Friday, December 14, 2012

Samuel's Story



Guest blogger Liz tells the inspiring story of her son Samuel

This is our journey so far....

We begin in the present as Samuel sums up his educational life to date.
December 2012, Samuel has said and I quote:
  "I failed kindy, I failed pre-school, I failed primary school, I partially failed high school (got his WACE) but when I got to uni I didn’t fail anything and got the most important one of the whole lot worth getting...my degree!  I learnt how to fail and keep going really well, better than some people who passed easily but then couldn’t deal with it getting harder or even minor failures and they then dropped out...gave up".

My son turned all these perceived failures into a goal and success.  In his gi-normous struggles –  he  found his strengths, his talent and his resilience.

A quiet and observant child, friends would say to me that he was an old soul, mature about complex issues but childlike and shy in others. The first sign….while most 2-4 year olds could remember the button to push to start the TV he needed to be shown every time.
Primary School 1995-2002
We have a running joke in our family - when I was pregnant with Samuel I was asked to participate in a long term study about what influences a baby’s/child/teenagers/adults  health and development throughout life.  So my child has been monitored to this day about every aspect of his life to date. This study meant regular assessments with the research team.  It also meant that when other studies were being done we were asked to participate in those. The joke  - when tensions at home got high I’d jokingly say “If you are not careful I will sell you for medical experiments!” Samuels stock answer and diffuser of the situation was “You already have”! Humour got us through many times when the serious and dare I say competitive people deflated us.

It was this study participation that started the ball rolling so to speak.  Samuel was not doing well in Year 1  - fine motor problems, language problems, reading problems, could not write his name or remember his age, birthday and address, let alone his home phone number. Numbers were beyond him. As the stock answer from his teacher and those for the next 3 years was don’t worry he’s just immature a feeling of foreboding came over me.  Developmental differences are common but….not until at the research assessment age 5 did the alarms bells ring.  Normally researchers did not tell parents results of the testing they did except in exceptional situations. Samuel was an exception.  At 5 he had the vocabulary of a 10 year old. So why the learning and attentional problems? Teacher when told was non-receptive to the idea that this was the case.  I experienced my first patronising situation….many followed in the coming years, so many that I developed a pro-active and advocating stance that was formidable  at times. At the end of year 1 this very same teacher said he had not passed required benchmarks, would I consider him repeating the year.  I suggested that an assessment of his needs and problems might be more worthwhile,

 Luck was on my side. The visiting school educational psychologist was  from the Graduate School of Education at UWA, and an experienced assessor for learning and attentional disorders, Up shot - repeating the year was going to be of little value as Samuel would still have the same problems and needed to been seen by a barrage of speech, occupational, audiological and visual therapists. Assessment, then treatment and management programs needed to be established and maintained. Schooling needs were reinforced by teaching them myself. Relationships that previously were normal became strained as Samuel buckled under the onslaught of all this remedial-ness.

Four years on …attention getting worse, learning and work completion not happening. Finally a teacher is assigned to him who has done postgraduate studies in special needs education, She suggests to about three parents including us that a referral to a paediatric developmental specialist may be useful. The other parents chose to ignore her advice. I go directly to my GP and get a referral to a specialist that altered the course of Samuel’s future.

As a parent with a "different child" you agonise about your perceived failures in the most important role of your life. You seek help and find none available...your aloneness is palpable; other parents become judgemental and sceptical when labels start getting affixed to your child. They do not see the hours and hours of extra time and the financial stress, spent researching, getting assessments, seeking therapists, finding specialists, obtaining resources for educating what the teachers saw as unteachable and the resulting strains on the family.

A diagnosis from the specialist and treatment trials began for Samuel and recommendations to join a support group made an instantaneous difference to our lives.

The day Samuel topped the class in a science test was so auspicious that the whole class applauded his efforts!  I cried…. I am crying while I write this as it brings back some painful memories.

 I’d like to say that it got easier for the next two years that he stayed at that school, but while I still did - the be there every day so the teachers could discuss the day with me-thing, it was still a struggle for Samuel.  He had lost too many precious years of fundamental learning skills, especially the mathematics window that closed too early for him. He still had terrible handwriting skills, spelling was a hit and miss and mental arithmetic out of bounds. He survived on structure, re-enforcement and a laptop computer we bought second hand to aid his spelling and writing problems. There were no aids, tools or teaching support staff on offer from the Education Department at this time.
Dyspraxia, dyscalculia, mild dyslexia, dysgraphia, short term memory and processing deficients, visual tracking and processing problems – I became a walking medical dictionary as I annually conveyed his disorders to teachers with little or no special needs training.

