Thursday, February 01, 2007

Health care, Fitness and exercise programs Tips - Live a healthier life with health and fitness tips from health professionals. Free expert advice on exercise programs, weight loss, diets, vitamins, supplements & strength training.

Tuesday, December 05, 2006

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Sunday, August 13, 2006

Oppositional Defiant Disorder Treatment

Oppositional Defiant Disorder Treatment

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How to Teach Your Child Social Skills

How to Teach Your Child Social Skills



For over forty years, special education teachers have focused on helping children with learning disabilities improve their academic skills. However, it is now quite clear that a child’s life long success is more dependant upon his social adeptness than it is to his scholastic ability. Yet, although children with learning disabilities are often way behind their peers in their social development, these deficits were very rarely addressed.


Children with learning disabilities tend to be less skillful in social interactions and have difficulty creating and maintaining good peer relationships. They tend to be less accepted by peers, interact inappropriately, awkward in social situations, and misread social cues. There is now a greater awareness that we must to teach special needs children appropriate social skills.

Factors that Lead to Social Skill Deficits


Social skills involve daily interactions such as sharing, taking turns, and allowing others to talk without interrupting. More advanced social skills involve facets of self-control such as anger management. Most children learn social skills by observing how others in their environment handle social situations. These children imitate desirable responses, such as taking turns, and learn to avoid responses that do not work. For some children, particularly those with learning disabilities, a more direct approach is needed to help them develop appropriate social skills.


Not all children with learning disabilities have difficulty with social skills. There are three factors that often lead to social skill deficits. There factors are more common in special needs children. These are:

  1. Cognitive deficits Children with language processing disorders or low intelligence tend to have difficulty with social development.

  2. Severe or complex learning disorders.


  3. Hyperactivity Children with ADHD or poor impulse control tend to have more pronounced social skill problems.




Also, girls are more likely to experience social adjustment problems than are boys.

What You Can Do: The Social Autopsy


It is vital that you as a parent takes steps to help your child develop the social skills that he needs to succeed in life. This is not particularly hard to do, but it must be done.


One of the easiest techniques developed to help children learn to improve their social ability is called the social autopsy. This is a strategy in which you assist your child to improve his social skills by jointly analyzing social errors that your child makes and by planning alternative strategies. This process is particularly effective in helping your child to see the cause-effect relationship between his social behavior and the reactions of others.


This is what you do:


After your child makes a social error you should discuss with your child what happened. Your goal is to teach your child to:


  1. Identify the error

  2. Determine who was harmed by the error

  3. Decide how to correct the error

  4. Develop an alternate plan to prevent the error from occurring again.



Remember, a social skills autopsy is not a punishment. It is a supportive and constructive problem-solving strategy.

The Social Autopsy in Action


For example, if your child has a friend over and they fight over a toy and the friend goes home upset, then this is what you can do:

:


  1. Identify the error: fighting over a toy.

  2. Determine who was harmed by the error: your child’s friend was hurt because he left upset, but also your child was hurt because now his friend won’t want to play with him


  3. Decide how to correct the error: Your child should contact the other child and try to make friends again. You might suggest giving the other child a treat to help smooth over hurt feelings.


  4. Develop an alternate plan to prevent the error from occurring again: What should your child do next time? He can choose to share the toy. If he would rather not share, he can choose to not play with the toy when his friend is there.



When to Use the Social Autopsy



You can use the social autopsy to analyze and improve upon your child’s mistakes. However, you also can use it to emphasis your child’s successes.


When your child does particularly well in a social setting, you can assist him in examining and identifying the behaviors that contributed to his success. This teaches him to repeat those behaviors in other settings.

Why the Social Autopsy Works



The advantage of using the social autopsy technique is that it focuses on the three things that special needs children require in order to develop and learn:


  1. Repetitive practice

  2. Immediate feedback

  3. Positive reinforcement



Some Things to Remember



When you apply the social autopsy approach with your child, it is important to remember a number of things:





  1. The social autopsy is meant to be a supportive and constructive strategy to foster social competence. It is not meant to be or administered as a punishment.



  2. The social autopsy is a problem-solving technique. It should not be a negative experience for your child.



  3. The social autopsy is an opportunity for your child to actively participate in the process of his own social development. It requires his input and understanding. It should be directed by you but not in a controlling manner.



  4. The social autopsy can be conducted by any significant adult in the child's life. You should try to have other adults in your child’s life participate in this process.



  5. The social autopsy is most effective when conducted immediately after the social error or success. Remember that all children learn best when they have immediate feedback.



