adhd

The Boy Brain

| Mary Stoffel, MOT, OTR/L

Ever since my son was in daycare, I’ve heard “boys will be boys” tossed around. This was mostly to explain his energetic, impulsive behavior, especially during play or social interactions. I’ve never liked that saying. It felt like a shrug, an excuse, as if rough-and-tumble behavior is inevitable or exclusively male. And let’s be honest, girls can stir up just as much chaos as their male peers.

But as he moved into elementary school, the patterns became harder to ignore. More boys in his grade were on medication for ADHD. More boys were getting flagged for disruptive behavior. The gap wasn’t just anecdotal anymore. It was showing up in classroom dynamics, discipline charts, and parent-teacher conferences.

Recent research confirms that there are differences between male and female brains, but I keep wondering: Are those differences present before puberty? And if they are, how much do they actually shape the way boys and girls learn, connect, and navigate the world around them?

In this two-part series, we’ll explore how brain development may diverge between boys and girls, and how we can best support them as parents as they grow. First up: The boy brain.

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Mary’s Favorite Posts: 2024

| Mary Stoffel, MOT, OTR/L

What is my favorite post of 2024? While many contenders vied for this coveted spot, I’d have to say it would be Course Notes: The ADHD Brain.

At the beginning of the year, I found myself needing professional direction during a lull in my career. Becoming an ADHD Certified Rehabilitation Services Provider (ADHD-RSP) seemed like the perfect jumpstart. If I’m being honest, I believed this certification would just review what I already knew about ADHD, given my extensive experience treating children with the diagnosis. I was wrong.

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Course Notes: Diagnosis and Reframing Perspective

| Mary Stoffel, MOT, OTR/L

I’m not gonna lie, completing this ADHD certification and writing these posts has driven me down a rabbit hole. “Do I have ADHD? Does my son have ADHD?”

While he is a 7-year-old, his past teachers have mentioned focus issues and recently, he’s been forgetting items to either take to school or bring back home. Is this something I need to be concerned about or is this just an age-appropriate phase?

For Patti, ADHD runs in her family. So even though she does not have a diagnosis, she has been on the lookout for flags since the beginning. You can imagine how these coffee chats have gone between us…

If you suspect your child’s inattention or impulsivity may be more than the norm, or you notice that it’s affecting parts of their daily routine, here’s what you can do.

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Course Notes: Meds and Management

| Mary Stoffel, MOT, OTR/L

This is a good time to reiterate that our Course Notes series is just that. Occupational therapists need to take a certain number of continuing ed classes each year. These classes are geared toward therapists, counselors, practitioners, etc. But from these classes, there is a ton of really great information that I think can be helpful for parents as well. I am in no way diagnosing, prescribing or treating a specific person. Now that that is covered, let’s get to ADHD, Part 3.

ADHD affects how information is taken in and processed due to its alterations in brain structure, neural connectivity, and neurotransmitter levels. These changes impair the executive functions, resulting in difficulties with attention, recall, and self-control. While there is no “cure”, it is considered one of the most treatable conditions out there. So, what are the most effective management treatments out there for child ADHD these days?

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Course Notes: The ADHD Brain

| Mary Stoffel, MOT, OTR/L

ADHD is a neurobiological developmental disorder that impedes one’s executive functions, but what causes it? ADHD has long been a subject of intense scientific scrutiny, from its origins to whether it’s even a real thing (it is, btw). However, with an explosion of research on the topic in the last 20 years thanks to the completion of the human genome project in 2003, we’re getting closer to solving to the riddle of what triggers the disorder that affects millions of children (and adults) worldwide.

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