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subject: haha
 
received: 12/8/2009 11:52 am
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When you finally grow sdome balls and tell me the truth..then you can talk to me or about me other than that you will never have access to anything.....You are not a friend as you stated you are not a lover as you stated you used and abuse me like you wanted to from the beginning...I have never done wrong to you...but you always feel you need to accuse me of everything...i am not the retard that downloaded programs from a site that you installed and then screwed over your own computer and then blame it on me....You got nerve...You are never to contact me until you appologize and accept that you were wrong on everything you accused me of....And news flash i called my friend Steven Dunshire in the CIA and my friend Alex Northman in the FBI ...you are lying about me being watched by them ....so you never stop....Well your accounts are now watched due to your suspicious activity...and i sent them actual proof of what you were doing and what was being done. My brother is beyond pissed off with you and his wife and my mother will have a few words with your lying ass as well...My mother has both your numbers and she will call you or go visit you because i gave her your address...she has no problem going there.

 

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1st off HE BLASTED ALL MY PERSONAL INFO ON EVERY SITE WE WERE ON TOGETHER PORTRAYING ME as a ''WHORE.'' 2ND HE WAS HACKING RLC AS A BASIC MEMBER & PLAYING (HAVING SEX) WITH OTHER MEMBERS WHICH WOULD EXPLAIN WHY HE GOT TO LEVEL 8 HORNDOG ALMOST TO HIGHEST LEVEL! I CONTACTED STAFF PERSONALLY THAT I KNOW OF & THEY TOLD ME UNLESS HE IS HACKING "IT IS IMPOSSIBLE EVEN WITH PROFILE & PICS RATING TO GET THAT HIGH IN 2 WEEKS NOT TO MENTION YOU GET RAYS BUT NOT POINTS FOR RATINGS" AND HE COLLECTED POINTS BUT NO RAYS SO THAT MEANS HE WAS HAVING SEX WITH OTHER MEMBERS AS A NON VIP MEMBER ON RLC! 3RD HE ADMITTED IN FRONT OF MY FRIEND THAT PROGRAM OF CLOSET FROM UTHERVERSE HAD A VIRUS IN IT WHICH HE SENT ME. 4TH HE CLAIMS HE IS NO HACKER YET HE HACKED INTO MY SECONDARY ACCOUNTS ON FUBAR & MYSPACE & PRIMARY ACCOUNT ON MY YEARBOOK GETTING THEM DELETED! HE ALSO HACKED INTO MY HOTMAIL ACCOUNT ADVERTISING ALL MY FRIENDS ON RLC BULLETINS & OTHER SITES WE WERE ON TOGETHER SO HE SAYS... 5TH I CAUGHT HIM WITH 1 OF MY ONLINE/RL ADOPTED DAUGHTER.... THE TIME WE WERE SUPPOSED TO BE TOGETHER IN RLC HE WAS FUCKING AROUND WITH HER IN HER LOUNGE HERE IN FUBAR. SINCE THEN I COULD NOT TRUST HIM. HE SAYS HE HAS LOTS OF FRIENDS ON FUBAR, MYSPACE(HAVING 9 ACCOUNTS) & MY YEARBOOK(HAVING 2 ACCOUNTS), HIS PRIMARY YEARBOOK FRIENDS HE TOOK FROM ME SO HALF OF HIS FRIENDS ON HIS PRIMARY YEARBOOK ARE MY FRIENDS NOT HIS!!! HE IS JEALOUS CUZ I BECOME POPULAR FAST MAKING FRIENDS FAST. I CAN START ANOTHER ACCOUNT ON ANY SITE & ALREADY HAVE CLOSE TO 50 FRIENDS JUST STARTING!  6TH NOW HE SENDS THAT MESSAGE BRINGING ONLINE TO REAL LIFE CUZ HE CAN'T HANDLE THINGS! HE NAMED ALL MY CHILDREN & CURSED THEM, EVEN REVEALED MY REAL LIFE PHONE NUMBER, ETC... BUT NOW THIS MESSAGE HE SENT ME STATES "VISIT" IN REAL LIFE!!! OH WELL GOOD LUCK WHEN POLICE ARE INVOLVED CUZ NOW THAT IS A THREAT!!! OH BUT "I NEVER DID YOU WRONG" SO HE SAYS...*COUGHS* MAYBE BUT HE LIED MANY TIMES IN MY FACE & MY FAMILIES IN RLC CAUGHT HIM ON THOSE LIES!!! HE'S OBSSESSIVE COMPULSIVE WITH WOMEN HE WANTS TO OWN THEM, HE WANTS TO DOMINATE...HE'S ALSO VERY VERY POSSESSIVE & JEALOUS OF WOMAN IF SHE HAS MORE FRIENDS THAN HE DOES. AS I SAID BEFORE GOOD LUCK WHEN THE LAW IS INVOLVED!

