ADD ADHD Treatment New Behaviors

ADD - ADHD

(Attention Deficit Hyperactivity Disorder, Attention Deficit Disorder).

Attention Deficit,
(Inattention subtype, Combined Subtype)
Hyperactivity Disorder,
Disruptive Behaviour Disorders,
Conduct Disorder

They really look simply like bad naughty inattentive unhelpful children. :- <

Other Commonly used Names for these Disorders / Diseases or for Related Diseases / Disorders included above
Perhaps a “First Wave” Paill Spectrum Disorder

This group of chronic disorders is characterised by:

Inattention

Losing Focus or purpose in schoolwork, work, and other activities leading to failure to undertake or complete allotted tasks
Difficulty organising tasks or activities: they can't do a sequence of planned activity with ease. For example, they would have difficulty in going to the back of the classroom and planning how to do a poster on the computer to present in class the next day after first borrowing pencils from one friend and getting paper from the teacher. They may walk to the back of the class, forget why they are there and then begin to play up and walk around the class, not knowing why they need to do so. (What they can achieve is of course age dependent. Teachers are a better judge of normal scholastic achievements).

Avoiding tasks that require sustained mental activity.
(They just can't sit still and do the same thing for a long time.)
Easily distracted.
(They often forget what they are supposed to be doing, and then become bored so filling their time doing something else.)

Hyperactivity

Fidgets or moves around a lot
Activity is excessive for age appropriate norms “e.g. leaving classroom, climbing furniture
Difficulty playing quietly, may be talking frequently often or loudly
Active as if driven by a motor

Impulsivity

Difficulty waiting their turn, often interrupting others Back To ADD Top

Predicted Gaps in Current Clinical Assessment Criteria Based on the Paill Spectrum Model in the Attention Deficit & Related Disorders

The one circumstance that Dr. Andrew Xxxxx believes should always be taken seriously is a mother who is concerned about some behaviour or quirk of her child. Any changes in behaviour noticed by the world’s only expert in that child (usually the child’s mother), are always important and must always be followed up by assessment and investigation. All too often doctors tell concerned mothers in tones of wrongful righteousness, that there is nothing wrong with their child.

The difficulty is that some of the complaints can be quite innocuous sounding, even embarrassing for a mother to mention.

My child doesn't listen to me, (Is this perhaps just poor memory or hearing?)

My child is naughty (Is this perhaps just impulsiveness?)
My child is very clumsy, (Is this perhaps just poor balance?)
My child sleeps very heavily. (Parents are often happy with this symptom).
He is always crying at night because he says his leg is sore. I looked at the leg. He often wakes up at night complaining about this. There is nothing wrong or sore with it, as far as I can tell.
My child fidgets a lot, (Is this perhaps just a childhood variant of the anxiety / tremors that adults get?)
He is not quite like the other children. There is something different about this one child. ( This one is one of Dr. Xxxxx's personal red flag favourites). Parents do not know what it is they have noticed, but there is some sort of difference between their child and other children they know, though they are not sure whether what they have noticed, is supposed to be there or not.
He is always getting out of bed at night, (Is this perhaps just broken sleep or restlessness?)
I always have to tell him twice: I told him not to play in the shop then had to tell him not to play as soon as we walked out of the shop.
(This is failure to generalise: The parent would expect that the child would realise that if they were told not to play in one particular situation, that other similar or nearby situations or places, are also places where the same behavioural restraint is expected.).
He always gets violent when he plays with his sister. She won't sit still even to read a story.
He gets angry with his brother very easily and they fight a lot. (Is this perhaps just impulsiveness?). Back To ADHD Top

These problems all sound pathetically lame, even to the mother saying them. In children treated with the Paill Spectrum, formula Dr. Xxxxx claims that he has seen many children improve exactly these symptoms with Paill Spectrum type treatment. In every case, full points and congratulations to the mother.

