Outline for Adhd

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I. What is ADHD? Attention Deficit Hyperactivity Disorder- a common behavior disorder that affects one in 15-20 school-age children. Boys are three times more likely to be diagnosed with it than girls, but there is no clear reason yet why more boys than girls are diagnosed with it. It is broken down into three subtypes: an inattentive type, with signs that include: * inability to pay attention to details or a tendency to make careless errors in schoolwork or other activities * difficulty with sustained attention in tasks or play activities * apparent listening problems

* difficulty following instructions
* problems with organization
* avoidance or dislike of tasks that require mental effort * tendency to lose things like toys, notebooks, or homework * distractibility
* forgetfulness in daily activities
2. a hyperactive-impulsive type, with signs that include:
* fidgeting or squirming
* difficulty remaining seated
* excessive running or climbing
* difficulty playing quietly
* always seeming to be "on the go"
* excessive talking
* blurting out answers before hearing the full question
* difficulty waiting for a turn or in line
* problems with interrupting or intruding
3. a combined type, which involves a combination of the other two types and is the most common

A. Symptoms: impulsive, hyperactive, short attention span, trouble focusing, symptoms are present over a long period of time and occur in different settings, problems finishing tasks, disorganized, trouble following directions, easily distracted, appear forgetful or careless and frequently misplace things. 1. Explain similarities/differences of ADD and ADHD: Similarities: attention span is short, trouble controlling their behavior without medication and behavioral therapy, appear bored. Differences: ADD- attention deficit without hyperactivity and impulsiveness. ADHD- includes hyperactivity and impulsiveness. a. ex of characteristics in boys: hyperactive/impulsive behavior, rough behavior b. ex of characteristics in girls: inattentive, forgetful, hyper-talkative, emotional hyper-reactive c. why it is harder to spot ADD/ADHD in girls than boys: girls are harder to spot because the criteria for spotting ADHD includes external behavioral characteristics such as aggression, defiance, and other behavioral management problems, which are more common in boys than in girls. Girls with ADHD tend to be shy, socially isolate themselves, driven or anxious, or over-focused on their studies B. How is ADHD diagnosed? There is no test that can determine whether a child has ADHD or not, just a complete evaluation. A primary care physician or the family pediatrician usually prescribes medication in the lowest dose form and does medication checks every month to see if the current dose is helping or if an increase is needed. Most of the time if there is no change at the current dose being taken, the physician increases the dose each month until adverse side effects start to be seen in the child, than a decrease in dosage happens until changes for the benefit of the child are noticed by the parent and the teachers. If there is any doubt a referral to a child psychologist or psychiatrist may be needed for further evaluation. To be considered for a diagnosis of ADHD: * a child must display behaviors from one of the three subtypes before age 7 * these behaviors must be more severe than in other kids the same age * the behaviors must last for at least 6 months

* the behaviors must occur in and negatively affect at least two areas of a child's life (such as school, home, day-care settings, or friendships). The physician does a complete physical exam to rule out any other medical problems. 1. Adult Observations: Parents are asked to fill out a behavioral evaluation form that contains different behaviors in different settings and the strengths and weaknesses of their child. If there is a day-care provider,...
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