1. Attention Deficit Hyperactivity Disorder
Ricci, pp

2. Manifestations of ADHD
Most common neurodevelopmental health disorder in children
Developmentally inappropriate degrees of
Inattention
Impulsiveness
Distractibility
Hyperactivity

3. Manifestations
Frequently associated with learning disabilities in reading, writing, reasoning, or math skills
Causes problems with socialization and relationships.
Child frequently is noncompliant causing disruption with rules and demands by others
Many have comorbidities such as hearing problems, depression, anxiety, and defiant disorder
Child may also have feelings of low self-worth

4. Diagnostics
History must reveal manifestations before age 7 years and persist longer than 6 mo
Must be present in at least 2 settings
Other causes must be ruled out such as head trauma, lead intoxication, or MR
Manifestations may be numerous or few or mild or severe (Box 50.3)

5. Diagnostics
Testing may be done in intelligence (IQ), hand-eye coordination, vision and hearing, comprehension, and memory
Restless behaviors may be noted during diagnostic exams.
Behavioral checklists should be completed by parent and teacher and compared by HCP

6. Pharmacological Management
Stimulants: take in the morning with or after meal
Ritalin, Dexedrine, Adderall, Vyvanse
Non-stimulants:
Strattera
May need pharm treatment for depression and anxiety as well.

7. Management
Behavioral therapy—time-out, + reinforcement, reward/withdrawal system, tokens
Decrease stimulation and distraction
Limit-setting
Increase consistency and establish routines in school and at home—need parent training with professional therapist
Individualized Education Plan (IEP) for improving school success