2003-2008
My husband and I decided that Samuel needed to begin his high school life at a new school starting in year 7 to allow extra time for orientation to this transitional phase of his education. It was a decision we never regretted.  We found another teacher who recognised Samuel’s differences as being unique and nurtured him throughout his whole time in high school.  Where the school might have put up obstacles this teacher went into bat for Samuel.  He and his wife remain important friends in our lives.
 To cut an even more convoluted story short. Samuel had always had a goal to go to university. Developmentally he was 12-18 months behind his peers. I knew it would take an extra year. However, Samuel was determined to sit TEE exams with his mates – peer pressure doesn’t help in this age group.  I said do your best, don’t stress, we know the sun comes up the next day. He sat the exams without any special considerations…. he is enormously proud that he was not the bottom of the TEE ranking in his school…another boy was…his sense of humour got him through.  The TEE while not giving him his first career choice did allow him to be accepted for a University Preparation Course.  This in turn meant he could fall back on his plan B of a visual arts degree. His only ever one academic recorded A was in his WACE certificate for Art and Design, a talent that he didn’t see until his portfolio was required for course acceptance after he completed the UPC.
2009-2012

Samuel has now completed three years without one fail or repeat of a Bachelors Degree in Contemporary Art Majoring in Visual Art. He exhibited a piece called
‘Death Stands Before You'   at the recent  Graduate Art Exhibition 2012 at ECU. His artist statement for the piece reads;
“When you look into the void, the void will look back into you, neither will like what it sees. It is strange how life is only reflected when gazing upon the demised.”                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
 He still has not learnt to drive a car but that is his next goal… that…and get a job…so his parents can take a financial break! The road ahead will be interesting.
Oh and he promises me that he will buy me an island when he is rich and famous!

Monday, August 6, 2012

Make Time Visible to Make it Manageable - ADHD Coach Perth

Michele is an ADHD Coach in Perth, Australia
Professor Russell Barkley is one of the foremost researchers in the field of ADHD. His theory on ADHD and Executive Function (EF) was first published in 1997, and he has recently refined it. The link to his fact sheet is provided at the end of this post.

According to Professor Barkley's theory ADHD is essentially a disorder of self-regulation, a process that relies on Executive Functions (such as working memory, internalisation of language, manipulating information to plan ahead, and the regulation of emotions).  These Executive Functions start to develop in infants, and are visible at first. For example, toddlers talk themselves through actions as they complete them, and manipulate blocks to understand shape and space. However, by adulthood, EFs are invisible to others. They occur in mental form, allowing people to engage in them privately. ADHD prevents this internalisation from occuring efficiently. For example, people with ADHD experience great difficulty representing and manipulating information held in their minds. They also have what Professor Barkley calls "Time Myopia". Their actions are controlled by their immediate context, rather than future deadlines or events. It makes sense, therefore, to make time visible to those with ADHD, in order to help them use it effectively. 

I once read a quote by Dr Ed Hallowell (co-author of Driven to Distraction). He stated that time was invented to divide days into chunks, which help people to plan their actions. However, when people have ADHD, he said, "time is a black hole that swallows you". Experts agree that ADHD is not a disorder of knowing. It is a disorder of DOING what you know you should do, when you should do it. It is important to teach people with ADHD to manage time by making it visible, and by creating a visible environment which will enable them to do what they know. Because everybody with ADHD is unique, as an ADHD coach, I work with clients to custom-design the best system to suit their situation. Here are 5 tips to get you started:

1. Buy a diary / planner / organiser / app and USE it.
I have lost count of the number of people with ADHD I have met who purchase a diary and never use it. It is essential to keep track of your time commitments, and in order to do so, you need to use a medium that suits you. If you're not a paper-person, get an electronic system going. Use an electronic planner, smartphone app, internet calendar and enter your appointments, social events, and projects. This will reduce your tendency to "take on too much". People who don't have a clear idea of their commitments are far more likely to agree to more work ("I'm busy anyway - I can get it done"). They also lull themselves into a false sense of available time. For example, if they have something due in a week, they assume that they have a week to complete it. In fact, they sometimes have just a small window of opportunity between other commitments, which they miss. And then they pull an all-nighter to get things done.
2. Tune into sounds to get your morning routine running smoothly
Mornings can be challenging for some. I've had clients who wake up really early, but still can't get to work on time. Somehow their internal clock goes absent between 6am and 8am, as time swallows them in a continuous stream of unnecessary but appealing tasks. Using a wind-up kitchen timer to ring at 15 minute intervals can help in these situations. Make a list of essential items that will get you out of the door, and check it each time the timer rings. That way, if you get distracted, the most time you will lose is 15 minutes. My friend Liz suggested using a radio station to provide prompts in the morning. If you tune your ear in to the news bulletins / "tears on toast" / joke of the day / traffic reports, which occur at roughly the same time each day, they can help keep you on track.
3. Set regular reminders to mark time passing
If you have a problem staying on track at work or at home, set a regular reminder on a computer programme or app to bring you back to the present and check your to-do list. For example, a Microsoft Outlook alarm can be "snoozed" at specific intervals. Apps like 30/30 can be programmed to cycle reminders at different time intervals. If necessary, leave the reminder device across the room so that you have to get up from your desk to switch it off. 
4. Change up the sounds
Of course, most reminders can become part of life's soundtrack after a while, and we don't even hear them. To avoid this, change the sounds at regular intervals. For example, choose a different alert tone on your app, or have a selection of alarms which you can cycle through when you become accustomed to their sounds.
5. Choose to change
The best laid plans can go wrong, but making a commitment to change increases your chance of success. An unproductive day due to "Time Myopia" is frustrating. Choosing to ignore your sound reminders is stubborn. If you are tempted to ignore a reminder, ask yourself: "How will this choice help me?" Stick that question up where you can see it.

Work to find the sounds and systems that best suit you. And persevere. Don't beat yourself up about a bad day. Instead, celebrate the good days, and reward yourself for them. Let me know how you go, or contact me if you think I can help you to identify the best system for you.

Professor Barkley's fact sheet on ADHD and EF can be found at:
http://www.russellbarkley.org/content/ADHD_EF_and_SR.pdf