ADHD Flashcards
Describe some causative factors associated with ADHD
- CNS Injury
- Genetics
- Environment
- Smoking, lead, low birth weight
Describe the characteristics of a child diagnosed with ADHD?
o Academic limitations
o Poor Peer Relationships
o Increased injuries
Identify symptoms of Inattention
- Often fails to give close attention to details or makes careless mistakes in schoolwork, at work, or with other activities.
- Often has trouble holding attention on tasks or play activities.
- Often does not seem to listen when spoken to directly.
- Often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace (e.g., loses focus, side-tracked).
- Often has trouble organizing tasks and activities.
- Often avoids, dislikes, or is reluctant to do tasks that require mental effort over a long period of time (such as schoolwork or homework).
- Often loses things necessary for tasks and activities (e.g. school materials, pencils, books, tools, wallets, keys, paperwork, eyeglasses, mobile telephones).
- Is often easily distracted
Identify symptoms of Hyperactivity and Impulsivity
- Often fidgets with or taps hands or feet, or squirms in seat.
- Often leaves seat in situations when remaining seated is expected.
- Often runs about or climbs in situations where it is not appropriate (adolescents or adults may be limited to feeling restless).
- Often unable to play or take part in leisure activities quietly.
- Is often “on the go” acting as if “driven by a motor”.
- Often talks excessively.
- Often blurts out an answer before a question has been completed.
- Often has trouble waiting his/her turn.
- Often interrupts or intrudes on others
Name and define the 3 presentations of ADHD
- Combined Type
- Predominantly Inattentive Type
- Predominately Hyperactive-Impulsive Type
What is the combined type of ADHD?
If enough symptoms of both criteria inattention and hyperactivity-impulsivity were present for the past 6 months
What is the predominantly inattentive type like in ADHD?
If enough symptoms of inattention, but not hyperactivity-impulsivity, were present for the past six months
What is the predominately hyperactive-impulsive type like in ADHD?
If enough symptoms of hyperactivity-impulsivity but not inattention were present for the past six months
Identify factors that can help with evaluation of ADHD
- Family – parents (individually), siblings, extended family
- School
- Teachers
- Report Cards
- Past Medical Records
- Rating Scales – Vanderbilt, BASC
- Psychological Evaluations
- Family History
- Home Environment
- Social Events
- Babysitters
- School Functioning
- Peer Relationships
- Police Records, problems with authority
- Associated Complaints
Describe treatment goals for ADHD?
o Improved Cognition
o Decreased motor activity
o Improved social skills
o Improved efficiency
Describe all treatments for ADHD
1. Behavioral Counseling A. CONSISTENCY B. Positive Reinforcement C. Time Management D. Parents / Child / School 2. Parenting Classes 3. Medication 4. School Involvement 5. Activities 6. Other Problems
DSM V Diagnosis guidelines
Inattention
Hyperactivity – impulsivity
Duration at least 6 months
Onset before age 12 (was 7)
Impairment in 2 or more settings (home, work, school, social situations)
Clinically significant impairment must be evident in social, academic, or occupational functioning
Symptoms of inattention: How many do children up to 16 need for a diagnosis?
6 or more!
Symptoms of inattention: How many do adolescents 17 and older need for a diagnosis?
5 or more!
Symptoms of hyperactivity & Impulsivity: How many do children up to 16 need?
6 or more!