DUE TO THE PROBLEMS THAT I HAVE BEEN HAVING WITH  Dragon's Keeper aka Keeper of Souls aka Soulbringer, I LOST MY ACCOUNT ON SKYPE. IT'S A GOOD THING I HAD BACKUP, IF ANYONE WISHES TO ADD ME THOSE THAT HAD ME ADDED BEFORE FROM PREVIOUS SKYPE ACCOUNT AS aphroditeisis, LET ME KNOW & I WILL GIVE YOU MY SKYPE. I DON'T TRUST HIM. HE'S DONE ENOUGH DAMAGE TO ME SCREWING UP CERTAIN ACCOUNTS GETTING THEM DELETED WHEN I DID NO WRONG!!! SO ANYWAYS IF YOU WANT TO ADD ME ON SKYPE LEAVE A MESSAGE IN MY INBOX OR CONTACT ME ON MSN OR YAHOO & I'LL GIVE YOU MY SKYPE INFO.  SO MOTE IT BE!

"To have someone love you, for who you are is, a blessing from God. To be able to love unconditionaly, is a gift from God. To have the one person in your life that makes you complete, is a piece of heaven. To have all three in the same person, is priceless."

CHEATER, LIAR. PLAYER!!!

oh what an interesting conversation between MY MAN & MY SO-CALLED DAUGHTER!!! WHILE HE & I WERE ON ANOTHER SITE DANCING HE WAS WITH HER HERE IN HER FUBAR LOUNGE. I WONDER WHAT THEY HAVE TO HIDE??? THEY BOTH BETRAY ME!!!

Lilitha V: *****  Lilitha Tala V­... has entered the lounge! *****
*****  Lilitha Tala V­... has left the lounge! *****
*****  Lilitha Tala V­... has entered the lounge! *****
*****  ♥♥Kimberly♥♥/Fu... has left the lounge! *****
Dragon's Keeper...: ok   delete
♥♥Kimberly♥♥/Fu...: no spaming   delete
♥♥Kimberly♥♥/Fu...: watch it boy   delete
Dragon's Keeper...:    delete
Dragon's Keeper...:    delete
Dragon's Keeper...:    delete
Dragon's Keeper...:    delete
Dragon's Keeper...:    delete
Dragon's Keeper...:    delete
Dragon's Keeper...:    delete
Dragon's Keeper...:    delete
Dragon's Keeper...:    delete
Dragon's Keeper...:    delete
Dragon's Keeper...:    delete
Dragon's Keeper...:    delete
Dragon's Keeper...:    delete
Dragon's Keeper...:    delete

Untitled

Passion of Love,

Passion of Lust,

Can one truly live without the other?

 

With love comes emotionally turmoil:

Love, Hate, Lust, etc...

Why do we do this to ourselves?

 

Can we not love without hate?

Can we not love without the urges of lust?

Does anyone truly know the differences between them?

 

What is love really?

Does it even really exist?

Is there such a thing without the destructions that may come with it?

 

hmmm I wonder....

Fallen Angel

I am neither alive nor dead

My soul breeds darkness

My heart breeds light

To follow the path into darkness

The light fades away...

 

My body longs for life within this death

My mind longs for knowledge within this life

The journey into darkness begins

Thus the light begins to fade away...

 

No longer do I have my wings

No longer do I wish to battle

I choose what I choose

I am neither good nor bad

I am neither darkness nor light...

 

Destined to be an immortal being

Destined to protect or destroy

The bringer of life

The bringer of death

The Fallen Angel I am...

The Vampire

Go forth into slumber to awaken anew

Awaken to new senses

The bloodlust arisen, The energy to take

So much to gather so much to quench.


