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Here’s a great resource on getting behavioral help, if needed. Teach your child to respect the dog as a fellow, feeling being. As you teach your child how to behave like a good person in the world, the dog can be a great source of inspiration and example.

Occupational therapy can be a great addition to your child’s treatment team for managing the symptoms of Attention-Deficit / Hyperactivity Disorder (ADHD). Like other disciplines that may be involved in your child’s care, an occupational therapists’ goal is to empower children with ADHD and teach them the skills they need to be confident, independent and succeed in life.

How Can Occupational Therapy Help My Child with ADHD?

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Occupational therapists (OTs) have a unique, holistic perspective. They utilize their background in anatomy, physiology, neurology, psychology as well as culture, environment, and activity analysis to formulate a comprehensive treatment plan. OTs use a child’s strengths to help them overcome their challenges and improve their participation in daily activities at home, in the community, and at school.

OTs also work closely with families and teachers to provide them with practical strategies that are customized to each child. OTs provide structured and graded activities to scaffold learning to help children increase their independence across environments.

How Can an Occupational Therapist Help a Child with ADHD in the Home?

Many parents of children with ADHD experience frustration when a seemingly quick and easy task is difficult for their child to complete autonomously. Children who struggle with ADHD may miss instructions, respond impulsively, or have difficulty sitting still or keeping their focus. In many instances, they’re too distracted to carry out essential daily tasks.

Common strategies that OTs may suggest for use in the home environment include the following:

Creating Structured Plans for Daily Routines

Create structured daily routines for the morning, afternoon, and evening. Use visual checklists with photos (not clip art) of your child doing each step of a task, or a picture of the completed task, depending on how much support is needed.

Teach your child to be a “future thinker” by including a photograph of what they look like when they finish the activity. For example, take a profile picture of your child dressed and wearing their backpack when they are ready to leave for school. End-goal images also ensure that the completed task looks the way you both envisioned it. How many times have you asked your child to clean their room and their image of a clean room is entirely different than your own?

Beginning tasks with the end in mind can help you both have the same expectations. Then, help your child break down the steps of the task to recreate the picture. In other words, plan backward and execute forward.

Coaching Parents How to Ask the Right Questions

Asking questions, instead of telling your children what to do, helps children develop situational awareness, which leads to increased task initiation and completion. It will also foster increased self-confidence instead of feelings of low self-esteem.

For example, instead of telling your child to do their homework, ask them what their priorities are for the afternoon. Or, instead of telling them to get ready for hockey practice, ask them what they need to do to be prepared. This will help them use their prefrontal cortex, the part of the brain responsible for executive functions instead of you acting as their external brain.

Providing an Organized Home Environment

An organized home helps your child learn where each of their possessions belongs. It also teaches children where to return items when they are finished using them.

Parents can incorporate cleaning up into the family’s daily routine and make it fun by turning it into a game. For example, you can play “Beat the Clock.” Set a timer for 10 minutes and see if you can work together to put things away before the timer rings. Another great option is to have everyone pick a favorite song and create a short playlist. Then, put on the music and clean up until it stops.

Using Analog Clocks to Help Your Child Visualize the Sweep of Time

Children with ADHD often lack an internal sense of time and have short time horizons. They think in terms of either “now” or “not now.” As a result, these children tend to require numerous external cues to help them stay on task and be on time. Dad n me.

Place analog clocks at your child’s eye level in all of the rooms your child uses to get ready for the day and does homework in. Using analog clocks helps children understand the passage of time because they can see time moving, whereas digital clocks only show numbers changing.

Next, have your child estimate how long they think it will take to do various activities. They can shade the pie of time on a glass-faced clock with a dry erase marker. Or, they can place magnets or post-it flags on their start and estimated finish time. Again, this helps them see the sweep of time and works magic with increasing sustained attention, especially during homework!

Letting Your Child Know of Plans Well in Advance

Children with ADHD frequently have difficulty transitioning from one task to another. Therefore, it’s essential to give them a heads up!

Instead of saying, “We’re leaving for _____ in ten minutes,” say things like: “Next week…,” “In two days…,” “Tomorrow…,” etc. It’s helpful to use a calendar with young kids to show the number of days until the event and expand their time horizon.

Integrating Physical Activity into Your Child’s Day

Regular exercise has been shown to increase concentration, improve sleep, and decrease anxiety and depression.

OTs also love to teach students how to incorporate movement into learning when possible. For example, have your child practice math facts or study for a test while jumping on a trampoline or standing on a balance board. Or, create a treasure hunt with spelling words and have your child practice writing each word where they found it.

Incorporating Sensory Strategies to Improve Self-Regulation

Some children with ADHD may have difficulty sitting still to complete homework or finish dinner.

Children with low sitting tolerance may benefit from using active seating, such as ball chairs, inflatable wedges, or wobble discs. They can also use a foot fidget on the chair to help maintain focus or hand fidgets so long as they don’t become yet another distraction. Your child’s OT can help determine appropriate fidgets for home, community, and classroom.

Short “brain breaks,” like doing ten jumping jacks or pushups, can also help students recharge and refocus on a task.

Creating a Safe “Calm Down Zone” in Your Home

Children with ADHD are prone to having strong emotional responses. Therefore, they may benefit from having a “calm down zone” in your home where they can go to regroup when they’re feeling overwhelmed, frustrated, or about to meltdown.

A “calm down zone” may include a rocking chair or swing for movement; stress balls or resistance bands for “heavy work”; sensory bottles filled with water, oil, beads, and glitter to look at; a noise machine or quiet, soothing music to listen to; and even weighted blankets or stuffed animals to provide calming tactile input.

Experiment with different sensory strategies and see what works best for your child in different circumstances.

Helping your Child Become Aware of Their Distractions

Help your child identify their internal and external distractions, or “time robbers” as we like to call them. Once a child begins to develop an awareness around their distractions, you can help them figure out wa

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