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UDGAM: a Mental Healthcare & Rehabilitation Centre

"It's not the ADHD that causes the failures but rather not knowing HOW to MANAGE ADHD that leads to all the struggles."

 

"ADHD brain when managed well is a brain full of creativity, unique ideas and multiple interests... a brain with the ability to stay calm in crisis, be spontaneous and being successful!!"

ATTENTION DEFICIT HYPERACTITIVITY DISORDER (ADHD)
 

Understanding the difficult and problematic behaviours of a child can be a tough task. Your child may at times get bored easily, not pay attention while studying, throwing tantrums, running about, climbing around, being defiant, being impatient and drifting into day-dreaming. But that does not mean that your child has ADHD. There are multiple factors that separate these behaviours from those of ADHD. Lets us help you bring clarity about ADHD.

What is ADHD?

Attention Deficit Hyperactivity Disorder is neuro-developmental disorder meaning that due to atypical/different development of the brain there are certain deficits in the neuropsychological functioning. Therefore difficulties are experienced in performing higher mental functions like planning, organizing,problem solving etc. This condition makes it difficult for the kids to control their own behaviours.Symptoms of ADHD are most commonly present since childhood, however may occur in adolescents or adulthood as well. The main characteristic symptoms of ADHD are:

INATTENTION
- Difficulty in regulating attention
- Easily distracted and inability to filter out stimuli
- Day dreaming
- Difficulty in persisting with boring routine tasks
- Leaving tasks unfinished
- Overlooking details
- Losing or forgetting things frequently

IMPULSITIVITY
- Difficulty in processing consequences to their behaviour
- Blurting out answers or saying things without thinking
- Difficulty in taking turns
- Difficulty to waiting
- Frequently interrupting others
- Risk taking

HYPERACTIVITY
- In constant motion
- As if driven by a motor
- Excessive fidgetiness or not being able to engage in activities quietly
- Talking excessively
- Disruptive classroom/ group behaviour

AM I ALONE TO SUFFER FROM OR PARENT A CHILD WITH ADHD?
No you are not alone! ADHD affects almost 4-12% of the school aged kids.
It is the most common childhood

Types of ADHD:-
Inattentive Type: Primary complaints of poor attention and high distractibility. They are usually not excessively active or disruptive.
Hyperactive Type: Show both hyperactivity and impulsivity in behaviour however do not have much trouble in paying attention.
Combined Type: Features of all the three symptoms of inattention, hyperactivity and impulsivity are present. It is the most common type of ADHD.

 
What is FALSE about ADHD What is TRUE about ADHD
× It is not a real disorder/ everybody has some bits of ADHD ✔ADHD is a developmental disorder with difference in the brain development.
× The child is retarded/ intellectually poor/ there is brain damage ✔ Intellectual deficits may occur in some children however it is not true for every child with ADHD rather some are intellectual superior. ADHD is not due to “damage” in the brain but rather due to the neuro-developmental difficulties causing neuropsychological deficits.
× It is caused by bad parenting or due to past bad deeds. ✔ ADHD has genetic, biological and brain development related causal factors. Not caused by "bad parenting", poor disciplining and is definitely is not a punishment for bad deeds of the parent or family.
× The child is doing it purposely, is lazy and late, does not care, does not want to pay attention and is careless. ✔ These difficulties are not in thevoluntary control of the person and occur due to the deficits in executive functioning of the brain. Proper training can improve these deficits.
× Medications will sedate the child and cause problems in the child's growth. ✔ The medications for ADHD are safe for children, adolescents and adults. When taken under the supervision of a doctor, the side effects can be avoided or managed. The medicines for ADHD do not have sedative properties.
× Medication is Addictive ✔ Medications do not have addictive properties however require close monitoring from the doctor.
× Only children are affected by ADHD/ children can overcome ADHD as they grow up. ✔ Children do not outgrow the symptoms of ADHD on their own. ADHD persists from childhood to adolescence in 50%-80% of cases, and into adulthood in 35%–65% of cases. Effective treatment and intervention can lead to better coping and management of ADHD
 
WHAT CAUSES ADHD?
- It has genetic basis i.e. runs in the family
- It is a biological disorder
- It is caused by lower activities in certain parts of the brain that control attention and activity levels.
- Premature birth increases risks of developing ADHD.
- Exposure of alcohol, smoking to the baby while in the womb may increase risks of developing ADHD.
POSSIBLE CONSEQUENCES IF LEFT UNTREATED:
- Poor academic performance and risk of dropping out of school/college
- Behavioural and discipline problems
- Risk of abuse to alcohol and other drugs
- Risk taking behaviours (illegal acts)
- Accidents and injuries
- Depression, Anxiety and other mental health problems
- Loss/changes in jobs
WHAT ARE THE TREATMENT OPTIONS?
  • Medications (include stimulants) that help the brain manage the balance of the chemicals in the brain (neurotransmitters namely dopamine and norepinephrine) that are essential for effective functioning.

  • Psychological Therapies include Behaviour Therapy, Cognitive Behaviour therapy and neuropsychological training to help in developing better attention- concentration abilities, developing better skills of problem solving, impulse control, time management, organization and planning along with managing poor self esteem, depression and anxiety. Parenting skills for learning effective management strategies.

  • Occupational therapies to work through with other difficulties the child experiences such as sensory issues etc.
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