Alas tis a wonder what am I?

Strange this new light in my life

hmm light? It's not light rather dark

but the dark is rather light to me calling to me ''Awaken all your senses child, feel the darkness calling you''.

 

Pale as I am beautiful

My Lips bloodred to bring the fullness out of my paleblue skin

hmmmm really

What am I?

 

The ''hunter'' within cries out

Where shall I go to hunt?

To the weary alleys or perhaps the park or hot steaming nightclubs?

Alas whatever beckons to me I shall respond to.

 

To embrace my prey in my arms

The need to quench my thirst is the grandest thing for me to feel

Your death brings me life

The darkness brings me life.

 

Sleep all day within the protections of shade

Awaken with the fullness of night

What am I?

I AM VAMPIRE...


My New Kitten

Luna II

Above is My New Kitten. Her Name is Luna II but My Father in Law & Brother In Law think it's RIGHT TO LOCK HER IN A PET CARRIER FOR 30 days with NO Litter so if it needs toilet CAN'T use it & Limited food & water so when that runs out NOTHING More for her & FOR 30 days! And they think that IS Humane??? I think NOT!!! This is an Outrage that they do this!!! Can I charge them for Abuse??? I Wonder???

 

ADHD

 

Attention-deficit/hyperactivity disorder (ADHD) is a common neurobehavioural disorder that has been related to the brain's chemistry and anatomy. ADHD is a persistent pattern of inattention and/or hyperactivity/impulsivity that occurs more frequently and more severely than is typically seen in people at comparable levels of development. Symptoms must occur for at least six months and some symptoms have been present since before the age of 7 years.

ADHD begins in childhood and symptoms can persist into adulthood as well. While some children outgrow ADHD, as many as 60% continue to have features of ADHD persisting into adulthood.

According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) (a physicians manual for diagnosis), the symptoms of ADHD fall into the following categories: inattention, hyperactivity/impulsivity, and a combination of the two.

What Causes ADHD?

What Causes ADHDAlthough the exact cause of Attention-deficit/hyperactivity disorder (ADHD) remains unknown it has become increasingly clear that ADHD has a biological component and requires early diagnosis and intervention. There is evidence that ADHD appears to have a hereditary component, the result of genetics. A number of unproven causes have been suggested over the years but most of these have been shown to be false.

 

Génétique

Research has shown that ADHD runs in families. One study suggests, if a parent has ADHD, there is a 57% chance his/her children will also have ADHD. In addition, about 32% of siblings of children with ADHD will also have the disorder.

In addition to genetic causes, there are other medical factors that can cause ADHD-like symptoms. Careful examination, however, reveals important differences between these disorders and ADHD.

 

ADHD Myths

In the past, uncertainty about the causes of ADHD created a fertile climate for speculation of all kinds. Many theories - notably those holding parents to blame in some way for their child's uncontrolled behaviour - have been advanced and were later determined to be unfounded. Among the most well-known myths, are environmental causes such as:

  • Diet (e.g., food additives or sugar)
  • Poor parenting.

Extensive research demonstrated that food additives had little if any effect on children's behaviour. The theory that refined sugar causes hyperactivity is not supported.

A common view was that poor child rearing and poor child behaviour management led to hyperactivity. While parents may react negatively to their children's behaviour that does not mean they cause it. It is likely parental frustration is an effect, not a cause, of ADHD. In fact when a child's ADHD symptoms are reduced, parental negative behaviour is reduced. More and more evidence shows that ADHD does not stem from home environment, but from biological causes. It has become increasingly clear that ADHD is a neurobehavioural disorder that requires a medical diagnosis and treatment.

 

Impact of ADHD

Impact of ADHDAttention Deficit Hyperactive Disorder (ADHD) can have a significant impact on the lives of children. Children with ADHD often perform poorly in school. They may also have a more difficult time in making and maintaining friendships. Home and family life is also difficult as there can be significant conflict between parent and child.

If left untreated children and adolescents with ADHD are at greater risk for: poor self-esteem, increased parent-child conflict and stress, problems with social skill and peer relationships, and becoming a juvenile offender.