Dr. Xxxxx relates that one day , when he was writing out a list of symptoms of one of the Paill Spectrum behavioural disorders, a mother came into the surgery with her child. She complained her child had the exact same list of symptoms that had just been written up the night before by Dr. Xxxxx. "It was almost as if she had been reading a page from the book over his shoulder", stated Dr. Xxxxx. She even managed to add another symptom to the list that Dr. Xxxxx was writing at the time.

Whenever there is a long term change in a child's behaviour,
there is an underlying reason.

Paill Spectrum is likely to be the cause.

There is no such thing as an innocent long-term behavioural change or behavioural disturbance in a child. Back To ADD Top

Subjective Assessment of Clinical Criteria of Attention Deficit Disorders

--.......................-

The Paill Spectrum model of disease as developed by Dr. Xxxxx suggests that the current criteria do not adequately define the deficits experienced by the children.
For example, inattention is better defined as poor "short-term memory".
It is not that the child is not paying attention.
It is because the child can't remember what it was, that he or she paid attention to.

So what is Wrong with Current Models of ADD / ADHD? An example follows :-(

One example involves a child, who was told by the teacher, to draw a picture. The child proceeded to wander around the classroom, disrupting others and doing everything except what they were told. Meanwhile, the other child at the same desk proceeded to do what the teacher instructed. On questioning the child, he responded that he could not remember what he had been told to do. Lacking recurring reminders or instructions on what to do, the child entertained himself as best he might. The key issues here are poor short term and sequencing memory, not bad behaviour and not disruption. After all, what would you do if you were bored out of your own head: everyone busy doing something and no-one giving you anything to do? Back To ADHD Top

You would entertain yourself as best you may under the circumstances. the abnormal behaviour is in fact "normal", under the circumstances. The problem is the short term memory.

The diagnostic criteria also do not give an adequate depth, to the symptoms experienced by the child. Impulsivity should also imply doing without thinking of the consequences, a lack of lateral thinking. It is not just difficulty waiting their turn, but a failure to realise that if they jump off the roof wearing a superman costume, they are going to be hurt: They are not really superman even if they pretend. It is a long way down. They have jumped and fallen before, and hurt themselves as well. Wearing a superman costume won’t make a difference.

There is a failure to generalise consequences or a failure to associate consequences. It is a little more than just impulsiveness. In adults, this type of symptom is often called "narrow-mindedness". There is impulsiveness there as well, but the symptom is not just "impulsiveness".

Child Illness

Children with Paill Spectrum ADD / ADHD have a serious illness that requires nutritional and antibiotic therapy to change the course of the illness. Behavioural changes with treatment, can become obvious to people who know the child within two weeks of initiation of antibiotic therapy.

So what symptoms may be found in patients with ADD ADHD like illnesses, that are currently not known to be present?

Short term Memory Failure
- Failing ability to recall phone numbers, evident only in older "school age" children. A failure to recall appropriately short number sequences ,will be seen in younger children
.Sequence processing failure: The inability to perform an age appropriate sequence of actions to achieve an unfamiliar (circumstance specific) task.

Associative Failure:
- A simpler description of this would be narrow mindedness
.Failure of Higher Processing:
- Such as abstract thought “: a persistence of concrete thought
  e.g. a hard headed person has a hard head. Back To ADD Top

Educative failures in terms of socialisation, maths, general learning

Mood changes:
- Depression,
- Loss of mood variability or the obverse rapid mood variability
  (Flattened facies are more common in crisis events, while mood lability is more common in general behaviour.
  Mood volatility means rapid escalations or changes in mood state with the affected people often being easily distracted)
Capacity to show “rage”
Dyslexia like symptoms.
Dyslexia is usually regarded as affecting spelling. However, the speech symbol processing inversions. Mirrors and flips are far more obvious when number recall; such as phone number recall is tested. This symptom develops with older children. Earlier affected children show severe broad-spectrum delays in growth and development often in many areas: including fine-motor, gross motor, speech and language, social performance areas.

Sweaty Hands: a good reliable early symptom
Sore regions of the body as occurs in older people with Paill Spectrum, are rare in the younger age group. Some pains may be however seen, notably shoulder, elbow or abdominal symptoms in the slightly older children. Back To ADHD Top

Poor balance is a common early symptom but difficult to assess in the younger child as standards for performance are not well appreciated by the medical fraternity. Developmental or childhood physiotherapists are better geared up to perform this type of assessment.

