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Overview

ADHD: Treatment, Procedure, Cost And Side Effects

What is ADHD?

Attention deficit hyperactivity disorder (ADHD) is a kind of mental disorder of children. It is most commonly diagnosed disease in children and teens and that can continue into the adulthood. Children diagnosed with ADHD may be hyperactive and unable to control their impulses. In addition they may experience trouble in paying attention. ADHD is more commonly found in boys than in girls and usually discovered in early school years, when a child experience problems while paying attention in school.

During adulthood, a person with ADHD finds it difficult to manage time, become organized, set goals, and hold down a job.

What are the symptoms of ADHD?

There are several distinct signs of Attention deficit hyperactivity disorder (ADHD) but those have been divided in three groups:

  1. Inattention There are some of the commonly noticed features come under Inattention group such as Lack of focus, a tendency to make careless mistakes, having difficulty in paying attention to details, constant distractions while talking on a topic, not listening to others, be forgetful about daily activities, and get easily distracted by things like trivial noises and even with the events that are usually ignored by others.
  2. Hyperactivity Children with hyperactivity may show up some weird activities getting up frequently to walk or run around, have trouble playing quietly or doing quiet hobbies and talk excessively.
  3. Impulsivity A person with impulsivity may be impatient, blurt out answers before someone finishes asking them a question, and frequently interrupt others.

What are the treatment of ADHD?

Medication

Various studies have shown that Stimulant medication is most effective ADHD treatment.

  1. Therapy: Behavior therapy is aimed at addressing specific behavioral problem and increasing positive attention.
  2. Nutrition: Researches and studies worldwide have established that nutritional changes can bring about a drastic change in the condition of some patients with ADHD.
  3. Supplements: There are many vitamins, herbs, and supplements like Omega-3s, Zinc, Iron, Magnesium, Vitamin C, Valerian, Melatonin, Ginkgo, and Ginseng which may lessen ADHD symptoms in some individuals.
  4. Exercise: Regular exercise helps the brain to release several important chemicals and boosts brain’s neurotransmitters — chemicals that many individuals with ADHD run short on.

What are the Causes of ADHD?

Although, the causes of ADHD are yet to be established by medical science bit there are certain things that are known to play an important role.

ADHD in families: There are definite possibilities for a child to inherited ADHD from his parents. A child has more than a 50 per cent chance of having ADHD if his parents have it.

Pregnancy ProblemsL: A number of students have shown that a pregnant woman who regularly smokes or drink alcohol may have a higher risk of having a child with ADHD. A child born with a low weight and premature, or whose mothers had difficult pregnancies have a higher risk of having ADHD.

What foods should be avoided with ADHD?

  1. Candy: Candy has a large amount of sugar and artificial colors which is undoubtedly a bad combination for children suffering from ADHD.
  2. Sodas, Caffeine, and High-Fructose Corn Syrup: Such drinks are often loaded the sugar and sweeteners that's why it should not be included in doesn't of a child with ADHD.
  3. Frozen Fruits and Vegetables: All fruits and vegetables are not necessarily healthy diet options for an ADHD, there are some frozen brands that have artificial colors in it. So it should be checked carefully.
  4. Energy Drinks: Most of the energy drinks contain ingredients such as sugar, artificial sweeteners, artificial colors, caffeine, and other stimulants which can worsen the ADHD symptoms.
  5. Nix Cake Mixes and Frostings: Cake mix and frosting contain the high amounts of sugar and artificial colors that can provoke ADHD symptoms.

Does ADHD go away?

According to the experts, the ADHD is a lifelong condition. ADHD, sometimes, may not be diagnosed until adulthood. And, the fact is that in majority of cases the condition of ADHD doesn't go away in adulthood.

Can stress make ADHD worse?

Stress is universally known to be the stimulant factor for various mental problems. In the case of ADHD, stress is the factor that aggravates the ADHD symptoms especially in adults who find it hard to focus and filter out excess stimuli, which increases stress levels.

Popular Health Tips

8 Tips Tor Tackle ADHD In Kids!

MBBS, MD - Psychiatry, Senior Resident Psychiatrist
Psychiatrist, Indore
8 Tips Tor Tackle ADHD In Kids!