  6. The social autopsy should be done on a one-to-one basis. This is the most effective way children learn and will help avoid embarrassment for your child.


Conclusion


If you have a child with ADD ADHD,
Oppositional Defiant Disorder, learning disabilities, or cognitive or functional problems, you have to take special care to make sure that he is developing socially as well as academically. The social autopsy is one technique that you can use to teach you child better social skills.




Anthony Kane, MD




ADD ADHD Advances



Anthony Kane, MD is a physician and international lecturer.
Get ADD ADHD Child Behavior and Treatment Help for your child, including
child behavior advice, information on the latest
ADHD treatment, and help with
Oppositional Defiant Disorder (ODD). Share your views at the ADD ADHD Blog. Sign up for the
free ADD ADHD Advances online journal

Monday, September 26, 2005

Back To School Basics

Back To School Basics


by Colleen Langenfeld
Copyright (c) 2004



The school year is in full swing again in many places and with it, another opportunity to make the days run a bit smoother than they did before. Like most parents, I've discovered there are a handful of challenges each year that need to be addressed to make for a productive, successful school year.


Do any of these scenarios ring true for your family, too?


If something's buggin' you, it needs fixing!If each year you find yourself nagging about the same issues, pay attention! Sit down and figure out what's really going on, then formulate some different approaches until you're seeing tangible improvements.

Lay out expectations clearly.Whether my kids are 7 or 17 (and I've had both), they deserve to know what is expected of them up front. They will develop more confidence and live up to their responsibilities more often if given a clear game plan to follow that's appropriate to their age and abilities. In other words, not too hard, but definitely a stretch. Such a plan, followed through on, will make them feel great about themselves.

Make sure everyone's in charge of...themselves.

Then give them the tools they'll need to live up to their responsibilities. Reward appropriately when they follow through. A son who doesn't have his own alarm clock is not likely to even try to get up on his own. Want your daughter to make her own lunch? Make sure you have the healthy food on hand she needs to get the job done.

Everyone needs a space.A space for homework, studying, and stuff. A place to dream as well as to work. Doesn't need to be fancy, big, or expensive but should be kept neat and reasonably organized. Encourage your kids to take pride in their accomplishments and take care of their possessions. Yes, this requires discipline. That's the point.

Set limits.

Children needs boundaries no matter what they say! When teachers set homework deadlines, back them up at home. Chores, curfews, bedtimes, TV/computer time, and regular schedules all are tools parents can use to teach self-discipline and respect for others.

Do unto others...If sibling rivalry is approaching a severe level in your home, perhaps a season on the Kindness Team would be valuable. Like most sports, this requires daily practice, coaching, and a team approach. Drills are vital. You can track progress through a simple scoring procedure and you'll see real results in no time. Am I confusing you? Let me spell it out. Nagging never works to get kids to be kind to each other, but make a game of it (literally) and you will see progress. Be creative and enlist your 'team's' aid. Then point out at every opportunity how much better daily life is when people are getting along. This is an ongoing learning activity and one they'll take with them for the rest of their lives.


These are some of the challenges in our family that often seem to crop up each new school year. Watching our children mature is a true joy, but definitely not one that comes without cost. Both parents and children have a part to play in this engaging drama. This year, make your parenting efforts pay off and use your energies to make lasting changes in your home!




About the author:
Colleen Langenfeld offers helpful ideas to busy working moms. Use our resources at http://www.paintedgold.com to make your life feel easier, healthier, and smarter now!






Anthony Kane, MD


ADD ADHD Advances

http://addadhdadvances.com



If you want more information on ways that you can teach even the most difficult child to obey you, please see our

Child Behavior Program


Wednesday, August 31, 2005

The Seven Keys to Child Obedience

By Anthony Kane, MD


Attention Publishers: This article is available for your website or ezine. For an ezine, send an email to: obedience@addadhdadvances.com

For a website send an email to: obedience@addadhdadvances.com


Learning obedience is an important part of child development. This is the tool that allows you as parents to train your child. Through obedience your child will learn self-control and develop other positive character traits that he will need as an adult.

However, child obedience cannot be forced. Parents who simply command their children will foster resentment, which will eventually lead to rebellion. In fact, some researchers feel that poor parenting techniques contribute to the development of oppositional defiant disorder in some children. Although you can punish a child for not obeying, this will not foster any long-term obedience. When the child reaches his teen years and becomes more independent, punishment will only serve to destroy the already faltering parent child relationship.

