What's the difference with ADHD and ADD?


My son has recently been diagnosed with ODD and ADHD. He is almost 10 years old. He is really good at school, but he has the defiance problem away from school. My question deals with the ADHD. I see him as having problems with concentration at school, but he is NOT hyper at all. What's the difference with ADHD and ADD? Why don't they diagnose it as that instead?

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Hi B.,

About 15% of ADHD children are ADHD without hyperactivity. Children with ADHD without hyperactivity are different in many ways from ADHD kids.

-- They often have lower energy than normal.

-- They are less assertive than normal. As a result, they are usually quite popular in school compared to ADHD kids.

-- They are much more likely to have learning disorders (especially Math) than ADHD kids.

-- They are much less likely to have ODD or conduct disorders.

-- They usually do not get identified early in school.

-- They are more likely to quietly daydream and never accomplish much. As a result, they do a good job of staying out of the teacher’s radar.

--They have a tendency to just drift through school (their body is in attendance, but not their mind).

Hope this answers your question,

Mark

http://www.myoutofcontrolteen.com/sl

I am depressed and sad all the time ...


Hi Mark, Very hard few days - one thing after another. She [daughter] had school disco Friday night. She carried on about underwear, which I had actually just washed. Went on and on. Sat night was about cranberry sauce. She ran out of the house to her dad’s - very annoying. I am feeling very tired. I was going out but to tired - just want to sit. I can't seem to show no emotion. Sometimes I can, but last night she made me cry, how much can you take. She ran back to my ex and said horrible horrible things about me and my partner. Thursday night she ran out of her piano concert. I have a job now but can't make stats probably loose it. I am depressed and sad all the time - just want to close eyes and dream of being far away. Beach somewhere sipping cocktail. No worries - like my twenties. ~ J.

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Hi J.,

These feelings you are having are very common for parents with out-of-control kids.

Here is a list of symptoms parents can expect to experience when dealing with their difficult child:
  • Difficulty concentrating
  • Apathy
  • Anger
  • Guilt ("If only I had done . . .”)
  • Shame (“I’m not a very good parent.”)
  • Sleep disturbances
  • Loss of appetite
  • Increased cravings for junk food
  • Withdrawal from others
  • Irritability
  • Intense sadness or tears when a memory is triggered
  • Loneliness, or a sense of separateness from your kid
  • Numbness

Dealing with a strong-willed, out-of-control kid is very exhausting and trying. It will take about 25% of all your emotional, mental, and physical resources. You have to take care of yourself in ways you would not have to if your child was not so difficult. This includes things like:

  • Go out weekly away from this kid and your home with your spouse or significant other.
  • Get adequate exercise.
  • Make sure you have some hobby you enjoy and can do when things get chaotic at home.
  • Expect and accept some reduction in your usual efficiency and consistency.
  • Try to avoid taking on new responsibilities or making major life decisions for a time.
  • Talk regularly about your parenting struggles with someone you trust.
  • Accept help and support when offered.
  • Be particularly attentive to maintaining healthy eating and sleeping patterns.
  • Keep reminding yourself that your responses are normal responses to a stressful situation.
  • Give yourself permission to do whatever you need to do to take care of yourself.
  • Have moments of prayer and meditation.
  • Do things that feel good to you--take baths, read, exercise, watch television, spend time with friends, fix yourself a special treat, or whatever else feels nurturing and self-caring.
  • Allow yourself to cry, rage, and express your feelings when you need to. Try not to numb your feelings with alcohol or drugs. This will only complicate your situation.

Finally, if you are having difficulty showing no emotion, then you are giving your daughter too much power. She can’t make you spit …she can’t make you stand on your head …she can’t make you mad …she can’t make you sad …she can’t make you happy …she simply does not have that kind of power over you.

If you cry, or get angry, or whatever -- this will be a choice that you – and you alone - make. You are in charge of your emotions -- not your daughter. And if you choose to react strongly to her negative behavior, she will continue with that behavior.

In summary, (a) take care of yourself, and (b) don’t give your power away.

Please stay in touch,

Mark Hutten, M.A.


 

Am I better off forcing my son to go to counseling...?

Mark,

Thank you for your email. We've been having problems with our 13-year-old son and recently saw a counselor last week, which was with both my husband and I. After a very bad evening, I found your website and purchased your book which described my "out of control teenager" perfectly.

Am I better off forcing my son to go to the counselor or trying your steps first? He obviously does not want counseling. He is not a problem in school or anything else he does. He is a very well liked boy who is extremely athletic, good looking and smart. Unfortunately, he does not like rules and always wants to be in charge. The outbursts occur only at home, but obviously we have severe concerns on his disruptiveness to the home.

