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What are the symptoms of ADHD in children?
Yes; medication is not effective in all cases for the treatment of ADHD. Consult your healthcare provider for other options including different medications or behavioral thera…py.
Some estimates suggest that bipolar disorder occurs in about 1% of the population, with perhaps 4-6% of the population meeting the criteria for a "soft spectrum" bipolar varia…nt. Almost certainly, the uptick we've noticed in bipolar diagnoses over the past several years is due to multiple factors. First, we are likely identifying bipolar disorder that we were missing before. Additionally, however, many clinicians suspect that the bipolar disorder diagnosis is being misapplied and over-applied. Not so long ago, clinicians were hesitant to offer a diagnosis of bipolar disorder in patients younger than 19 or 20 years of age. But it turns out that sixty percent of adults who have been accurately diagnosed with bipolar disorder report that they recall symptoms prior to that, and as many as 40% may recall prodromal symptoms such as hypomania as early as age 13. One of the most helpful things we can do is to help the young bipolar patient avoid manic episodes or avoid having a second manic episode. On the other hand, we want to avoid inappropriate medication and treatment. So getting this diagnosis right is important! And to confound the issue, many of you have noted the symptom overlap between ADHD and Bipolar Disorder in children. Mood instability, complaints of cognitive inefficiency, and irritability - these may be part of the ADHD presentation, or part of a Bipolar client's experience, or simply a normal part of child and adolescent development. The DSM-IV-TR is the professional manual that guides our diagnostic thinking, but even a careful review of DSM description reveals remarkable overlap. The Manual suggests, for example, that manic experience might be associated with "pressured speech," while the client with ADHD might demonstrate "talking too much." Similarly, manic episodes are marked, according to the DSM,by "psychomotor restlessness" and the diagnostic criteria for ADHD include "runs about or climbs excessively." For many of our clients and families, reviewing the chief complaint does little to help determine whether this might be a clear bipolar variant or, on the other hand, might more accurately be identified as an ADHD symptom constellation. Rather than focusing on the frustrating symptom overlap, then, we might look for that clinical presentation which is clearly "non-overlap." That is, can we identify symptoms that appear in only one, not both, clinical conditions? Let's walk through a mnemonic for looking at the "non-overlap" between bipolar disorder and attention deficit hyperactivity disorder: ADHD is not FRED-PG13 Yes it looks silly but bear with me here. The "F" and "R" in our mnemonic refer to flight of ideas and racing thoughts. These are experiences fairly specific to the manic or hypomanic client. When it comes to the Bipolar/ADHD diagnostic dilemma, then, these are "non-overlap" symptoms: they occur in one, but not the other, of the two disorders. Folks with ADD/ADHD typically experience their thoughts as moving at about the same speed as the non-ADHD clients. Certainly, these thoughts may "bounce around" from topic to topic, may be tangential, and may be disorganized, but they are not likely experienced as uncomfortable or painful. A way of testing this distinction out in the clinical setting is to gently interrupt your client during conversation. The client with ADHD features will typically tolerate the interruption, regard your comment or question, and continue to move along in the usual fashion. The Bipolar patient, on the other hand, will have some difficulty tolerating interruption. It's as if by interrupting them you've done them harm; as though she can barely keep up with her thoughts as it is, so please don't interrupt her attempts to manage them or give voice to them! Let's move on to the "E" in our mnemonic - referring here to euphoria. ADHD clients typically have the same type of mood variability as the rest of us, with good days and bad days, and do not as a rule demonstrate a "happier than happy" affective experience. Euphoria is fairly specific to mania in clients with euphoric mood, demonstrating symptoms more consistent with a bipolar variant than an ADHD-type symptom constellation. Decreased need for sleep (that's the "D" in the mnemonic) is fairly specific to the manic phase of bipolar variants. While our clients with ADHD may demonstrate poor sleep hygiene, and may have difficulty honoring a bedtime, and may find multiple interesting and rewarding things to do well past their bedtime, and they will "pay for it" the next day like the rest of us. On the other hand, bipolar patients in a manic or hypomanic state may demonstrate a decreased need for sleep - they actually need less sleep than others of the same age. And "P" refers to periodicity - having a periodic quality, or cyclical changes over time. ADHD is a fairly steady state disorder which is not associated with cycles. If your client (or his parents) note periods of irritability and impulsivity lasting for several weeks at a time followed by a depressive crash, we can be fairly certain that it is not primarily an ADHD symptom constellation. Grandiosity is a classic symptom of hypomanic patients. It can be a challenge to determine psychological grandiosity from the "normal grandiosity" associated with children. A 7-year-old, for example, who announces that she plans to be "an actress, an astronaut and a dinosaur" might not be pathologically grandiose. On the other hand, a middle school