專注力不足與認知訓練系列之一



家長嘅惡夢!
入完名牌小學被老師叫評估,兩個月(到而家都3個喇)仲未適應小學生活云云,經常控制唔到自己要出位,好易心散,成日掛住傾偈之之類類我哋細個都會做,聽落幾正常嘅事。

但,時代已經唔同,而家我哋年代嘅曳叫做ADHD,Attention Deficit Hyperactivity Disorder。都唔知邊條左膠大愛發明出嚟玩班父母。係,小朋友你冇錯,你唔係曳,你有病啫,你控制唔到自己,你冇能力去專心,父母唔會因為你病就唔愛你,I love you, I accept you for who you are. BUT, 雞髀你係有啲唔好彩(定好彩呢),遇著個強逼症兼衝動鍾意冒險媽媽,我係一定會:

And I will try to fix you~

好多朋友都覺得我係太緊張,話細路係咁,大個咗自然會好返。雞髀只不過太鍾意玩,咁叻仔一啲都唔似有病,應該只係曳。另,大人都可以去專注力促進會自測

網上大量資料可以搵到點先算ADHD,呢度都幾簡潔。
Types of ADHD
There are three types of ADHD:

1. Inattentive

Inattentive ADHD is what’s usually meant when someone uses the term ADD. This means a person shows enough symptoms of inattention (or easy distractibility) but isn’t hyperactive or impulsive.

2. Hyperactive/impulsive

This type occurs when a person has symptoms of hyperactivity and impulsivity but not inattention.

3. Combined

Combined ADHD is when a person has symptoms of inattention, hyperactivity, and impulsivity.

首先,係薯發現佢成日聽唔到嘢,(爸爸特別容易發現),因為爸爸永遠冇媽媽咁煩,佢哋唔會慢慢令到個仔望自己先講。我可能會就住雞髀,逼佢望住我先講,只要專心望住我時聽到,我就唔覺得佢有問題。(始終對得細路少)
第二,班主任打電話通知,都打咗幾次。課外活動義工家長都有影畀我睇佢點樣唔肯上堂。好幾個家長都話老師「投訴」。
第三,見咗學校社工,話雞髀明顯impulsive,同易分心。呢位社工算係幾open-minded,佢一冇叫我即刻去睇精神科評估或食藥,佢話評唔評估好睇家長需唔需要攞資源。二佢唔會話呢樣嘢係冇得醫只能減低徴狀,反而佢話專注力都係一個能力,可以培訓同提升。

我自己覺得雞髀:
1. IQ 正常(可能偏高添);
2. 學習(專心時或有足夠趣味或上網或大刑侍候時)冇大問題;
3. 專注力不足(不能集中一件事太長時間,睇電視玩電話例外;一有刺激就分心;控制唔到自己等待或冇打算控制自己-同管教方式亦相關;好容易發脾氣等。)並非只在家或學校,持續半年以上;家中情況無大改變;

Inattention, or trouble focusing, is one symptom of ADHD. A doctor may diagnose a child as inattentive if the child:

is easily distracted
is forgetful, even in daily activities
is unable to give close attention to details in school work or other activities and makes careless mistakes
has trouble keeping attention on tasks or activities
ignores a speaker, even when spoken to directly
doesn’t follow instructions
fails to finish schoolwork or chores
loses focus or is easily side-tracked
has trouble with organization
dislikes and avoids tasks that require long periods of mental effort, such as homework
loses vital things needed for tasks and activities

4. 活躍,但不算太過動…啩。(不過又可能我只係習慣咗)
Hyperactivity and impulsivity
A doctor may diagnose a child as hyperactive or impulsive if the child:

appears to be always on the go
talks excessively
has severe difficulty waiting for their turn
squirms in their seat, taps their hands or feet, or fidgets
gets up from a seat when expected to remain seated
runs around or climbs in inappropriate situations
is unable to quietly play or take part in leisure activities
blurts out an answer before someone finishes asking a question
intrudes on and interrupts others constantly

環境:
1. 班主任 / 興趣班老師 / 社工都已出聲話情況明顯要做嘢;只要想喺度安份畢業過馬路,做minimum是必須的;即使被踢出校,如果是必須而對佢好,都冇法;目前暫時睇唔到有咁嘅可能性。但我冇理由等到呢個同學出事先做嘢 / 要把握時期。
2. 是否ADHD,是否需要評估,是否只係曳?如果需要學校資源當佢弱智咁教就需要評估,否則只需要集中處理提升專注力。唔想嘥呢皮嘢,唔做住。