Thanks for your help.

P.V.

__________

Hi P.,

Counseling is just another "traditional" parenting strategy that doesn't usually work very well. I see many cases in which it makes a bad problem worse. I would predict that this will be the case for you as well.

Just get into the ebook and begin digesting the material. Email me as you go along. This will be a much better route for you.

Stay in touch,

Mark

www.myoutofcontrolteen.com

I want him out of the house...

I am a single parent. Could you give me any tips on how to get a 13-year-old to get out of the house on weekends instead of staying in with me? The only way to get him out is if I buy him a game or something he wants to do. But I cannot always afford this.

_____________

Hi L.,

Here are a few ideas that your son could do either at home or away from home:

1. Bake bread
2. Bake cookies or a cake
3. Help cook dinner
4. Do soap carving
5. Go and visit grandparents
6. Go bike riding together
7. Go bowling
8. Go camping
9. Go fishing
10. Go swimming
11. Go to a movie
12. Go to the library
13. Go wading in a creek
14. Go window-shopping
15. Have a bonfire
16. Have a family meeting to discuss whatever
17. Have a family picnic in the park
18. Have a late evening cookout
19. Have a barbeque
20. Have a water balloon fight in the backyard
21. Learn a new game
22. Make candles
23. Make caramel corn
24. Make homemade ice cream
25. Plan a vacation
26. Plant a tree
27. Play basketball
28. Play cards
29. Play Frisbee
30. Put a puzzle together
31. Roast marshmallows
32. Share feelings
33. Sit on the porch and watch cars go by
34. Take a hike through downtown
35. Take a walk through the woods
36. Take a walk through your neighborhood
37. Go to a school play
38. Take pictures
39. Take flowers to a friend
40. Take a walk in the rain
41. Stargazing
42. Visit a college campus
43. Visit a museum
44. Visit a relative
45. Visit different parks in town
46. Visit the fire station
47. Visit the neighbors
48. Watch a television show together
49. Work on a family scrapbook
50. Write letters to friends

You get the idea. I'm sure you can be creative and come up with even better ideas,

Mark

www.myoutofcontrolteen.com

We are really emotionally drained...

Hi E. & P.,

I’ve responded to your comments point by point below. Please look for these arrows: >>>>>>>>>>>

Mark, I just had a conversation with our daughter last evening as she is going out and telling everyone that we do not support her in her future endeavor in sports.

>>>>>>>>>>> I hear you saying that your daughter is mad because you are not on the same page with her regarding college (justifiably so).

We pay for everything she does with sports, she has been on national development teams, we go to every game, every tournament, and we tell her what a great game she played.

>>>>>>>>>>> You are paying for everything? What is she doing to “earn” these things?

She seems to put herself on a higher pedestal than what she actually has. She has been cutting, suicidal, etc.

>>>>>>>>>>> Please refer to the section of the ebook on cutting.

She won't take her meds on a regular basis, but she is disappointed when we're not excited about her possibilities with college.

>>>>>>>>>>>>> Unfortunately, you have no control over whether or not she takes her meds. That’s her job, and the more responsibility you take for this (e.g., lecturing or nagging her to take her meds), the less responsibility she will take.

We are far too busy just trying to keep her alive and non-suicidal. I can't imagine her existing in a college environment when she has proven she has trouble existing in a high school one.

>>>>>>>>>>> I’m not trying to minimize here, but the “suicidal” kids I work with are not suicidal at all, they simply try to push everybody’s “worry buttons” as a manipulation. Again, I’m not saying to ignore her talk of suicide, but don’t let her use this as a weapon against you (i.e., a way for her to get her way).

What do we do at this point? My thought last evening was “here you go …you’re on your own …sink or swim.” We are really emotionally drained after the last two years as parents.

>>>>>>>>>> If you are emotionally drained, then you have taken on too much responsibility.

I think it is entirely possible that you have been over-protective (a form of over-indulgence). Your daughter will live up to – or down to – your expectations. For example, if you view her as helpless, unable, weak, incompetent, etc., she will live down to that expectation you have of her. Conversely, if you view her as a ‘work in progress’ and as someone who is going to do just fine in life in spite of her challenges, she will live up to that expectation.

You hit the nail on the head when you had the thought “here you go …you’re on your own …sink or swim.” Make this one little adjustment though: “here you go …we’re here for you when you need us …you can do it …I’ve got faith in you!”

Should she have a shot at college? Absolutely! What if she doesn’t make it? Then she will have learned a valuable lesson that will help her in her next venture.

