Attention deficit/hyperactivity disorder (ADHD) is among the most common neurobehavioral disorders presenting for treatment in children and adolescents. ADHD is often chronic with prominent symptoms and impairment spanning into adulthood. ADHD is often associated with co-occurring disorders including disruptive, mood, anxiety, and substance abuse. The diagnosis of ADHD is clinically established by review of symptoms and impairment. The biological underpinning of the disorder is supported by genetic, neuroimaging, neurochemistry and neuropsychological data. Consideration of all aspects of an individual s life needs to be considered in the diagnosis and treatment of ADHD. 

Multimodal treatment includes educational, family, and individual support. Psychotherapy alone and in combination with medication is helpful for ADHD and comorbid problems. Pharmacotherapy including stimulants, noradrenergic agents, alpha agonists, and antidepressants plays a fundamental role in the long-term management of ADHD across the lifespan. 

The management of ADHD includes consideration of two major areas: non-pharmacological (educational remediation, individual and family psychotherapy) and pharmacotherapy. 

I personally support Psychotherapy. Specialized educational planning based on the child s difficulties is necessary in a majority of cases. Since learning disorders co-occur in one-third of ADHD youth, ADHD individuals should be screened and appropriate individualised educational plans developed. Educational adjustments should be considered in individuals with ADHD with difficulties in behavioral or academic performance. Increased structure, predictable routine, learning aids, resource room time, and checked homework are among typical educational considerations in these individuals. Similar modifications in the home environment should be undertaken to optimize the ability to complete homework. For youth, frequent parental communication with the school about the child s progress is essential. 

Symptoms in children and teenagers 

The symptoms of ADHD in children and teenagers are well defined, and they're usually noticeable before the age of six. They occur in more than one situation, such as at home and at school. The main signs of each behavioural problem are detailed below:

Inattentiveness: having a short attention span and being easily distracted making careless mistakes   for example, in schoolwork appearing forgetful or losing things being unable to stick at tasks that are tedious or time-consuming appearing to be unable to listen to or carry out instructions constantly changing activity or task having difficulty organising tasks 
Hyperactivity and impulsiveness: being unable to sit still, especially in calm or quiet surroundings constantly fidgeting being unable to concentrate on tasks excessive physical movement excessive talking being unable to wait their turn acting without thinking interrupting conversations little or no sense of danger 
These symptoms can cause significant problems in a child's life, such as underachievement at school, poor social interaction with other children and adults, and problems with discipline. 

Related conditions in children and teenagers 

Although not always the case, some children may also have signs of other problems or conditions alongside ADHD, such as: 

anxiety disorder   which causes your child to worry and be nervous much of the time; it may also cause physical symptoms, such as a rapid heartbeat, sweating and dizziness 
oppositional defiant disorder (ODD)   this is defined by negative and disruptive behaviour, particularly towards authority figures, such as parents and teachers 
conduct disorder   this often involves a tendency towards highly antisocial behaviour, such as stealing, fighting, vandalism and harming people or animals 
depression 
sleep problems   finding it difficult to get to sleep at night, and having irregular sleeping patterns 
autistic spectrum disorder (ASD)   this affects social interaction, communication, interests and behaviour 
epilepsy   a condition that affects the brain and causes repeated fits or seizures 
Tourette s syndrome   a condition of the nervous system, characterised by a combination of involuntary noises and movements called tics 
learning difficulties   such as dyslexia Symptoms in adults In adults, the symptoms of ADHD are more difficult to define. This is largely due to a lack of research into adults with ADHD. 
ADHD is a developmental disorder; it's believed that it can't develop in adults without it first appearing during childhood. But it's known that symptoms of ADHD often persist from childhood into a person's teenage years, and then adulthood. Any additional problems or conditions experienced by children with ADHD, such as depression or dyslexia, may also continue into adulthood. By the age of 25, an estimated 15% of people diagnosed with ADHD as children still have a full range of symptoms, and 65% still have some symptoms that affect their daily lives. The symptoms in children and teenagers, which are listed above, is sometimes also applied to adults with possible ADHD. But some specialists say that the way in which inattentiveness, hyperactivity and impulsiveness affect adults can be very different from the way they affect children. For example, hyperactivity tends to decrease in adults, while inattentiveness tends to get worse as the pressure of adult life increases. Adult symptoms of ADHD also tend to be far more subtle than childhood symptoms. 

