ADHD or attention deficit hyperactivity disorder, is a neurobehavioral
condition that affects between 3 and 5% of American children throughout
the U.S. The diagnosis of this condition is fairly subjective
and is impacted significantly by the area of the country and the social
norms in the area. For instance, there are pockets of the
country that have significantly higher percentages of children who are
affected ñ ranging closer to 10 -12%
Children and adults who experience ADHD find that the condition
interferes with their ability to stay on task and to exercise
age-appropriate inhibition of behaviors. These criteria are
more defined for teens and adults than for young children.
This accounts greatly for the differences in diagnosis across the
country since social expectations about age-appropriate behaviors can
vary in certain cultures.
ADHD diagnosis and its treatment depends upon several factors,
including culture, social norms, type of ADHD present and treatment
options that may be available depending upon the persons age.
While ADHD is usually diagnosed in childhood it does continue through
the adult years and in mild forms may not be recognized until the
individual reaches adulthood.
Researchers have found that a combination of behavioral therapy and
medications make managing the condition much easier. However,
optimal treatment protocols continue to be a matter of
debate. The debate centers around the use of one therapeutic
approach vs. the other (behavioral vs. medication) or as combination
using which behavioral therapy and which medication protocols.
Treatment must also include support for the family members who are
dealing with behavioral issues in children and adults which aren\'t age
appropriate and cause undue stress on an already stressed family
situation.
When considering psychotherapeutic approaches the therapist may use
psychotherapy, behavioral therapy, family therapy, social skills
training, support groups for parents and children or a combination
approach of several of these therapies. The best results
happen when the therapeutic approach is used as team across parents,
therapists, teachers and physicians who are all working together to
help the child or teen gain the best control possible to improve their
learning and ability to function in their social situations.
The medications that are the most popular are psychostimulants such as
Ritalin, Concerta, Adderall and Dexedrine. This approach
would seem to be counter-intuitive since giving stimulants to a child
who appears to be already stimulated would appear to cause even more
problems. However, because the method in which the
medications work and the way that the ADHD affects the brain, these
medications are a perfect match. These stimulants seem to
boost and balance neurotransmitters in the brain responsible for the
control of emotions and mood.
In patients who also suffer from depression antidepressants may also be
used especially in adults or children who donít also respond
to the psychostimulants.
All of these medications are available in long acting or short acting
forms. The shorting acting forms last about four hours and
the longer acting forms about eight to twelve hours. Because
the effects wear off quickly and the dosages vary between individuals
it can take some time to find the right dose to help the child or adult
manage their hyperactivity disorder.
Although therapy doesnít have negative side effects
medications do. Children may suffer from decreased appetites,
nervousness and problems with sleeping. Some children become
irritable or have an increase in activity as the medication wears
off. A small percentage of children can develop tics but
these normally disappear as the dose is tapered down.
In adults the side effects are fairly similar. However, they
also cause other side effects that are particular to adults such as a
mild increase in blood pressure and because adults generally need
higher doses to manage their condition they are also at greater risk
for abuse or addiction to the drugs.
Experimental ADHD diagnosis and its treatment include biofeedback,
brainwave biofeedback, and special diets and supplements.
More information and research is needed to prove or disprove the
effectiveness of any of these options for patients with attention
deficit disorder.
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