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Attention-Deficit Hyperactivity Disorder (ADHD) All you need to know

November 28, 2021

A persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development is known as attention-deficit hyperactivity disorder (ADHD).

Attention-DeficitHyperactivity Disorder (ADHD) Symptoms Causes Treatment Preventions

Inattention is defined as a lack of tenacity, difficulties in maintaining focus, and disorganization. These issues are not caused by resistance or a lack of understanding.

Hyperactivity: A person with hyperactivity appears to move around constantly, even when it is not appropriate, or who fidgets, taps, or chats excessively. Adults may experience excessive restlessness or exhaustion as a result of prolonged activity.

Impulsivity is defined as a person's need for instant satisfaction or inability to wait for gratification, as well as a desire for immediate gratification or inability to delay gratification. An impulsive person may be socially invasive, interrupt people excessively, or make crucial decisions without thinking about the long-term implications.

While there is no explanation for ADHD, there are a number of social, biological, and environmental elements that can increase one's chances of having or being diagnosed with it.

There are three subtypes of ADHD: mostly inattentive, primarily hyperactive/impulsive, and primarily mixed (inattentive, hyperactive, and impulsive).

While drugs are widely used to treat ADHD, other treatments such as behavior therapy, school adjustments, and parent counseling are also beneficial in enhancing a child's capacity to function.

Stimulant medicines are the most commonly used drugs for ADHD. Approximately 85 percent of children with ADHD are at risk of developing the illness as an adult.

Anxiety, sadness, mood swings, drug or alcohol misuse issues, interpersonal challenges, school problems during youth, as well as some long-term medical, legal, and career problems during adolescence and adulthood, are all more common in people with ADHD. Much of the most recent research on ADHD in youngsters focuses on how environmental pollutants may raise the chances of acquiring this disorder.

Signs and Symptoms of Attention-Deficit Hyperactivity Disorder (ADHD):

The main symptoms of ADHD include inattention and hyperactivity/impulsivity. Some people with ADHD struggle with only one of the traits, whilst others struggle with both inattention and hyperactivity-impulsivity. The combined kind of ADHD affects the majority of children.

Hyperactivity is the most prevalent ADHD sign among preschoolers.

While some inattention, unfocused motor activity, and impulsivity are typical, these characteristics are magnified in those with ADHD.

They occur more frequently and interfere with or diminish the quality of their social, academic, or professional functioning.

Inattention:

People who suffer from inattention are more likely to:

  • Make thoughtless blunders in academic, at employment, or during other tasks by overlooking or missing details.
  • Have trouble staying focused on chores or games, such as chats, lectures, or long reading
  • When spoken to directly, they don't seem to pay attention.
  • Not following directions and failing to complete homework, chores, or workplace activities, or failing to start tasks but rapidly losing attention and getting easily sidetracked
  • Have issues with task and activity organization such as knowing what to do in what order, keeping supplies and possessions organized, having sloppy work and poor time management, and failing to meet deadlines
  • Lose items such as school supplies, pencils, books, tools, wallets, keys, paperwork, eyeglasses, and cell phones that are required for duties or activities.
  • Unrelated ideas or stimuli might quickly distract them.
  • In daily duties such as chores, errands, returning calls, and making appointments, be forgetful.

Hyperactivity-Impulsivity:

People with hyperactivity-impulsivity symptoms are more likely to:

  • They wriggle and fidget in their seats. They leave their chairs in places where it is expected that they remain sitting, such as the classroom or the office. in settings where it is unacceptable to run, rush, or climb, teens and adults often feel restless.
  • Being unable to play or engage in hobbies in a peaceful environment
  • Act as though you're always moving or "on the go," or as if you're "propelled by a motor."
  • Nonstop talking
  • Finish other people's sentences or talk without waiting for a turn in a conversation before blurting out a response before a question is finished.
  • Interrupt or encroach on others' conversations, games, or activities, for example.

A full evaluation by a professional clinician with expertise in ADHD, such as a pediatrician, psychologist, or psychiatrist, is required for the diagnosis of ADHD. In order to be diagnosed with ADHD, a person's symptoms of inattention and/or hyperactivity-impulsivity must be persistent or long-lasting, hinder their functioning, and lead them to lag behind their peers in development.

The doctor will also make sure that any symptoms of ADHD aren't caused by another medical or psychiatric problem. The majority of children with ADHD are diagnosed in elementary school. The signs of ADHD must have been present before the age of 12 for a teenager or adult to be diagnosed.

