ADHD

Everything you want to know about ADHD  - Powerpoint by Dr. Guerra
 

Attention-Deficit/Hyperactivity Disorder (ADHD) in Children

Childhood ADHD -- attention-deficit/hyperactivity disorder -- is diagnosed after a child has shown six or more specific symptoms of inattention or hyperactivity on a regular basis for more than six months in more than two settings. There is no single test for ADHD.

A doctor can diagnose ADHD with the help of specific guidelines or criteria. The diagnosis of ADHD involves the gathering of information from several sources, including school, caregivers, and parents. The doctor will consider how a child's behavior compares with that of other children the same age.

ADHD in Children

Symptoms of Childhood ADHD

Children with ADHD show signs of inattention, hyperactivity, and/or impulsivity in specific ways. These children:

  • Are in constant motion
  • Squirm and fidget
  • Do not seem to listen
  • Have difficulty playing quietly
  • Often talk excessively
  • Interrupt or intrude on others
  • Are easily distracted
  • Do not finish tasks

Some behaviors can appear to be ADHD-related, but are not. Some causes of ADHD-like behavior are:

How Is ADHD Diagnosed?

Your child's primary care doctor can determine whether your child has ADHD using standard guidelines developed by the American Academy of Pediatrics, who say the condition may be diagnosed in children ages 4 to 18 years. 

Know, however,  that it is very difficult to diagnose ADHD in children younger than 5 years of age. That's because many preschool children have some of the symptoms seen in ADHD in various situations. In addition, children change very rapidly during the preschool years.

The process of diagnosing ADHD requires several steps and involves gathering a lot of information from multiple sources. You, your child, your child's school, and other caregivers should be involved in assessing your child's behavior.

A health care provider will obtain a medical history to help put a child's behavior in context. The health care provider will also ask what symptoms a child is showing, how long the symptoms have been occurring, and how the behavior affects a child and his or her family.  The health care provider will also conduct a physical examination to rule out other medical causes for the behaviors you are seeing.

Types of ADHD in Children

Doctors may classify symptoms as the following types of ADHD:

  • Combined Type (Inattentive/Hyperactive/Impulsive). Children with this type of ADHD show all three symptoms. This is the most common form of ADHD.
  • Hyperactive/Impulsive Type. Children show both hyperactive and impulsive behavior, but for the most part, they are able to pay attention.
  • Inattentive Type. Formerly known as attention deficit disorder (ADD), these children are not overly active. They do not disrupt the classroom or other activities, so their symptoms might not be noticed

ADHD Treatment Overview

Education of the child and family about ADHD is an essential component of any treatment plan, which may encompass special education programs, psychological intervention, and drug treatment. Be sure to discuss all options with your child's health care provider to find the best treatment for him or her.

Studies show that long-term treatment with a combination of medications and behavioral therapy is far superior to just medication treatment, or no specific treatments in managing hyperactivity, impulsivity, inattention, and symptoms of anxiety and depression. Those kids treated with both ADHD drugs and therapy also had better social skills.

Drugs for Childhood ADHD

A class of drugs called psychostimulants, or stimulants for short, is a highly effective treatment for childhood ADHD. These medicines, including Adderall, Concerta, Daytrana, and Ritalin, help children to focus their thoughts and ignore distractions.

Another treatment used to treat ADHD in kids is nonstimulant medication. These medications include Intuniv, Kapvay, and Strattera.

ADHD medicines are available in short-acting (immediate-release), intermediate-acting, and long-acting forms. It may take some time for a physician to find the best medication, dosage, and schedule for an individual with ADHD. ADHD drugs sometimes have side effects, but these tend to happen early in treatment. Usually, side effects are mild and short-lived.

Behavioral Treatments for Children With ADHD

Behavioral treatment for children with ADHD involves adjusting the environment to promote more successful social interactions. Such adjustments include creating more structure, encouraging routines, and clearly stating expectations of the child with ADHD.

Other forms of ADHD treatment that may benefit the child include:

  • Social skills training. This can help a child with ADHD learn behaviors that will help them develop and maintain social relationships.
  • Support groups and parenting skills training. Education and support for the parents can be an integral part of treating ADHD in children.

What Treatment Is Best for My Child?

For children with ADHD, no single treatment is the answer for every child. A child may have undesirable side effects to a medication, making a particular treatment unacceptable. If a child with ADHD also has anxiety or depression, a treatment combining medication and behavioral therapy might be best. Each child's needs and personal history must be carefully considered. It is important to work with a physician to find the best solution for your child.

The ADHD Coach?

Coaching is a relatively new field in the treatment of ADHD in children. ADHD coaches are meant to help children achieve better results in different areas of their lives by setting goals and helping the child find ways to reach them. A child, however, must be mature and motivated enough to work with a coach