Our goal then is not to force our children to obey us, but to get them to want to obey us. This willingness to obey will only come about if the parent's commands are based upon seven principles.


1-Loving Concern for the Child
A child knows quickly whether a parent's demands are for the sake of the child or for the personal convenience of the parent. If the parent's primary motive for giving orders is to make his own life easier, then the child learns to place his own interests first, also. If you want to be successful in raising your child, then your reason for giving orders must be for the benefit of your child. When your child senses that your demands are for his sake, he will much more readily obey you. He knows that it is for his own good. He will know that any demands made of him, no matter how unpleasant, come from a genuine concern for his welfare.


2-Sincere Respect for the Child
Parents must respect their children. This is a concept that is not well practiced by our society. Western society focuses on possessions. Somehow in the back of many parents' minds their children are counted among those possessions. We must remember that our children are not objects, but people. As people, they are deserving of respect. We must remember to give respect to our child to the same degree we would like others to respect us.


3-Patience
Very often our children do things that bother us. This is usually unintentional on their part and is just a reflection of their immaturity. However, if we show our children that we are annoyed they will begin to resent us. This resentment feeds their desire to rebel against our wishes. One of our goals as parents must be to try to keep our negative emotions in check.


4-Speaking Softly
Nothing gains a child's cooperation more than a gentle tone of voice. Speaking softly helps us to control our negative emotions, especially anger. A soft voice soothes and is more likely to be met with cooperation. It creates a relaxed atmosphere and is reassuring to children.

When we speak in a soft voice it also conveys strength. We show our children that we are in control of the situation and not merely reacting to it. If the only step you take is to control the volume of your voice, particularly in stressful situations, that alone will foster better child compliance. You will find that everything around you goes more smoothly.


5-Make Moderate Demands
No one likes having demands placed upon him. Children are no different. Yet we are constantly commanding our children. We feel that as parents we must take steps to correct every misdemeanor that we see. When the orders become excessive or arbitrary the parent becomes more like a dictator that an educator.

If you place a lot of obligations on your child, then your child is going to resent and resist your authority. One of the most important steps in getting your child to listen to you is to reduce the amount of demands that you place upon him. This will require you to stay calm and overlook a lot of childish behavior. Commands should be made thoughtfully and be within reasonable limits. The general rule is that if a certain behavior is not something your child will be doing as an adult and if it is not dangerous, then you should not make it a priority to correct.


6-Follow Through
Even if you do all that has been mentioned so far, you will still need to give your child orders. When you do so, you must be firm and make sure that your child obeys. If you give your child an instruction you must insist that he fulfill it. Often it will be easier or more convenient to just overlook disobedience. This is the end will erode your authority as a parent.

You should only make moderate and well thought out demands on your child. However, when you do make those orders your child must fulfill them. If we want our children to take our words seriously, then we must show them that we are serious.


7-Be Free with 'Yes', but not with 'No'
We must try to grant every reasonable request our children make of us. They should feel that we are giving to them freely and in overflowing abundance at all times. You should make it a rule to give your child whatever he wants unless you have a good reason not to do so.

In addition, we should try to temper our use of 'no'. Try not to avoid saying 'no' whenever possible. For example, if your child wants to have a treat before dinner and you want him to eat first, rather than say 'no' or 'not now' say, 'yes, after dinner.' This small change in the way you use the words 'yes' and 'no' will change your child's perception from the feeling that most of his desires are being denied to that most of them are being granted.


Conclusion
It is natural for a child to want to obey his parents. It is also necessary for his proper growth and development. Applying these seven keys will help you to make it easier for your child to obey you.

If you want to see how you are doing as a parent, see our Parenting Quiz.

If you want more information on ways that you can teach even the most difficult child to obey you, please see our Child Behavior Program .



Anthony Kane, MD

ADD ADHD Advances



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Thursday, August 25, 2005

Melatonin, Sleep Enhancement, and ADHD


Melatonin, Sleep Enhancement, and ADHD

by Anthony Kane, MD




Overview



Melatonin is a natural hormone, which is produced and
secreted by the pineal gland. Melatonin plays an important role in the regulation of many hormones in the body. Among its key roles, melatonin controls the body's circadian rhythm, an internal 24-hour time-keeping system that controls when we fall asleep and when we wake up.

Melatonin is also a very powerful antioxidant. In one study, melatonin was 60 times more effective than Vitamin C or water-soluble Vitamin E in protecting DNA from damage. Preliminary evidence suggests that it may help strengthenthe immune system.