Symptoms of ADHD can begin between the ages of 3 and 6, and can last far into adolescence and adulthood. Symptoms of ADHD might be misdiagnosed as emotional or disciplinary issues, or they can be completely overlooked in quiet, well-behaved youngsters, causing a delay in diagnosis.

Adults who have not been diagnosed with ADHD may have a history of poor academic achievement, occupational troubles, or difficult or failed relationships.

As a person grows older, their ADHD symptoms may vary. Hyperactivity-impulsivity is the most common symptom in young children with ADHD. As a kid enters primary school, the symptom of inattention may become more noticeable, causing scholastic difficulties.

Hyperactivity appears to decrease in adolescence and may manifest itself more frequently as restlessness or fidgeting, but inattention and impulsivity may persist. Relationships and antisocial behavior are common problems for ADHD teens. Adults often struggle with inattention, restlessness, and impulsivity.

Causes of Attention-Deficit Hyperactivity Disorder (ADHD):

The cause of ADHD is unknown to experts. It could be caused by several factors, including:

Genes:

Genes might play an important role in ADHD.

Chemicals:

People with ADHD may have an imbalance of brain neurotransmitters.

Brain Development Issues:

Attention-controlling areas of the brain are less active in youngsters with ADHD.

During pregnancy, poor nutrition, infections, smoking, drinking, and substance misuse are all risks.

These factors can have an impact on a baby's brain development.

Toxic substances, such as lead:

They may have an impact on a child's cognitive development.

A brain injury or a mental illness:

Damage to the frontal lobe of the brain, also known as the prefrontal cortex, can result in difficulties controlling impulses and emotions.

ADHD is not caused by sugar. ADHD isn't caused by watching too much TV, having a stressful home life, attending bad schools, or having food allergies.

Risk Factors of Attention-Deficit Hyperactivity Disorder (ADHD):

ADHD can be caused for several reasons, including:

  • ADHD or another mental health condition in any other family, such as a parent or sibling
  • Exposure to environmental pollutants, such as lead, which is mostly found in paint and pipes in older buildings, can cause health problems.
  • During pregnancy, a mother's usage of drugs, alcohol, or smoking is prohibited.
  • Birth before the planned date

Although sugar is a prominent hypothesis in the cause of hyperactivity, there is no conclusive evidence. Many childhood difficulties might cause difficulty maintaining attention, but this is not the same as ADHD.

Complications:

For children with ADHD, life can be difficult. ADD/ADHD having children:

  • They frequently struggle in class, which can lead to academic failure and criticism from peers and adults. Youngsters with ADHD had more accidents and injuries of all kinds than children without the disorder.
  • Possess a low sense of self-esteem.
  • They are more likely to have difficulty communicating with classmates and adults, as well as being accepted by them. They are more likely to abuse alcohol and drugs, as well as engage in other delinquent behavior.

ADHD in adults, like ADHD in children and teenagers, can coexist with several other issues or disorders.

Depression is one of the most frequent. Adults with ADHD may also have the following conditions:

Personality disorders are conditions in which a person thinks, perceives, feels, or interacts with others in a way that is considerably different from the average person. Bipolar disorder is a mood illness in which your mood swings from one extreme to the next. Obsessive-compulsive disorder (OCD) is a mental illness characterized by obsessive thoughts and compulsive behaviors.

Problems with relationships and social interaction might arise as a result of the behavioral issues linked with ADHD.

When should you see a doctor?

Consult your pediatrician or family doctor if you suspect your child has ADHD symptoms. Your doctor may recommend you to a specialist, such as a developmental-behavioral pediatrician, psychologist, psychiatrist, or pediatric neurologist, but it's critical to get a medical evaluation first to rule out other possible causes of your child's problems

Diagnosis of ADHD:

In general, a kid shouldn't be diagnosed with attention deficit hyperactivity disorder (ADHD) until the fundamental symptoms of the illness appear early in life — before the age of 12 — and continue to cause major issues at home and school.

Although there is no specific test for ADHD, the following factors are likely to be considered when making a diagnosis:

  • A medical examination will be performed to rule out any other probable reasons for your symptoms.
  • Gathering information on any current medical conditions, personal and family medical histories, and school records
  • Interviews or questionnaires for family members, teachers, and others who are familiar with your children, such as carers, babysitters, and coaches

ADHD criteria from the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders DSM-5 ADHD rating scales to help you collect and assess information on your child

Diagnosis of ADHD in children:

Although symptoms of ADHD can occur in preschoolers or even younger children, diagnosing the illness in these children is difficult. This is because developmental issues like language delays might be misconstrued as ADHD.

