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Ideas to Help Problems with Eating in Children with ADHD

Our thanks to Claire Smith for permission to use this very helpful information sheet.
Clare is the mother of 2 children with ADHD, she is also a doctor working in Child Psychiatry.

Many parents of children with ADHD worry that their child is not eating enough, and that their child is light for his/her height.

This can be for a number of reasons:

The following are ideas for you to try. They won't suit everyone, but they may give you some help to get over what can be a tricky problem!

1. Eat together at a table, and then all get down from the table together when everyone has had enough (like in a restaurant). Some children eat very little just to be able to go and play sooner, but choose to eat more when there is no option but to sit at table and get bored - while they watch everyone else eat.

2. If the child gets bored and fed up with eating, try

3. Whole milk, rather than semi-skimmed or skimmed milk can make quite a difference - especially if you use it everywhere (in cooking, on cereal, in milk-shakes and custard and for drinking).

4. Try to avoid low fat spread and low fat yoghurt. The yoghurts sold "for babies and toddlers" and as "luxury" are generally more full of energy than the low fat ones. The same applies for ice-cream, too. Low fat food becomes more important for your child's heart as he/she gets older - but don't forget that being too thin isn't healthy either.

5. Sometimes these children forget to drink or don't feel thirsty in the normal way. This means that when they sit down to a meal and find that they are thirsty, they fill up with drinks and don't have room for the food.

6. Don't try to force your child to eat. Meals will become a battleground that only your child will win. It is much easier to modify your family's eating habits a little than to enter World War III! Have firm boundaries of what you will not tolerate in your house - and be sure that everyone knows them. However, try to be flexible within those boundaries. A lot of what we think is important is really just tradition. Does it really matter if your child has cake and Yorkshire pudding for breakfast and breakfast cereal for lunch - or if he/she will only eat vegetables if they are covered in tomato or mint sauce? As long as the diet is well balanced overall, with plenty of good food, it may not be worth worrying too much about the fine detail!

7. Fussy children are very hard to cook for! Again, it isn't worth starting a battle. Arguing over the size of a piece of meat or counting peas is no fun (for you, anyway). Some people insist on their children eating everything. Others happily cook different meals for each member of the family. The best answer is probably somewhere between. Some children are fussy about the feel or texture of a food, rather than the taste. Problems with slimy things like onions and mushrooms are particularly common. Sometimes homemade meals, like stews and casseroles taste awful without the "hated" food, in which case liquidising the onions or mushroom before you cook them makes the finished dish taste OK, but without the little bits for your child to fuss over.

8. Children, like cars, don't run well when they are empty! Regular meals can make a big difference to behaviour. You may find that a mid-morning and mid-afternoon (or after-school) snack improves your child's behaviour. Try not to skip meals yourself, as it is easy for your child to copy you - especially if he/she isn't feeling hungry. It is important to eat meals - however small - at reasonably regular intervals.

9. It is often possible to get most of the day's food eaten before the first dose of the day starts to work, or after the last dose has worn off. You could try some of the following:

Milk Shakes: The easiest way to make a good THICK milk shake is with a packet of Angel Delight - or your supermarket's "own brand" version which will be cheaper. Instead of using the amount of milk it says on the packet, use 1 PINT of whole milk (or ½ a pint for half a packet). If you whisk it up well you will end up with a wonderfully frothy drink. You could even sprinkle chocolate or those little coloured sprinkling things (100s of 1000s, I think) on top for added effect, and serve with a straw!

You can also make gorgeous home made milk shakes in a liquidiser.

To serve 2:

8-10 Strawberries or 1-2 Bananas
½ pint of whole milk
3 scoops of vanilla ice cream
A small dollop of single cream. (Don't worry if you don't have any - add an extra scoop of ice cream instead)
Some people like to add a teaspoon of sugar, too.

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