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Barton Schmitt, a pediatrician at the University of Colorado Medical Center in Denver, gives parents of hyperactive chil­dren the following general advice:

1.  Accept your child's limitations. Parents must accept the fact that their child is basically active and energetic -and possibly always will be. A parent should not expect to totally eliminate hyperactivity, but merely to keep it under reasonable control.
2.  Provide outlets for the child's excess energy. Hyperac­tive children need daily outdoor activities such as running, sports or long walks. In bad weather, it helps to have a recreational room where the child can do what he or she wants without criticism.
3.   Keep the home environment organized. Mealtimes, chores, bedtime and other household routines should be kept as consistent as possible to help the hyperactive child accept order.
4.  Don't allow hyperactive children to become fatigued. When they're exhausted, the children's self-control breaks down and hyperactivity increases.
5.  Avoid taking children to formal gatherings. Settings where hyperactivity would be extremely inappropriate and embarrassing - church, restaurants and so forth - should be avoided. Don't take the child to stores or supermarkets unless it's absolutely necessary. After a child shows adequate self-control at home, he or she can gradually be introduced to those situations.
6.  Maintain firm discipline. Hyperactive children tolerate fewer rules than normal children. Set down a few clear, consistent, important rules, formed mainly to prevent harm to the children themselves or others. Parents should avoid constant negative comments such as 'Don't do this' and 'Stop that'.
7Enforce rules with non-physical punishment. Striking or shaking the child should be avoided since they need to learn that aggression is unacceptable. Instead, send the disobedient hyperactive child to his or her bedroom or other 'time-out place' to settle down.
8.   Stretch the child's attention span and reinforce non-hyperactive behavior. Dr Schmitt suggests activities such as reading to the child, coloring pictures together and matching pictures, followed by games of increasing difficulty - building blocks, dominoes, card games and dice games. The child shouldn't be given too many toys - that can be distracting. And, of course, the toys should be unbreakable.
9.   Try not to reinforce the child's neighborhood repu­tation as a 'bad kid'. Refer to the child as 'a good boy (or girl) with a lot of energy'. Otherwise, problem behavior becomes a self-fulfilling prophecy.
10.   From time to time, get away from it all. Living with a hyperactive child 24 hours a day would make anyone a wreck. Periodic breaks help parents to tolerate hyperactive behavior. Occasional evenings out or other time away from the child relieves pressure and helps parents to reju­venate themselves.



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