Understanding ADHD in kids and how to best support them can be pretty overwhelming (I know from experience), so today I’m so excited to have an expert here with me to help you through it!
Lainie Donnell is an educational therapist, a college counselor, and the cofounder of Lila Learning. For the past 16 years, Lainie has been in private practice as an educational therapist and college counselor, bringing to her clients an empathic, enthusiastic and pragmatic approach to their educational journeys.
Her philosophy has been to meet her students where they are currently functioning and help to develop their skills, providing them with a “toolbox” to meet their challenges head-on.
She’s here today to share her expertise on ADHD - from how it might show up in kids to ways you can address challenges related to ADHD and find support for your child.
Lainie’s own experiences with dyslexia, auditory and visual processing issues and ADHD led her to this work. During college, she fell in love with teaching and the classroom and got her Masters degree in special education.
She says that as a child, even though she had a lot of support, she continued to struggle. Finally being diagnosed with ADHD in the 10th grade gave her a new understanding of herself and how she functions (in her case, meds helped a lot, too).
Lainie’s children also have ADHD, so it is both a professional and deeply personal topic for her that is infused into all areas of her life.
Parents of kids with any kind of neurodivergence often feel fear around their future and ability to be successful.
Lainie says, “There are so many success stories, and I just think it's a matter of approach and attitude and a willingness to embrace.”
ADHD refers to issues with self-regulation, working memory, sensory integration and the self-management part of the brain.
Beyond the general diagnosis of ADHD, there are also three subtypes: inattentive, hyperactive and combined.
The inattentive subtype is actually over-attention. The child is paying attention to too many things at a given time. There is too much stimulation, and they can’t prioritize where their attention should go. These kids may not have a lot of behavior issues because they sit quietly, drifting off. Think of a classroom setting with many other students around, stuff hanging on the walls, sounds out in the hallway, etc. all competing with the teacher’s voice.
The hyperactive-impulsive subtype is what it sounds like. The child doesn’t think before they act. They understand consequences but just don’t think about them ahead of time. These are the kids who are often labeled “bad” early on because their hyperactive and impulsive behavior is much more obvious.
The combined subtype combines elements of both. Inattention, hyperactivity and impulsivity might show up at different times and in different situations.
ADHD affects many areas of executive function. Think of executive function like the conductor of an orchestra in your brain. It tells you when to get started with a task, when to manage your time, when to shift to another task, etc.
Working memory is one piece of executive function. It allows us to hold on to information while we’re manipulating it and doing something else. It shows up in so many areas of life, including math, writing and social interactions.
In kids, this might look like interrupting or not responding to social cues. It doesn’t mean that they don’t understand those cues. It’s simply a challenge for them to notice the cue, pay attention to the other person and also hold on to what they want to say.
In the ADHD brain, development of executive function is delayed 3 years, on average. This is one reason why kids with ADHD