There are numerous claims and theories concerning all thethings that melatonin may do and as a result it has become one of the popular life extension and life enhancing supplements that are currently available on the market today.

Uses


The most accepted function of Melatonin is it role in sleep regulation. Melatonin supplements help induce sleep in peoplewith disrupted circadian rhythms. Melatonin is significantly more effective in decreasing the amount of time required to fall asleep, increasing the number of sleeping hours, and boosting daytime alertness.

Melatonin is purported to be one of those miracle substances that has a hand in everything. This may be due to the fact that during the height of the antioxidant craze, Melatonin was found to be a more powerful and more universal antioxidant than both vitamin C and vitamin E. Whatever the reason, Melatonin ostensibly plays a role in numerous health conditions.
Here is a partial list:
  • Insomnia
  • Osteoporosis
  • Menopause
  • Depression
  • Eating Disorders
  • Breast Cancer
  • Prostate Cancer
  • Cancer-related Weight Loss
  • Sarcoidosis
  • Rheumatoid Arthritis
  • Epilepsy
  • Sunburn
  • Viral Encephalitis
  • Heart Disease

Since a lot of evidence for many of these claims is rather light and since I am not trying to sell you melatonin supplements, I am going to focus only on its role in sleep enhancement.

Insomnia

As many parents realize, drugs like Ritalin are not without
side effects. One of the major complaints that parents have is that their children who take Ritalin can't fall asleep at night.Many parents report that their children, who may be only five or six years old, are wide awake until 11 pm or later.

Melatonin may be able to help these children. Since it is theprimary chemical in the body that helps to induce sleep, children who suffer from insomnia often find that Melatonin restores their normal sleep cycle and helps them to be more awake and alert during the day.

How to Take It

There are currently no guidelines as to how to take Melatonin. Sensitivity to Melatonin is an individual thing and doses that are ineffective in one person may be too much for someone else.The best approach for any condition is to begin with very low doses and slowly add more until you get the effect that you are seeking.
  • In children, it is best to start with a dose of about 0.3 mg/day or less. Although current research suggests that even doses as high as 10 mg are perfectly safe, it is best to proceed with caution.


  • In adults, 3 mg is usually a safe starting dose and you can increase it or decrease it as you see fit.

Availability

Melatonin is readily available in most health food stores in the United States and it is very cheap. In Europe it is a controlled substance. Most Europeans who wish to use Melatonin find it cheaper and easier to have it shipped from the US.

Adverse Effects

Melatonin is one of the least toxic substances known. In one extensive clinical trial, a high dose of 75 milligrams of melatonin per day was given to 1400 women in the Netherlands for up to four years with no ill effects.

The only consistent side effect of high doses has been drowsiness and a slower reaction time.

Other common complaints include:
  • Vivid dreams or nightmares
  • Stomach cramps
  • Dizziness
  • Headache
  • Irritability
  • Decreased libido
  • Breast enlargement in men
  • Decreased sperm count.
These side effects were in healthy people. We also don't know how melatonin may affect people suffering from disease.

Possible Drug Interactions

Melatonin may interact or interfere with other drugs. These include:
  • Antidepressant Medications
  • Antipsychotic Medications: many of these medications are now being used in treating children with ADHD and Bipolar disorder
  • Benzodiazepines
  • Blood Pressure Medications
  • Blood-thinning Medications, Anticoagulants
  • Interleukin-2
  • Nonsteroidal Anti-inflammatory Drugs (NSAIDs)
  • Steroids and Immunosuppressant Medications
  • Tamoxifen
If your child is taking any of these things, you should consult with his doctor before giving Melatonin.

Also, caffeine, tobacco, and alcohol can all diminish levels of melatonin in the body while cocaine and amphetamines may increase melatonin production.

Conclusion


An ADD ADHD child often has a great deal of difficulty falling asleep. This can be due to the medications that they are taking or just be one component in the spectrum of their problems. When used properly, melatonin may be a safe and effective way to handle sleep problems in ADHD children.





Anthony Kane, MD


ADD ADHD Advances

Anthony Kane, MD is a physician and international lecturer. Get ADD ADHD Child Behavior and Treatment Help for your child, including child behavior advice and information on the latest ADHD treatment, and help with Oppositional Defiant Disorder (ODD). Share your views at the ADD ADHD Blog. Sign up for the free ADD ADHD Advances online journal

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San Diego DUI Attorney
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Meet Women
The Seven Keys to Child Obedience


Wednesday, August 24, 2005

Melatonin, Sleep Enhancement, and ADHD



Melatonin, Sleep Enhancement, and ADHD


by Anthony Kane, MD



Overview

Melatonin is a natural hormone, which is produced and secreted by the pineal gland. Melatonin plays an important role in the regulation of many hormones in the body. Among its key roles, melatonin controls the body's circadian rhythm, an internal 24-hour time-keeping system that controls when we fall asleep and when we wake up.

