Blog Therapy

Jody Dwyer

Jody Dwyer

Senior Occupational Therapist

OT & ADHD in Children: Fostering Focus & Self-Regulation

hyperactive children with ADHD and an OT

Attention Deficit Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder that affects millions of children worldwide. It often leads to challenges in academic, social, and emotional development, and is characterised by persistent patterns of inattention, hyperactivity, and impulsivity that can interfere with a child’s daily functioning. These symptoms can significantly affect a child’s ability to succeed in school and form healthy relationships.

There are several approaches for managing ADHD in children, and in this post, we’ll explore how occupational therapy (OT) can be an effective way to manage the challenges often associated with ADHD. Occupational therapists use a variety of techniques designed to enhance concentration, improve sensory processing, and teach self-regulation skills. This post will discuss how paediatric OT interventions can be tailored to help children with ADHD develop the skills they need to thrive. 

ADHD & Its Impact on Children

ADHD is more than just a child being overly active. It is a complex disorder that affects a child’s ability to focus, stay organised, and complete tasks. This is due to neurological differences that impact executive functioning, making it more challenging for children to regulate their attention, manage impulses, and follow through with tasks.

This can also amount to emotional challenges, like frustration and low self-esteem, as children struggle to meet expectations set by adults and peers. Some of common symptoms of ADHD in children include:

  • Difficulty paying attention
  • Hyperactivity
  • Impulsivity
  • Difficulty controlling behaviour
  • Frequent mood swings and emotional outbursts

These challenges can significantly impact a child’s academic performance, social interactions, and overall quality of life by making it difficult to form lasting friendships, leading to feelings of isolation or rejection.This is often the result of their unpredictable behaviours and difficulties in maintaining self-control, which can be perplexing and sometimes off-putting to their peers who may not understand the nature of ADHD.

Imagine, for example, a child named Sam. Despite his intelligence and creativity, Sam struggles to finish his schoolwork, often losing focus and getting easily distracted in class or at home. His impulsivity also makes it hard for him to wait his turn during games, leading to conflicts with his peers as his impatience grows. As a result, he may feel misunderstood, unsupported or isolated by his peers, further affecting his emotional well-being. This is a typical scenario for children dealing with ADHD.

How Occupational Therapy Helps Manage ADHD

Occupational therapy helps people achieve independence and enhance someone’s overall quality of life by addressing the specific difficulties that interfere with daily living. Through individualised evaluation and personalised intervention plans, OTs help individuals develop the necessary skills to perform everyday tasks more effectively. By focusing on improving daily functional activities and enhancing overall cognitive / physical / motor skills, OTs can provide support tailored specifically to the unique challenges and needs of each child. This support is particularly crucial for children with ADHD, who often face obstacles with their processing of information that can affect their school performance, social interactions, and home life. For children with ADHD, OT can therefore be instrumental in helping them to:

  • Improve focus
  • Control impulsive behaviours
  • Increase their participation in daily activities

On top of this, OT can also help children in the development of coping strategies and enhance their ability to engage successfully in both educational settings and social interactions. These types of support can enable children to better manage their symptoms and overcome challenges that may interfere with their learning and development.

One of the key techniques used in OT is sensory integration therapy. This approach helps children with ADHD improve their ability to process sensory information, leading to better focus and decreased impulsivity. For instance, an OT may prescribe tools for sensory integration that can help sustain a child’s attention. Additionally, OTs may incorporate activities that build motor skills (like handwriting exercises or stacking blocks), use assistive technology to organise tasks (like visual schedules or task management apps), or modify the environment to reduce distractions (like using noise-cancelling headphones or creating a designated quiet workspace), further supporting a child’s ability to concentrate and succeed in various settings. These comprehensive strategies ensure that occupational therapy is not just about managing symptoms but also about empowering children with ADHD to lead more structured and successful lives.

Enhancing Focus and Promoting Self-Regulation through OT

Through various exercises and activities, an occupational therapist can help a child learn how to concentrate on tasks, ignore distractions, and manage their time effectively. By using tailored interventions that match the child’s specific sensory preferences and learning styles, OTs create a personalised, supportive and enjoyable approach to developing these skills.

A prominent focus of occupational therapy is also about promoting self-regulation, something especially important among children with ADHD. This involves helping children recognise their feelings and impulses, and teaching them how to respond appropriately. For instance, deep breathing exercises, progressive muscle relaxation, or mindfulness activities may be useful activities to help a child calm down when they feel agitated.

Consider, for example, a child named Lily. Before seeing an OT, Lily had difficulty staying focused in class and would often have outbursts of anger. Her inability to handle transitions between activities contributed to frequent disruptions. After several months of seeing an OT and engaging in structured sensory-integration activities, Lily is now able to follow classroom routines and has learned to use deep breathing exercises to control her anger if her emotions ever get high. These new skills not only help her in her social interactions, but leads to better focus at school and all round better academic results.

2/201 Ron Penhaligon Way, Robina, 4226
Gold Coast, Queensland

ADHD management is a powerful tool that can help children overcome challenges related to attention, hyperactivity, and impulsivity. By fostering focus and promoting self-regulation strategies, OT can significantly improve the quality of life for children with ADHD.

Early intervention in occupational therapy is crucial for maximising the developmental potential of children with ADHD. Starting therapy at a young age helps in cultivating necessary skills like focus and self-regulation, which are vital for academic success and healthy social interactions. Employing the expertise of an occupational therapist specialised in ADHD ensures that interventions are specifically tailored to address the unique needs of each child, setting them on a path to greater independence and self-mastery.

If your child is struggling with ADHD and you need more support, consider speaking with one of our registered paediatric OT who specialises in ADHD. It’s not just about managing symptoms – it’s about empowering your child to lead a fulfilling and productive life.

Jody Dwyer

Jody Dwyer

Senior Occupational Therapist

Facebook
LinkedIn
Twitter
Email
Print

More to explore