If the standard medical model of ADD ADHD is correct, none of these symptoms should be found.

The Paill Spectrum model predicts that these symptoms will be found in patients with ADD ADHD . The only requirement of finding these symptoms is to go looking. For many parents, the standard medical model may give no other explanation of these often unsuspected problems that their child may have.

So what other symptoms may be found in patients with ADD ADHD like illnesses, that are currently not known to be present?

Stepwise not smooth deterioration
- “Crisis: events": Previously well children often show rapid stepwise patches of deterioration followed by prolonged periods of recovery, then further deterioration events. The “facies” of a child in crisis is quite distinctive. The have a flat unresponsive appearance often with a dearth of speech.
Sleep disturbance: hypersomnia or insomnia (Link)
The symptoms are very variable in each child and there is substantial overlap with autistic spectrum traits and other childhood developmental syndromes. In fact there is a substantial overlap between many if not all of the childhood behavioural disorders in terms of symptoms and signs of illness. Back To ADD Top

Using the Paill Spectrum model, many of the "symptoms" can be interpreted in different ways to give a more standardized descriptive model of these illnesses, with much more emphasis on similarities not differences between these conditions.

Difficult "Out of It" Child

Children with ADD / ADHD often have socialisation issues. They may quit tasks they are given, often due to memory problems, not simple distractibility

.
Is there Anything else the PaillSpectrum model of ADD / ADHD may predict?

The occasional rare and unfortunate child may have intense thoughts or beliefs: no other piece of toilet paper is ever going to be like this piece of toilet paper. This lead to strange behaviours in the context of the ADD ADHD. Alternately some children may experience the singing bird scenario (of illness).

A definite slow but subtle response with nutritional interventions.
(See Download Paill Spectrum Page or
the Two CD Paill Spectrum books (CTC-PSS, CTC-DTM) for information on nutritional treatment).

Clinical Overlays in Presentations of Attention Deficit Disorders

Many of these symptoms develop with and are more obvious with long-term illness. The symptoms are quite variable, and there are substantial personality overlays. Some children have aggressive personalties (Annaegrams, Ennaegrams) that may make them look hyperactive, while actually being unaffected. Other children may have placid personalities, whereby symptoms are not obvious unless one goes looking. So different patients can begin to look quite different to the unknowing observer.

For some children, active disorganized behaviour may be normal, while for others tidy and obsessive traits may not be normal, or vice versa. It all depends on your personality type. Personality typing in the medical model, (e.g. Histrionic, Narcissistic, Borderline) may be best described as unhelpful. Normal Annaegram (Ennaegram) types may show these behaviour patterns often quite normally. For example the Annaegram "4", could be described as perhaps Histrionic, yet there is nothing wrong with them. Their behaviour just needs to be understood from their own special perspective of the world. Every personality subtype has their own perspective of the world, and strangely they can all be right from their own point of view. Back To ADHD Top

Institution for children treatment

Conclusions, from Gaps and Subjective Medical Assessments for Diagnosis, of Attention Deficit & Related Disorders

The criteria for diagnosis of ADD, ADHD are very loose and non-specific when one gets past all the impressive medical words. They do not actually define a unique collection of medical symptoms that constitute a distinct illness. The Paill Spectrum disease model pioneered by Dr. Andrew Xxxxx, states that many children with behavioural symptoms whether they are ADD ADHD, Asperger’s, Developmental delay or even perhaps Autistic Spectrum disorders; may actually have Paill Spectrum infection. Paill Spectrum infection shows strong susceptibility to genetically inherited immune resistance factors. There are a number of these factors, so the inheritance pattern would be expected to be complex or polygenic, exactly as the research would suggest.

Other symptoms of Paill Spectrum will often be found if searched for,
in most if not all of these disorders.