Adolescents and adults with ADHD also face significant challenges. At work, these individuals may have lower work performance ratings because of difficulties staying organized and focused. It may also take them longer to complete certain tasks. These individuals also suffer significant social impairment with as many as 50% to 70% of patients with ADHD having few or no friends.

 

Quick Facts about ADHD

Quick Facts About ADHDGetting answers isn't always easy. Here, we'll help you distinguish Fiction from Facts regarding Attention Deficit Hyperactive Disorder (ADHD) information. We'll also review some of the most common questions asked about ADHD.

 

ADHD Facts and Fiction

As an individual with ADHD or a parent of a child with ADHD, separating fact from fiction in ADHD can help you remain committed to the course of treatment you have selected.

 

All children with ADHD eventually "outgrow" it As many as 60% of children with ADHD continue to have features of ADHD persisting into adulthood.
ADHD is not a medical condition ADHD is a medical condition. It is officially recognized by leading medical experts and institutions, including Health Canada, and the Canadian Psychiatric Association.
Bad parenting is responsible for ADHD Scientists are finding more and more evidence that ADHD does not stem from home environment, but from biological causes.
ADHD affects only boys In children, approximately 8-10% of males and 3-4 % of females under the age of 18 have ADHD.
ADHD can only be treated with medications The NIMH Multimodal Treatment Study for Children with ADHD (MTA Study) studied nearly 600 elementary school children and found that the most effective treatment strategies were a combination of behavioural therapy and medication. Talk to your healthcare professional about the most appropriate options for your child.
Children with ADHD can only be identified by their hyperactive behaviour ADHD has 3 main types of symptoms: inattention, hyperactivity, and impulsiveness.
If a child with ADHD is doing well at school, his or her treatment is sufficient ADHD can affect children in many areas of their lives outside of school. ADHD symptoms may impair both academic performance and peer relationships. The symptoms may cause children to have stressful family relationships and problems in social situations. Successful management of this condition needs to address all aspects of a young person's daily life.
Children with ADHD should only take their medication while in school ADHD is a chronic disorder. Giving medication continuously through weekends and holidays may enable the child to better control behaviour and improve socialization and self esteem.
ADHD is the result of eating too much sugar or preservatives ADHD is not caused by sugar or preservatives.

 

What is ADHD?

Attention-deficit/hyperactivity disorder (ADHD) is a neurobehavioural disorder that has been related to the brain's chemistry and anatomy. It is a persistent pattern of inattention and/or hyperactivity/impulsivity that occurs more frequently and more severely than is typically seen in people at comparable levels of development. ADHD begins in childhood, and as many as 60% of children with ADHD continue to have features of ADHD persisting into adulthood.

 

Is ADHD a Genetic Disorder?

Research repeatedly demonstrates that Attention Deficit Hyperactive Disorder (ADHD) runs in families. One study suggests, if a parent has ADHD, the risk of the children having ADHD is up to 57%.

 

Can ADHD be Managed?

Attention Deficit Hyperactive Disorder (ADHD) is a chronic disorder that can be managed through treatment. Some patients have a remission of the disease, and most can lead productive adolescent and adult lives. However, and as many as 60% of children with ADHD continue to have features of ADHD persisting into adulthood.

ADHD is treatable. Fortunately, research is continuing on many fronts, making the outlook for people with ADHD much more positive. Progress has been made toward a better understanding of this illness and its treatment, and scientists are using many approaches to learn more about what causes ADHD. There are many therapies that can help to manage ADHD. Many people with ADHD are able to lead more satisfying lives with treatment.

ADHD Resources

www.caddra.ca/english/parents.html
The Canadian Attention-Deficit/Hyperactivity Disorder Resource Alliance (CADDRA) is a national, independent, not-for- profit association whose members are drawn from Family Practice, Pediatrics, Psychiatry and Child Psychiatry. This group represents the voice of doctors who support patients and their families suffering from ADHD. As opinion leaders in the field, CADDRA members conduct research, treat patients, and design practice guidelines for ADHD.

www.caddac.ca
The Centre for ADHD/ADD Advocacy, Canada (CADDAC) is a national not-for-profit organization providing leadership in education and advocacy for ADHD organizations and individuals with ADHD across Canada.