student who insists that her peers take part in a fantasy football league about which she makes rather excessive and lengthy lists of details, or a student who insists that he has advice and teaching tips that his teacher absolutely needs to review might be perceived by the clinician familiar with students of that age as demonstrating grandiosity. The number 13 in our mnemonic, obviously, is to call to mind the movie rating system's "PG-13" classification. That's just to make the mnemonic stick. The point of having a number here is to remind ourselves of the age of onset associated with these two very different disorders. Bipolar disorder is classically associated with onset in very early adulthood but may, as is increasingly demonstrated in clinical experience and research literature, have its onset in adolescence and even younger. On the other hand, ADHD is a neurodevelopmental disorder and has, by definition, onset in very early childhood. Features of ADHD can typically be identified between the ages of 5 and 12. When a 35-year-old client reports that he has had symptoms of inattention and distractibility and mood instability for 3 years or so, we can be fairly certain that this is some condition other than the neurodevelopmental condition we refer to as ADHD. In this case, we would be considering not only mood disorder but traumatic brain injury, substance abuse, trauma-related anxiety disorder, Lyme disease or some other condition that might be associated with adult onset rather than childhood onset. The 16 year old who presents for the first time with disorganization, frustration, and difficulty following conversations might well have an ADHD symptom constellation that has flown under the radar - we've simply missed it all these years. On the other hand, that age of onset makes us at least raise some questions about other etiologies of inattention and distractibility. Is there marijuana use, for example? Any changes in the home setting or school environment? Any trauma-related anxiety or depression? So there you go -- ADHD / Bipolar symptom overlap in a nutshell.
ADHD affects children at school, as they will not sit still, lose their focus when the teacher is talking, or cannot focus on their homework. Be cautious when talking with par…ents about whether students may have ADHD though. In his Mistaken for ADHD book, Frank Barnhill, M.D., said that nearly 50 conditions can mimic ADHD. Sleep disorders, thyroid conditions, food allergies, seizures and many more can all be mistaken for ADHD.
ADHD kids are sensitive to sugar, and will be bouncing off the walls for hours if they eat some candy on an empty stomach. You have probably also noticed other food sensitivit…ies in your ADHD child, such as to wheat, dairy products, or certain food colorings or preservatives. Best bet is NO candy (except the kind made for diabetics), NO cookies or cakes, and VERY little simple white starches (rice, bread, pasta, mashed potatoes), no sodas, no fruit juices. Notify his friend's parents that he can't have sugary things, cookies, or sodas. The little bit of 'cheats' once or twice a week won't hurt him, but if he goes too hyper, he might not be invited back. Fill up on LOTS of vegetables, fish, 3-4oz lean meats, legumes, nuts, eggs, milk or soy milk (not rice milk), and 'real' fruits. Olive and/or fresh flaxseed Oil in dressings or marinades is good. Crockpot meat or bean+vegetable stews and soups is a good way to 'hide' vegetables. For snacks, put peanut butter on celery or apples, set out a plate of quartered oranges, or a bowl of berries and grapes with vanilla yogurt. Fructose is OK. Eating a little every 3 hours is best (3 meals, +2 snacks inbetween) and each meal AND snack should have 10-30 gms of protein. Example: 7am brkfst/10am snack/ 12:30 lunch/ 3:30 snack/ 7pm dinner/9 bed Anyone at or below their ideal weight can add in some complex low-glycemic carbs, such as yams, beans, whole or sprouted grains, and cut oats. The other thing with high-energy kids is that you have to run them, literally. Get them in soccer or track, where they are running for 2 hours every day. Most of the ADHD kids love it and do quite well in running-based sports. Also recommend a high-quality 'Optimal' multi-vitamin from a Vitamin specialty store, a manufacturers rep (found online), or through your doctor; NOT the sugary tablets at CVS or the grocery store. NutriSearch has a good Nutritional Guides and it tells you what each vitamin actually does and how it helps, then ranks 1500 various brands on quality and completeness. Look for the 2011 or 2012 editions. Many times behavior and health problems can be related back to a minor chemical imbalance in the body or a chemical sensitivity, and given the proper micro-nutrients the body needs plus avoidance of the irritants, it can heal itself. Since my A.D.D. son (who also runs or rollerblades a lot) has started on the Ariix vitamins+minerals+ Rejuveniix and cut out the junk food, he has found he can now stop taking his Aderall and still concentrate enough to read his homework. All-natural Rejuveniix is full of super-fruits and anti-oxidants and was designed to help with concentration, energy AND the quality of sleep. Per the latest Nutrisearch Comparitive Guide to Nutritional Supplements, some of the top North American multi-vitamin brands are Ariix, Truestar, Usana, Douglas Labs, and Creating Wellness. They have NO lead, mercury, or pesticides, unlike the other non-certified manufacturers, and also have close to the optimal amounts and full-complexes of each vitamin. The above low-glycemic diet plan is good for ALL members of your famly, too. -- For more info: Read Dr. Strand's book 'Healthy for Life' and see (Netflix) video 'Food Matters'.
