- Psychological Issues
When typical rewards and punishments don’t work, you may need an approach that Ross Greene refers to as “Plan B.” Here, our focus is on preventing over-heated meltdowns. We anticipate problems and try to head them off: we stop, we stay calm, and we negotiate if possible.
|Mother:||“John, can you please go do two hours of homework?”|
|John:||“Stop! Go away!”|
|Mother:||John, can I make you fresh pancakes for breakfast?|
|John:||“Stop! Go away!”|
What’s going on here? John gives the same response whether asked about something good or bad. His negative response clearly has nothing to do with the actual request. It has to do with his being interrupted. It has to do with his being overwhelmed. It has to do with his ADHD. Obviously, rewards and punishments won’t work in this setting. The problem is an inability to control a sensation of being overwhelmed, not a problem with motivation. (After all, you are already offering fresh pancakes.)
STOP! Those four letters are the key to behavioral treatment for most people with ADHD. The exclamation point is a reminder of how important the step is; and how hard it can be, as well.
As described so well by Russell Barkley, the primary difficulty in ADHD is a lack of inhibition of the present (so that you can use your other executive functions to plan the future). In other words, people with ADHD have trouble putting on the brakes. They have trouble stopping. Nothing good comes from speeding out of control. So, their first step is to just STOP! Once everyone stops, then time can cool our minds. The brakes come on. Executive function can regain control. We can chart a productive course.
There are several amazing things that come from just stopping (if you can do it):
Just Stop. This means you, too.
Yes, you. There is no one else reading this right now. I mean you, the parent. You have to put on the brakes as well. You are a human being who is struggling with self-control also. Although your brain theoretically has normal control, ADHD in the family can be so exacerbating and even demoralizing that our ability to stop and see things clearly is debilitated as well. [Note that there is a forty percent chance that one of the parents also has ADHD – so indeed there may be other reasons why stopping is so hard in these families.]
Why would we expect the child to be the only one trying – and succeeding – at exerting self-control? Why would we expect the only one with a recognized physiological disability in self-control be the only one working on the project? How about ourselves? You may answer, “Well, I’m so overwhelmed and stressed by my environment that it’s hard to stay in control.” Welcome to the club. That’s what your child is experiencing also. You won’t let him get away with that excuse…
Not only doesn’t it work, screaming at the child is actually counter-productive.
She is already over-whelmed. She is already overloaded and over stimulated. Being screamed at just inflames the situation, and ultimately makes it harder for your child to achieve her goal: regaining composure so that her own brain can reach the right decision.
Warning symptoms of getting overheated.
The earliest signs of overload include voices getting raised, muscles tightened, faces reddened, or grunting. This is the time to defuse. At this point, you may be able to salvage the situation with humor, negotiation, redirecting the conversation in a different direction, or maybe even taking a few deep breaths.
A little later, the signs of being overwhelmed get pretty obvious, if we would just listen. They are usually something subtle like: “STOP! Get out! Leave me alone! I can’t take it, anymore!” Your child is not making this stuff up. That is how he feels. Pretty awful. Take his advice. Stop. He is actually telling you in clear words just what you need to know: “I need to stop now.” Ideally, he would have said it calmly. Ideally.
This is not the time to give in to our impulse to just get it over with. You might have the self-control to do that. Your ADHD child was not born that way. Don’t assume that just because you can handle it, that he can as well. All brains have equal rights, but all brains are not constructed the same.
“But what if he doesn’t just stop?”
Encourage compliance with the system be ensuring that the child recognizes that this cooling off period is not punishment. It is not like the old punitive “time out” system, which works best with elementary students. Rather, the child gets to go do some pleasant – yet soothing – activity. Consider reading (their choice – magazines and comics are okay), Legos, or listening to music. Adrenaline producing activities such as Nintendo are probably not a good idea. Truly cool activities, like playing on the computer or watching TV may be hard to stop after the intended 5 minutes. Do not forget a similar system for yourself.
If that doesn’t work – and there are some oppositional children for whom it won’t – then ignore the child. It takes two to fight. No one can enlist you in an argument unless you enter the arena.
The decision to declare a cooling off period has nothing to do with a decision as to who “won.” You are not giving in. Calmly state the rule or action that is required, and end the discussion. Come back later when cool heads prevail.
“But all he ever does is ask to stop. How do we ever get anything done?”
Good point. But, here are your choices:
When you STOP and think about it, the choice is pretty obvious, isn’t it? Yet when faced with that choice in the heat of the moment, most of us have been taking the wrong course.
Indeed, this is not always a terribly efficient system. However, neither you nor your child has been dealt great choices. But STOPPING is the least bad option. It certainly beats the alternative of counter-productive screaming. You already know that does not work.
Good luck, and do not expect results overnight. This is a multi-year task to learn. Model it well. Once you’ve stopped, you are ready for the next steps:
Remember: negative behaviors usually occur because the ADHDer is spinning out of control, not because he is evil. While evil behavior would need to be aggressively squelched, the much more common overwhelmed behavior needs to calmly defused. Good luck!