strategies

What’s in Your Wallet?

Posted on by in AD/HD, ADD, challenges, Executive Functions, organization, strategies | Leave a comment

There is a commercial advertising a credit card company that ends with the question, “What’s in your wallet?” While this is an interesting question, at my house I am more likely to hear, “Where is my wallet?”

Life with the distractible and disorganized can be discombobulating. I live with three family members who have been diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) and due to challenges with inattention and forgetfulness often items get lost or misplaced. Sometimes my kids will ask me if I’ve seen something that’s gone missing. Since I like things to be organized and put away in a logical place, there are times when I can locate the missing object because I put it away instead of leaving it out where it was dropped.

I have systems for cleaning and organizing. The problem is with implementation and cooperation from the rest of my family. I have a strong need for things to be put away where they belong so I can find them when I go looking for them. Just last night I pulled out all the ingredients to make a delicious smoothie, but when I went to get my smoothie maker only part of it was in the cupboard where I keep it. I had a blender base with the pitcher and a lid, but the ball on a stick part used to help move the mixture around in the pitcher was missing. I looked in all the places I could think of putting it, but only one place really made sense to me and that was to store all the smoothie maker parts in the same location. My husband came into the kitchen and joined me in the search for the missing part.

After looking in the same places I had looked, and striking out just as I had, my husband began looking in places that made no sense to me but just might contain the lost tool so they warranted a look. Even then we could not locate our smoothie tool, so we…looked in all the same places again! I’m not sure why we do this, as if the missing item that wasn’t there previously will somehow show up if we look again in the exact same place. This strategy was also unsuccessful, so we moved on to asking our children if they knew where the missing piece was hiding.

This is not generally a good strategy, either, because we are talking about distractible people who misplace things all the time and absentmindedly leave things in odd places. But it was worth a shot, since we had nothing else to go on at that point. Both children stated where they might have placed it, but neither actually remembered doing so and the item wasn’t where they suggested. This time, my husband decided to try substituting a silicon spatula in place of the missing tool, with the result that we had delicious smoothies with bits of a chopped spatula mixed in. I think I swallowed a piece.

Those types of lost items are frustrating and inconvenient, but not nearly as alarming as missing driver’s licenses, phones, or my personal nemesis the missing wallet. Not my wallet. Remember, I have a “wallet place” where my wallet lives and is predictably located when I need it. My daughter and husband have misplaced their wallets multiple times, though, and it sends me into a far greater panic than they experience. While my mind is racing with all the possibilities and security risks, they are unsystematically roaming the house looking in odd places for their wallets. Sometimes they leave the house for a minute and I realize they are checking the car to see if it’s there. Or maybe on the sidewalk, or in the grass, or…well, you get the idea.

My daughter will, at times like these, casually ask me if I’ve seen her wallet. She acts like it’s not really a big deal because it’s bound to turn up sooner or later, and she really believes that! Hunting for her wallet is like a treasure hunt and is only mildly irritating if she doesn’t find the wallet. I, on the hand, begin mentally listing all the items that will need to be replaced or cancelled.

My husband is more subtle about searching for his missing wallet or other items, and rarely asks me to help him look anymore. The reason he doesn’t bother seeking my assistance is because I’m not much help at finding whatever he has lost. I look in logical (to me) places where I would leave my wallet, for instance, and since I have a “wallet spot” I don’t have too many places to look.

Even when my husband doesn’t come out and say that he’s misplaced something of importance, I can recognize the signs. He enters a room scanning it like a secret service agent taking everything in at a glance. Then he moves around the room, picking up papers and small portable items while surreptitiously looking under and around them. He never panics, and never tells himself not to bother looking in strange places because he knows the missing item could be anywhere. While I fret about possible identity theft, my husband remains unruffled as he continues his quest for the missing wallet.

I no longer reach the panic stage as quickly as I used to, because more often than not my husband and daughter do find their missing wallets. Rather than berate themselves for having lost them, they congratulate themselves on another successful recovery. I would like to avoid the stress of “Where is my wallet?” but I do admire the resiliency of my family members who just don’t sweat it when these events happen. They take it in stride as casually as a driver stopping for a red light, doing what the situation calls for and moving on.

Speaking of moving on, I just heard my husband in the next room quietly asking himself, “Now where did I put my keys?”

I am quite confident that he will find his keys, no matter how strange a hiding spot they are in, because his experience and resiliency will win out. Keys, your time on the loose is limited. Give yourselves up! You will be found.

