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Expert Q&A:
What's the best way to discipline my 26-month-old, who's been diagnosed with ADHD?

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Lawrence Kutner
Answered by Lawrence Kutner Ph.D.
"I'm a clinical psychologist, a consultant, and a journalist," says Lawrence Kutner, "which is a great combination for someone who's nosy."

Lawrence Kutner, Ph.D. (www.drkutner.com), is a nationally known clinical psychologist who trained at the Mayo Clinic. From 1987 to 1994 he wrote the award-winning, weekly New York Times column "Parent &; Child," which was syndicated globally. From 1991 to 1999 he was the child behavior and "Ask the Expert" columnist for Parents magazine. He's also a former talk show host on KGO radio in San Francisco.

He is on the psychiatry faculty of Harvard Medical School and Massachusetts General Hospital, where he is co-director of the Harvard Medical School Center for Mental Health and Media. In addition, he's on the board of advisors to the Rosalynn Carter Mental Health Journalism Fellowship Program at the Carter Center in Atlanta.

Dr. Kutner has been a consultant to the Children's Television Workshop, the Johann Jacobs Foundation (Zurich), the Sexuality Information and Education Council of the United States, and to major universities and corporations throughout the United States and Europe. He is a frequent guest on national television and radio networks. He received his bachelor's degree from Oberlin College in Ohio and his Ph.D. in clinical psychology from the University of Minnesota. His recent books include Parent &; Child: Getting Through to Each Other, Pregnancy and Your Baby's First Year, Toddlers and Preschoolers, Your School-Age Child, Making Sense of Your Teenager, and Grand Theft Childhood: The Surprising Truth About Violent Video Games and What Parents Can Do.

Dr. Kutner is the father of a 18-year-old son as well as a 30-year-old foster son from Romania. He and his family live outside of Boston, Massachusetts.
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Question


What's the best way to discipline my 26-month-old, who's been diagnosed with ADHD?

Answer


Whoa! Let's start with some basics and work our way through this.

First of all, it's not appropriate to diagnose a child under the age of 5 with ADHD. Much of what looks like the symptoms of that problem in older children is absolutely normal behavior in toddlers and preschoolers. So I wouldn't pin that label on your son yet.

More important, it sounds as if you and your husband have quite different approaches to raising children and could both use some education on child development. Books will help. (In addition to my own books, I strongly recommend Dr. T. Berry Brazelton's.)

But what your situation really calls for is a parenting class. Not only will this provide information about child development and discipline (guidance) techniques, it will help put your concerns into perspective. Talk to your pediatrician or family physician to find out what classes are available in your community. Often a local hospital or community mental health center will have this information as well.

Both your husband and you should take the same class. That way you'll have the same vocabulary and experiences to draw upon when you're trying to help your son.

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