Hygiene
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Can he tell you why? Is there something that's bothering him about the shower that makes him dislike it? OR maybe he doesn't like the way his underwear feels or if it's a streak problem, it could be a toilet paper sensory problem. Im not sure what you mean by dirty. You could mean worn/sweaty or soiled with bodily fluids.
In my book above, she listed hygiene as one of thr lesser known traits of adhd. 6. Cleanliness Issues: Many ADHD kids and adults go through phases of resisting hygiene routines like bathing or brushing teeth. This is often because such activities feel boring or time-consuming. She goes on to explain why and how to deal with it. Its basically just that it's nlboring and they don't see the point. It takes time away from.doing something better or more fun. Rewards rewards rewards. She hammers on with rewards. If he gets a reward for bathing, he would start again. But the reward has to be something worth his while, within your boundaries, that you can keep up for a while. She also mentions about changing to new rewards every 3 months because they don't see it as a reward anymore after a while. Hope this helps. But yes, get the book! Well worth it!
I recommend the audio book HOW NOT TO MURDER YOUR ADHD CHILD. The writer is brillaint and she talks about hygiene too and how to handle it.she has a great way of thinking and is a psychiatrist in juvenile prison in the UK working with mainly adhd juveniles. Very intersting take and practical solutions she covers.