The role of teachers and parents in the child's development.
As a child psychiatrist based in Brisbane, I often see
parents attending Brisbane Specialist Suites concerned about their children's
development, and parents often come up with the specific question: "Does
my child have ADHD?" Sometimes parents are worried because parents are at
the limit due to the daily battle to get their child out of the house to go to
school in the morning or to face the end of the day with homework. Sometimes
parents see me because their child's school teacher is requesting an evaluation
for a child who they suspect has ADHD to help them manage behavior in the
classroom.
How does a doctor diagnose ADHD?
Child psychiatrists will consider ADHD if there are concerns
about symptoms in 3 broad domains: lack of attention (distraction and
difficulty focusing), impulsivity (acting without thinking well) and
hyperactivity (difficulties staying still). During childhood development, these
symptoms exist along a spectrum or continuum. What I mean is that there is no
clear end point or a limit to the diagnosis: we all sit somewhere in the
spectrum and can fight more in one domain than in the other. Although
psychologists can evaluate children for ADHD, screening tests are simply a
process of data collection and number processing and do not take into account
the nuances of a medical evaluation that includes the context of behavior, so
This is not enough to make a diagnosis.
What causes ADHD?
As child psychiatrists, when we consider the population as a
whole and examine the frequency with which ADHD symptoms exist in the
population at any time (the prevalence), there is no "oddity node".
The "rarity node" is a phenomenon that can be seen in conditions
associated with a disease with a single pathological process, such as blood
glucose levels in diabetes. Most people sit within a range of normal glucose
levels or significantly higher glucose levels without treatment; There are few
people in the area between these two groups. The lack of a "rarity
node" in ADHD symptoms probably reflects the multifactorial nature of
ADHD.
The importance of good teachers for children with ADHD
What I think this study highlighted is the need for
additional quality information from school teachers when medical specialists
are asked to make an evaluation. No one can deny that it is true that, for some
children, the initiation of medication at an early age could and should be
delayed by adequate and qualified teaching and a positive learning environment.
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Good teachers understand that, when it comes to young
children, there is great progress in developing a child's ability to regulate
their emotions and participate in structured activities in the classroom. As
children grow and develop, even in just 6 months, the difference can be
noticeable. An emotionally tuned teacher who is prepared to adopt a flexible
and enriching posture is invaluable in helping your child develop a strong
sense of self-worth, teach your child the ability to use strategies to calm or
immobilize their bodies and teach your child strategies. to minimize careless
mistakes (such as strategies when addressing work, such as "read the
question, read the question again, ask the question, verify your answer").
In my opinion, the more teachers can work in collaboration
with the treatment of child psychiatrists and parents, the better the result
will be for all our precious children (which may ultimately include or not
include a prescription when necessary).
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