www.ldac-taac.ca
The Learning Disabilities Association of Canada (LDAC) is a national, non-profit voluntary organization which was founded in 1963 and incorporated in 1971. The organization's mission is to be the national voice for persons with learning disabilities and those who support them. LDAC is dedicated to a level playing field for individuals with learning disabilities to enable them to function as citizens with equitable opportunities and to develop to their chosen potential. LDAC accomplishes these goals through public awareness about the nature and impact of learning disabilities, advocacy, research, health, education and collaborative efforts.

www.chaddcanada.org
Children and Adults with A.D.D. (CH.A.D.D.) Canada is a non-profit, parent-run organization that aims to help support, educate, and ultimately better the lives of individuals with ADHD and those who care for them. CH.A.D.D. has chapters in communities across the nation, where meetings are held. CH.A.D.D. also sponsors various workshops, presentations and conferences, distributing the latest breakthroughs and techniques involved in dealing with ADHD.

www.aqeta.qc.ca
The Learning Disabilities Association of Quebec (LDAQ) is a non-profit organization whose mission is to advocate and defend the rights of children and adults with learning disabilities. LDAQ represents parents and supports them in their efforts to help their children.

www.associationpanda.qc.ca/regroupement
The Regroupement des associations de parents PANDA du Québec provides help and support to the Parents Aptes à Négocier le Déficit de l'Attention (PANDA) parents' associations and to the parents of children with attention deficit/hyperactivity disorder. The Regroupement works in concert with other associations, groups or committees to use all available resources to help social and community workers provide the best specialized care and support to people affected by the disorder.

ADHD Treatments

The good news is that Attention Deficit Hyperactive Disorder (ADHD) can be treated. Current ADHD treatment practices focus on management of symptoms through a combination of ADHD treatment methods:

ADHD Treatment should be individualized for each person. ADHD treatment is best approached as a partnership between the child, family, school personnel, and healthcare professionals. Making sure everyone involved understands his or her contribution to a child's successful treatment plan is fundamental to symptom management. Since every child's treatment should be customized to his or her needs, be sure to help your healthcare professional understand your child's particular challenges.

 

Beginning Medical Treatment

The basic stages of the treatment process are:

  • Screening visit: As part of the diagnostic evaluation, the healthcare professional reviews with the parents their concerns, the reason for referral, and the parents' hopes for the assessment.
  • Medical history and physical exam: The history and physical exam, will look for other causes of the symptoms, assess general health and ensure there are no medical reasons medications cannot be used.
  • Specific ADHD interview: An interview with the child will help to assess any problems from the child's perspective.
  • Treatment recommendations: Your doctor will discuss the diagnosis, and recommend a treatment strategy that may include behavioural interventions or medications.
  • Treatment and symptom monitoring: Once treatment begins it is important to work with your doctor to monitor your child's symptoms so that management can be adjusted to target key areas, such as school progress or family interactions.

 

ADHD Medications

ADHD MedicationsThe focus of ADHD treatment is the management of symptoms. Medication is typically the backbone of therapy. The most common types of medication used to treat ADHD are stimulants (e.g., methylphenidate and amphetamines) and non-stimulants (e.g., atomoxetine).

 

Stimulants

Stimulants have been used since the 1930s, for the treatment of ADHD. The primary effect of stimulants is through regulation of dopamine and norepinephrine.

Stimulants used in the treatment of ADHD include:

Short-acting

  • Adderall®
  • Dexedrine®
  • Ritalin®

Intermediate-acting

  • Dexedrine Spansule®
  • Ritalin SR®

Long-acting

  • Adderall XR®
  • Concerta®
  • Biphentin®

 

Non-Stimulant

There is currently one non-stimulant that has been used since 2005 for the treatment of ADHD. This treatment option works by blocking the uptake of norepinephrine, a chemical neurotransmitter.

Non-stimulants used in ADHD treatment include:

Long-acting

  • Strattera®

Behavior Modification

Behaviour modification can play an important role in the treatment of children with Attention Deficit Hyperactive Disorder (ADHD). It involves using strategies such as positive reinforcement for desired behaviour, and consequences for inappropriate behaviour. Behaviour modification should not be confused with traditional individual therapy such as "talk" or "play" therapy, which have not proven to be very effective.

