Hyperkinetic disorder

Introduction

Attention deficit hyperactivity disorder (ADHD) is a group of behavioural symptoms that include inattentiveness, hyperactivity and impulsiveness.

Symptoms of ADHD tend to be noticed at an early age and may become more noticeable when a child's circumstances change, such as when they start school. Most cases are diagnosedwhen children are 6 to 12 years old.

The symptoms of ADHD usually improve with age, but many adults who are diagnosed with the condition at a young age continue to experience problems.

People with ADHD may also have additional problems, such as sleep and anxiety disorders.

This is often completely normal and doesn't necessarily mean they have ADHD.

However, you should consider raising your concerns with your child's teacher, their school's special educational needs co-ordinator (SENCO) or GP if you think their behaviour may be different to most children their age.

It's also a good idea to speak to your GP if you're an adult and you think you may have ADHD, but you weren't diagnosed with the condition as a child.

Research has also identified a number of possible differences in the brains of people with ADHD compared to those who don't have the condition.

Other factors that have been suggested as potentially having a role in ADHD include:

being born prematurely (before the 37th week of pregnancy)
having a low birthweight
smoking, alcohol or drug abuse during pregnancy

It's thought that around2% to 5% of school-aged children may have ADHD.

ADHD can occur in people of any intellectual ability, although it's more common in people with learning difficulties.

HowADHDis treated

Although there's no cure for ADHD, it can be managed with appropriate educational support, advice and support for parents andaffected children, alongside medication, if necessary.

Medication is often the first treatment offered to adults with ADHD, although psychological therapies such as cognitive behavioural therapy (CBT) may also help.

Readmore about treating ADHD .

Living with ADHD

Looking after a child with ADHD can be challenging, but it's important to remember that they can't help their behaviour.

Some issues that may arise in day-to-day life include:

getting your child to sleep at night
getting ready for school on time
listening to and carrying out instructions
being organised
social occasions
shopping

Adults with ADHD may also find they have similar problems, and some mayhave issues with drugs, crime and employment.

Read about living with ADHD for information on ways to copewith these issues.

Medically Reviewed by a doctor on 30 Nov 2016

Articles for hyperkinetic disorder

Introduction

ADHD stands for Attention Deficit Hyperactivity Disorder, is a condition that comprises a variety of symptoms including: reduced attention span, hyperreactivity, or depending on the situation, apathy (patient is disinterested or apathetic in situations where their behavior should be otherwise). This condition may affect children or adults. Usually, this condition is diagnosed when children begin going to school, around the age of 6 or 12 years old. This condition is sometimes accompanied with a disruption of the normal sleep cycle, and increased anxiety. Parents must consult with specialized teachers and medical professionals for the diagnostication of ADHD.

Symptoms of ADHD

ADHD symptoms include:1. Lack of attention This includes a short attention spam, and easily distracted by whatever is going on around them, they make frequent mistakes while doing homework, they forget or lose their belongings, they complete work slowly, and submit it behind deadlines, they do not heed the advice of parents or teachers, have a tendency to become asiocial or problematic in relation to their peers. 2. Hyper-reaction and hypo-reactionThis includes an inability to remain calm, especially when they are in a quiet environment, excessive talking and movement, fidgeting, they cannot stand in a queue, they make thoughtless decisions, prone to interrupting others loudly, have a skewed ability to gauge risk.Many patients may exhibit a combination of the above, others may not. In adults, other symptoms may be visible, such as a lack of attention for detail, trying to perform many tasks at once, disorganized, answering loudly and interrupting others, etc. During the patient's transition from child to adult, many of the symptoms of ADHD become reduced or less visible, at least in 65% of patients up to 25 years old.

Causes of ADHD

The causes of ADHD are not completely known, albeit researchers have been able to discover a combination of factors that may be reponsible for this condition. These factors include:1. Genetic factor: You can be more predisposed to developing ADHD, if your parents also have ADHD. Children of parents with ADHD are 4 times more likely to develop ADHD. 2. Researchers have been able to observe differences in brain function between what is called a neutorypical brain and an ADHD brain.3. Other potential causes or risk factors include premature birth, being born underweight, brain damage in the uterus, trauma during birth or in the early days or years following birth, the consumption of alcohol, tobacco or other drugs during pregnancy, the exposure to toxic substances at an early age etc.

Diagnosing ADHD

The following steps can be taken in order to diagnose a patient with ADHD. If you are a parent, and notice that something is not right with your child, you should speak to their teacher, and take additional care to carefully follow your child's progress. Furthermore, you may decide to meet with a medical professional, who will most likely ask you for the following details: the symptoms you have noticed, when they have begun , whether the symptoms occur while your child is at school or at home, whether the symptoms occur daily, whether the child has difficulty socializing, whether a significant event has occured in your family recently (such as divorce or the death of a loved one), and if you have a family history of ADHD or other conditions. A doctor may decide in employing in a period of probation for around 10 weeks in order to observe the symptoms, how frequent and aggravated they are, and depending on the result, they may refer you to a joint consulatiton with a psychiatrist, pediatrician, a disability specialist and a therapist. They conduct a physical examination and a conversation with you and your child. In order for an ADHD diagnosis to be made, your child has to exhibit at least 6 or more hyperactivity symptoms, or 6 or more hypoactivity symptoms. In the case of adults, a thorough patient history must be taken, in order to be able to discover vital information about the patient's childhood, which is usually when ADHD symptoms become visible.

Treating ADHD

Treatment consists in alleviating symptoms. Especially for younger ages affected by this condition, it is highly important to employ treatment with therapy sessions with an ADHD specialist. In order to alleviate the symptoms, medication is often used. They usually aid the patient to concentrate better, be less impulsive, feel calmer and find it easier to study and learn.Examples of medication used to treat ADHD includes methylphnidate, dexamfetamine, lisdexamfetamine. Other medications include atomocetine, guanfacine, etc. Side effects for these types of medication range from mild to severe. It is important to carefully monitor the symptoms of your child in order to be able to stop medication when the symptoms have subsided. For all ages affected by ADHD, it is recommended to follow a treatment plan that includes psychoeducation, group therapy, training of parents and teachers, social training, cognitive therapy (a type of therapy that teaches the patients how they think and act and helps them change their behavioral patterns). It is also important to supervise the diet of affected individuals in order to avoid the consumption of foods high in sugar, artificial pigments or cafeine. These compounds may aggravate the symptoms.

Living with ADHD

Useful advice for parents of children or young adults suffering from ADHD includes:Keeping a journal where you can plan out their daily activities, handing out clearly defined tasks for them to complete, setting clear boundaries and deadlines for the completion of the task, establish a positive reward system, make sure to shelter the individual from situations known to frustrate them or cause them to lose control, enforcing an exercise regimen and a healthy diet which does not include foods that may cause aggravation of symptoms, enforce a healthy sleeping regimen, and avoid activities before sleep such as watching TV or using a computer.

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