![]() The recommendation was for a multimodal treatment plan to target his disruptive behavior, anxiety, and sleep initiation difficulties. was diagnosed with attention-deficit/hyperactivity disorder (ADHD) combined presentation, oppositional defiant disorder, and learning disorder. Because mother reported difficulty with sleep initiation herself as well, D. As a result of going to bed late, he had difficulty waking up in the morning. Mother noted that he appeared to be anxious “all the time” and had trouble initiating sleep at night. was also having trouble with his peers and teachers at school. At that time, mother reported that he had “ low frustration tolerance, anger, aggressive behavior, poor academic performance characterized by declining grades, anxiety, and trouble sleeping.” Mother complained that when he does “not get what he wants,” he becomes “aggressive, self-injurious and displays oppositional behavior at home.” For example, if he does not get the “right kind of snack” he “bangs his head, punches walls” and “raises his fists” as if he was “about to punch someone.” D. was referred to an academic center for child and adolescent psychiatry services. was without consistent psychiatric care for a prolonged period.Ībout six months later, D. As a result, D.'s services were terminated at the clinic last year, and D. attended a few appointments independently, but was not consistent with his therapy or tutoring services, or adherent with his medications. was age 10, and for three months was unable to bring him to his appointments. Unfortunately, D.'s mother experienced an exacerbation of her own mental health problems this past year when D. D.'s behavior and impulsivity was reported to improve on the OROS methylphenidate and olanzapine, but his sleep remained problematic on diphenhydramine. remained on OROS methylphenidate for his impulsive behavior, olanzapine for his aggression, and diphenhydramine for sleep initiation. was treated with several medications including aripiprazole, clonidine, ziprasidone, olanzapine, diphenhydramine, and OROS methylphenidate. received individual and family therapy, tutoring services, and pharmacotherapy. was subsequently diagnosed with impulse control disorder-not otherwise specified (NOS), anxiety disorder-NOS, and learning disorder-NOS.ĭ. was initially evaluated at the age of seven for concerns regarding his poor academic performance, lack of response to limit setting, impulsive and aggressive behavior, anxiety, and trouble sleeping. ![]() He received speech therapy in school until age seven.ĭ. had no history of developmental delays, and had not received early intervention. has had problems with his behavior, specifically trouble managing frustration and anger, since the age of two. If your child has frequent meltdowns that aren’t responsive to interventions, work with an ADHD professional.Mother reports that D. Have your child pretend she is holding a remote control.Īsk her to press the button that turns down emotions. Give your child something else to do with the emotions. Ripping up newspapers or squeezing a ball can short-circuit a meltdown. Now, gently blow out the flame.ĭeep breathing can settle out-of-control children. Tell him: Imagine there is a candle painted on your palm. Say, “I know you’re angry that you couldn’t find that toy.”Īsk your child to rate her anger on a scale of 1 to 10 so you know the severity of the problem. Let your child know you hear her and empathize with her feelings. If he does have an episode, you have a child-approved game plan. Instead, employ these ADHD-friendly strategies to stop the meltdown in its tracks.īefore leaving the house, ask your child what would calm him down if he gets upset. When your child dissolves into tears or an angry fit, it’s natural to feel powerless and respond harshly. ![]() 6 Healthy Ways to Respond to Your Child’s Meltdowns In this video, arm yourself with six quick fixes for your child’s next epic tantrum. They reflect the nature of attention deficit disorder ( ADHD or ADD).īut that can be hard to remember that in the heat of the crying, yelling moment. In reality, meltdowns say nothing about your parenting ability. You feel like a failure, and see the judgment in other parents’ eyes. ![]() The tears, flailing limbs, and irrationality are enough to make you wish you had never left the house. ADHD meltdowns are more than just an angry outburst.
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