Symptoms include:Often fidgeting with hands or feet, or squirming while seated.Having difficulty remaining seated.Having difficulty awaiting turn in games or group activities.…Often blurting out answers before questions are completed.Having difficulty in following instructions.Having difficulty sustaining attention in tasks or play activities.Often shifting from one uncompleted task to another.Having difficulty playing quietly.Often talking excessively.Often interrupting or intruding on others.Often not listening to what is being said.Often forgetting things necessary for tasks or activities.Often engaging in physically dangerous activities without considering possible consequences.Being easily distracted by extraneous stimuli.Often fails to give close attention to details.Often makes careless mistakes in schoolwork, work, or other activities.Often has difficulty sustaining attention in tasks or play activities.Often becomes easily distracted by irrelevant sights, sounds and extraneous stimuli.Often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace.Often has difficulty organizing tasks and activities.Often avoids tasks, such as schoolwork or homework, that require sustained mental effort.Often loses things necessary for tasks or activities, like school assignments, pencils, books, or tools.Often is forgetful in daily activities.Rarely follows instructions carefully and completely.Often does not seem to listen when spoken to directly.Often show little or no restrain in controlling their emotionsOften becomes immersed in an activity they enjoy Attention Deficit Disorder, or ADD, is hard to define due to the fact it encompasses so many differing symptoms. The common traits are usually difficulty to pay attention due to being distracted easily, forgetfulness, inability to process future implications of actions and low or underweight, lean bodies. In some cases, though, instead of distractions being harder to avoid, people will hyperfocus, or not be aware of anything at all but what they are doing, and oftentimes obsess when making conversation. Many cases are in between. The problem falls in the fact that it encompasses such a wide range, there are intermediate cases and unique cases. A link between add and children's depression is theorized due to medications that treat add sometimes causing depression. It also goes the other way around. Hope this helps, and for more information try finding a good psychologist or psychiatrist and ask if you think you may have it. ADD is when you cant focus and you don't pay attention all the time when you are suppose to. your mind wanders all the time and you can hardly sit still. you space out a lot more then normal and you have a hard time keeping friends. Impatiences also is very common. Here are people answering and sharing their experiences about ADD:I always had a hard time keeping my house clean and organized. I was always cleaning but not getting much done. You know, cleaning in one room and having to go to another room for something and then start cleaning in there...etc...etc...before you know it, not much of anything is done. One day I just said forget it. The messier it got, the more depressed I got and was totally unable to do any cleaning because of the disorganization. I found that if you have ADD, its best to rid of all clutter and I mean all. It makes a world of difference. I told my mom about this, about how it's hard for me to clean because it's so "confusing" and she laughed. She can laugh all she wants cause she has it too, but won't admit to it. My dad used to ask me if I was doing drugs, which I wasn't. I will turn on the news to watch the weather only to find myself watching the sports since I had "taken a mind trip" for about 15 minutes. This happens quite frequently. I can even think about the fact that I may do this when I turn on the news so I try to pay attention and It still happens. It's crazy! I make lists for everything too but can't find them most of the time. For years I purchased over the counter ephedrine at the gas stations. This made me feel as normal as possible. I didn't know that I had ADD but I knew that I was different from most others and often have a hard time keeping friends, boyfriends, jobs or anything else for that matter...loosing lots of stuff. When I get on the Internet all holiness breaks loose cause I can have 20 screens open at a time, going from one topic to another, jotting down notes incessantly. I really thought I was crazy until I was diagnosed. I was 39 when diagnosed. My daughter has been diagnosed as well. She is 16 and I'm so glad that she won't have to go thru her life thinking she is "less than" because of this condition.I recommend this website: Medical Information. Lots of information here, including symptoms, a screener, etc.Also search for "ADHD" at these other sites: Mayo Clinic and Merck.Frustration, frustration and more frustration! I can't seem to finish anything. Even if I make a list to remind myself I lose the list or forget to take it to the store. I have ideas racing through my head and I am very ambitious, but never accomplish much. I then get depressed and feel hopelessWhen I was in grade school, I was always running around, even when my teachers forced me to sit down. I was always causing trouble, constantly forgetting to complete and hand in assignments, always daydreaming, and there wasn't