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| ADHD |
ATTENTION DEFICIT HYPERACTIVITY DISORDER
It is defined cp age inappropriate hyperactivity ,impulsiveness , and inattention .It is divide into three classes
class1, all three symptoms
class2 first two only
class3 mainly the third
DIAGNOSIS
diagnosis is mainly based on clinical symptoms
INATTENTION :
Six or more of the following symptoms of inattention have been present for at least 6 months to a point that is disruptive and inappropriate for developmental level:
1.Often does not give close attention to details or makes careless mistakes in schoolwork, work, or other activities. 2.Often has trouble keeping attention on tasks or play activities.
3.Often does not seem to listen when spoken to directly.
4.Often does not follow instructions and fails to finish schoolwork, chores, or duties in the workplace (not due to oppositional behavior or failure to understand instructions).
5.Often has trouble organizing activities. 6.Often avoids, dislikes, or doesn't want to do things that take a lot of mental effort for a long period of time (such as schoolwork or homework).
7.Often loses things needed for tasks and activities (e.g. toys, school assignments, pencils, books, or tools).
8.Is often easily distracted.
9.Often forgetful in daily activities
HYPERACTIVITY- IMPULSIVITY.
B. Six or more of the following symptoms of hyperactivity-impulsivity have been present for at least 6 months to an extent that is disruptive and inappropriate for developmental level: *.Hyperactivity:
1.Often fidgets with hands or feet or squirms in seat.
2.Often gets up from seat when remaining in seat is expected.
3.Often runs about or climbs when and where it is not appropriate (adolescents or adults may feel very restless). 4.Often has trouble playing or enjoying leisure activities quietly.
5.Is often "on the go" or often acts as if "driven by a motor".
6.Often talks excessively.
*7.mpulsiveness:
8.Often blurts out answers before questions have been finished.
9..Often has trouble waiting one's turn. 10..Often interrupts or intrudes on others
#Pervasive Developmental Disorder,Schizophrenia, or other Psychotic Disorder should be excluded.
Management:
It inclede behvoir and drug therapy
(a) behavior therapy:
In this parents shud stay calm
Child shud be rewarded for routines
Study period shuld b brief with constant feedback
B) drug therapy:
Drugs which stimulate frontal lobe dominance and helps modulate behavior can b used
1) stimulants:
Methyl phenidate, dextroamphitamine and pemoline
2) tricyclic antidepressants:
Rhis can b used in case with unsuccessful respone to stimilant drugs
Clonidine,
3) low dose of antipsychotic drugs: thyoridazine, resperidole, fluoxetine
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