Homeschool Flashback #3 Writing Skills

Posted on by in homeschooling, strategies, struggling learners | 1 Comment


Take a look at this paper. What kind of information does it tell you? Right off the bat you can see that this child, my son Josh, has difficulty with writing tasks. His letters stay on the lines pretty well and he is doing a good job of leaving spaces between words. Margins are still a bit challenging. He remembers to capitalize the first letter at the beginning of a sentence. His spelling needs to develop. But look how hard he is working just to get the ideas out of his head, through his hand and onto his paper. Some of the letters are darker from the force of his pencil on the paper. Others are lighter, indicating an inconsistency in his ability to grade the force of pressure he uses when putting pencil to paper. Sometimes the letters or entire words have been traced multiple times. Why would he trace some letters several times but not others? Could this be indicative of a neurological issue? Is he even aware that he is perseverating on some of the letters? If you could observe him during the process of writing you would see that he does not form the letters consistently from one word to the next. Sometimes his “i” starts at the top and is drawn in a downward motion. Other times he starts on the line and writes with an upward motion. When he is in tracing mode, he might write it both ways several times. Imagine if you were writing and had to stop and think how to form the letters because you didn’t have an established pattern. Josh was dealing with multiple challenges just to get a few of his thoughts down on paper. Here’s how I tried to help him. I did some of the Brain Gym activities to help information flow more easily between his right and left brain hemispheres. I had him use mechanical pencils, which kept the degree of sharpness more stable than other types of pencils. He tried different pencil grips to see if they would help his hand to relax so the writing could flow more easily. I made sure Josh had adequate arm support and was using his non-dominant hand to stabilize the paper. He tried writing with a slant board. I wondered if his letter and number tracing could be due to anxiety or OCD, but that was ruled out. Eventually, Josh was able to tell me that he was processing and trying to internally organize himself as he traced. I stopped trying so hard to get him to write in cursive, and decided to be satisfied if he was able to sign his name easily and could write in cursive if it became necessary. I also wrote him occasional notes in cursive writing to be sure he was able to read them. For the most part, though, we concentrated on printing. With all of these interventions, I did see improvement in his writing. It became more fluid and automatic, but if he concentrated too much on making his printing very neat his writing became laboriously slow. When I introduced keyboarding, he greatly preferred it to paper and pencil writing. Although I tried multiple typing programs to help Josh learn touch typing, he resisted them all and has his own method of typing. It works for him, and today as a young adult he is a prolific writer. He is planning to start a blog, and I hope to be able to share that with you soon so that you can be encouraged by the growth of this previously-struggling writer.

“My Ball Died”

Posted on by in speech therapy, strategies | Leave a comment

When I heard the words “My ball died” coming out of the mouth of a preschool boy I was seeing for speech therapy, I tried not to show alarm. “Tommy” didn’t seem to be too upset, but he was clearly trying to tell me about something that mattered to him. I had not heard of any recent loss in this boy’s life, but then again I only saw him once a week for speech therapy and didn’t know about every single person in his life. I wanted to be compassionate and allow him to talk about what was on his mind. Tommy already had a very hard time expressing himself due to speech articulation (pronunciation) errors. Even to those familiar with Tommy’s speech patterns, his speech intelligibility was poor. When I repeated his words back to him for clarification, he responded vigorously with head shakes and repeated insistently, “No. My ball died.”

Some children, when hearing their incorrect speech production repeated back to them, will recognize that what they are saying does not match the message they are trying to convey. As a result, some children will alter how they are pronouncing words in order to increase their intelligibility. Tommy was not one of those children. He kept saying the same thing in exactly the same way, over and over again with no change. Tommy still did not appear distressed, but was making eye contact and eagerly awaiting my response.

As a speech therapist, I have been asked how to respond when you just don’t understand what a child is trying to say. I think the correct response is usually dependent on the situation. If the child is just chatting to make a connection with another person, then it may be more critical to be responsive and caring than to determine exactly what has been said. Sometimes asking the child “Can you show me?” helps them use nonverbal means to get their meaning across. This is limited to messages that can actually be pointed out or demonstrated, though, so much of the time it isn’t a very effective strategy.

The strategy of pretending to understand the child can backfire, because you may be consenting to something you don’t intend to or the child may try to continue the conversation and sooner or later the fact that you are faking comprehension will become obvious. Could this affect your relationship with the child? Another option when a child is clearly trying to convey a message to you is to begin asking questions to see if you can narrow down the possible topics the child is talking about. Even with barely intelligible children, knowing the context of what they are talking about makes it easier to discern what they are attempting to say.