ADHD is one of the commonest behavioral disorders that are found in mostly school-going kids. In fact, this kind of trouble might affect kid's ability quite adversely. There are a few signs with the help of which ADHD in kids can be easily detected, and some of the commonest ones are emotional turmoil, unfinished tasks, squirm and fidget, low focus careless mistakes and other related ones. 


Both interpersonal relationship and schooling success can be hampered to a great extent with this kind of mental disorder. This is why the kids facing the mentioned signs need to be thoroughly diagnosed medically so that the doctors can recommend best treatments that can provide fastest recovery and that too safely and easily. 


Best tips for tackling ADHD in kids


- Setting behavior limits: If you make your kids learn how to lead a disciplined life, then appropriate behavioral limits are established. Arrogant child is mostly exposed towards ADHD. 


- Staying calm: Child anger should be efficiently controlled otherwise. ADHD cannot be cured. If the kids remain calm and quiet, then only their concentration level will increase, and they can show productive outcomes. 


- Setting pressure-free structure: sensible routines and scheduled charts are to be prepared so that unwanted risks can be easily avoided. If the kids are under tremendous pressure, then they might face different kinds of behavioral troubles. 


- Allow kids to make wise choices: If you let your kids free, then only they will be able to take right decisions. Kids with a cool mind can take wise decisions that are very much appropriate for upgrading their performances. 


- Advocating child: Child advocating is highly needed for maintaining a good and healthy balance. But too much strictness should be avoided so that your kids' behavior can be controlled with ease.  This should be done either by parents or tutors so that they can choose the best direction in life. 


- Avoid muting any headstrong child: Communicate with your child so that a proper interaction can be maintained. If your child remains silent for too long, then they might face different behavioral troubles. 


- Acquiring knowledge about ADHD: Both parents and kids should have equal knowledge about ADHD and then only the probable signs can be easily avoided, and the necessary treatments can be known. 


- Being persistent: Persistent behavior is to be maintained, and if you find any deviation in your kids, then youshould take them to a doctor.

2474 people found this helpful

ADHD - How Can It Be Prevented?

BHMS
Homeopath, Delhi
ADHD - How Can It Be Prevented?

ADHD or Attention deficit hyperactivity disorder refers to those psychological disorders, which significantly alter a child's behavior and considerably affects his or her relationships with others. This condition is seldom preceded by perceptible symptoms and even when they do, they are difficult to decipher.However some of them are:

1. Self-centered
Those children who suffer from the attention deficit hyperactivity syndrome tend to be encapsulated in their own subjectivity. Though this does seem harmless apparently, this tendency may lead them to be insensitive to other's needs and wants.

2. Emotional outbursts
ADHD makes children extremely susceptible to frequent emotional outbursts and makes them erratic.

3. Difficulty in concentration
Children who suffer from ADHD face extreme difficulty in concentrating or focusing on things. Many a times they fail to repeat what was told to them.

There might be several causes which can contribute to the development of this disorder. Some of them are:

1. A drastic change in the child's lives
A sudden or a drastic change like the divorce of parents may severely affect the child and maim him emotionally. This may lead to the development of this disorder.

2. Depression
Though always associated with adults, depression can be and is common among children as well. In such instances, a consequent development of ADHD is highly plausible.

3. Bipolar disorder
Bipolar disorder refers to excessive and incomprehensible mood swings. Many children suffer from it in their early lives, making them susceptible to ADHD.

Notwithstanding the ambiguity and the erratic nature of the disorder, there might be preventive measures which parents might adopt to deter the outbreak of the disorder. Some of them are:

1. Less use of preservatives
Parents must be careful about what their children eat. Those foods which contain a certain amount of preservatives tend to aggravate the disorder thereby causing more harm than good.

2. Consider alternative forms of medications
Another way of dealing with this problem is by exploring other forms of medications and not sticking to one form. In this respect, practicing yoga may be very beneficial.

How Homeopathy Can Help?