Please keep me posted,

Mark

www.MyOutOfControlTeen.com

Our 17-year-old son...

Hi M.,

I’ve responded to each of your points in turn below.

Please look for these arrows: >>>>>

Anyway, I would like to know if you could provide some guidance as to how to approach our current issues with our older 17-year-old son. He will be 18 in January. We have actually tried going to a psychologist last year with no real progress. To make matters worse he and his father do not have a good relationship because my son says he always picks on him. Actually, he has always tried to steer him in the right direction and on three previous occasions his father has been very supportive but obviously very upset with
his behaviour.

He has been living away from home since April with his girlfriend with several friends or girlfriends family with no positive outcomes. All have asked them to leave. They both have no jobs or money. They are involved in stealing whenever it is necessary. Both are using cannabis and alcohol. My son has actually physically abused girlfriend I am told.

She has as recent as 5 days ago gone back to New Zealand. My son is supposed to link up with her when he gets a passport. Girlfriend grandparents going to send money, which they are to pay back I am told.

>>>>>>>>>> The girlfriend’s grandparents will be financing their drug habit (bad idea to send money, and it will probably not get paid back -- but I’m sure you know this).

He is currently living with a friend’s family, mother and three other younger brothers. Family is well known to police. Not a good environment.

I have just visited him with my sister who came for support to tell him we miss and love him and that when he wants to change his circumstances he can call me at any time. Especially to have his finger looked at in the hospital, as he still has not gone back to have pins removed to allow movement. He said he would when he wants to.

>>>>>>>>> I think it’s appropriate to let your son know that the door is always open, but you have no control over how well -- or poorly -- he takes care of his body. Are you possibly taking on too much responsibility?


He was very angry and abusive. Called me every name under the sun and that if I cared I would pay for his fines. He has over $400 in traffic offences and $9,000 for damages caused in an accident in May.

>>>>>>>> I have to be blunt here. I can tell that he has been over-indulged. I hear you saying that he (a) is resentful, (b) has a sense of entitlement (i.e., “you owe me”), (c) is not taking responsibility for his obligations, and (d) has a strong appetite for more pampering – these are all signs of a child who has been over-indulged (I’m assuming you have read my views on this).

In any event, good for you!!! You have not (and you should not) enable him any further by taking responsibility for his obligations.

He seems to be extremely jealous of his brother and what he got. He now talks about his brother having a dirt bike and he didn't get one. He forgets he chose a car. He actually had two and smashed both up.

>>>>>>>>> This provides more evidence that he has been over-indulged.

He always tells me I have ruined his life and again I am doing this because I will not pay his debts and sign his passport papers. He can get passport in January without my permission. He also said if I do not help him to get to NZ to be with his girlfriend I will not see him any more.

>>>>>>>>>>> I’m sure this is not the first time he has tried to “guilt-trip” you into letting him have his way. He is trying to push your “worry buttons” – and is doing a very good job of it.


He does not look well and he has lost a lot of weight. I have actually gone to the police to advise them I am extremely concerned and that if he is involved in anything that I am available at any time for his support.

>>>>>>>>> O.K. Here’s the deal (and I know you wouldn’t want me to simply tell you what I think you want to hear)

You son (a) is exhibiting Oppositional Defiant Disorder tendencies -- as well as Conduct Disorder tendencies, (b) is chemically dependent, and (b) is spoiled rotten. Does this make him a bad kid? No! Are you a bad parent? Of course not!!


He’s going to be 18 soon. He is already an adult. You are trying to hard Margrit. And the harder you work to help him, the worse it will get. You already have evidence of this.

I would ask you to get into the business of “letting go” (i.e., refuse to take responsibility for his poor choices). You are going to have to muster up some tough love here dear mom.

Tell him this: “You know I can't control you -- and if you really want to stay away from home and use drugs, I can't stop you. But no one in the world loves you the way I do. That is why I have to ‘let go’ of trying to change you. The more I try to help you, the worse it gets. So I am going to focus my energy on the things I can control, and I’m going to stop spending time and energy on those things I cannot control. Again, I love you, and my door is always open. But you have to start helping yourself now – it’s your job from here on out.”

Here’s some hope: The less responsibility you take for him, the more he will take for himself. He may have to hit rock bottom first. You must allow him to experience the painful emotions associated with poor choices, otherwise you will drive yourself crazy – and you will have no energy left for your husband and younger son.

Tough assignment – I know! Trust me on this one though.

I want to leave you with the serenity prayer:

"God, grant me the serenity to accept the things I cannot change, the courage to change the things I can – and the wisdom to know the difference …amen.”

