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ADHD Treatment

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ADHD (Attention-Deficit/Hyperactivity Disorder)

ADHD (Attention-Deficit/Hyperactivity Disorder) is a neurodevelopmental disorder that affects a person's
ability to focus, control impulses, and manage hyperactive behavior. It typically begins in childhood and can
continue into adulthood.

Key Characteristics:

1. Inattention - difficulty sustaining focus, following instructions, or organizing tasks.2. Hyperactivity - excessive movement or talking, especially in inappropriate settings.3. Impulsivity - acting without thinking, interrupting others, or making hasty decisions.

Types of ADHD

1. Predominantly Inattentive Presentation (formerly ADD)2. Predominantly Hyperactive-Impulsive Presentation3. Combined Presentation - symptoms of both inattention and hyperactivity/impulsivity
ADHD can affect academic, social, and occupational functioning but is manageable with behavioralstrategies, therapy, medication, or a combination of these approaches.

Signs and Symptoms of ADHD

1. Inattention:- Easily distracted or forgetful in daily activities- Difficulty sustaining attention in tasks or play- Frequently makes careless mistakes in schoolwork or other activities- Avoids or dislikes tasks requiring sustained mental effort- Often loses items (e.g., school supplies, keys, glasses)- Doesn't seem to listen when spoken to directly- Fails to follow through on instructions or finish tasks- Struggles with organization
ADHD: Overview, Symptoms, Diagnosis & Treatment
- Frequently switches from one activity to another
2. Hyperactivity/Impulsivity:- Fidgeting, tapping hands or feet, or squirming in seat- Difficulty staying seated when expected- Runs or climbs inappropriately (in adults, restlessness)- Talks excessively- Blurts out answers or interrupts before questions are completed- Trouble waiting their turn- Interrupts or intrudes on others- Acts without thinking or considers consequences too late
Note: For diagnosis, symptoms must:- Be present for at least 6 months- Be inappropriate for developmental level- Cause impairment in two or more settings (home, school, work)

  • ADHD is diagnosed through a comprehensive evaluation. There is no single test that can confirm it.
    Who Can Diagnose ADHD?- Pediatricians- Psychiatrists- Clinical psychologists- Neurologists
    Steps in Diagnosis:1. Clinical Interview & Medical History
    ADHD: Overview, Symptoms, Diagnosis & Treatment
    2. Use of Standardized Rating Scales (e.g., Vanderbilt, Conners)3. Observation of Behavior4. Ruling Out Other Conditions (anxiety, autism, sleep disorders)5. DSM-5 Criteria - symptoms before age 12, in 2+ settings, and impact functioning
    Optional Testing:- Cognitive or educational testing- Neuropsychological testing
    Only a qualified professional can accurately diagnose ADHD.

  • A multimodal approach works best. The goal is to reduce symptoms and improve functioning.
    1. Medications:- Stimulants: Methylphenidate (Ritalin, Concerta), Amphetamines (Adderall, Vyvanse)- Non-Stimulants: Atomoxetine (Strattera), Guanfacine, Clonidine
    2. Behavioral Therapy:- Children: Parent training, classroom interventions, social skills training- Adults: Cognitive Behavioral Therapy (CBT), coaching or counseling
    3. Educational & Workplace Support:- IEPs or 504 Plans in schools- Workplace accommodations: flexible schedules, written instructions
    4. Lifestyle Strategies:
    - Physical activity
    - Sleep hygiene
    - Structured routines
    - Mindfulness or meditation
    - Time management tools

    5. Family & Social Support:
    - Family therapy
    - Support groups
    - Psychoeducation

    Treatment is ongoing and evolves over time.