The symptom list to diagnose these conditions, inaccurately describes the deficits experienced by affected children, as can be seen in the predictions made on this web page from the Paill Spectrum model. This explains why there is so much ambiguity in diagnosis amongst doctors. Few doctors will agree often where a diagnosis can be made. There are no blood test markers of disease in the standard model of ADD or ADHD. The Paill Spectrum model predicts that blood tests will be abnormal in specific ways in affected children. Back To ADD Top

Distinct blood test changes will also be found.

Patients respond to both nutritional and antibiotic therapies. Relying solely on antibiotic therapy is unwise with Paill Spectrum. Dr. Xxxxx believes that current psychiatric medications are excellent for symptomatic relief in much the same way that Paracetamol (Panadol) gives relief from headaches or fever. These medications make people feel better quickly. They do not change the progress of the depressive illness. Commonly used medications include Dexamphetamine, Ritalin (Methylphenidate).

Prognosis for Attention Deficit & Related Disorders in the Paill Spectrum Model

There is no magic cure for people who have a long history of ADD ADHD illness. Only long term symptom minimisation. The damage has already been done.

Without treatment however, this Paill Spectrum condition continues to progress.

The next phase of the progression of a long term Paill Spectrum illness variably involves:

Development of psychotic intensity ideas or beliefs, though these are often “normal” enough to be considered just a bit odd to people who know the affected person.
Progressive Deterioration of memory
Loss of Sequencing ability, in terms of planning
Further attacks of depression with episodes of jitters, panic, and anxiety. These psychiatric conditions are very difficult to diagnose in children, as their concept of "self" and what is normal, how and to what extent are much well defined than in adults. Back To ADHD Top

Prediction: Treatment “Effects” in the Paill Spectrum Model

Paill Spectrum treatment also causes a predictable range of effects and side effects. These symptoms or reactions indeed confirm that things are going exactly as expected. If the standard medical model of ADD or ADHD is correct, they should not even exist. All of the types of nutritional and antibiotic therapy are critical to the long-term treatment success. Bizarre events may occur with treatment, though predominantly with second line therapies. The therapies promoted on this web site are freely promoted because they are the safest first line treatments that can change the course of the Paill Spectrum illness causing the ADD ADHD like symptoms. The Paill Spectrum model of disease as developed by Dr. Xxxxx suggests that these reactions or effects, are signposts on the road to recovery, not reasons to abandon treatment.

Paill Spectrum therapy gives distinct identifiable and measurable feedback to both parents and treating doctors at every step of a therapy cycle. Symptoms improve and these are usually obvious to parents and people around the child, usually starting from within two weeks of initiation of the treatment cycle.

There is a classical IgM and IgG immune response evident over three months. This is readily visible on blood testing. Again this confirms that things are going exactly as expected in a treatment cycle. :-]

Symptoms return in some patients in three to nine months, if underlaying nutritional risk factors remain unchanged. :-[ Back To ADD Top

Disclaimer: :-|
Dr. Xxxxx’s personal opinion on the causation of these medical conditions varies substantially from current medical thinking. Until research and further assessment of these concepts validates the concepts proposed, you must make your own mind up about what treatment regime you follow. Your doctor will undoubtedly give you advice on what the medical profession currently believes. Some few may mention what they believe themselves, often with good reason.

Case II. is a description of a child with acute onset dyslexia, but the typical mood problems , as might occur in pure ADD / ADHD children is present.

The clinical symptoms that appear as ADD in children can have a more serious expression in adults. The basic symptoms pattern remains the same.: See Case V

Notes on the assessment of Developmental Disorders of Children?

Developmental timelines are important: If your child is falling behind, it is important to look for a reason.

Gross Motor Timelines

Head control should be present by three months.
Sitting should be present by six months; initially there will be poor trunk control with stabilization by using the pelvis
Dynamic sitting balance develops with the child able to balance sideways at about eight months and backwards at about ten months.
Next step: crawling, then pull to stand, then walking holding on to furniture. Back To ADHD Top

3 years old:

Runs using the front of the foot with alternate arms swings, able to turn corners and stop quickly and well.
Able to jump with 2 feet together off a step or over a cord lust off the ground.
Able to walk on tiptoes
Able to rid a tricycle or bicycle with trainer wheels
Take a few steps on a trainer beam, 9 cm wide.
Likes climbing equipment
Able to sand on one leg momentarily
Able to catch a ball in extended arms.

