Dr. Henry Paul, MD

Psychiatrist, Author and Educator

ADD/ADHD DIAGNOSIS & TREATMENT

December 17th, 2013

Now that you suspect that your child may be suffering with ADD or ADHD it is important to get a proper diagnosis.  The diagnosis of ADD or ADHD is best made by a child psychiatrist.  There is no particular psychological or blood test to diagnose the disorder.  The most effective way to diagnose ADD or ADHD is by gathering a history about your child from you, your child’s teachers, and others who interact with your child on a regular basis including coaches, tutors, childcare personnel, and so on.

Thus a lengthy history gathering is necessary.  Care has to be taken to rule out other disorders that can look similar, especially anxiety disorders, depression with agitation, and post-traumatic stress disorder.  Also remember sometimes children can react to situations that exhibit some of the symptoms of ADD or ADHD, but these symptoms are only short-term and passing and do not make the diagnosis.

Once the diagnosis is made, a multimodal or combination approach is usually necessary including some form of therapy such as:

  1. Behavioral therapy
  2. Individual talk therapy
  3. Educational help
  4. Family therapy
  5. Parent education
  6. Skills training
  7. Medication

It is important to remember that therapy for common secondary effects of ADD/ADHD such as feelings of isolation, alienation, depression is every bit as important as treating the syndrome itself.

Once you have the proper treatment in place there will be ongoing monitoring to make sure that your child is responding well to treatment.   This is the beginning of treatment for your child and you will be working closely with your child’s psychiatrist over however long a period of time is needed to make sure that your child is responding well to treatment.

 

DISCLAIMER
Information contained in this blog is intended for educational purposes only. It is not intended as medical or psychiatric advice for individual conditions or treatment and does not substitute for a medical or psychiatric examination. A psychiatrist must make a determination about any treatment or prescription. Dr. Paul does not assume any responsibility or risk for the use of any information contained within this blog.

WHAT IS ADD & ADHD?

December 13th, 2013

The number of children diagnosed with attention-deficit/hyperactivity disorder (ADHD) continues to climb, according to new data from the Centers for Disease Control and Prevention.  http://thechart.blogs.cnn.com/2013/11/22/adhd-diagnoses-rise-to-11-of-kids/

 Today, 6.4 million children between the ages of 4 and 17 – 11% of kids in this age group – have received an ADHD diagnosis, according to a recent study published in the Journal of the American Academy of Child & Adolescent Psychiatry, which is based on a survey of parents. That’s 2 million more children than in 2007. http://www.medicaldaily.com/adhd-diagnoses-reach-64-million-us-35-million-children-prescribed-medication-cdc-report-263545

The links above show the new numbers that were released in November showing a significant rise in the number of school aged children diagnosed with ADD (or ADHD).

Attention Deficit Disorder (ADD) ranks among the most frequently diagnosed behavior disorder today.  ADD affects about eight percent of school aged children in the United States.  There are three types of ADD:

  1. Attention Deficit Hyperactivity Disorder (ADHD) where the hyperactivity/impulsive characteristics predominate.
  2. Attention Deficit Disorder (ADD) where inattention predominates and there are fewer behavioral problems characteristic of children with ADHD.
  3. Combined Type where there are both inattentive and hyperactive/impulsive characteristics.

The syndrome is characterized by more than expected degrees of:

INATTENTION

  • Trouble focusing on activity
  • Trouble sustaining attention
  • Seeming not to listen
  • Trouble following instructions
  • Easily distracted
  • Easily bored
  • Trouble Organizing
  • Making careless errors
  • Not finishing or not doing homework
  • Losing things
  • Having to have things repeated

IMPULSIVITY

  • Inability to wait her turn
  • Blurting out answers in class
  • Interrupting
  • Bossiness
  • Acting like the class clown
  • Having little control of his actions and not being able to put thought between feelings and actions
  • Having hair-trigger tempers
  • Bullying

HYPERACTIVITY

  • Trouble sitting still
  • Fidgeting
  • Rarely slowing down
  • Talking too much
  • Rarely finding quiet time

It’s true that many of these characteristics, to some degree, are common to all children.  This in no way lessens the validity of the disorder.  A child’s ability to focus, sit still, follow commands, control activity, show patience, and manage feelings develops at different rates.  There is no such thing as a perfectly normal timeline and because of this, it’s important not to jump to conclusions.  A good measure is that by kindergarten these areas of development should be growing, and by the end of first and second grade, they should be well along.  If not, then chances are your child is in a great deal of discomfort and might be suffering from ADD.  Don’t be fearful of an ADD diagnosis.  There are many ways to treat it and children can find success in school and their daily lives with the proper help and support.

In my next blog I will discuss diagnosing ADD, what causes it and how it is treated.

 

DISCLAIMER
Information contained in this blog is intended for educational purposes only. It is not intended as medical or psychiatric advice for individual conditions or treatment and does not substitute for a medical or psychiatric examination. A psychiatrist must make a determination about any treatment or prescription. Dr. Paul does not assume any responsibility or risk for the use of any information contained within this blog.