Please keep me posted,

Mark

www.MyOutOfControlTeen.com

How do I avoid that circle fight?

Hi K.,

I responded to each of your questions in turn below.

Please look for the arrows: >>>>>>>>>>>>>

I have done a first 'read through' your ebook. It is very good and I can see that it is going to be very helpful. But I have a few first thoughts about ideas that weren't expanded enough for me.

For example, in you session #3 assignment section you used an example of a child cleaning his room, however this is not an accurate example for me of how these conversations go.

In our home: The parent notices the room is still a mess, says your example.... then the child responds "what's the matter with my room, it looks clean enough to me?".... where does the parent go from here. Because although I have shown my son the standard repeatedly, chores ALWAYS end up in a fight for this very reason - he refuses to do the job properly then gets angry and demands to know what the matter with the job he's done. Initially I've tried to say things like... "what you've done so far is great... but...and then point out the areas that need improving or finishing... but then that leads to "I did it fine!" …and on and on it goes, until I'm hollering "just do it!"

So, how do I avoid that circle fight?

>>>>>>>>>>>>>> There’s nothing to expand upon here really. Here’s the formula (albeit simple): Let your son decide when he will complete his required chore. When he thinks he’s done cleaning up his room, do a quick inspection. If the chore is not done properly, say, “Your chore is not completed. Take as much time as you need, but you may not leave until your room is done the way it’s suppose to be done.”

If he says, “What's the matter with my room, it looks clean enough to me,” then you put on your ‘poker face’ and sound like a broken record by re-stating “you may not leave until your room is done the way it’s suppose to be done.” ---Please refer to the section on “Anger Management” in the online version of the ebook.

The larger issue here seems to be that you are in a power struggle with your son over the ‘room cleaning’ business. Power struggles create frustration, anger and resentment on the part of the parent and the kid. Resentment causes a further breakdown of communication until it seems as if all you do is argue. An argument can only happen if there is more than one person. With just one person, it is simply a temper tantrum.

Don’t continually remind him of how the chore is to be completed -- he knows the drill. He can either choose to meet the expectations, or he can choose the consequence.

You cannot make him clean his room. He already knows how it’s supposed to be done, and it gets old trying to make him do it ‘right.’ But you can issue a consequence for not meeting your expectations (e.g., he can’t leave until it’s done right, no TV tonight, no phone privileges, etc.).

Also you talked about lying, which is a very serious problem with our son. You listed a bunch of reasons why a child lies, one that you didn't list seems to be one that we deal with a lot...our child lies so that he can break the rules. He lies about what movies he's going to see, whether parents will be home, who will be present, what they'll be doing, etc... Because we check up on him, he gets caught and privileges are revoked, but it doesn't stop him from using the same lies over and over again.

>>>>>>>>>>>>>>> I mentioned that one of the reasons kids lie is to “control the situation” …I see this as the same thing as lying to “break the rules.”

Again, you cannot stop him from lying, but you can issue a consequence for lying. Then it’s up to him whether or not to lie again. If you issue the consequence in a way that doesn’t accidentally reward him for lying, it shouldn’t be an ongoing issue. If you are providing a lot of intensity when he lies, he will continue to seek that intensity by lying again, and again. ---Please refer to the section on ‘intensity’ here: http://www.myoutofcontrolteen.com/energetic

And lastly. Our son's biological mom has Bi-Polar Disorder and a Conduct Disorder, the two of them have paired up to break our rules. She learns the rule, she breaks the rule when they're together and he goes along with it. Our son is 16, so we have no legal ability to intervene in their relationship. Do you have any strategies that might be helpful in dealing with that type of situation, because even if we can effectively discipline him, we still have to deal with her, and we can't discipline her?

>>>>>>>>>>>>> I’m starting to sound like a broken record here: You’re right -- you have no control over his bio-mom. But guess what? You have no control over your son either!! But you CAN control the things your son enjoys (e.g., phone, television, toys, games, freedom for activities, junk food, toiletries, favorite cloths, bedroom doors, furniture, etc).

He will NEVER work for what YOU want, but he WILL work for what HE wants. By controlling the things he wants, you will eventually motivate him to change unwanted behaviors. Focus on controlling his stuff and freedom rather than focusing in trying to control him. ---Please refer to the section on self-reliance here: http://www.myoutofcontrolteen.com/rely


I just have to say thank you so much for making yourself available for help. You have no idea what a blessing it is to be able to talk to someone who can help, and who knows what we're going through.

God Bless You!

K.M.

>>>>>>>>>>>>>> Thank you. I hope that this clarifies a few things. Please stay in touch.

Mark

www.MyOutOfControlTeen.com

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