4 years old:

Able to walk up steps with alternate foot use and no support.
If walking down steps with alternate feet, needs support.
Able to stand on either leg for 4 or more seconds.
Able to hops 5 times or more on either leg
Able to gallop
Able to catch a large ball with elbows bent.
Able to run on tiptoes
Able to turn sharp corners while pushing or pulling while running.
Able to jump from a crouch with both feet together.
Able to walk on a line, rarely falling off
Able to walk along a 9 cm wide balance beam with only 2-3 falls.

5 years old

Able to run lightly on toes including over uneven surfaces.
Walks well on a 9 cm wide balance beam
If walking on a 4 cm wide balance beam, will only have 2-3 falls.
Able to walk up and down steps using alternate feet with no holding on for support.
Good ball skills: able to adjust posture, run or kick or catch ball in hands.
Jumps well
Can stand on one leg for at least 8-12 seconds
Able to skip on alternate feet. Back To ADD Top

6 years old

Able to sit well with a straight back in all positions
Able to jump well
Able to skip well
Able to catch a ball in their hands easily.
Able to bounce a ball ten times in a row
Beginning to be able to catch a ball in one hand
Able to stand on either leg with hands on hips for at least 8 seconds
Able to hop on one spot at least 10 times on either leg.

7 Years old:

Able to do 3 consecutive skips over the rope
Able to jump with both feet together over a rope held ten inches off the ground.
Able to hopscotch at least 2-3 movements.

8 years old:

Able to run down stairs
Able to jump off 4 steps onto ground level
Able to ride a bicycle
Able to hopscotch at least 4 movements
Able to skip well: at least 12 consecutive skips.

Gross Motor Problem Checklist: Preschool

Clumsy awkward looking
Frequent falls
Tendency to arm flapping or flailing
Presence of an unusual or awkward way of walking or running, especially if favours any one side
Excessive effort
Difficulties with sport: e.g. dropping balls more than other children.

Gross Motor Problem Checklist: School Age

Difficulty sitting on a chair
Difficulty sitting or standing still
Excessive leaning
Stepping into other children, excessive leaning
Difficulty learning new tasks, copying actions, following instructions or sequences, Presence of unstable postures.
Loud heavy jumping or hopping or awkward running style: should normally be smooth and efficient. Back To ADHD Top

Fine Motor Time Lines:

3 yrs: static tripod grip.

4 yrs:
- The eyes will circle following a finger with vision.
- Touch localization becomes specific
- Small hand muscles become more powerful with ability to “tent” the hands
- A dissociation occurs between shoulder and elbow movement.

5 years:
- Fingers are able to circle and copy hand position without vision.
- Hand tenting better

5 ½ years:
- Drumming movements can be done: but is slow and difficult.
- Hand tenting faster with other tasks also able to be performed at the same time.

6 years old:
- Drumming of hands still slow
- Tenting of hands improving and displaying better wrist control
- Proprioceptive sensation in arm is good
- Able to click fingers

7 years old:
- Can do pat, bounce movements and much better writing

8 years old:
- Fast easy drumming movements can be performed. Back To ADD Top

Fine Motor Checklist: Look at:

Posture
Fluency or arm movements
Clumsy wrist or arm position
Force control in hands or arms
Tense grip
Poorly positioned grip
Support hand should not need to be used.
Check eye- hand coordination
Fatigue

Dyslexia : Child writing on blackboard

Tips for teachers:

Make sure the child has your attention: Make eye contact
Clear simple instructions
Tasks to be performed in small simple stags if task is complex
Child should stand still while listening to an instruction and before the start of an activity
Keep them on task: you may need to remind them what the task is as the children can forget.

Back To ADHD Top

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Disclaimer

Do You Think this can Effect Older Children, Perhaps Adolescents?