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Shelley: The Hyperactive Turtle 1989 Written by Deborah Moss Illustrated by Carol Schwartz Book Characteristics • Excellent introduction to learning disabilities • Preschoolers and primary grades • Wonderfully written/Vivid illustrations • Focuses on differences • Creates awareness and understanding • Alleviates anxiety and gives hope Summary • Shelley is a young turtle • Lives in a pond and attends school • Exhibits classic ADHD characteristics • Medical solution Discussion • Is Shelley responsible for his actions? • What message is the author sending? • How may this book serve others? • Describe the book in one word. Shelley’s Symptoms • • • • • • Shouts on bus Breaks things and does not remember Rolls over and whirls around Leaves seat and runs around Throws food Trouble keeping quiet Shelley’s Feelings • • • • • Wired Confused Angry Scared Unhappy ADHD • A neurobehavioral disorder characterized by pervasive inattention and/or hyperactivity-impulsivity and resulting in significant impairment. Prevalence • CEC estimates 3% to 5% • CDCP estimates 5%to 10% • Males outnumber females 2:1 to 8:1 • Most experts agree that it is closer to 3:1 • 315% increase in OHI in last ten years DSM-IV Criteria • • • • • • • • • • • • I. Either A or B: Six or more of the following symptoms of inattention have been present for at least 6 months to a point that is disruptive and inappropriate for developmental level: Inattention Often does not give close attention to details or makes careless mistakes in schoolwork, work, or other activities. Often has trouble keeping attention on tasks or play activities. Often does not seem to listen when spoken to directly. Often does not follow instructions and fails to finish schoolwork, chores, or duties in the workplace (not due to oppositional behavior or failure to understand instructions). Often have trouble organizing activities. Often avoids, dislikes, or doesn't want to do things that take a lot of mental effort for a long period of time (such as schoolwork or homework). Often loses things needed for tasks and activities (e.g. toys, school assignments, pencils, books, or tools). Is often easily distracted. Is often forgetful in daily activities. Six or more of the following symptoms of hyperactivity-impulsivity have been present for at least 6 months to an extent that is disruptive and inappropriate for developmental level: • • • • • • • • • • • Hyperactivity Often fidgets with hands or feet or squirms in seat. Often gets up from seat when remaining in seat is expected. Often runs about or climbs when and where it is not appropriate (adolescents or adults may feel very restless). Often has trouble playing or enjoying leisure activities quietly. Is often "on the go" or often acts as if "driven by a motor". Often talks excessively. Impulsivity Often blurts out answers before questions have been finished. Often has trouble waiting one's turn. Often interrupts or intrudes on others (e.g., butts into conversations or games). Diagnosis • Must be multidimensional encompassing many medical fields including the physiological, neurological, and psychological to determine best possible treatment of the ADHD child. Treatment • Medication • Behavioral Management Program • Multimodal