In Tommy’s case, I started by asking him if someone in his family had died. Tommy looked uncertain, so I started naming possibilities by using yes/no questions since Tommy was able to respond accurately to them. “Did your grandpa die?” “Did your dog die?” and so on. Tommy continued to shake his head “no”. When this line of questioning lead nowhere, I tried asking about his toys. “Did you lose a ball?” “Did something happen to your ball?” Again I was met with repeated head shakes and the verbal assertion, always pronounced exactly the same way, “My ball died.” Tommy wasn’t giving up on me, but continued to make eye contact with a hopeful expression on his face. I was feeling more and more inadequate to help this sweet child who apparently had some kind of loss to grieve.

Through the open window of the room we were using for speech therapy, we could hear the sounds of children playing. Following a particularly loud vocal outburst from one of the children outside, Tommy cocked his head, grinned, and happily pronounced, “My ball died!” He certainly didn’t look upset about a death, but instead looked at me in triumph as if he had just proven a point. Given the context, the words, and Tommy’s speech sound error pattern, things began to fall into place. Hesitantly, I asked another question, “Is your brother outside?” Tommy responded with enthusiastic head nods, repeating once again with a look of utter satisfaction, “My ball died.” Okay. So no one died and nothing was lost or irreparably damaged. What a relief! For whatever reason, it was very important to Tommy that I acknowledged that his brother was outside.

Although it had to be frustrating for him when he couldn’t quickly or easily convey his message, he was eventually rewarded for his persistence and I was relieved to discover that in fact, no ball had actually died.

Energetic, Impulsive, and Distractible

Posted on by in AD/HD, ADD, hyperactivity, impulsivity, Sensory Processing, strategies | Leave a comment

My daughter, Beckie, is an amazing girl. She has worked through most of her sensory processing and auditory processing difficulties. She is funny, kind, and is doing well at her part-time job teaching martial arts. Beckie also has a diagnosis of ADHD, combined type. Girls are less likely than boys to be considered hyperactive, but my Beckie has that component with a capital H. I love her energy! Even now that she is an older teen, her hyperactivity is still apparent. Beckie has learned strategies to help her focus over the years, and she knows ways to help burn up her excess energy. She teaches martial arts for several hours each week. She rides her bike or walks to neighborhood destinations. When she was younger, Beckie used to race cars from our house to the end of the block, running barefoot down the sidewalk just for the pure joy of it. At home these days she listens to music on her iPod and paces or runs through the house. Our first floor is structured in such a way that Beckie can basically run laps around it. Since we have hardwood floors, she can also get a running start and go for a nice slide across the floor. It’s kind of hard on her socks, but that energy has to be expended somehow and the sliding across the floor is relatively tame. We laugh together about the time I asked her if her hair dryer had stopped working, because she was running around the house with her hair only halfway dried. Beckie explained to me that her long hair takes several minutes to dry and she had to take a break from the monotony of drying her hair so she could move around a bit. Her attention span is short, but intense. She studies very hard, but not for hours on end. After concentrating for a period of in-depth studying, Beckie tells me her brain needs to take a break and do something different for awhile. I’m actually glad that she recognizes what she needs and finds strategies that work for her. Is she distractible with a short attention span? Yes, but she can focus and sustain her attention when needed. Is she hyperactive? Absolutely, but her extra energy is often a plus. There are times when Beckie acts impulsively. For example, she walks into a room, sees me there, and grabs me for a hug. Sometimes she will spontaneously start giving me a back rub as she is going by, and it is the best 10-second back rub I’ve ever had! True, it only lasts a few seconds before she is on her way, but I do enjoy those brief moments. Beckie faces challenges from being so energetic, impulsive, and distractible. But it’s not all bad. There’s something wonderful about Beckie’s ability to spontaneously show affection and respond with enthusiasm to so many different things. She is growing as the individual she is meant to be, without the burden of trying to completely change her natural inclinations.

Picky Eaters and Trusting Tomatoes

Posted on by in Eating disorders, Sensory Processing, strategies | Leave a comment

