ADHD

Techniques for Managing the Behavior of a Hyperactive Child at Home

In managing a child with ADHD, practical behavioral methods used in evidence‑based psychotherapies—such as Parent Management Training and Behavior Therapy—can have a significant impact.


1. The “One Instruction at a Time” Rule

Children with ADHD have difficulties with working memory. Therefore, present only one request at a time.

How to apply:

  • Give only one short, clear instruction.
  • Make eye contact.
  • Ask the child to repeat the instruction.

Example:

Instead of saying, “Go wash your hands, then get dressed and come eat,” say:

“Please wash your hands first.”


2. Using a Reward System

This is one of the most effective behavioral therapy techniques.

How to apply:

  • Give stars or points for desired behaviors.
  • After points accumulate, give a small reward.

Example:

  • Doing homework = 1 star
  • Cleaning the room = 1 star
  • 5 stars = choosing a favorite game

3. Breaking Tasks into Small Steps

Children with ADHD get tired quickly when doing long tasks.

Method:

  • Divide tasks into short segments.

Example:

  • 10 minutes of studying
  • 5 minutes of break
  • Another 10 minutes of studying

4. Using a Timer

Time perception is weaker in these children.

Method:

  • Use a timer or a clock.

Example:

  • “We have 15 minutes to do homework.”

This helps build a mental structure of time.


5. Creating a Consistent Daily Routine

In ADHD, the prefrontal cortex functions less effectively in planning. Therefore, it is better to have:

  • A fixed bedtime
  • A specific time for studying
  • A specific time for play

Predictable schedules reduce the child’s anxiety.


6. Physical Contact and Attention Before Speaking

When a child is deeply engaged in an activity, they often do not hear instructions.

Method:

  • Move closer
  • Place a hand on the child’s shoulder
  • Make eye contact
  • Then give the instruction

7. The Rule of Immediate Consequences

Children with ADHD have difficulty linking behavior to delayed consequences.

Therefore:

  • Rewards or consequences should occur immediately after the behavior.

Example:

  • “Great job cleaning up your toys.”

8. Proper Use of “Time‑Out”

(A type of behavioral punishment)

When used correctly for severe behaviors

(aggression, destruction):

Method:

  • The child sits in a calm place for 3 to 5 minutes.
  • No arguing or long explanations.

Goal:

To stop inappropriate behavior, not to use humiliating punishment.


9. Increasing Daily Physical Activity

Exercise leads to:

  • Increased dopamine and norepinephrine
  • Improved attention
  • Reduced impulsivity

Suitable activities:

  • Swimming
  • Running
  • Cycling
  • Martial arts

10. Creating a Low‑Stimulation Study Environment

For doing homework:

  • A simple, tidy desk
  • Remove TV and mobile phones
  • Proper lighting
  • Limited items on the desk

A cluttered environment leads to increased distraction.


Summary

Providing structure and rules,

immediate rewards,

and short‑term behavioral consequences

are effective in improving a child’s functioning.

For better control of the symptoms of

Attention‑Deficit/Hyperactivity Disorder (ADHD),

a combination of

medication treatment + behavioral therapies

is necessary.


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