Nonpharmacological Considerations for Managing ADHD Characterized by inattention, impulsivity and/or hyperactivity, ADHD impacts many areas of a child’s life. Behavior Modification This intervention involves using behavioral strategies in everyday routines to provide structure, reward positive behavior, and communicate expectations. Examples of behavior modification may include: A token system. Use of a communication app between home and school. The use of a written or visual routine. Nonpharmacological Interventions Cognitive Behavioral Therapy Also known as CBT, involves self-management that results in behavior modification. The process involves identifying and challenging problematic thoughts and behaviors and replacing them with practical actions. A child may learn and practice problem-solving, role- playing, and the ability to redirect, instruct and guide themselves. Strategies take into account the child’s strengths and goals. Environmental Modifications Children with ADHD are more likely than their peers to be overresponsive to sensory input. Providing preferential seating, so they are facing away from high-traffic areas such as cubbies or hallways Providing access to noise-canceling headphones Removing distracting classroom decorations Offering a ‘cozy corner’ with decreased visual and auditory stimulation Providing scheduled heavy work motor breaks Sensory Integration Sensory integration is a specific intervention approach used by occupational therapists. www.cbstherapy.com 401-952-4160 peter@cbstherapy.com 845 North Main Street, Providence, Rhode Island 02904 This sensory-rich therapy allows children to process and integrate different kinds of sensory input in a controlled environment. Therapists look for adaptive responses such as decreased impulsivity or the ability to tolerate increased volume without having a meltdown.