Essentially, behaviour modification is used to help improve not only a child's behavior but also his or her relationships - by improving interactions with other children and adults. Behavioural therapy has shown more benefit when parents and teachers are involved than when children undergo therapy alone. There are different behaviour modification techniques for preschoolers, elementary school-aged children, and adolescents. Ask your doctor to recommend a local mental health center or other agency to help you organize services with your child's school.

Parent training is designed to improve your understanding of the child's behaviour and to teach you skills to deal with the behavioural problems. Parent training can improve the child's functioning and decreases disruptive behaviour. Programs offer specific techniques for giving commands, reinforcing positive social behaviour, and decreasing inappropriate behaviour.

Combination Treatment

Combination treatment for Attention Deficit Hyperactive Disorder (ADHD) involves using two or more types of treatment at the same time, such as medication and behavioural therapy. The National Institute of Mental Health completed a landmark study of 579 children with ADHD, called the Multimodal Treatment Study of Children with ADHD (MTA study) that found combination therapy can be very effective.

In the study, the children received one of four possible ADHD treatments:

  1. Closely monitored medication management
  2. Behavioural treatment
  3. A combination of the behavioural treatment and medical management
  4. Usual community care

The researchers found that the children who received the combination of medication and behavioural management, had the greatest improvement in their ADHD symptoms. Children who received combination therapy had better results in the areas of oppositional/aggressive symptoms, social skills, parent-child relationships and academic outcomes compared to behavioural treatment and/or community care.

 

Treatment Expectations

Treatment ExpectationsIf your child has been diagnosed with Attention Deficit Hyperactive Disorder (ADHD), educating yourself about treatment options like medications and behavioural therapy will help you with the situation. If possible, schedule a meeting with your healthcare professional to discuss ADHD treatments and where you can find information. Also, don't be afraid to talk to your pharmacist, and ask him questions about the medications.

It is important to remember that the first medication used may not be the best one for your child. The healthcare professional might try several medications before the most appropriate one is found - a process that could take some time.

Also important is to follow your healthcare professional's treatment instructions because no matter how good medical or behavioural therapy is supposed to be, limitations can arise if the treatment is not maintained, or has not been well applied.

 

Medical Community on ADHD

Dr. Atilla Turgay

Atilla Turgay MD, FRCPC

Dr. Atilla Turgay is an internationally renowned child, adolescent and adult psychiatrist specializing in the field of ADHD and disorders commonly associated with ADHD. He is currently the Director of the Toronto ADHD Clinic and a full professor in the Faculty of Medicine at the University of Toronto.

ADHD Treatment - Helping to Stay on Track
Authored by Dr. Turgay

As a parent of a child with Attention Deficit Hyperactive Disorder (ADHD), you probably know that the symptoms associated with ADHD do not just present themselves during school hours. After all, Attention Deficit Hyperactive Disorder is a year-round condition and not just a seasonal challenge that only needs to be addressed during school hours.

As a condition that affects children, ADHD often requires medication. And, for any medication to work effectively, it should be taken as prescribed. But because some parents see administering ADHD treatment during school hours as the priority they might feel compelled to give their children with ADHD "drug breaks" or "drug holidays" when their children are not in school. While it makes sense that during school hours, children with ADHD benefit from medication that helps them manage the challenges of ADHD in a classroom setting, taking "drug breaks" whether during the summer holidays, or even on weekends may not be the best idea.

In fact, the benefits and risks of such "drug holidays" remains unproven and are not generally recommended when the child is involved in social activities such as summer camp. According to Canadian ADHD Practice Guidelines, giving medication continuously through weekends and holidays may enable the child to better control behaviour and improve socialization and self-esteem.

Giving your child the prescribed ADHD treatment will help your child to better manage all those hours outside of the classroom - the hectic morning rush as well as suppertime and early evening. Life has continuous opportunities for learning and developing, outside and away from the classroom environment. The World Federation for Mental Health's international Without Boundaries survey found that parents reported they found it difficult to go places with their child (43%); experienced difficulties finding a baby sitter (46%); felt uncomfortable inviting friends and family to their home because of their child's symptoms (32%) and that their child frequently caused trouble with others in their neighborhood (37%).