a single week that went by without me staying behind for punishment. I had no friends, and my classmates all made fun of me, calling me "the different/naughty kid", and due to my ADHD, I had a very short fuse and always got into fights, getting me into deeper trouble.Now, in High school I switched from Ritalin to Concerta, a slow release medication which works wonders. I have better organization, have plenty of friends and a better grip on my emotions. However, I do occasionally drift off, and my short fuse does go off sometimes (the subject of my annoyance or frustration is usually a slightly annoying girl that has a slightly annoying crush on me) , but I try my best. Hyper-focus: ADD is less a deficiency of attention than the inability to regulate one's attention mechanism.This is discussed in the book "Driven to Distraction", which I read per my doctor's recommendation. The book describes one almost contradictory symptom of ADD called hyper-focus. It is when one focuses on some task or item of interest to the degree of forgetting everything else going on. It tends to be a very enjoyable state of mind, losing yourself in some enjoyable activity so to speak. The ability to hyper-focus (without stimulant medications) is one of the distinguishing traits of ADD or ADHD. Typically this symptom is present in most people with ADD, myself included. The problem is it tends to occur at random or at least with little conscious control. Whereas having the ability to switch this on and off at will would make for much less of the disaster area (speaking for myself only) that ADHD causes. It would be unusual for an adult to suddenly get Attention Deficit Disorder as it is usually something that happens in childhood and carries through to adulthood. Adults with ADD / ADHD struggle daily with self-regulation, regulating their attention, regulating their impulses in talking and action, and regulating their emotions. But this condition needs to be diagnosed by a doctor as there are other disorders that have similar symptoms you get hyper You are extremely hyper all the time, get distracted really easily, and like to talk ALOT. Those are the basic symptoms of ADHD.
Predominantly inattentive type symptoms may include:Be easily distracted, miss details, forget things, and frequently switch from one activity to anotherHave difficulty focusi…ng on one thingBecome bored with a task after only a few minutes, unless they are doing something enjoyableHave difficulty focusing attention on organizing and completing a task or learning something newHave trouble completing or turning in homework assignments, often losing things (e.g., pencils, toys, assignments) needed to complete tasks or activitiesNot seem to listen when spoken toDaydream, become easily confused, and move slowlyHave difficulty processing information as quickly and accurately as othersStruggle to follow instructions. Predominantly hyperactive-impulsive type symptoms may include:Fidget and squirm in their seatsTalk nonstopDash around, touching or playing with anything and everything in sightHave trouble sitting still during dinner, school, and story timeBe constantly in motionHave difficulty doing quiet tasks or activities. and also these manifestations primarily of impulsivity:Blurt out inappropriate comments, show their emotions without restraint, and act without regard for consequencesHave difficulty waiting for things they want or waiting their turns in games
No; repetitive movements are more likely to be a symptom of autism. Twitching or fidgeting are symptoms of ADHD that involve movement.
I have ADHD and I havn't had any problems of it getting worse. I also havn't heard of it getting any worse either. I can only speak for myself, of course, but a…s I have gotten older my own ADD has indeed gotten more severe, but not a lot because I finally found a treatment for it. I'm on a rather large dose of Adderall and it has had an unbelievable impact on my life. I wish I'd had it when I was a child or in high school. I feel I must qualify this by saying that I also suffer from depression and anxiety and am also being treated for these. However, before my psychiatrist and I found the right combo of meds, we went through more drugs and drug combos than I can accurately recall. I'd start a new treatment, it would help for a short while then I would 'crash.' Each time this happened I would feel worse. With my Adderall I can concentrate, finish projects, and my self esteem has even improved because I know that I /can/ achieve goals and finish things now, where in the past I wouldn't even try because I was sure I'd just give up or lose interest. For me, I was diagnosed with ADHD when I was 6. I am 19 now. Going into adulthood my ADHD did increase in severity, but I am in my second week of treatment with adderall. I am currently taking 15mg a day (10mg when I wake up, 5mg at 4:00). The dosage is completely too low, but it's helping a bit. there's a couple of ways of looking at this, too. my ADD seems to be getting much worse as I get older, (I'm being treated and am taking Dexadrine, which helps a lot) and yes, it could be that my ADD is actually getting worse, but it couls also be that as I get older I am having to deal with a lot more problems and responsibilities, and it may be that because of this it is simply becoming more obvious, which would appear (and feel)exactly the same.
