88 ADHD: Strategies for Boosting Executive Function

https://302.buzz/PM-WhatAreYourThoughtsADHD is a label, it's a name of a category of behaviors that we want to look at and potentially see how can we change the environment to make a kid the most successful as possible. In today’s episode, our guest is Colleen Cullinan, Ph.D., a pediatric psychologist at Nemours/Alfred I. DuPont Hospital for Children in Wilmington Delaware. She specializes in integrated primary care within the Division of Behavioral Health. Dr. Cullinan completed her Ph.D. in Clinical Psychology at Western Michigan University in 2015. Dr. Cullinan supervises psychology externs and interns, and she directs medical education efforts for Nemours’ residency training programs. Her presentation and publication records center around integrated care, family-based interventions, and experiential cultural humility training. If you want to gain a deeper understanding of the strategies for boosting executive function, this episode is for you!Key Highlights: [00:01 - 11:13] Open SegmentAn overview of ADHA managementHaving conversations with families about the types of ADHAThe executive functioning in kids and adultsWhy setting families expectations is a critical part of ADHD management[11:14 - 22:42]  The Journey of Starting to Manage A Chronic Neuro-Biological ConditionDr. Colleen’s outlook on children having trouble at schoolWhy the Vanderbilt can be helpfulYou need the time to do a good job to gather information[22:43 - 33:47] Kids with ADHD Need a Lot of PracticeWhat happens when the medication therapies are not workingHow executive function coaching looks likeWhy internal speech is important and complexKids need more training in nonverbal cues[33:48 - 45:49] Executive Functions That Are UnderdevelopedIncentive systems do work, but sometimes we are trying to incentivize the wrong thingTalk about hindsight, foresight, and insightHow the sense of time is perceived by kids vs adults[45:50 - 57:07] Working Memory vs MultitaskingThe executive function of working memoryDr. Colleen's insights about multitasking being a fantasyAlways think about the kid and their family[57:08 - 1:11:44] Final TakeawaysStart with conceptualizing the diagnosis when talking to parentsTake a good history, a really good historyThrow away the label and really look at the executive functionStart with psycho-education for families and patientsLay out the deficits of ADHDFor kids with ADHD, the impact of those executive functional skills deficits may set them back two to three yearsLay out building the parent's skills of expectation, setting realistic goalsLet's talk about some of the specific deficitsInternal speechHindsight, foresight, and insightCents of timeWorking memory Explain to families that ADHD is highly genetic and that there are often ADHD familiesFuture teaching and predicting setting expectations and what that can look likeSet the tone with the familiesLay out that intervention and management will be an experimentResources Mentioned:Driven To Distraction - Ned Hallowell<a...

Fecha de Publicación: 11 de mayo de 2022

Duración: 1 hr 11 min