109. ADHD Symptoms: Executive Functions Part II

The eight key executive functions are Impulse control, Emotional Control, Flexible Thinking, Working Memory, Self-Monitoring, Planning and Prioritizing, Task Initiation, and Organization. Early identification and intervention is important for helping individuals with ADHD to reach their full potential. Dr. Colleen Cullinan is back for part 2 in Dr. Gaggino’s series on ADHD. They pick up where they left off on Episode #88. You’ll hear a deeper dive into the strategies and specific techniques of caring for the ADHD child.  According to a 2016 CDC report, about 3 in 4 US children with current ADHD receive treatment. Let’s take a closer look at some of the other stats on that report.

 

  • 62% were taking ADHD medication
  • Ages 2–5: 18%
  • Ages 6–11:  69%
  • Ages 12–17: 62%
  • 47% received behavior treatment
  • Ages 2–5: 60%
  • Ages 6–11:  51%
  • Ages 12–17: 42%
  • Altogether, 77% were receiving treatment. Of these children:
  • About 30% were treated with medication alone.
  • About 15% received behavior treatment alone.
  • About 32% children with ADHD received both medication treatment and behavior treatment.
  • About 23% children with ADHD were receiving neither medication treatment nor behavior treatment.

 [00:30 – 08:17] Opening Segment

  • Dr. Gaggino introduces us to Dr. Colleen Cullinan
  • Dr. Gaggino and Dr. Cullinan pick up where they left off from Ep 88

[8:18 – 10:37]  The diagnosis should be a “strength based model”

  • The Hyper focus of an ADHD child will activate that chemical excitement in their brain.
  • “Attention Deficit” is a misnomer
  • What is the true definition of ADHD?

[10:38 – 24:00] How do we adjust to meet where kids are?

  • Redirect the attention that they DO have 
  • Tolerating the experience of “Chemical Boredom”?
  • The ADHD child can strengthen their weaknesses in a planful, stepwise, gradual way
  • The executive function of INTERNAL SPEECH

 

[24:01 -54:26]  The Golden Ratio for ADHD

  • This is not to be used as a reward
  • 14 positive interactions to neutralize 1 negative interaction
  • It only takes 5 minutes a day
  • The parent’s job is to listen, reflect and praise

 

[54:27 – 1:01:48]  Closing segment Takeaways

You can reach Dr. Colleen C. Cullinan

Twitter:  @ColleenCullinan

Resources:

Episode #88

 

Parent Child Interaction Therapy (PCIT)

pcit.org

 

Book Mentioned in the Episode

 

Key quotes for Twitter:

“When we think about a 7 y/o, who, when it comes to internal speeches, actually looks more like a 5 or 4 y/o, we really do need to think about how we can start to teach this skill of pause, reflect, look around, use your internal dialogue”… Dr. Colleen C Cullinan

 

“Actually, kids with ADHD might have superior attentional skills. they might be able to hyper focus on the things that are interesting to them or that activate that sort of chemical excitement in their brain”… Dr. Colleen C Cullinan

 

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Dr Lia Gaggino

Dr Lia Gaggino Host of the Pediatric Meltdown Podcast

Dr. Lia Gaggino has worked as a pediatrician for over 30 years on the west side of Michigan. During her career as a primary care physician, she has been privileged to care for children and adolescents, and know that their success is closely tied to mental wellness.

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Dr. Lia Gaggino has worked as a pediatrician for over 30 years on the west side of Michigan. During her career as a primary care physician, she has been privileged to care for children and adolescents, and know that their success is closely tied to mental wellness.

Recent Episodes

  • All Post
  • ADHD
  • Advocacy
  • Aggression and Disruptive Behaviors
  • Anxiety
  • Autism
  • Building Better Workflows
  • Depression
  • Genetics
  • healthcare disparities and inequalities
  • LGBTQIA+
  • Medications
  • Mental Health
  • Other
  • Pain
  • Parent/child
  • Physician Well-Being
  • Schizophrenia
  • Sleep
  • Social Media
  • Substance Abuse
  • Suicide Prevention
  • Trauma

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