Unlike conventional medicine, homeopathy seeks to treat each child as an individual. There is no homeopathic Ritalin. Each child is assessed as the unique person they are. The remedy must reflect everything about the child. A detailed history is fundamental to the correct choice of remedy. The homeopath will ask about the health of the child and the family, the pregnancy and delivery, early development, vaccinations, life events, schooling, favourite foods, drinks to mention just a few points. The more information gathered, the easier it is to find that tailor-made remedy.

4509 people found this helpful

Popular Questions & Answers

Is ADHA a chronic neurological condition or intellectual disability or mental illness or specific learning disability? Please give me an accurate answer. thank you.

M.D.PSYCHIATRY, Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.), Medicine
Psychiatrist, Jaipur
Hello lybrate-user ADHD is basically a neurodevelopmental disorder it is not a specific learning disorder or intellectual disability both these things are different illnesses than ADHD BUT intellectual disability and specific learning disability or disorder can coexist with ADHD. I.E. They can also present in patient with ADHD.

I have adhd. I am sure I have huge signs, I can not sit one place legs shaking wake to stand and walk fast, no focus, easily distracted, so does adhd curable?

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB (Pediatrics), certification course in sick newborn care ,AIIMS, POST GRADUATE PROGRAMME IN PEDIATRIC NUTRITION
Pediatrician, Delhi
YES you can definitely mask the comorbid problems associated with adhd. Occupational therapy, behavioural therapy and latest in research is RMT (RHYTHMIC MOVEMENT THERAPY)

My son is 6 years old, he has adhd. He has done 2 years OT classes and speech classes. He has learning issues. He is little bit of hyperactive. Not yet making proper sentences. I want to ask you should we consult any doctor for medicine or for any other treatment.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Dear user. I can understand. Please don't be panic. ADHD often begins in childhood and can persist into adulthood. It may contribute to low self-esteem, troubled relationships and difficulty at school or work. Symptoms include limited attention and hyperactivity. Treatments include medication and talk therapy. I suggest you to consult a Psychiatrist and psychologist in person for medicines and therapy. We are here to help you in every aspect of your mental and physical health. Any sexual or psychological problems can be cured with the help of various methods and therapies. I suggest you to post your query with every detail here. We will help you in overcoming your problems certainly. Take care.
2 people found this helpful

Hi, I am 40 years old and I have all symptoms of ADHD and going through divorce and always had trouble in personal life from the age 0 8 with father ,colleges, friends and I am almost alone, everyone initially give me so many lectures later when I can not be according to the they hate me and leave me, every 6 month my job and manager change. Never I could perform any where.

MBBS, DPM
Psychiatrist, Bangalore
Dear lybrate-user, Do not diagnose ADHD on your own. Please go to a psychiatrist with all your troubles and it is her/his work to diagnose you and treat accordingly. Your troubles could be due to borderline personality disorder also where the treatment is different.

My son is 7 years old and having mild ADHD, he has concentration problem in his study. Doctor has prescribed him 10 mg axepta for 10 days and now he has increased his dosage to 18 mg, my question is how long my child have to take this medicine or it will continue for long life. Is there any negative impact on body in future. Please advice I'm worried by reading few negative reviews online about axepta.

Pediatrician, Allahabad
Hi. Axepta is a drug for ADHD. And your doctor has increased the dose from 10 to 18 mg. Thats a normal treatment. Yes you have to give the drug life long. And these drugs do come with side effects but our main concern is not the side effects but to make the child relived of his symptoms. There are many othe drugs apart from it which can help him. If you want more information. Kindly consult online.
3 people found this helpful

Table of Content

What is ADHD?

What are the symptoms of ADHD?

What are the treatment of ADHD?

What are the Causes of ADHD?

What foods should be avoided with ADHD?

Does ADHD go away?

Can stress make ADHD worse?

Play video
ADHD: Common Illness In Children
Hello!