Rocking can be a sign of something as simple as boredom, right through to an indicator of autism, or of child abuse. In short, it is just a behaviour. Although it is associat…ed with some syndromes and illnesses, that doesn't prove causality.
Symptoms of adult ADD and ADHD often include the inability to finish projects, always needing to start something new, heavy procrastination especially if a task requires lots …of thought, and difficulty concentrating on what people are saying to you. If you think you or someone you know may have adult ADD or ADHD, get a psychiatric evaluation.
It needs to be very similar to normal children unless they have autism. Educational perspective: All children need to know exactly what is expected before it is expecte…d.They need to know the consequences before they test the rules.They need to know that when the consequences are applied that it is directly the result of their behavior and the choices they made.They need to know that regardless of what they do, that what you do is the result of your feelings and concern for them.The rules and consequences must be consistent and realistic, and consequences must fit the misbehavior. This being said, children living with ODD must be dealt with firmly, consistently, and with easily identifiable caring feelings. Part of the issue or the source of opposition defiance is that these kids, many of them, are dealing with anger issues that rise out of treatment that many of the received while younger. This is not a judgment against the parents. Most parents, abusive or otherwise, do what they do because they are unaware of the damage they may be doing, or are doing the best they can with the information and knowledge they possess. Rarely will you find an abusive or neglectful parent or caregiver who is so for malicious or malignant reasons. Most are dealing with difficult issues of their own. In short they are broken, and the children they raise become broken too. While everyone is ultimately responsible for their own inappropriate behavior, none of us is raised or lives in a vacuum. We bounce of each other, those around us, and all too often the "bounce" results in unexpected or worrisome ricochets that are difficult to predict. While prediction is difficult, addressing the issues afterward are easier. Start with narrow focus, use every example of negative or inappropriate behavior as a teaching moment, and help kids with ODD and ADHD make better choices. Oddly enough, there are treatments common to those used in the treatment of PTSD. If you look at the research for ODD, ADHD, and PTSD, you'll see a lot of different treatment suggestions, but the best course of action is to keep it simple, and engage children (or anyone dealing with these issues) in their own treatment. Let them cooperate with developing rules and consequences. Just be ready to moderate their suggestions. Children, especially those living with ODD, ADHD (and PTSD), can be harsh when it comes to suggesting discipline or punishments.
When u cant concenrate on one thing but instead do multiple things at one time. Like skipping topics around
The frequency of occurence of ADHD can vary from country to country. We may note that funnily, the instances of ADHD in developed countries is higher than in under-develop…ed countries. This is majorly attributed to the lack of established mechanisms to diagnose and treat the condition in most developing countries. Or in other words, the frequency could be much more outside of the developed world, but the infrastructure needed for diagnosis and treatment or for the documentation and assimilation of pertinent information is more often than not absent. So there may not be one reliably accurate number that gives the frequency of ADHD in children and young adults. But there are studies that show that it could be as varied as 3.5% in some countries (most likely developed ones) to as low as 1 in 250, or, about 0.4% in other countries (most likely in under-developed countries). What also complicates the problem is, the definition of ADHD and minor hyperactivity is subject to debate. Some thought leaders also debate the validity of ADHD as a significant mental condition. Hope this helps. ADD/ADHD is the most commonly diagnosed disorder of childhood, estimated to affect 3 to 5 percent of school-age children, and occurring three times more often in boys than in girls. It is estimated that on average about one child in every classroom in the United States needs help for this disorder. No one knows for sure whether the number of people with ADD/ADHD has risen, but it is very clear that the number of children identified with the disorder who get treatment has risen over the past decade. This could be due to greater media interest, heightened consumer awareness, and the availability of effective treatments. Other countries are observing a similar pattern. Whether the frequency of the disorder itself has risen remains unknown, and needs more research.
ADHD is most commonly, due to an deficiency in dopaminergic activity in the prefrontal cortex, which leads to more impulsivity, difficulty staying still (inhibiting moveme…nt), and diffculty maintaining focus or concentrating. The most common reason for this is due to mutations (variations) in the dopamine receptor genes, which lead to reduced binding affinities for dopamine (dopamine can't bind as well to the existing dopamine receptors, leading to reduced dopaminergic activity in the brain). That is why dopaminergic stimulants are most often used to treat ADHD, as it is a neurochemical disorder. As such, a neurologist or psychiatrist can administer medication or help with alternative therapies to help treat the disorder.
Children with ADHD can be fidgety, have a very short attention span, be impulsive, and have difficulty completing tasks