Managing Severe Hyperactivity in Children: Effective Strategies for Parents - Rehabilitation

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Overactive children


Hello, Director Chen! My son is 5 years old and is a severe hyperactive child! Sending him for behavioral therapy has not been effective.
He has destroyed the television, phone, speakers, and other devices at home.
He completely ignores reprimands and would rather get hit than stop his behavior.
He has never sat still for more than 20 seconds, and when confined to a room, he not only shows no fear but also causes destruction.
Several adults in the house are constantly watching him as he runs around wildly, and I am going crazy! What should I do? Thank you!

Saya, 30~39 year old female. Ask Date: 2007/06/18

Dr. Chen Xianchang reply Rehabilitation


Hello, thank you for your inquiry.
Here are my responses and recommendations:
1.
You should consult a rehabilitation specialist for evaluation and treatment, as the symptoms appear to be related to hyperactivity and attention deficit.
2.
Sensory integration therapy can be beneficial, focusing on vestibular and tactile stimulation to enhance attention and reduce hyperactive behaviors.
3.
If necessary, consider pharmacological treatment options such as Ritalin (methylphenidate) or Concerta (extended-release methylphenidate).

Reply Date: 2007/06/18

More Info


Managing severe hyperactivity in children, especially in cases of Attention Deficit Hyperactivity Disorder (ADHD), can be incredibly challenging for parents. Your situation, as described, reflects the struggles many families face when dealing with hyperactive behaviors. Here are some effective strategies that may help you manage your son's hyperactivity more effectively:

1. Understanding ADHD:
ADHD is a neurodevelopmental disorder characterized by persistent patterns of inattention, hyperactivity, and impulsivity. It's essential to recognize that your child's behavior is not a reflection of poor parenting or willful defiance but rather a manifestation of a neurological condition. Understanding this can help you approach the situation with more empathy and patience.


2. Behavioral Therapy:
While you mentioned that behavioral therapy has not been effective, it’s crucial to ensure that the therapy is tailored specifically to your child's needs. Techniques such as Positive Behavioral Interventions and Supports (PBIS) can be beneficial. This approach focuses on reinforcing positive behaviors rather than punishing negative ones. Consider working closely with a qualified therapist who specializes in ADHD to develop a customized behavior management plan.


3. Consistent Routine:
Children with ADHD often thrive in structured environments. Establishing a consistent daily routine can help your child know what to expect and reduce anxiety. Create a visual schedule that outlines daily activities, including playtime, homework, meals, and bedtime. Consistency can provide a sense of security and help your child manage their impulses better.


4. Limit Distractions:
Create an environment that minimizes distractions. This may involve reducing the number of electronic devices in the home, especially during homework or quiet time. Designate a specific area for activities that require focus, and ensure that it is free from distractions.


5. Physical Activity:
Regular physical activity is crucial for children with ADHD. It helps to burn off excess energy and can improve concentration. Encourage your child to engage in activities they enjoy, whether it's running, swimming, or playing sports. Even short bursts of physical activity throughout the day can be beneficial.


6. Mindfulness and Relaxation Techniques:
Teaching your child mindfulness techniques can help them learn to manage their impulses and emotions. Simple breathing exercises, yoga, or guided imagery can be effective tools. These practices can help your child develop self-regulation skills over time.


7. Medication:
If behavioral strategies alone are not sufficient, consider discussing medication options with your child's healthcare provider. Stimulant medications like methylphenidate (Ritalin) or amphetamines (Adderall) are commonly prescribed for ADHD and can significantly improve focus and reduce hyperactivity in many children. However, medication should be closely monitored by a healthcare professional.


8. Parent Support:
As a parent, it’s essential to take care of your own mental health. Consider joining a support group for parents of children with ADHD. Sharing experiences and strategies with others in similar situations can provide emotional relief and practical advice.


9. Professional Guidance:
If you feel overwhelmed, don’t hesitate to seek professional help. A child psychologist or psychiatrist can provide additional strategies tailored to your child's specific needs and help you navigate the complexities of ADHD.


10. Open Communication:
Maintain open lines of communication with your child. Encourage them to express their feelings and frustrations. Understanding their perspective can help you find more effective ways to support them.

In conclusion, managing severe hyperactivity in children requires a multifaceted approach that combines behavioral strategies, environmental modifications, and, if necessary, medical intervention. It’s essential to remain patient and persistent, as finding the right combination of strategies may take time. Remember, you are not alone in this journey, and there are resources and support systems available to help you and your child thrive.

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