My name is Dr. Gayatri Chaudhary. I work at Suasth One Step clinic as a consultant psychiatrist. Today we are going to talk about common illness in children. The first illness that we are going to talk about is ADHD. Now what is he full form of ADHD? ADHD means Attention Deficit Hyperactivity Disorder. What are the symptoms of ADHD? So the children have hyperactivity as the name suggests. Hyperactivity means that the child has difficulty sitting at one place. Now this difficulty sitting in one place should be either in school or at home. Most of the time it should be at more than one place. So the child is hyperactive, cannot sit at one place, is always on the go, cannot wait for his turn at class, is always disturbing other children in class and when the child is at home, again the child cannot stay at home, he cannot concentrate on activities and is driven by a motor of sorts. There is another component to the illness that is inattention. Now in inattention the children are unable to concentrate or lack attention.

As the name suggests, ADHD, so this is the inattention part. Now in inattention, children usually lack their concentration levels. They are not able to concentrate in any activity. Primarily, patients complain about their lack of attention in studies, but their inattention very well be in other aspects like they are doing some project work from school, or any other task, or for that matter sports like playing cricket or playing football or any cube play. The other component of ADHD is high impulsivity. So the child cannot wait for his turn in the class. He blurts out answers when its not needed. He is always on the go and the child usually wants to talk when not asked and he wants to leave his seat when he is not asked to. So there will be frequent complaints from the school teacher that the child is not sitting at one place, he s disturbing others in school and he is not able to concentrate on his studies. One more common complaint that the school might complaint about is that the child is difficulty in remembering his syllabus or remembering what is taught in class. He forgets his belongings in school. He forgets his pencils, erasers and notebooks in school and because of these complaints.

We should be wary of does our child have ADHD. Now the good part about this is that it can be treated. It can be treated with medication and it can be treated with therapy. Medications many a time we are sceptical about whether to start the child on medication, but, because the child is inattentive, because he is hyperactive, the child is not able to use his or her capabilities to her best, that s why it causes problems in academics, it causes problems with peer relations with other children in the school and it causes problem in the households also. So it is very important to get the ADHD treated. Now medications that are available are, you can easily consult a psychiatrist and get the child evaluated and start on medication. There are therapies available.

Like you can take the child for occupational therapy or remedial education or remedial therapy. All these things are going to help the child to be good in academics as well as their peer relationships and it would help the child in their further studies. To know more about ADHD you can book an appointment with lybrate.com .
Play video
ADHD (Attention Deficit Hyperactivity Disorder)
Hello everyone. I m Dr Kriti Mathur, homoeopathic physician, practising in Gurgaon. I also provide psychological and nutritional counselling. Today I ll be talking about behavioural disorders in children.

There are some children who are very active, they are hyperactive, and they just cannot sit idle in a place. They cannot sit in a place, they constantly start playing with their hands and constantly move their hands, or they start playing with whatever they can lay their hands upon. These children are inattentive, they just don t pay attention in class, they re physically present there, but their mind is elsewhere. They are unable to complete their tasks because they haven t been paying attention to the instructions they had been given, they are disorganized and start losing their stuff. These children are also impulsive, they ll unnecessarily disturb the class by asking irrelevant questions or they ll ask very personal questions to their teachers, they ll talk unnecessarily, disturbing or intercepting between other people s conversations. So you might be getting a call from the school counsellor pointing out the symptoms.

So as a parent, we need to understand that this is not because of bad parenting or because your child is disobedient, but this is a medical condition which is called Attention Deficit Hyperactivity Disorder. As a parent, what we can do to help our child is:

First to make a schedule for the child, give the instructions to the child in a very clear, concise language, simple language which the child can understand. Every time the child follows those instructions or completes his tasks, please appreciate him and in case he is unable to complete the task or he is unable to follow those instructions, repeat them, but do not scold them, it is not going to solve any problem.
Secondly, you have to involve them in a number of tasks like sports, yoga, a place where they can use the extra energy that they have.
About the diet, do not give sugar items, no chocolates, toffees, candies because that will give them a sugar high and they will find it difficult to consume that energy. It is better to give a diet that is rich in complex carbohydrates and proteins so that the energy is slowly utilized.
Regarding the treatment, homoeopathic treatment is very effective, we provide constitutional treatment for these children. So if you have a child who has any of these symptoms, please feel free to consult me via Lybrate or you can consult me in my clinic at Sushant Lok, Phase 1 or Anahat at DLF Phase 3.

