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Attention deficit disorder (ADD)

Alternative names:

A.D.D.; ADHD; attention deficit hyperactive disorder; childhood hyperkinesis; hyperactive

Symptoms:


The symptoms typically begin by 3 years of age.

Attention deficit:

  • does not pay close attention to details; may make careless mistakes at work, school, or other activities
  • failure to complete tasks
  • has difficulty maintaining attention in tasks or play activities
  • does not listen when spoken to directly
  • has difficulty organizing tasks
  • is easily distracted
  • unable to follow more than one instruction at a time

Hyperactivity:

  • fidgeting, squirming in seat, or moving constantly
  • wandering, may leave the seat in the classroom when expected to stay
  • has trouble participating in "quiet" activities such as reading
  • runs and climbs in inappropriate situations
  • talks excessively

Impulsivity:

  • may blurt out answers before questions have been completed
  • has difficulty awaiting turn
  • interrupts others
  • disruptive behavior

Other:

  • sleep problems
  • inability to delay gratification
  • social outcasts or loners (possibly inability to play in groups but may perform in one-on-one situation)
  • apparent disregard for own safety
  • behavior not usually modified by reward or punishment
  • may have other specific learning disabilities
  • failure to meet normal intellectual developmental milestones

Signs and tests:


Clinical evaluation is indicated if A.D.D. is suspected.

Evaluation may include:

  • parent and teacher questionnaires (Connors, Burks)
  • psychological evaluation of the child AND family including IQ testing and psychological testing
  • complete developmental, mental, nutritional, physical, and psychosocial examination


Adam

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