Hyperkinetic Disorder Flashcards
1
Q
Diagnosis of hyperkinetic/ADHD disorder
-main feature
A
Demonstrable abnormality of attention, activity and impulsivity at home and school for the age and developmental stage of child
Duration of 6 months
Onset usually before 7
2
Q
Diagnosis of hyperkinetic/ADHD disorder
-attention problems
A
3+ of
- short duration of spontaneous play activities
- play activities left unfinished
- over frequent changes between activities
- lack of persistence with activities
- high distractibility during study
3
Q
Diagnosis of hyperkinetic/ADHD disorder
-activity problems
A
3+ of
- runs often, excessive climbing in inappropriate situations
- excess fidgeting during activities
- excess activity in situations of relative stillness (mealtimes, travel)
- often leaves seat when being seated is expected
- difficulty in playing quietly
4
Q
Diagnosis of hyperkinetic/ADHD disorder
-impulsivity problems
A
1+ of
- difficulty waiting for their turn in group situations
- interrupts, intrudes on others
- blurts out answers to questions before question has been read out
5
Q
How would you confirm this diagnosis
A
Use of Connor’s rating scale
- lists the features of hyperkinetic disorder
- asks parents and school teacher to rate the prominence of each feature
6
Q
Management
-psychoeducation
A
1st line - involves family and school support workers
- parent education groups
- consistent discipline and parenting input
- use of reward systems and clear boundaries
7
Q
Management
- medication, 1st and 2nd line
- SE
- CI
A
1st line - methylphenidate (stimulant)
- stimulant medication - increases activity in areas that increase concentration and focus
- can be short/long acting
SE -
- anorexia, nausea
- drowsiness
- anxiety, mood disruption
- palpitations
CI
- U6
- epilepsy, tics, heart conditions
2nd line - atomoxetine (non stimulant)
