ADHD, Meds-Free

 Q: My 9-year-old son was just diagnosed with ADHD. His teacher and I are both concerned about his behavior and the difficulty he has completing school work, but I am not sure about putting him on medication. Are there other steps we can try taking first?

A: Yes! There are many things you can do to help your son. Changing his environment and using certain behavioral techniques can help tremendously.

By Terrah Tillman, MFT

Put instructions in writing
Make charts or lists of tasks. For example, the morning routine can be written on a chart in the bathroom. Your child can check off each task as it is completed. Offer a reward for completing the chart with no assistance.  

Set up a routine
Children love structure, and having a consistent routine helps them know what to expect. It also helps them feel organized, and more calm and confident as a result. Remember to build in time for your child to move and be active. Break up calm periods with physical activity.  

Practice, practice, practice
Role-play desired behaviors, such as following directions, sitting still, relaxing, and staying on task. Start out very small and try to make this a fun game, so he’ll want to stick with it.  

Help fidgeters focus
Children who have difficulty sitting still may do better by sitting on a yoga ball, holding things to fidget with, or chewing gum. Decreasing stimulation and distractions helps too. At school, try having his desk in the front row or close to the teacher. At home, turn off the TV and eliminate other distractions. 

Your school district is responsible for making accommodations for children diagnosed with ADHD by creating a 504 plan. Contact your school to request a Student Success Team (SST) meeting.

For additional support, look for an experienced therapist trained in working with children with ADHD through behavioral therapy. These steps can help your child succeed, enjoy school more and feel more confident.

Terrah Tillman, MFT, has a private practice in midtown Sacramento. She specializes in treating children and families. You can contact her at This e-mail address is being protected from spambots. You need JavaScript enabled to view it or visit TherapistFinder.com.