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ADHD: Help is on the Way
ADHD (Attention Deficit Hyperactivity
Disorder)- An Overview:
ADHD
(Attention Deficit Hyperactivity Disorder) is the label given
to one of the most common syndromes known to child and adolescent psychologists.
Although researchers and clinicians may vary in their estimations of the
incidence of ADHD, developmental effects and appearance, there is little disagreement
that it has far-reaching implications in the daily functioning and adjustment of
children and adults. It has become truly
one of the most highly diagnosed disorders of the twentieth/twenty-first century.
ADHD
Prevalence and Statistics:
ADHD has been conservatively estimated to be at a
level of approximately 3% to 6% of the general population of individuals from
various cultures. Although its cross-cultural nature has been recognized
worldwide, documented prevalence rates vary because of diverse methods of
detection and differences in diagnostic definition. It has been suggested by the
American Psychiatric Association and widely accepted, that approximately 3% to
5% of school-age children have been diagnosed with ADHD, with boys being
over-represented, on an average, of a ratio of approximately 3:1. Researchers
now believe that the disorder persists into adolescence in 50-80% of cases
clinically diagnosed in childhood, and into adulthood in 30-50 % or more of
these same cases.
Genetic, Social variables?
Regardless of the diagnostic system used to define the
symptom patterns of individuals with ADHD and the related prevalence rates,
researchers and clinicians are in agreement that it is a significant condition impairing the functioning and lives of
individuals throughout the entire world. Also, most if not all, are beginning to
recognize the necessity of considering a diversity of variables including
genetic factors, psychological and social experience, neurology and nutrition.
Diagnosis and Symptoms:
The most common definition that psychologists and
psychiatrists use for diagnostic purposes in the United States is the Diagnostic
and Statistical Manual - Fourth Edition (DSM-IV), developed by the American
Psychiatric Association in 1994. Over the past two decades, according to the
DSM editions in use at the time, ADHD has
been conceptualized as consisting of three core clusters of behavioral symptoms,
including poor sustained attention, impulsiveness, and hyperactivity. While
maintaining the same behavioral symptoms, the latest version of the diagnostic
manual has combined the symptoms of impulsiveness and hyperactivity into one
category, maintaining that sometimes attentional problems may be
diagnosed separately from symptoms of impulsivity and hyperactivity. Some of the
basic symptoms include: inability to pay close attention to details,
sustaining attention, listening when spoken to, lack of follow
through,
difficulty organizing, avoiding activities that require sustained effort,
fidgeting, running and excessive activity, difficulty remaining quiet, excessive
talking, difficulty waiting his/her turn and interrupting and intruding on
others.
Medications currently found to be effective in
the treatment of child and adult ADHD include Ritalin, Adderrall and the newest
ADHD/ADD medication Concerta. Medications will be covered on a separate web
page.
By
Paul Susic
MA
Licensed Psychologist Ph.D. Candidate
(Health and Geriatric Psychologist)
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