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ADHD Russell Barkley SELF REGULATION DD - Coggle Diagram
ADHD Russell Barkley
SELF REGULATION DD
30% DELAY
- IMPULSIVITY AND LACK OF CONTROL
OF INHIBITION BEHAVIOUR AND EMOTIONS.
INHIBTION - delay in appropriate inhibition of your behaviour.
Lack of
Inhibition
control - seen as hyperactivity in childhood but diminishes in adolences, morphing into a internal busyness, need to do many things.
Failure to develop control of behaviour - failure to suprress irelevant behaviour
words
movements
intrusive + disruptive
behaving too much
motor actions
Cognitive
quick thoughs
not thought through
Adolences
restless though
snap decision making
Restlessness
Declines with age.
EMOTIONAL - Impulsiveness
Failure to regulate
Impulsiveness
Quickness to anger
easily excited
low frustration tolerance
ODD is the inabiltiy to manage frustration, impatience and anger.
display them more quickly
The feelings are normal but the moderation of them is not.
Can't self sooth, self clam...
Social impact is significant - people will forgive and forget restlessness, forgetfulness... but they won't tolerate anger
Marital difficulties
parenting difficulties
1798 Disease - Cricton "diseases of attention"
1976 - emotion removed??
includes emotions
Automaticvally ODD because of the emotional impulsivitiy...
FAILING TO DEVELOP ON SCHEDULE
Attention Problems? What type?
Persistence to the Future
Sustain action to a goal adaquately to attain
motivation
failure to persist with behaviour towarda a goal in time.
Distractions provokes a response that can't be inhibited.
Working Memory - the is what is lacking - reengaing after after distraction. It's the what and when of what we are doing.
with poor reengagement -
EFDD - Effectivitive Functioning Deficite Disorder
Self Regulation Disorder
Stopping
Thinking
Neuro-Genetic Casues
5 Executive Functions (Self Control) that are delayed - deficits - It is not learned behaviour... that doesn't mean they can't be enhanced...
Can you stop? - Can you wait? The waiting is the tough part - ADHD there is no wait... happens... done.
"Don't you ever think?"
Once you stop you do one of 4 things. see Number 2.
Visual Imagery System - MInds Eye
They do not visualise the learning of the past "Visually imagining your past - Hindsight leads to Foresight - you won't think ahead because you weren't looking back
Relevant past
Sense of time - weak!
Visually imagining your history...
You won't use the images of the past to tell you what to do.
You can't talk to yourself - MINDS VOICE
This controls us - it tell us what to do...
No MIND VOICES
don't follow intructions...
You not be able to do it
Can't follow rules --- rules need you tell yourself to follow them.
Emotional Regualtions - MINDS HEART - SELF MOTIVATION
self motivation
if there is no self motivation
The person CAN'T SELF MOTIVATE - there if nothing around them to give them a stimulation
You become dependant on the environments around you to and it's immediate consequences for interactions - you cannot work, you cannot persist, you will not get it done...
Video - gives interaction/consequences - 100% feedback
Solve a maths problem... it does nothing
Consequences are delayed
It doesn't matter what your goals are - you won't get there
Self soothing not possible.
Our emotionals are our motivations
THIS IS NOT SOMEONE WHO DOESN'T WANT TO... IT IS SOMEONE WHO CAN'T
Minds playground - plan and problem solve....How many options can you genrate to solve the problem...
Simulate mulitple outcomes
Brain function
developmental delay - 2 to 3 years
Imagery developed too quickly...
Dopamine...
Ritalin - blocks thr nerve process that removes dopamine
diets not an issue
Purpose of the frontal lobe
organise your behaviour across time in atticipation of what's coming at you - the future
near sightedness to the future.
Latsminute .com!
Abiltity to look ahead is Intention
When you set a goal and you are happy and intend to do it...
Brain Split... back lobes and front lobes...
Back = Knowledge - Front organising that knowledge
A disorder of doing what you know, not a disorder of knowing what to do.
The application of what you know
Sluggish Cognitive Tempo (SCT)
Attention
Processing
chosing what important from not
unlike ADHD - persistance problem
soclai issues - withdrawn.
school based issues.
WHAT TO DO THEN!
Stop teaching them lots of skills
e.g social skills!
Do things in the environment where it's happening.
Increase the consequences - more accountability
We need stickers...
Behaviour modification programmes
For ever!
Like a ramp...
Don't make them hold things in their mind...
Subsitutes for working memory...
sticky notes, signs, symbols, cues, reminders charts,
Timers
Day planner
week timer
month timer
Break everything down - baby chunks
tokens...
EMOTIONAL - MOTIVATION
Points, tokens, rewards
not an issue... they just need it... unlike others.
Planning and problem solving
maths with your hands...
3 by 5 cards... write down idea... go with it...
write and write.
mind map - thjoughts and thought
Make the mental information physical
We don't get to design our children...
Your child is born with 400 psychological traits that will will develop and non of them are to do with you.
You are a shephard... you don't get to design the sheep!
They pick the pastures
They protect the sheep.