Thank you.
Play video
ADHD (Attention Deficit Hyperactivity Disorder)
Hello Friends, I m Dr.Vikas Deshmukh. I m a neuro-psychiatrist and sexologist working in Navi Mumbai, Vashi area. So today, we are going to talk about ADHD.

So, what exactly is ADHD and why is it important to you?

ADHD means Attention Deficit Hyperactivity Disorder. So the name itself is self explanatory. So in ADHD there are three major components. One, is inattention. Other is hyperactivity and the last is, impulsivity. Early diagnosis and management of ADHD is very important or else it can ruin your child s academic or career. So the first symptom of ADHD is inattention. Inattention is not noticeable until the child goes to school.

Most of the time inattention could be neglected at home. In inattention the child might be procrastinating the things, not completing the task, switching from one uncompleted task to another uncompleted task, unable to complete both the tasks. So symptoms can be disorganized, bahut messy rahega child, bilkul he cheezein yahan wahan padi hui hai, systematically kuch dhang se kaam nahi ho pa raha hai use. Then he is not able to focus on certain topic. Teacher padha rahi hai toh ye choti si awaz aayegi toh uska dhyaan wahan jayega, teacher jo padha rahi hai who likh nahi payega theek se, small small mistakes he ll make, likhte hue bhi ek word gayab ho jayega, ek word mein kahin ek letter gayab ho jayega, kabhi kabhi cheexein bhool kar aane bhoolna, forgetfulness is also a very common symptom. Pen bhoolke aayega, pencil bhool ke aayega, eraser bhool ke aayega, kabhi kabhi tiffin, kabhi water bottle bhool kar aayega. This is very common.

Inattentiveness mein ek aur bhi chhez hai jaise ki aap usko bulaoge toh ek baar mein woh aapke taraf dhyaan nahi de payega. You have to call him multiple times. Arre beta mein ne kitni baar bola, kitni baar mein aap ko yeh sab sunaya. Agar usko aap kuch kaam bolte ho, jaise teen se chaar cheezein ek saath bolte ho toh who saare teen chaar kaam ek saath dhyaan mein nahi rakh pata hai. Koi na koi cheez hundred percent bhoolega. Yeh inattention mein bahut common hai.
Second one is hyperactivity. Hyperactivity mein child is very hyper, not able to sit in one place, constant fidgeting, squirming in their seat, fidgeting means kuch na kuch movement chalu rahega haath ka, per ka, kuch na kuch bina hile beth nahi sakta baccha. Isko bolte hai constant fidgeting and squirming in the seat. Kuch nahi rahega toh seat pe he idhar udhar apne aap mein hona. Yeh sab who baccha aapko karte hue dikhai dega. Hyperactivity mein aur ek cheez, you feel as if uss ke andar motor fix kiya hai, continuously on the move, unable to stop at all.
The next thing we can see is trouble playing quiet games like Chess or pursuing quiet hobbies, he can not do that. Then, talks excessively, bahut zyada baat karna ki usko stop karna mushkil ho jata hai. And in adult and teenage, this hyperacticity can be seen in the form of inner restlessness. Who andar se restless feel hota hai unko. You may not see that hyperactivity physically but that inner restlessness is there.
So the third part is impulsivity. Impulsivity is when the child is impatient. He cannot wait for his turn. Queue mein agar khara hai, toh Arre mera number kyun nahi aa raha hai hai, kyun mein itne der se khara hoon. If you ask him a question, before completion of the question he will blurt out the answer. Teacher answer yeh hai, teacher yeh hai. He can make multiple mistakes for that. Frequently interrupts others. Do bade baat kar rahe ho toh baat khatam hone tak rukega nahi, beech mein aa ke aap ko disturb karega. Aap ko lagega har baccha aisa karta hai but hamesha agar bacha karta rahe toh this is a sign of ADHD.
Kabhi kabhi agar kar raha hai toh it s okay, jab usko urgency rahega, jab usko kahin jaa na rahega. Starting conversations at inappropriate times is also a sign of ADHD.