Discontinuing medication for any period of time, and then starting again is not recommended. For many parents of children with ADHD, often getting through those unstructured periods outside of school without medication - from weekends to summer holidays - may be even more challenging when trying to meet the challenges of ADHD symptoms.

Talking With Your Doctor Can Help

Parents should talk with their doctor about those symptoms that interfere beyond school hours and how the child's ADHD affects the whole family. In fact, most parents can benefit from more information that can help them to better care for their child with ADHD.

 

Medical Community on ADHD

Dr. Atilla Turgay

Atilla Turgay MD, FRCPC

Dr. Atilla Turgay is an internationally renowned child, adolescent and adult psychiatrist specializing in the field of ADHD and disorders commonly associated with ADHD. He is currently the Director of the Toronto ADHD Clinic and a full professor in the Faculty of Medicine at the University of Toronto.

How To Talk To Your Child About ADHD
Authored by Dr. Turgay

Knowing that your child has Attention Deficit Hyperactive Disorder (ADHD) is the first step towards understanding how to meet its challenges. But as a parent of a child with ADHD, how do you tell your child he or she has ADHD? It is understandable that many parents want to avoid "labeling" their child with ADHD and are unsure what exactly they should say.

Be Honest and Supportive

Talk to your child using easy-to-understand language about what it means to have ADHD. Be honest and supportive. Explain to your child that this is a medical condition similar to people who need to wear a pair of glasses. Tell your child that you will get through this together.

Stay positive

The most important and effective behavioral technique is verbal reinforcement of appropriate behavior, that is praise when a child begins and completes an activity or exhibits a particular desired behavior9.

When your child displays positive behavior you should ensure that you give your child praise for that specific behavior. Praise should be specific for the positive behavior displayed by your child. Your comments should focus on what your child did right and should include exactly what part(s) of their behavior was desirable. Rather than praising your child for not fighting with their sibling during a family meal, for example, you should praise him or her for sitting still while eating their meal.

Good parenting involves praising a child with ADHD frequently and looking for good behavior to praise before, and not after, a child gets distracted off a task.

Emphasize your child's unique gifts. Just because they have ADHD doesn't mean they can't realize their dreams. Give positive examples of successful people (professional athletes, actors, politicians) who have ADHD to reinforce the idea that having ADHD should never stand in their way.

Family Support is Key

Talk about ADHD as being a challenge, not an excuse. Let your child know it's a challenge the whole family will be supportive about. Life in a household where at least one child has ADHD can be chaotic. For the child with ADHD, trying to behave takes tremendous effort. It can also be frustrating for siblings of a child with ADHD as so much attention is focused around the ADHD, they can often feel forgotten or resentful.

At the end of the day, it's important that your child feels comfortable discussing ADHD so that together, you can find ways to problem solve and find strategies to deal with the challenges ADHD presents.

 

Medical Community on ADHD

How to Help your Child Manage ADHD
Authored by Dr. Turgay

It is beneficial to develop strategies with your child to help them manage their Attention Deficit Hyperactive Disorder (ADHD) because he or she may encounter behavioral difficulties. Certain skill sets may also take longer to acquire. Many of these strategies involve a change in mindset and/or behaviour of the parent. ADHD is a deficit, not a behaviour that can be altered by simply demanding your child to obey. Children with ADHD are very good at tuning out when lectured to, so lecturing is not an effective means of communicating with them.

The following are some principles you may want to consider to help your child manage their ADHD:

Provide Your Child with More Frequent Feedback

Children with ADHD benefit from frequently hearing positive comments about their actions. They also derive benefit from receiving frequent feedback and correction when their actions are inappropriate. Feedback given too long after the action has taken place is ineffective. Please use short/simple sentences and show affection for positive behaviors.

Try to Use Incentives Rather than Punishments

It can be helpful to encourage children with ADHD for appropriate behaviours or actions by providing incentives and then providing immediate reward when the desired behaviours or actions occur.

Be Consistent

It can be difficult to stay on track with a child with ADHD. They can be confrontational and wear you down over time. It is important to stick to any interventions or expectations that have been put in place.

Action Speaks Louder than Words

Continually repeating negative consequences and not following through when your child does not comply with requests will quickly teach them that mom or dad is "all-talk-no-action". Consequences need to be conveyed on a consistent basis so that they are taken seriously and then enforced if the desired behaviour does not occur.

