Dr. Russell Barkley delivered one of the clearest explanations of ADHD I’ve ever heard.
“ADHD is not an information deficit disorder. It’s a performance deficit disorder.”
You can teach a child all the social skills, anger management, or homework strategies you want in therapy or a special group — but none of it will generalize if you don’t change the environment at the actual point of performance (the playground, the kitchen table, the classroom).
He compared behavior modification programs (tokens, charts, stickers) to a wheelchair ramp: they’re not there to teach the child something new. They’re a prosthesis that provides immediate, frequent consequences to compensate for the brain’s inability to bridge the gap between knowing what to do and actually doing it.
And just like you wouldn’t remove the ramp after 30 days and expect someone to “internalize” it, ADHD accommodations often need to stay in place as long as the person is in that environment.
His bottom line: treat ADHD like a chronic condition (similar to diabetes). Manage it to prevent secondary harm, not to “cure” it. And the most important people in that management are the parents and teachers who provide the daily prosthetic support.
What’s one area in your life (or your child’s) where you know what to do… but consistently fail to do it at the moment it matters most?
@CountBinface You know how David Icke is certain some people are actually lizards dressed as humans? I'm not sure that's entirely mental anymore...
Hmm 🤔
Morgan Freeman on Donald Trump: “We have somebody sitting in the White House who’s leading us down a shithole. I can’t understand how a convicted felon gets to be president. How do you do that? It just doesn’t make sense to me”