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Attention Deficit Hyperactivity Disorder

Attention Deficit Hyperactivity Disorder
(ADHD) is a condition that becomes apparentHomework is particularly hard for these
in some children in the preschool and earlychildren. They will forget to write down an
school years. It is hard for these childrenassignment, or leave it at school. They will
to control their behavior and/or payforget to bring a book home, or bring the
attention. It is estimated that between 3 andwrong one. The homework, if finally finished,
5 percent of children have ADHD, oris full of errors and erasures. Homework is
approximately 2 million children in theoften accompanied by frustration for both
United States. This means that in a classroomparent  and  child.
of 25 to 30 children, it is likely that at
least  one  will  have  ADHD.The DSM-IV-TR gives these signs of
inattention:
ADHD was first described by Dr. Heinrich
Hoffman in 1845. A physician who wrote booksOften becoming easily distracted by
on medicine and psychiatry, Dr. Hoffman wasirrelevant  sights  and  sounds
also a poet who became interested in writing
for children when he couldn't find suitableOften failing to pay attention to details and
materials to read to his 3-year-old son. Themaking  careless  mistakes
result was a book of poems, complete with
illustrations, about children and theirRarely following instructions carefully and
characteristics. "The Story of Fidgetycompletely losing or forgetting things like
Philip" was an accurate description of atoys, or pencils, books, and tools needed for
little boy who had attention deficita  task
hyperactivity  disorder.
Often skipping from one uncompleted activity
Yet it was not until 1902 that Sir George F.to  another.
Still published a series of lectures to the
Royal College of Physicians in England inChildren diagnosed with the Predominantly
which he described a group of impulsiveInattentive Type of ADHD are seldom impulsive
children with significant behavioralor hyperactive, yet they have significant
problems, caused by a genetic dysfunction andproblems paying attention. They appear to be
not by poor child rearing-children who todaydaydreaming, "spacey," easily confused, slow
would be easily recognized as having ADHD.1moving,  and  lethargic.
Since then, several thousand scientific
papers on the disorder have been published,They may have difficulty processing
providing information on its nature, course,information as quickly and accurately as
causes,  impairments,  and  treatments.other children. When the teacher gives oral
or even written instructions, this child has
A child with ADHD faces a difficult but nota hard time understanding what he or she is
insurmountable task ahead. In order tosupposed to do and makes frequent mistakes.
achieve his or her full potential, he or sheYet the child may sit quietly, unobtrusively,
should receive help, guidance, andand even appear to be working but not fully
understanding from parents, guidanceattending to or understanding the task and
counselors, and the public education system.the  instructions.
This document offers information on ADHD and
its management, including research onThese children don't show significant
medications and behavioral interventions, asproblems with impulsivity and overactivity in
well as helpful resources on educationalthe classroom, on the school ground, or at
options.home. They may get along better with other
children than the more impulsive and
Because ADHD often continues into adulthood,hyperactive types of ADHD, and they may not
this document contains a section on thehave the same sorts of social problems so
diagnosis  and  treatment  of ADHD in adults.common with the combined type of ADHD. So
often their problems with inattention are
Symptomsoverlooked. But they need help just as much
as children with other types of ADHD, who
The principal characteristics of ADHD arecause more obvious problems in the classroom.
inattention, hyperactivity, and impulsivity.
These symptoms appear early in a child'sIs  It  Really  ADHD?
life. Because many normal children may have
these symptoms, but at a low level, or theNot everyone who is overly hyperactive,
symptoms may be caused by another disorder,inattentive, or impulsive has ADHD. Since
it is important that the child receive amost people sometimes blurt out things they
thorough examination and appropriatedidn't mean to say, or jump from one task to
diagnosis  by  a well-qualified professional.another, or become disorganized and
forgetful, how can specialists tell if the
Symptoms of ADHD will appear over the courseproblem  is  ADHD?
of many months, often with the symptoms of
impulsiveness and hyperactivity precedingBecause everyone shows some of these
those of inattention, which may not emergebehaviors at times, the diagnosis requires
for a year or more. Different symptoms maythat such behavior be demonstrated to a
appear in different settings, depending ondegree that is inappropriate for the person's
the demands the situation may pose for theage. The diagnostic guidelines also contain
child's self-control. A child who "can't sitspecific requirements for determining when
still" or is otherwise disruptive will bethe symptoms indicate ADHD. The behaviors
noticeable in school, but the inattentivemust appear early in life, before age 7, and
daydreamer  may  be  overlooked.continue for at least 6 months. Above all,
the behaviors must create a real handicap in
The impulsive child who acts before thinkingat least two areas of a person's life such as
may be considered just a "disciplinein the schoolroom, on the playground, at
problem," while the child who is passive orhome, in the community, or in social
sluggish may be viewed as merely unmotivated.settings. So someone who shows some symptoms
Yet both may have different types of ADHD.but whose schoolwork or friendships are not
All children are sometimes restless,impaired by these behaviors would not be
sometimes act without thinking, sometimesdiagnosed with ADHD. Nor would a child who
daydream the time away. When the child'sseems overly active on the playground but
hyperactivity, distractibility, poorfunctions well elsewhere receive an ADHD
concentration, or impulsivity begin to affectdiagnosis.