There are simple strategies that you can employ to help your child with ADHD. The following are some examples that you may consider:

  • Frustration is a common emotion in children with ADHD. It is important to teach them constructive ways of expressing their frustration.
    • In "meltdown" moments, grant your child the opportunity to express their frustration. Give them space but do not allow them to leave the house and do not engage them in a long argument that will build further frustration. Violent and/or aggressive behaviours should not be tolerated.
    • In calm moments, take this opportunity to teach your child, without laying blame, how their behaviour is harming themselves and affecting others. In these conversations, you may also include how positive behaviors can be a source of pride and may be rewarded.
  • Charts, lists, agendas, post-its, calendars, timers and reminder alarms are all organizational tools that may be used by children with ADHD.
    • For example if your child has trouble remembering tasks, lists taped to mirrors and doors can be helpful.
  • Provide five or ten minute warnings that a change in activity is going to occur. For example, let your child know that "bedtime" or "dinner" is about to happen five or ten minutes in advance. This may help avoid confrontations when the change in activity does. You may also give reminders that the games and/or TV will be over in five to ten minutes.
  • Educate yourself. There are classes, lectures and parent training workshops available for parents with children who have ADHD

 

 

 

 

 

 

 

 

 

 

 

 

Craniosynostosis

Alternative Name

Premature closure of sutures

Definition    

Craniosynostosis is a congenital (present at birth) defect that causes one or more sutures on a baby's head to close earlier than normal. Sutures are connections that separate each individual skull bones. The early closing of a suture leads to an abnormally shaped head.

Causes    

The cause of craniosynostosis is unknown. Which suture is involved determines the abnormal shape of the head.

A person's genes may play a role in craniosynostosis. The hereditary form often occurs with other defects that can cause seizures, diminished intellectual capacity, and blindness. Genetic disorders commonly associated with craniosynostosis include Crouzon, Apert, Carpenter, Chotzen, and Pfeiffer syndromes.

However, most cases of craniosynostosis occur in a family with no history of the condition and children with craniosynostosis are otherwise healthy and have normal intelligence.

There are different types of craniosynostosis. Sagittal synostosis (scaphocephaly) is the most common type. It affects the main (sagittal) suture on the very top of the head. The early closing forces the head to grow long and narrow, instead of wide. Babies with this type of craniosynostosis tend to have a broad forehead. It is more common in boys than girls.

Frontal plagiocephaly is the next most common form. It is the closure of one side of the suture that runs from ear to ear on the top of the head. It is more common in girls.

Metopic synostosis is a rare form of craniosynostosis that affects the suture close to the forehead. The child's head shape may be described as trigonocephaly, and the deformity may range from mild to severe.

Symptoms    

  • Absence of the normal feeling of a "soft spot" (fontanelle) on the newborn's skull
  • Disappearance of the fontanelle early
  • A raised hard ridge along the affected sutures
  • Unusual head shape
  • Slow or no increase in the head size over time as the baby grows

Exams and Tests    

The doctor will feel the infants head and perform a physical exam. A neurological exam would also help diagnose the condition. The following tests may be performed:

  • Measuring the width of the infant's head
  • X-rays of the skull
  • CT scan of the head

Treatment    

The main treatment for craniosynostosis is surgery. Surgery is done while the baby is still an infant. The goals of surgery are:

  • Relieve any pressure on the brain
  • Make sure there is enough room in the skull to allow the brain to properly grow
  • Improve the appearance of the child's head

Outlook (Prognosis)  

How well a person does depends on how many sutures are involved and whether other defects are present. Patients who have surgery usually do well, especially those whose condition is not association with a genetic syndrome.

Possible Complications    

Craniosynostosis results in head deformity that can be severe and permanent if it is not corrected. Increased intracranial pressure, seizures, and developmental delay can occur.

When to Contact a Medical Professional 

Call your health care provider if you think your child's head has an unusual shape. A referral to a pediatric neurologist or neurosurgeon should follow.

Prevention  

Be sure to bring your child to well-child visits, so your pediatrician can routinely chart the growth of your infant's head over time. This will help identify the problem early if it occurs.

Persons with hereditary craniosynostosis might consider genetic counseling.

 

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