What is ADHD?
ADHD is a common behavioral disorder that affects an estimated
8% to 10% of school-age children. Boys are about three times
more likely than girls to be diagnosed with it, though it's not
yet understood why. Children with ADHD act without thinking, are
hyperactive, and have trouble focusing. They may understand
what's expected of them but have trouble following through
because they can't sit still, pay attention, or attend to
details.Of course, all children (especially younger ones) act
this way at times, particularly when they're anxious or excited.
But the difference with ADHD is that symptoms are present over a
longer period of time and occur in different settings. They
impair a child's ability to function socially, academically, and
at home.
The good news is, with proper treatment, children with ADHD
can learn to successfully live with and manage their symptoms.
What Are the Symptoms?
ADHD used to be known as attention deficit disorder,
or ADD. In 1994, it was renamed ADHD and broken
down into three subtypes, each with its own pattern of
behaviors:
1. an inattentive type, with signs that
include:
- inability to pay attention to details or
a tendency to make careless errors in schoolwork or other
activities
- difficulty with sustained attention in
tasks or play activities
- apparent listening problems
- difficulty following instructions
- problems with organization
- avoidance or dislike of tasks that
require mental effort
- tendency to lose things like toys,
notebooks, or homework
- distractibility
- forgetfulness in daily activities
2. a hyperactive-impulsive type, with signs
that include:
- fidgeting or squirming
- difficulty remaining seated
- excessive running or climbing
- difficulty playing quietly
- always seeming to be "on the go"
- excessive talking
- blurting out answers before hearing the
full question
- difficulty waiting for a turn or in line
- problems with interrupting or intruding
3. a combined type, which involves a
combination of the other two types and is the most common
Although it can often be challenging to raise kids with ADHD,
it's important to remember they aren't "bad," "acting out," or
being difficult on purpose. And children who are diagnosed with
ADHD have difficulty controlling their behavior without
medication or behavioral therapy.
How Is It Diagnosed?
In most cases ADHD are treated by primary care doctors.
Because there's no test that can determine the presence of ADHD,
a diagnosis depends on a complete evaluation. When the diagnosis
is in doubt, or if there are other concerns, such as Tourette
syndrome, a learning disability, or depression, a child may be
referred to a neurologist, psychologist, or psychiatrist.
Ultimately, though, the primary care doctor gathers the
information, makes the diagnosis, and starts treatment.
To be considered for a diagnosis of ADHD:
- a child must display behaviors from one
of the three subtypes before age 7
- these behaviors must be more severe than
in other kids the same age
- the behaviors must last for at least 6
months
the behaviors must occur in and negatively affect at least two
areas of a child's life (such as school, home, day-care
settings, or friendships). |