It seems that most kids have their favorite foods, and other foods they think are yucky. These food preferences do not present a problem for most children, because they eat a variety of foods and can get their nutritional needs met through different foods they willingly eat. For parents of picky eaters, however, you know the challenges, frustrations, and anxiety that can occur when a child has a limited number of foods they will accept. In addition to restricting the number of food items, some children refuse to eat unless the food is presented on the same plate each time and the drink must always be in the same cup. There are children who can tell the difference between brands of food, so even if you find a food the child will eat they may refuse it if you offer a different brand. For example, a child who eats chicken nuggets might refuse to eat them unless they come from McDonalds. For some picky eaters, the shape of the food is also important. They may eat round waffles, but not even taste waffles that are square. For some picky eaters, the color of the food matters to them. My son, Josh, has come a long way with his sensory processing and has expanded his diet to include most foods. Even as a young adult, though, Josh still has moments of uncertainty when he is presented with an unfamiliar food item. Just last week we were able to harvest some of our heirloom tomatoes. These tomatoes have a great flavor, but can be unusual in their colors and shapes. Josh loves red tomatoes and will eat them the way others eat apples. When Josh saw the yellow tomato I was offering him he was taken aback. I believe his exact words to me were, “Yellow tomatoes? Why are they yellow? I don’t trust yellow.” Trust can be a huge factor for picky eaters. Sometimes parents try to force the child to taste new foods and their pleas and threats backfire and result in even greater resistance. This is especially true if a child thinks he might be forced to do something that is uncomfortable or aversive despite his protests. Understandably, parents are concerned about their child’s diet and the need for balanced nutrition. When a child only eats a few foods day after day, it’s anxiety provoking. Worse yet, some children suddenly decide that a food they have eaten regularly is now on their long list of unacceptable foods that they will no longer eat. Mealtimes can become unpleasant and a battle ground for concerned parents who are trying to get their picky eaters to just take a bite of food. If mealtimes are that difficult at home, how can you ever go out to eat or eat at a friend’s house? It’s frustrating and worrisome. Books such as Just Take a Bite offer suggestions and strategies to expand a child’s diet. One suggestion offered is to have your child help you prepare the food. That way he can see exactly what you put in the recipe. Another tip is to work gradually toward accepting new foods. Some children react so strongly that they become distressed just seeing a food item on the table that is not on their list of acceptable foods. A goal would be for the child to tolerate the food near them, then on their plate. Even at that point, professionals don’t recommend that you insist that the child eat the food. It is a gradual process, with multiple presentations of the refused food over time. It’s progress if a child will allow a new food to touch his lips. I used to tell my children that they didn’t have to like a food, but I did want them to at least taste it. This may be a helpful strategy for a child with few or mild food aversions, but for the more extreme picky eater it won’t be adequate. This degree of resistance goes beyond what typical children do. Considering that mealtimes happen every day, multiple times, it’s no wonder that parents feel desperate to help their picky eaters.

Sea Monkeys

Posted on by in ADD, parenting, strategies | Leave a comment

When my daughter Beckie was younger she decided she wanted to raise sea monkeys. Since sea monkey eggs can remain dormant for years, they are available in kits for you to raise. The packaging is attractive for children, and I’ve even seen necklaces that allow you to wear a sea monkey in a little water globe around your neck. Doesn’t that sound cute? It certainly appealed to Beckie, and the sea monkeys on the packaging looked animated and eager. Although she followed the directions on how to activate the sea monkeys eggs so they would hatch, the first attempt failed and Beckie had no sea monkeys. Undeterred, she went for it again and the second attempt resulted in several live sea monkeys. Guess what? They weren’t nearly as cute as the cartoon sea monkeys on the box. In fact, Beckie’s older sister Beth started calling them “Sea Scaries”. Sea monkeys are basically a type of shrimp. Shrimp are not that cute. Beckie, however, was proud of her sea monkey family and was determined to see them grow and reproduce to a zillion generations. Since Beckie has AD/HD, it is hard for her to remember to do tasks on a consistent basis. She wanted to check on her sea monkeys daily, and her solution was to keep them in the kitchen. She knew she would be in the kitchen every day, and would see them and have that visual reminder to check on them. This worked great for her. For my part, it was extremely unappetizing to me to see the sea monkeys skulking around their little habitat while I prepared meals. I just trained myself not to look at them after awhile. Beckie’s sea monkeys grew, and even had sea monkey babies once. Unfortunately for Beckie, she is only one of three family members with AD/HD and clutter is a big problem in every room in our house. I can’t clean as fast as they can unclean, so piles of stuff end up in the kitchen. One fateful day, Beckie’s Dad knocked the sea monkeys over and they flooded the kitchen counter. Rather than trying to scoop them back into their little habitat, Dad just dragged a trash can over and swept them all into the trash can. RIP little sea monkeys. Thinking his work there was done, Dad moved on to something else and didn’t think to mention the “terrible accident” to Beckie. When Beckie discovered the empty sea monkey container she was understandably distressed. Her strategy to keep them in the kitchen worked for her, but they were not safe from other family members who dump things in the kitchen. Her Dad’s strategy was to clean up the mess in the quickest and easiest way possible. The sea monkeys were the casualty. Beckie decided it was safer to have fish in a bowl that mounts onto her bedroom wall, and she has happily lived with her fish pets without having to worry about the bowl getting knocked over.