Children
with Attention Deficit Hyperactivity Disorder (ADHD) are
characterised by significant difficulty concentrating, overactivity,
restlessness and impulsive behaviour, present before age 7 years.
These children are often rejected by peers and have difficulty
socialising. Due to the extreme patience they require from
adults, children with ADHD are considerably taxing for families
and schools.
We take a careful and sensitive approach
towards the ADHD diagnostic process. Our approach includes
collecting detailed information from parents/caregivers, observation
of the child, and the administration of structured psychological
tests. In most cases more than one assessment session is necessary.
If a diagnosis of ADHD is made, we will work together with the
child’s pediatrician to formulate an appropriate treatment
plan.
Characteristics
The key
features of ADHD are inattention, overactivity and impulsivity. For
a diagnosis, inattention and overactivity are both required and must
be present in more than one context. The behavioural difficulties
should be clearly distinguishable from age appropriate behaviour and
should lead to significant impairment in the child's overall
functioning.
ADHD is frequently first recognised when the
child enters the school system. Therefore, reports from
teachers are often the most important sources of information to
diagnose ADHD.
The difficulties associated with
inattention, overactivity and impulsivity should not be accounted
for other childhood emotional disorders , such as depression,
trauma or anxiety/tension.
ADHD is often
co-diagnosed with other behavioural problems, mainly Conduct Disorder, and specific Learning Disabilities .
Subtypes of ADHD
include:
1) Attention Deficit
Hyperactivity Disorder - Predominantly Inattentive
Type 2) Attention Deficit Hyperactivity
Disorder - Predominantly Hyperactive / Impulsive
Type 3) Attention Deficit Hyperactivity
Disorder - Combined Type
Course and
Prognosis
The course of ADHD varies considerably.
For most children the condition is chronic and tends to
last throughout the school years. Although symptoms could
persist into adulthood, most children with ADHD become functioning
adults.
One of the significant risk factors associated with
ADHD is the development of anti social tendencies. Exclusion
from peer groups and arguments with parents and
teachers can exacerbate the condition and can lead to deviant
behaviour. Understanding parents, teachers and peers can
work as "buffers" to protect children with
ADHD.
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