performance in school, social relationships
with other children, or behavior at home,To assess whether a child has ADHD,
ADHD may be suspected. But because thespecialists consider several critical
symptoms vary so much across settings, ADHDquestions: Are these behaviors excessive,
is not easy to diagnose. This is especiallylong-term, and pervasive? That is, do they
true when inattentiveness is the primaryoccur more often than in other children the
symptom.same age? Are they a continuous problem, not
just a response to a temporary situation? Do
According to the most recent version of thethe behaviors occur in several settings or
Diagnostic and Statistical Manual of Mentalonly in one specific place like the
Disorders2 (DSM-IV-TR), there are threeplayground or in the schoolroom? The person's
patterns of behavior that indicate ADHD.pattern of behavior is compared against a set
People with ADHD may show several signs ofof criteria and characteristics of the
being consistently inattentive. They may havedisorder  as  listed  in  the  DSM-IV-TR.
a pattern of being hyperactive and impulsive
far more than others of their age. Or theyDiagnosis
may show all three types of behavior. This
means that there are three subtypes of ADHDSome parents see signs of inattention,
recognized by professionals. These are thehyperactivity, and impulsivity in their
predominantly hyperactive-impulsive typetoddler long before the child enters school.
(that does not show significant inattention);The child may lose interest in playing a game
the predominantly inattentive type (that doesor watching a TV show, or may run around
not show significant hyperactive-impulsivecompletely out of control. But because
behavior) sometimes called ADD-an outdatedchildren mature at different rates and are
term for this entire disorder; and thevery different in personality, temperament,
combined type (that displays both inattentiveand energy levels, it's useful to get an
and  hyperactive-impulsive  symptoms).expert's opinion of whether the behavior is
appropriate for the child's age. Parents can
Hyperactivity-Impulsivityask their child's pediatrician, or a child
psychologist or psychiatrist, to assess
Hyperactive children always seem to be "onwhether their toddler has an attention
the go" or constantly in motion. They dashdeficit hyperactivity disorder or is, more
around touching or playing with whatever islikely at this age, just immature or
in sight, or talk incessantly. Sitting stillunusually  exuberant.
at dinner or during a school lesson or story
can be a difficult task. They squirm andADHD may be suspected by a parent or
fidget in their seats or roam around thecaretaker or may go unnoticed until the child
room. Or they may wiggle their feet, touchruns into problems at school. Given that ADHD
everything, or noisily tap their pencil.tends to affect functioning most strongly in
Hyperactive teenagers or adults may feelschool, sometimes the teacher is the first to
internally restless. They often reportrecognize that a child is hyperactive or
needing to stay busy and may try to doinattentive and may point it out to the
several  things  at  once.parents and/or consult with the school
psychologist. Because teachers work with many
Impulsive children seem unable to curb theirchildren, they come to know how "average"
immediate reactions or think before they act.children behave in learning situations that
They will often blurt out inappropriaterequire attention and self-control. However,
comments, display their emotions withoutteachers sometimes fail to notice the needs
restraint, and act without regard for theof children who may be more inattentive and
later consequences of their conduct. Theirpassive yet who are quiet and cooperative,
impulsivity may make it hard for them to waitsuch as those with the predominantly
for things they want or to take their turn ininattentive  form  of  ADHD.
games. They may grab a toy from another child
or hit when they're upset. Even as teenagersWith  Much  Love,
or adults, they may impulsively choose to do
things that have an immediate but smallArthur  Buchanan
payoff rather than engage in activities that
may take more effort yet provide much greaterPresident/CEO
but  delayed  rewards.
Out  of  Darkness  &  Into  the  Light
Some  signs of hyperactivity-impulsivity are:
43  Oakwood  Ave.  Suite  1012
Feeling restless, often fidgeting with hands
or  feet,  or  squirming  while  seatedHuron  Ohio,  44839
Running, climbing, or leaving a seat in567-219-0994  (cell)
situations where sitting or quiet behavior is
expectedThey are calling Arthur Buchanan's methods of
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Inattentionpositive results and I QUOTE 'If these
methods are followed precisely, their is no
Children who are inattentive have a hard timeway you can't see positive results with
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