and release the massive amounts of energy was to walk in a peaceful environment, the bush, play music, listen to music no matter what it was, express myself. i love coffee as it has the technical aspect in each step that must be 100% or the end result is crap. The extreme concentration that makes forget whats going on around me keeps me sane. I can channel that concentration into riding my motorbike to mm degree angle changes to get around a corner so if "feels right" being and indigo makes it eve more complicated

                      I went on to become a sys admin, project and service delivery manager senior govt official implementing border control and biosecurity response systems (right now i cant type fast enough to get this down and that frustrates but now being older and more understanding, it doesn't stop me)

                      So tablets drugs and trying to work out what is wrong with your children....stop trying so hard and find things that they can practically focus on. leave them to focus, to vent that energy on thinking and making something perfect.
                      be nurturing, show them love, cuddles hugs (dont give them cuddles when they are full on concentrating - that will pi** them off because you broke their focus) For me the switch is 0 or 1. there is nothing in between. Its all stop or all go.

                      My advice looking back ion the past 46 years, music is expressive as ADHD folk have a problem slowing down to normal speed long enough to listen and take it all in. (its like living life in a slightly different dimension that operates at a faster speed) for me it is like a cat after a kg of cat nip, being forced to sit still and watch paint dry. better you give the cat the brush and get him to paint the wall instead. He can let the energy out or get lost in the focus of painting each uncovered piece of wall. The delicate attention to detail in some areas will grind on their nerves maybe until they are older but they will enjoy it and will probably work out a faster and better method with each stroke of the brush as a way to turn it into something more exciting, if only to stop the long drawn out boredom. Some things just cant be made exciting though lol.


                      Anyway that is my story, music, painting, drawing, solitude, design, building, arts, technical stuff, walking, water - grounding, bush mountains, jumping in puddles, over tree roots, working out, driving, doing doing doing or nothing at all. 0 or 1. Find the few things your children can do and let them do it. Classical music - not super full on but introduction to things that need perfection to be exact. when i get agitated and grumpy i cant do something, that is not a que to get involved and save me. I dont need saving, i need understanding that i want to do it again until i can do properly. That is the satisfaction (addiction) as an ADHD person i look for. that is what makes me tick and drives me. Anything lees exciting and less interesting, mundane, same old dumb pub drinking getting wasted BS is so old and boring. there is more out there and i want to find it.

                      When i was a boy i used to count the poles i touched as a walked by at the beach. if i forgot i had to run back (or i would have probably burst into flames or whatever - but the feeling of not counting them all properly killed me inside and was very real)
                      I developed mannerisms, mostly around the face are or fanning myself, but id had to be even on both sides of my face or i would not stop until it was. I would not necessarily remember the amount of times but the rhythm and feeling, so without knowing it, i was training my intuition (da da da opposed to say da three times) to be very accurate. I would get lost in the many levels deep of "da's" so i would get an even amount in my heart, an even amount of eye twitches or blinks or whatever...steep with the left foot not the right foot etc etc. Then it HAD to be the right foot into the building or left foot out etc etc...That is when it got so intense that 90% of my thinking was about similar types of things and not much else. I was curious and wanted to know why why why, how things worked. Soccer, cricket omg the most torturous thing i did. It seemed like years to get through a few hours. i would rather watch the clouds go by and think of so many other things.

                      My Primary school teacher (around 6-9 years old) told my parents that i used to "Sit there and watch the rest of the day go by" but inside my head, i was undergoing intense philosophical; discussion, pondering why and how. my favorite book was "Tell me Why". What the teacher had to say was like listening to the school kids arguing over a lolly pop or he said she said omg vomit vomit boring crap!. I couldn't be bothered with that dribble. Several years later, when i went onto daily report, i knew what i had to do, i could just do it then carry on in my own world and got high grades. i guess i was so side tract with the slow dribble that i didnt know what i had to do for the homework until teacher wrote it down in a few sentences. Why couldn't the teacher just say that without all the dribble int he first place lol - I still think like that but now if the topic is interesting, i can get absorbed into it.

                      I have to pick your moments when i want to do something or don't want to do something. But once i am absorbed into something, the focus is so acute it is scary, and that's what makes you good! Being lost in our own world for a while, while we create a masterpiece, even we are the only ones that think so... I for one are very good at emergency situations. Bog problem needs fixing fast, i can see what needs to be done and can fix it quickly before it gets boring again / lose interest or sidetracked. Check out Harry Darsono also, he helps many people with ADHD.

                      Now i go back to planning my cafe build in Jakarta. That is as exciting as it is drawn out and painful lol.

                      This is my own experience, so no text book or pills. just 45 years of wondering wtf is going on. i have actively focused on this for the last 15 years to work out what is going on. I have been told i have ADHD by so many doctors, that got boring to listen too as well. i would tell them before they told me, not to be smart but to save the the excruciating internal pain of having to listen to what i already know. its like watching paint dry on a crystal ball!
                      Last edited by UcupNZJK; 15-08-16, 11:18. Reason: Spelling mistakes trying to write so fast. the brain goes at a million miles an hour because it only has on and off. anything slower i get sidetracked and think of other things then get bored again
                      Regards

                      Yusuf

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                      • #26
                        In my view , a very helpful post UcupNZJK !

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                        • #27
                          Originally posted by marcus View Post
                          In my view , a very helpful post UcupNZJK !
                          I agree on this one. I don't think people should just discriminate again people who has ADHD. It's not like we ordered our kid to have ADHD :<

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