Some specialists have suggested the following list of symptoms associated with ADHD in adults: 

carelessness and lack of attention to detail 
continually starting new tasks before finishing old ones 
poor organisational skills 
inability to focus or prioritise 
continually losing or misplacing things 
forgetfulness 
restlessness and edginess 
difficulty keeping quiet and speaking out of turn 
blurting out responses and often interrupting others 
mood swings, irritability and a quick temper 
inability to deal with stress 
extreme impatience 
taking risks in activities, often with little or no regard for personal safety or the safety of others   for example, driving dangerously 
Additional problems in adults with ADHD As with ADHD in children and teenagers, ADHD in adults can occur alongside several related problems or conditions. One of the most common conditions is depression. Other conditions that adults may have alongside ADHD include: 

personality disorders   conditions in which an individual differs significantly from an average person, in terms of how they think, perceive, feel or relate to others 
bipolar disorder   a condition that affects your moods, which can swing from one extreme to another 
obsessive-compulsive disorder (OCD)   a condition that causes obsessive thoughts and compulsive behaviour 
The behavioural problems associated with ADHD can also cause problems such as difficulties with relationships, social interaction, drugs and crime. Some adults with ADHD find it hard to find and stay in a job. If you notice any of the above in your child or yourself , it is worth making the effort and spending some time and money to have your child and or yourself assessed on a priority basis as ADHD causes neural changes in the brain. 

Attention Deficit Hyperactivity Disorder (ADHD) - A Guide!

ADHD, CDD, short-term memory loss, forgetfulness, insomnia and so many more terminologies we would have come across very often. They all seem to have evolved from a common origin and that is concentration issues. Have you pondered on these questions!! Why can t it be easy to concentrate? Why can t it be easy to remember everything? If yes, then read on to know more.
Concentrate! Focus! Pay attention! These are not just words but one huge and complicated process in itself. Many children and as well as adults often develop this issue wherein they find extremely difficult to concentrate.

Science behind concentration issues: When an individual performs a single task; for example reading a book, the image of what he is seeing hits the retina. From the retina, the nerve fibres carry the image to the brain which stimulates the brain cells to fire an action potential. The signal from here moves to the thalamus and proceeds to the visual cortex. This signal activates locus coeruleus which is a brain stimulant. It targets the particular area of the brain becoming the deciding factor as to how one responds to a stimulus, which in this case is an image. When there is deregulation of the locus coeruleus, it is then that a person develops disorders like ADHA, anxiety, depression, insomnia and others.

Factors influencing concentration:
Concentration is a skill that requires you to prioritize your senses while doing any work. It is an ability to block out distractions.

Dedication to the task
Interest in the task
One s ability to complete the task
Physical and emotional state
Conducive environment with few distractions.
Attention deficit hyperactivity disorder (ADHD) and concentration deficit disorder (CDD)
Attention deficit hyperactivity disorder (ADHD) and concentration deficit disorder (CDD) are the two predominant concentration issues. The first one is more common among the children while the latter is observed in mostly the adults. Any individual with ADHD or CDD can show abnormalities in their behavior and social life.

ADHD individuals tend to be forgetful and face problems sticking to one task and may even display excessive fidgeting. CDD individuals tend to be lethargic, move slowly and have trouble in staying alert. Adults may become socially withdrawn and exhibit slow information processing.

Solutions for concentration issues:
Concentration issues require a lot of time to be overcome. You can try to figure out what causes the distractions and avoid them as much as possible by refocusing your mind only on what you are doing. You can give yourself timers which comprise of  distraction time  and  focus time . This strategy helps if one s mind is actively processing other things. You may also create subtasks by listing the things you need to do and then ruling out one by one once you accomplish them. Always breathe better and try for long inhalation and exhalation. This helps to bring down your anxiety levels which hinder the concentration.

Though the above-mentioned strategies are just to help you improve your concentration they are not the ultimate cure for any of the issues. Every individual is unique and sometimes accepting oneself can solve many complications as it reduces the need for unnecessary thinking. Always bear positive thoughts in your mind as it will act as a driving source.

Concentration Issue - How Can It Be Managed?

For a child, the first visit to the dentist can be panicky. This is because they don't realize what's in store. Children get a better idea about dentists after getting some information about the visit. We, as grown ups, must be set up to answer the inquiries and instruct our children in the most ideal way. The following are some valuable tips on the best way to set up a child for the first dentist appointment.

1. Guardians regularly ask when they ought to take their child for the first ever dental visit. The best time to begin taking children for a dental checkup is either when their first tooth pops out, or right around their first birthday. Expert dentists are capable of instantly recognizing any potential issues with the development and advancement of the jaw and delicate palate. Children's teeth are more porous and defenseless to decay than grown-up's teeth; so early mediation is a basic to guarantee those small teeth staying sound. It is also recommended that guardians begin brushing their child's teeth when they start coming out, utilizing a delicate toothbrush and plain water. Brushing should be started as early as possible.

2. It's never too early to begin acquainting your kids with tooth brushing and knowledge of oral health. The best time to begin is before your kid's first dental visit. Youngsters love to find out about their bodies, and love to grin, touch, and investigate new things. There are many fun ways to impart oral health education to children. The more agreeable they are with their mouth and teeth, the less demanding your youngster's first dental visit will be.

