ADHD Flashcards

1
Q

What is Attention Deficit Hyperactivity Disorder (ADHD)?

A

ADHD is a neurodevelopmental disorder characterised by symptoms of inattention, hyperactivity, and impulsivity that interfere with daily functioning or development.

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2
Q

What is the prevalence of ADHD in children?

A

ADHD affects approximately 5-7% of school-aged children, with a higher prevalence in boys than girls.

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3
Q

What are the primary symptoms of ADHD?

A

The primary symptoms are inattention, hyperactivity, and impulsivity. Symptoms must cause functional impairment and be present in at least two different settings (e.g., home, school).

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4
Q

What are the subtypes of ADHD?

A

ADHD has three subtypes: predominantly inattentive presentation, predominantly hyperactive-impulsive presentation, and combined presentation (both inattention and hyperactivity-impulsivity).

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5
Q

What is the DSM-5 criteria for diagnosing ADHD?

A

The DSM-5 criteria for ADHD require at least six symptoms of inattention or hyperactivity/impulsivity to be present for at least 6 months, with onset before age 12, and cause impairment in social, academic, or occupational functioning.

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6
Q

What are the most common causes of ADHD?

A

The exact cause of ADHD is unknown, but genetic factors, prenatal exposure to tobacco, alcohol, or drugs, low birth weight, and lead exposure are associated with an increased risk.

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7
Q

What other conditions are often associated with ADHD?

A

ADHD is often comorbid with learning disabilities, conduct disorder, oppositional defiant disorder, anxiety disorders, depression, and substance use disorders.

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8
Q

How is ADHD diagnosed?

A

ADHD is diagnosed based on clinical assessment using behavioural checklists, parent and teacher reports, and ruling out other conditions. A comprehensive history, including symptoms, developmental milestones, and family history, is crucial.

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9
Q

How is ADHD managed?

A

Management includes behavioural interventions (e.g., parent training, classroom strategies), pharmacological treatments (stimulants like methylphenidate and non-stimulants like atomoxetine), and educational support.

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10
Q

What medications are used to treat ADHD?

A

Stimulant medications like methylphenidate and amphetamines are commonly used. Non-stimulants like atomoxetine and guanfacine are alternatives, particularly in those who do not respond to stimulants.

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11
Q

What is the role of parent training in managing ADHD?

A

Parent training programs help improve parent-child interactions, reduce problematic behaviours, and teach strategies for managing symptoms at home and in social settings.

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12
Q

What is behavioural therapy’s role in managing ADHD?

A

Behavioural therapy focuses on reinforcing positive behaviours, setting clear expectations, and using rewards and consequences to improve self-control, attention, and social skills.

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13
Q

What are the long-term outcomes for individuals with ADHD?

A

With proper management, many individuals with ADHD can lead successful lives. However, untreated ADHD can lead to academic failure, relationship issues, low self-esteem, and an increased risk of substance abuse.

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14
Q

What are common coexisting conditions with ADHD?

A

Conditions like anxiety, depression, learning disabilities, oppositional defiant disorder, and sleep disturbances are commonly co-occurring with ADHD.

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15
Q

What is the impact of ADHD on adult life?

A

In adults, ADHD may affect work performance, relationships, and day-to-day activities. It can also contribute to other mental health issues, including anxiety, depression, and substance misuse.

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16
Q

How can ADHD affect academic performance?

A

Children with ADHD often struggle with organisation, following instructions, completing assignments, and maintaining focus in class, which can lead to underachievement.

17
Q

What is the impact of ADHD on social relationships?

A

Impulsivity, hyperactivity, and difficulties with social cues can lead to challenges in forming and maintaining friendships, which can contribute to social isolation and low self-esteem.

18
Q

What are the potential side effects of stimulant medications?

A

Side effects may include insomnia, loss of appetite, stomachaches, headaches, and increased blood pressure.

19
Q

How effective is pharmacological treatment for ADHD?

A

Stimulant medications are highly effective in improving attention, impulsivity, and hyperactivity in most children with ADHD. Non-stimulants like atomoxetine may be used if stimulants are ineffective or cause side effects.

20
Q

What role does school support play in managing ADHD?

A

Educational support, such as classroom accommodations, extra time for tests, behavioural interventions, and consistent routines, can greatly help children with ADHD succeed academically.

21
Q

What is the prognosis for children with ADHD?

A

With early intervention and proper management, many children with ADHD can lead successful lives. However, untreated ADHD may lead to academic failure, behavioural problems, and poor mental health outcomes.

22
Q

What is the role of the healthcare provider in managing ADHD?

A

Healthcare providers diagnose ADHD, prescribe appropriate medications, monitor treatment efficacy, provide referrals for behavioural therapies, and educate families on managing symptoms.

23
Q

How does ADHD impact sleep?

A

Individuals with ADHD may experience sleep problems, including difficulty falling asleep, staying asleep, and maintaining a regular sleep schedule.

24
Q

What are the signs of ADHD in adults?

A

Adults with ADHD may have difficulties with time management, organisation, work performance, impulsivity, and emotional regulation. They may also have trouble maintaining relationships and managing finances.

25
Q

Can ADHD symptoms improve with age?

A

While some children may outgrow certain symptoms of ADHD, many continue to experience symptoms into adulthood, particularly difficulties with attention and impulsivity.

26
Q

How does ADHD affect impulse control?

A

Impulsivity in ADHD can lead to hasty decisions, difficulty waiting for one’s turn, interruptions in conversations, and poor decision-making, which can impact relationships and social interactions.