Attention Deficit Hyperactivity Disorder Flashcards
What is the most common neurobehavioural disorder of childhood?
Attention deficit hyperactivity disorder
What are the predisposing factors attention deficit hyperactivity disorder?
- Strong genetically inherited component
- Preterm birth, low birth weight
- Born two mothers who drank alcohol or misused drugs during pregnancy
- Intellectual disability, Down’s syndrome, conduct disorder
What are the intention features of attention deficit hyperactivity disorder?
- Unable to listen closely to detail and concentrate
- Struggle to follow instructions and finish homework
- Struggle to organise tasks and loses or forgets things
What are the hyperactivity features of attention deficit hyperactivity disorder?
Fidgeting, talks incessantly, climbs over everything, restless, no quiet hobbies.
What are the impulsivity features of attention deficit hyperactivity disorder?
Guts out answers, interrupts, cannot take turns, intrudes on others, poor road safety.
What are the differentials for attention deficit hyperactivity disorder?
Conduct disorder, age appropriate behaviour
How is attention deficit hyperactivity disorder diagnosed?
- Careful history taking and observation
- Conner’s rating scale questionnaire
- Symptoms continuous for 6 months, occurs in <12 years, occur in at least two different settings and affect the child’s relationships with other people or academic achievement.
What is the management for attention deficit hyperactivity disorder?
- Positive parenting and behavioural techniques
- Support for teachers and family therapy
- Methylphenidate if non-pharmaceutical treatments fail
What is the prognosis of attention deficit hyperactivity disorder?
Symptoms improve with age, 50% of adults have ongoing problems, risk factor for criminality and substance abuse.
