Saturday, April 20, 2013

What is ADHD?

From the U.S. National Library of Medicine:

ADHD is a problem with inattentiveness, over-activity, impulsivity, or a combination. For these problems to be diagnosed as ADHD, they must be out of the normal range for a child's age and development.

Causes

ADHD is the most commonly diagnosed behavioral disorder of childhood. It affects about 3 - 5% of school aged children. ADHD is diagnosed much more often in boys than in girls. Depression, lack of sleep, learning disabilities, tic disorders, and behavior problems may be confused with, or appear with, ADHD. Every child suspected of having ADHD should be carefully examined by a doctor to rule out possible other conditions or reasons for the behavior.

Symptoms

There are 3 groups of ADHD:
  • Lack of attention (inattentiveness)
  • Hyperactivity
  • Impulsive behavior (impulsivity)
Some children with ADHD primarily have the inattentive type. Others may have a combination of types. Those with the inattentive type are less disruptive and are more likely to not be diagnosed with ADHD.

Inattentive symptoms

  1. Fails to give close attention to details or makes careless mistakes in schoolwork
  2. Has difficulty keeping attention during tasks or play
  3. Does not seem to listen when spoken to directly
  4. Does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace
  5. Has difficulty organizing tasks and activities
  6. Avoids or dislikes tasks that require sustained mental effort (such as schoolwork)
  7. Often loses toys, assignments, pencils, books, or tools needed for tasks or activities
  8. Is easily distracted
  9. Is often forgetful in daily activities

Hyperactivity symptoms:

  1. Fidgets with hands or feet or squirms in seat
  2. Leaves seat when remaining seated is expected
  3. Runs about or climbs in inappropriate situations
  4. Has difficulty playing quietly
  5. Is often "on the go," acts as if "driven by a motor," & talks excessively

Impulsivity symptoms:

  1. Blurts out answers before questions have been completed
  2. Has difficulty awaiting turn
  3. Interrupts or intrudes on others (butts into conversations or games)

Diagnosis

The diagnosis is based on very specific symptoms, which must be present in more than one setting. 
Children should have at least 6 attention symptoms or 6 hyperactivity/impulsivity symptoms, with some symptoms present before age 7.
  • The symptoms must be present for at least 6 months, seen in two or more settings, and not caused by another problem.
  • The symptoms must be severe enough to cause significant difficulties in many settings, including home, school, and in relationships with peers.
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