Melatonin is also a very powerful antioxidant. In one study, melatonin was 60 times more effective than Vitamin C or water-soluble Vitamin E in protecting DNA from damage.
Preliminary evidence suggests that it may help strengthen the immune system.

There are numerous claims and theories concerning all the things that melatonin may do and as a result it has become one of the popular life extension and life enhancing supplements that are currently available on the market today.

Uses

The most accepted function of Melatonin is it role in sleep regulation. Melatonin supplements help induce sleep in people with disrupted circadian rhythms. Melatonin is significantly more effective in decreasing the amount of time required to fall asleep, increasing the number of sleeping hours, and boosting daytime alertness.

Melatonin is purported to be one of those miracle substances that has a hand in everything. This may be due to the fact that during the height of the antioxidant craze, Melatonin was found to be a more powerful and more universal antioxidant than both vitamin C and vitamin E. Whatever the reason, Melatonin ostensibly plays a role in numerous health conditions.

Here is a partial list:
  • Insomnia
  • Osteoporosis
  • Menopause
  • Depression
  • Eating Disorders
  • Breast Cancer
  • Prostate Cancer
  • Cancer-related Weight Loss
  • Sarcoidosis
  • Rheumatoid Arthritis
  • Epilepsy
  • Sunburn
  • Viral Encephalitis
  • Heart Disease

Since a lot of evidence for many of these claims is rather light and since I am not trying to sell you melatonin supplements, I am going to focus only on its role in sleep enhancement.


Insomnia


As many parents realize, drugs like Ritalin are not without side effects. One of the major complaints that parents have is that their children who take Ritalin can't fall asleep at night.
Many parents report that their children, who may be only five or six years old, are wide awake until 11 pm or later.

Melatonin may be able to help these children. Since it is the primary chemical in the body that helps to induce sleep, children who suffer from insomnia often find that Melatonin restores their normal sleep cycle and helps them to be more awake and alert during the day.

How to Take It

There are currently no guidelines as to how to take Melatonin. Sensitivity to Melatonin is an individual thing and doses that are ineffective in one person may be too much for someone else.
The best approach for any condition is to begin with very low doses and slowly add more until you get the effect that you are seeking.

  • In children, it is best to start with a dose of
    about 0.3 mg/day or less. Although current research
    suggests that even doses as high as 10 mg are perfectly
    safe, it is best to proceed with caution.
  • In adults, 3 mg is usually a safe starting dose
    and you can increase it or decrease it as you see fit.


Availability

Melatonin is readily available in most health food stores in the United States and it is very cheap. In Europe it is a controlled substance. Most Europeans who wish to use Melatonin find it cheaper and easier to have it shipped from the US.

Adverse Effects


Melatonin is one of the least toxic substances known. In one extensive clinical trial, a high dose of 75 milligrams of melatonin per day was given to 1400 women in the Netherlands for up to four years with no ill effects.

The only consistent side effect of high doses has been drowsiness and a slower reaction time.



Other common complaints include:
  • Vivid dreams or nightmares
  • Stomach cramps
  • Dizziness
  • Headache
  • Irritability
  • Decreased libido
  • Breast enlargement in men
  • Decreased sperm count
These side effects were in healthy people. We also don't know how melatonin may affect people suffering from disease.

Possible Drug Interactions


Melatonin may interact or interfere with other drugs.

These include:

If your child is taking any of these things, you should consult with his doctor before giving Melatonin.

Also, caffeine, tobacco, and alcohol can all diminish levels of melatonin in the body while cocaine and amphetamines may increase melatonin production.

Conclusion

Often children with ADHD have a great deal of difficulty falling asleep. This can be due to the medications that they are taking or just be one component in the spectrum of their problems. When used properly, melatonin may be a safe and effective way to handle sleep problems in ADHD children.




Anthony Kane, MD
ADD ADHD Advances




Anthony Kane, MD is a physician and international lecturer. Get ADD ADHD Child Behavior and Treatment Help for your child, including child behavior advice, information on the latest
ADHD treatment, and help with Oppositional Defiant Disorder (ODD). Share your views at the ADD ADHD Blog. Sign up for the free ADD ADHD Advances online journal


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