Pathways Psychology Services

27 w 130 Roosevelt Road, Suite 203,
Winfield, IL 60190
(630) 588-8490

Serving: Naperville, Wheaton, Glen Ellyn,
Winfield, West Chicago, Aurora, Elmhurst,
Dupage County, and Surrounding Areas

ADHD - Attention Deficit

ADHD and ADD– Attention Deficit Hyperactivity Disorder and Attention Deficit Disorder

Attention Deficit Hyperactivity Disorder (ADHD) or Attention Deficit Disorder (ADD) are common problems that many children or teens may experience. ADHD is classified into different subtypes including an Inattentive type, a Hyperactive – Impulsive type, and a Combined type. ADHD affects both boys and girls, though boys typically display more hyperactive and impulsive symptoms than girls. ADHD will often affect school performance and can typically affect home life as well as social interactions. In fact, one of the more common complaints of parents of children with ADHD is that their child or teen experiences social difficulties that may result in peer problems or difficulties in establishing and maintaining friendships. This is also frequently the reason why children with ADHD will sometimes exhibit symptoms of depression or sadness.

Another difficult adjustment issue for children with ADHD may revolve around school performance and school interactions. A child with ADHD may get in more trouble with his or her teacher and be seen as noncompliant or intentionally defiant. Often children with ADHD do not wish to cause problems in school or at home, but have increased difficulty managing their impulsive behaviors. Difficulty with organization and following directions are also common problems with ADHD often resulting in deficits in academic functioning. Children may also display increased challenges with flexibility in thinking and have a difficult time seeing others' perspectives or changing gears. These types of symptoms can be especially frustrating for the child with ADHD as they may result in punishment from teachers or adults. Medication is a common treatment for ADHD though it is not the only method to address problems associated with this disorder. Counseling, social skills groups, and psychological assessment are commonly used in addition to or on their own in treating Attention Deficit Disorders.

Signs and symptoms of an Attention Deficit Disorder in children or adolescents may include:

•		History of poor achievement in school despite high intelligence
•		Difficulty and resistance to completing homework, boring tasks, and studying
•		Challenges with organization and initiating projects or assignments
•		Low frustration tolerance for boredom or difficult activities
•		Difficulties in social functioning or problems with peers
•		Difficulty focusing and paying attention
•		Difficulty following directions
•		Forgetfulness and a tendency to lose things
•		Hyperactive behaviors including difficulty sitting still
•		Speaking without thinking
•		Blurting things out or interrupting others

Counseling and Therapy: Individual, family, and group therapy can be helpful for the child with ADHD and for the family and parents wishing to support their child or teen. Individual therapy can help a child work through adjustment issues and frustrations that come with symptoms of ADHD. Individual counseling can help a child become more aware of their triggers, become more mindful of their choices and actions, increase their frustration tolerance, and help the child or teen make better decisions. Behavioral management strategies through individual and family therapy can be helpful in providing both the child and the parents with more effective strategies to help with organization, compliance, decision-making, and frustration management. It can also be beneficial for children and families to have a greater understanding of the disorder as well as to be able to identify and address other behavioral or emotional problems associated with ADHD.

Many children can benefit from group therapy that will address some of the social skills deficits associated with ADHD and ADD. Therapy can also address coping strategies that may help the child deal with frustration tolerance and management of boredom. Since children with ADD or ADHD may have difficulty staying focused in an individual therapy session, group therapy can provide a more action oriented format that will engage them in a more effective and productive manner. Therapy can help children with ADHD feel that they are not the only ones that are experiencing some of these problems. Group counseling can also allow for children to hear effective strategies from other children or teens that may help them in coping with their own individual problems. School social workers, psychologists, therapists, and psychiatrists often refer children and adolescents diagnosed with ADHD/ADD to the Activity Counseling Groups for Boys and Journeys Groups for Girls programs at Pathways Psychology Services to address social skills deficits.

While medication is a common treatment for Attention Deficit Disorder, counseling can help address adjustment difficulties associated with ADHD, strategies to work with ADD, and support parents in effective behavioral interventions.

Goals for counseling typically include:

•		Improve academic performance by assisting parents in developing schedules, organizational systems, and behavior plans in the home
•		Help the child and teen improve decision making through education into the nature of ADHD and the development of cognitive coping skills to think through situations more effectively
•		Improve social skills by increasing the ability to understand the perspective of others, identifying and correcting negative social behaviors, and learning more effective socialization strategies
•		Reduce defiance in the home through effective parent management and behavior planning
•		Identify and change thinking that leads or poor decision making, impulsive behaviors, and low motivation
•		Work through feelings of low self-esteem and feelings of inadequacy frequently associated with ADHD
•		Stop making poor choices with harmful or potentially harmful consequences

ADHD and ADD Testing and Psychological Assessment

It can be especially important to have a formal testing evaluation for ADHD as there are many other symptoms that may resemble some of the problems associated with ADHD. Since medication is typically one of the treatments of choice for ADHD, it is good to verify the actual nature of these problems to determine if it truly is ADHD.

Testing and assessment can also provide additional information that can be essential to proper treatment including:

•		Justification and medical documentation to secure school accommodations, 504 Plan, or Individual Education Plan (IEP)
•		Tailored recommendations to guide effective treatment and compensation strategies at school, home, and with other professionals
•		Account for and rule out other problems that can mirror symptoms of ADHD and ADD such as: anxiety disorders, depression, Bipolar, Asperger's, Learning Disorders
•		Assess and integrate multiple areas of potentially affected cognitive areas including: working memory, processing speed, memory storage, memory retrieval, executive functioning, concentration, frustration tolerance, among others
•		Assess for effect of ADHD/ADD related to Learning Disability or other academic problems

In many cases, symptoms presenting as ADHD can be more accurately explained by anxiety, motivational challenges, learning deficits, or other areas of difficulty.

One of the problems with relying solely on an ADHD diagnosis from an interview or questionnaire is that other difficulties or challenges may incorrectly lead one to assume that ADHD is present when it is not. On the other end, children with strong intelligence can fly under the radar and their condition may not be correctly noticed.

Assessment that incorporates performance tests that measure a child or teen's actual performance in the areas of attention and concentration can:

•		Increase accuracy of making a diagnosis of ADHD
•		Help avoid misdiagnosis
•		Avoid under-diagnosis common in highly intelligent or gifted children
•		Accurately specify the nature of attention disturbance among subtypes of ADHD

ADHD/ADD can present in many different ways in children and adolescents. Comprehensive psychological assessment allows for a more holistic picture of the child and specific recommendations to address individual needs.

If you are looking for a psychologist or counselor proficient in providing child counseling, teen counseling,
family therapy, marriage counseling, or psychological testing, click on our staff page to learn more about our psychologists and therapists or click on services for more details regarding treatment for different problems.

CONTACT US WITH A QUESTION OR TO SCHEDULE AN INITIAL CONSULTATION WITH A COUNSELOR OR PSYCHOLOGIST EXPERIENCED IN TREATING OR ASSESSING ADHD IN CHILDREN AND TEENS.

Serving: Naperville • Wheaton • Glen Ellyn • Winfield • West Chicago • Geneva • Bloomingdale • Elmhurst • Villa Park • Lombard • Aurora • Carol Stream • Elgin • Bartlett • Plainfield • Batavia • Lisle • Downers Grove • St. Charles • Dupage County • Kane County • Will County • Cook County • Illinois

Office Contact and Location:
Pathways Psychology Services
Phone: 630-588-8490
Fax: 630-588-8491
E-mail: drjoe@pathways-psychology.com
27W130 Roosevelt Road, Suite 203
Winfield, IL 60190