3. Tooth brushing is an essential piece of our everyday self-care, and it is our habit. A child, after being introduced to a brush and a toothbrush will take a certain time period to make daily brushing a habit. Guardians and the kids can brush their teeth" together. It is essential to note that toothbrushes are apparatuses, not toys, and that infants and babies ought to be firmly directed.

4. Little children, are extremely insightful and touchy to the states of mind of people around them. Children regularly reflect our conduct. When we are casual and upbeat, children will probably be loose, as well. Children are additionally more casual when they are prepared for or taught something. Invest energy conversing with children about going to the dentist. You can also discuss what the dentist will do, emphatically.

5. Always choose the most trustworthy dentist who is friendly and knows how to handle a child on his first dentist visit.

A child's first dentist appointment is a special one, and you should prepare him accordingly.

Tips to Prepare Your Child For First Dental Visit

Cleft palate or palatoschisis is a common genetic abnormality that leads to a horde of problems and is presently a growing challenge to medicine practitioners. The major developmental stages affected due to this particular irregularity include feeding, speech development, dentition and maxillofacial growth which are rather important to the normal overall developmental pace of an individual. Even though the cleft palate deformity was defined centuries ago, no fixed management algorithm exists for patients suffering from the condition in the present day scenario.

Cleft palate may be successfully fixed using reconstructive surgery. Multiple specialists are involved in the reconstruction surgery including plastic surgeons, otolaryngologists, nutritionists, oromaxillofacial surgeons and speech pathologists. Some hospitals also consider psychological therapy for the patient and the family to help get through the emotional trauma and the issues faced due to developmental backlogs.

The treatment for cleft palate usually begins around 9 to 12 months of age. If left untreated, it may cause major deformities. It takes about some years before the whole procedure is completed although it depends on the type and severity of the deformity.

The process involves the administration of anaesthesia after which the palate repair closes the inner, middle and final layers and at the same time realigning of the palatal muscles in a technique called anintravelarveloplasty is conducted. This ensures that the muscles are adjusted in a normal position which facilitates the best functioning of the palate during feeding, swallowing and speaking. It is possible that the child might require more than one surgery to completely close the palate.

Some of the risks involved during the process include:
1. Abnormal reactions to the medications
2. Bleeding
3. Problems in breathing
4. Need for more surgery
5. Infection

Although complicated and time consuming, cleft palate must be given immediate attention to avoid serious developmental issues. The reconstruction surgery and therapy combined ensures a normal development for the child in the longer run, given the surgery was done at the correct time. The child would be required to remain at the hospital for about 5-7 days. Complete recovery takes a time period of 4 weeks. Keeping the wound of the surgery clean is of the utmost importance and it should not be strained.

How to Surgically Treat Cleft Palate

Diabetes is caused due to hormonal imbalance in our bodies. When the equilibrium between insulin and glucagon (hormones related to the sugar levels in the body) is disturbed, an individual suffers from diabetes. The disease is of two types: Diabete mellitus (Type-I and Type II) and Diabetes insipidus. When your body fails to release adequate insulin, the food that we consume is not properly converted into sugar or glucose. This is Type-I diabetes. On the contrary, if body releases defective insulin, one suffers from Type-II diabetes. Type-1 diabetes is sometimes called juvenile diabetes, or insulin-dependent diabetes. Type 1 occurs more frequently in children and young adults, but accounts for only 5-10% of the total diabetes cases nationwide. The basic symptoms of diabetes include changing sugar levels, excessive urination, thirst, weight loss and a lack of energy. Diabetes is caused due to a number of factors, ranging from environmental matters or hereditary links.

Homeopathic Remedies for Diabetes
Diabetes requires prolonged treatment. Long exposure to allopathic drugs can hamper your body organs due to its side effects. Therefore, it is advisable to take up homeopathic remedies, which have a long-lasting effect on the patient. These medicines don t cause side effects. Here are some of the remedies:

    Uranium nitrate: This compound reduces the sugar levels in the bloodstream and also keeps a check on frequent urination. It is prescribed for patients who develop the disease due to assimilative derangements. The symptoms that are looked for while prescribing medicines containing this compound include digestion problem, languor and debility, excess sugar in urine, huge appetite and thirst.
    Phosphoric acid: This compound is best for the treatment of diabetes that has a nervous origin. The symptoms that are looked for include excess urine and the colour of the urine is milky; poor mental force and general lethargy. The patient can also develop a bruised feeling in the muscles.
    Phosphorus: This compound is given to patients, suffering from diabetes and pancreatic diseases, especially tuberculosis or gouty diathesis. The symptoms include dry mouth, dark and watery stool and restlessness.
    Lactic acid: It is helpful for treating gastrohepatic type of diabetes. The symptoms that will have to be present in the patient include light yellow coloured urine, dry skin and tongue, thirst, nausea, and costive bowels.
    Insulin: Insulin therapy is an important as it helps in maintaining a balance in the sugar levels and keeps the urine free from sugar. 

