Diagnosis is based on a pattern of the symptoms listed above. When a child is suspected to have ADHD, parents and teachers are often involved during the evaluation. Most children with ADHD have at least one other developmental or mental health problem.
Unless care is taken during the diagnostic assessment there is a substantial risk of either misdiagnosis or of a missed diagnosis.
Nonetheless, a few key pieces of history can guide us to an accurate diagnosis. Affective Disorders Affect is a technical term that means the level or intensity of mood.
The quality of mood happy, sad, irritable, hopeless is readily recognizable by everyone.
What makes it a disorder are two other factors. First, the moods are intense, either high energy called mania or low energy called depression. Although some environmental triggers have been identified for episodes of mood disorders, usually the abnormal moods gradually shift for no apparent reason over a period of days to weeks and persist for weeks to months.
Commonly, there are periods of months to years during which the individual is essentially back to normal and experiences no impairment. Although we now are doing a much better job of recognizing that children can and do have all types of mood disorders, the majority of people develop their first episode of affective illness after the age of To make the diagnosis of ADHD this triad of distractibility, impulsivity and sometimes restlessness must be consistently present and impairing throughout the lifespan.
ADHD is about ten times more common than bipolar mood disorder in the general population. The two disorders can be distinguished from one another on the basis of six factors: ADHD symptoms are present lifelong. The current nomenclature requires that the symptoms must be present although not necessarily impairing by seven years of age.
BMD can be present in prepubertal children but this is so rare that some investigators say it does not occur. Consistency of Impairment and Symptoms: ADHD is always present. BMD comes in episodes that ultimately remit to more or less normal mood levels.
People with ADHD are passionate people who have strong emotional reactions to the events of their lives. However, it is precisely this clear triggering of mood shifts that distinguishes ADHD from Bipolar mood shifts that come and go without any connection to life events.
In addition, there is mood congruency in ADHD, that is, the mood reaction is appropriate in kind to the trigger.
Happy events in the lives of ADHD individuals result in intensely happy and excited states of mood. Unhappy events and especially the experience of being rejected, criticized or teased elicit intense dysphoric states.
Rapidity of Mood Shift: Because ADHD mood shifts are almost always triggered, the shifts themselves are often experienced as being instantaneous complete shifts from one state to another.
By contrast, the untriggered mood shifts of BMD take hours or days to move from one state to another. Duration of Mood Shifts: People with ADHD report that their moods shift rapidly according to what is going on in their lives. The response to severe losses and rejections may last weeks but typically mood shifts are much shorter and are usually measured in hours.
The mood shifts of BMD are usually sustained.
Many people with ADHD experience that many mood shifts in a single day. Despite this lack of published data the great number of patients involved and the high degree of impairment experienced by people with both disorders has lead their physicians to push the envelope of treatment.
For the present, however, what follows must be viewed as anecdotal and experimental. Before embarking on any course of treatment a full exploration of the anticipated risks and benefits of that treatment must be done between the patient and his or her treating clinician.ADD (attention deficit disorder): ADHD is a common condition that affects children and adolescents, while ADD is more common in adults.
ADHD is the most commonly diagnosed mental disorder of children and is more common in boys than in girls. Attention-deficit/hyperactivity disorder (ADHD) is a brain disorder marked by an ongoing pattern of inattention and/or hyperactivity-impulsivity that interferes with.
Attention deficit disorder definition is - a developmental disorder that is marked especially by persistent symptoms of inattention (such as distractibility, forgetfulness, or disorganization) or by symptoms of hyperactivity and impulsivity (such as fidgeting, speaking out of turn, or restlessness) or by symptoms of all three and that is not.
Attention deficit hyperactivity disorder (ADHD) affects children and teens and can continue into adulthood.
ADHD is the most commonly diagnosed mental disorder of children. Children with ADHD may. by William Dodson, M.D. The diagnosis of all mental disorders is largely based on a carefully taken history designed to bring out signs and symptoms that, when grouped together, constitute a .
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