As a result, children who are suspected of having ADHD and are in preschool or younger are more likely to require assessment by a specialist, such as a psychologist or a psychiatrist, speech pathologist, or developmental pediatrician.

Treatment of Attention-Deficit Hyperactivity Disorder (ADHD):

While there is no cure for ADHD, there are therapies that can assist to alleviate symptoms and enhance functioning. Medication, psychotherapy, education or training, or a combination of treatments are all options.

Medications:

ADHD drugs help many people reduce hyperactivity and impulsivity while also improving their ability to focus, work, and learn. Medication could also help with physical coordination. Several different drugs or dosages may need to be tried before a person finds the one that works best for them. The prescribing doctor must keep a tight eye on everyone who is taking medication.

Stimulant Medications:

Stimulant medicines (psycho-stimulants) are currently the most widely used ADHD medications. Stimulants appear to increase and balance the levels of neurotransmitters in the brain. These drugs can assist with the signs and symptoms of inattention and hyperactivity – and in certain cases, they can do it quickly.

Here are several examples:

  • Amphetamines
  • Dextroamphetamine (Dexedrine),
  • Dextroamphetamine-amphetamine (Adderall XR, Mydayis)
  • lisdexamfetamine (Vyvanse)
  • Methylphenidates that include Methylphenidate (Concerta, Ritalin, and others) and dexmethylphenidate are two of them (Focalin)

Short-acting and long-acting stimulant medications are available. There is a long-acting methylphenidate patch (Daytrana) that can be worn on the hip.

It may take some time to discover the optimum dose because it differs from child to child. If your kid develops substantial side effects, the dose may need to be changed. Inquire with your doctor about stimulant side effects.

Other Prescription Drugs:

Other drugs that may help with ADHD treatment include:

  • Atomoxetine (Strattera)
  • Bupropion (Wellbutrin SR, Wellbutrin XL, and others)
  • Guanfacine (Intuniv)
  • clonidine (Catapres, Kapvay)

Antidepressants and atomoxetine function more slowly than stimulants and can take several weeks to fully take effect. If your child is unable to take stimulants due to health issues or if stimulants create severe adverse effects, these may be viable alternatives.

The following are some of the alternative therapeutic options:

  • Psychotherapy and Psychosocial Interventions are two types of psychosocial interventions.
  • Behavioral therapy is a type of counseling that focuses on
  • Cognitive behavioral therapy (CBT) is a type of therapy.
  • Family and marital counseling
  • Parenting skills education (behavioral parent management training)
  • Techniques for dealing with stress
  • Support Groups

Prevention:

Although ADHD can not be prevented, there are techniques to help all children feel and perform at their best at home and school.

Providing a nutritious, balanced diet to your child from an early age is beneficial to all children, whether or not they have ADHD. Some specialists feel that changing a child's nutrition can help them become less hyperactive.

Structured routines and clear expectations can benefit all children, especially those with ADHD. Make a daily routine that your child can see so that they know what to expect.

Home Remedies for Attention-deficit hyperactivity Disorder (ADHD):

Several methods have been recommended to help relieve ADHD symptoms in addition to — or instead of — medication.

For starters, leading a healthy lifestyle may aid in the management of ADHD symptoms in you or your child. The Trusted Source of the Centers for Disease Control and Prevention (CDC) suggests the following:

  • Consume a nutritious, well-balanced diet.
  • You should do daily physical activity.
  • Limit your daily screen time on phones, laptops, and television.
  • Yoga, tai chi, and spending time outside trusted Source has also been proven to help calm overactive minds and may alleviate ADHD symptoms in studies.
  • Another way is to practice mindfulness meditation.

Meditation has been demonstrated to improve attention and thought processes, as well as anxiety and sadness, in adults and teenagers, according to research.

Aside from avoiding some allergens and food additives, avoiding certain allergens and food additives may also assist in alleviating ADHD symptoms.

Abdur Rashid
Medically Reviewed By Abdur Rashid
MSC Public Health, MCSP, MHCPC
BSC (Hon) Physiotherapy
Consultant Neuro-spinal & Musculoskeletal Physiotherapist

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