Suffering from Diabetes - 5 Homeopathic Treatments that can Help 

There are few things I hear over and over again from students
1.  How they are studying for so many in a day
2.  How they do not have even time for anything else in their life due to study pressure
3. How they are sleep deprived
4. How much they are stressed
5. And finally, after all the sacrifices and hard work, their exam performance is not what they expect.

Here are few tips to study smart, improve your grades and yet have a life!
We all know that 2 hours of focused study will be much more productive than 4 hours of distracted study. And, the good news is that concentration is a mental skill that you can develop and improve. There are two ways to improve your concentration:

A. First, work on raising your brain's natural ability to concentrate or in other words, learn to increase your attention span.
B. Second, adjust the environment around you to make concentrating easier.

Improving your concentration takes a little time and effort, but it is worth it. In my personal experience with students, I have seen noticeable improvement in relatively short time.

A. Ideas for daily concentration boosting habits include

1. Mindfulness meditation: Many studies confirm that 20 minutes of meditation or more per day improves concentration and attention span. Mindfulness meditation, where one focuses on one's breathing,  is one of the simplest way of meditation. Start with ten minutes in the morning and ten minutes before bed. To begin with you may try a guided meditation. One can easily find audios for guided meditation online.

2. Proper sleep: I am sorry to say this. Pulling all nighters will not help with your grade. Unless you are getting sufficient restful sleep, you are not going to be as mentally focused as you could be to study as well as answer questions in exams.

3.  Food for your Brain: The more you use certain skills, the more they are reinforced in the brain. So it makes sense that playing concentration games and games that require you to focus will improve your concentration ability. You need to be consistent in this. Play for about 10 to 20 minutes each day. Have fun, and get the benefits but remember not to spend more than 20 minutes a day. Your goal is to improve your concentration and not just keep scoring higher in the game! Try Lumosity and use only free version this will help you restrict your daily play time to 20 minutes and have maximum benefit.

4. Eat healthier: Your brain needs the proper nutrients to allow you to focus. Eat more vegetables and fruits and avoid consumption of junk food as much as possible. Instead you could keep some nuts such as walnuts, almond or peanuts as in between munches. Lot of research has now proven that sugar is very harmful for our health. Reduce sugar and refined white flour in your diet as much as you could.  

5. Exercise: It is helpful in both reducing stress and increasing energy and focus. At least 20 minutes a day would go a long way. Going for a short jog of 20 minutes will make next 4 to 5 hours of study very efficient.

B. Optimize your mental state & environment

In addition to building the habits described above into your daily routine; also adjust your environment and your current mental state to improve your concentration when studying.

1. Create a study space: Your brain loves routine. Create a place where all you do is study. An obvious choice is a secluded desk of some kind, but the trick is to make sure you only study in that spot. Studying in bed is a bad habit, for example, because your body is trained to want to sleep once you get into bed.

2. Remove distractions: Turn off the ringer on your phone and take other steps to prevent interruptions. Don't study with the television on or with radio playing. Some studies have shown that soft instrumental music (no vocals) can help improve your concentration.

3. Reduce background noises: If you have to study or work in an environment where it is too loud (classroom or open space) or too quiet (such as at home or at a library) you can get easily distracted by outside influences. With the right amount of background noise you can actually block out distractions and enhance your creative thinking.

4. Use timer: Set a time limit when you need to study new material. For example, let's say you want to read one chapter in a book (and remember it). Decide in advance that you can have 45 minutes to read the chapter, and 15 minutes to review it. Set a timer to keep yourself honest, then pace yourself to keep within the allotted time.

5. Stay motivated: If you see studying as burden, it's hard to concentrate. One way to stay motivated is to set up a reward system. Tell yourself you have to earn that hour of watching your favorite show later in the evening by first completing 2-3 hours of intense studying.
That way, even if the material is dry, you have the reward to look forward to.

6. Take breaks: Take a break every two hours. You mental energy will begin to decline after a long period of study. So every two hours or so, take a ten minute break. Walk around, eat a light snack, or just stare at the wall to relax your mind.

Concentrating is the first step to learning anything new. It only makes sense that if you improve your concentration, your memory will improve also.

How an expert can help?
If you want to get individualized expert opinion about how you are studying currently and what ways you can improve; you can always consult the expert. Once he/she knows what your current study methods are, they will be able to give you specific tips to improve upon. Most likely once you incorporate those tips you will be spending less time studying and your grades will improve. That's what is studying smarter and not harder means!!

Study Smarter and Not Harder!

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