社工提供資源:

方案(我認為可並行而無砉,係要嘥多多時間同錢):(或者都睇信則有嘅緣份,撞到邊樣就邊樣先)
1. 學校社工已定期見佢及train佢社交、行為同埋記憶力專注力,免費的(邊個話喇沙冇支援,但一日未評估斷症,冇太多係真嘅);
2. 社工推薦坊間有提供培訓的NGO:(睇餸食飯揀時間地點價錢)
A. 耀能EASE PROGRAMME,排咗隊要半年;
B. 協康會
C. 小童群益會
D. 青協賽馬會學生支援中心

2. 排政府,睇醫管局呢個專科門診診所名單頁:
要先睇精神科拎到轉介信,見到你住果區,打返去近果區嘅精神科(兒童及青少年精神科中心)登記新症就得,留意佢哋只係做治療,唔係做評估,即係想食藥排定就啱,反正都斷年咁等。

3. 私人牟利型培訓:
A.
朋友話正:STEP CENTRE 邁步兒童發展中心;但又係喺中環,帶佢過嚟遠啲
好早打咗去約評估,不過對方亦好盡責咁提一提我問清楚學校承唔承認臨床心理學家嘅評估,佢話教育局好似寫只限精神科。(由於我嘅sustained attention都麻麻哋,問問吓又飛咗去其他嘢度,未問學校社工。整埋呢啲咁嘅blog文,唔好以為我要打救世人,即使唔覺意扶碌撞棍有咁嘅副作用,我最主要都係想搵個位幫自己整理吓凌亂嘅思緒。)

B.由於緣份嘅安排,睇到PowerBrainRX; 我一向覺得聽多樣冇壞(反正consulting是免費的,要聽咗先可以判斷係咪呃人冇料到)不過我覺得最壞應該係吹到天下無敵而最終做嘅同NGO提供嘅類同。關於呢度,太長篇要去系列二了。



4. 書本:坊間大量類似嘅書,點都應該打啲底,有啲用;
5. 上堂:見到青協有專注力訓練員證書課程,千零蚊上6晚,即報。12月18日開始,再包膠。
6. 健腦操: YOUTUBE搵吓就有,家長教,似啱老人家,反正腦部健康就係需要多做運動,唔拘泥於咩運動…啩;跑步都話有用;


7. 營養: 魚油就算冇用亦無害,食緊;專注力supplement唔知有冇用架;不過雞髀係敏感仔又濕疹,糖、麩質、奶、之之類類都可免則免;要飲多啲還元水,佢成日唔肯飲水。近排隻手仲生嘢:
懷疑係病毒疣,睇過普通醫生搽抗生素無效,醫生話唔好放燶喎,雞髀又怕痛,跟住試疣凍寧(萬寧有售),話用低溫殺喎,但感覺上都係篤爆咗果啲先會自己好。其實好多人叫我再約皮膚科,但太多嘢要處理,而且睇落好似好緊,好似幾個月至成年不等跟住又免疫咁…

8. 管教: 薯傳統式,但針對雞髀我同老師嘅判斷係其實正向較有效;不過都係,為最低程度完成功課唯有用短線方式;
9. 藥物:個人覺得無逼切需要;等政府排到先~


10. 輔助用品,針對過動可以坐波波,唔記得邊度睇過話有效,反正樣樣都話有效;唔想太阻定,就試呢個唔使充氣嘅魚仔算。另,google到香港有賣呢啲嘢舖頭極少,Happy E-BABIES嘅效率好高,聽日就考試,我想快啲畀佢坐定少少溫吓書。
11. 仲有要媽媽support group啦EK啦,我係理性啫都要不斷搵人問意見。各位同學仔家長真係好好人,好多意見畀我,亦難得(有難同當)有朋友有類似經驗,針灸、香熏油等等都聽聞有效,好似寫咁耐未寫認知訓練,下篇啦。

P.S. 養兒一百歲,長憂九十九:我好佩服啲ASD、唐唐、ADHD、資優夫母仲有張超雄。加油長期大作戰~

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