So ADHD manage karna kyun zaroori hai?

ADHD mainly do components ko bahut zyada affect karta hai. One is academic and other is socialization. Toh academics mein kaise ADHD kaise harm kar sakega? For example, if your kid has an IQ jisse use ninety percent marks aa sakte hai aaram se but if he is not able to pay attention aur woh studies mein focus nahi kar payega, attention nahi de payega teacher kya padha rahi hai, books mein kya likha hua hai, toh who padhke apne brain mein register nahi kar payega. So attention is first required for registration. Then, again, when he wants to recall it, tab bhi use dimaag shant rakh ke recall karna padta hai. Tab bhi use recall karne ke liye attention chahiye. Toh jo ninety percent ka baccha hai agar usko ADHD hai, according to the severity of ADHD, he can slip down to sixty percent, fifty percent, or forty percent. So aaj kal ki zindagi main ek ek marks ke liye bhi bahut tagra competition hai, you know that. Agar ye competition mein itna agar bacche ka performance kum ho gaya toh this is very dangerous for the career of your child. So time pe ilaaj hona zaroori hai. Doosra behviour mein, socialization mein farak dikhta hai. Agar mein kahin galti karta hoon ya mujhse koi galti hoti hai aur woh mere parents ko, mere teachers ko pasand nahi aayi toh I should be attentive ki mein uss cheez ko dhyaan mein rakhu. Dhyaan mein rakhne ke liye mujhe attention chahiye, Arre haan mummy ne last time aise bola tha, mummy ko ye pasand nahi aaya tha, teacher ko who cheez pasand nahi aayi thi . Yeh mere dimaag mein register hona chahiye, yeh register hone ke baad mein jab next time kaam karoonga, tab mujhe who samajh mein ayega ki arre haan, nahi last time yeh galti kiya tha, mummy ko pasand nahi aaya tha, ab yeh nahi karna chahiye. But yeh attention he mere paas nahi rahega toh wahi galtiyan mein roz karoonga. Kal bhi maine maar khaaya tha, aaj bhi mein maar khaaonga, aur parso bhi mein maar khaane wala hoon. So this is a part and parcel of life ho jaata hai, aur wahi wahi galtiyaan repeat hoti hai. Toh patient khud ke ilava kissi aur ke bare mein soch nahi pata. Toh woh socialization mein kaafi peeche pad jaata hai.

Is ke treatment part mein kya aata hai?

First is Occupational Therapy jiss mein child ka hyperactivity kaafi hadh tak kum hota hai. Second is parenting techniques ki baccho ko behavioural therapy mein daal kar ke kaise uska parenting kiya jaaye. And third one is medicines. Medicine is a very important part of therapy. Most of the parents ask us ki arre itne chote bache ko medicines chalu karenge, kuch side effects hoga toh, kuch problem hua toh? Minor side effects medicines ke rehte hai but those side effects can be managed with proper consultation. Aur yeh medicines baccho ke liye he banaya gaya hai toh baccho ko yahi dena padega. Baccho ko sardi khaasi ho gaya, baccho ko bukhar aa gaya tabh aap bolte ho ki baccho ko medicine nahi dena chahiye? Agar who baccho ke liye banaya gaya hai toh who baccho ko he dena padega. So hope this discussion is helpful for you and please be proactive and seek help.

Don t let ADHD destroy your child s future. For more information, you can contact me on www.lybrate.com.

Thank you very much!
Play video
Attention Deficit Hyperactivity Disorder (ADHD)
Symptoms and Treatment for Attention Deficit Hyperactivity Disorder (ADHD)

I m Dr. Prashant Shah, a psychiatrist from Ghatkopar, Mumbai. Today I am going to speak about Attention Deficit Hyperactivity Disorder also known as ADHD. ADHD as the name suggests the full form is Attention Deficit Hyperactivity Disorder. This is a common disorder seen in children and adolescence and at times may extend also into adult life. The common features of this problem are diminished attention, hyperactivity, and impulsivity. As I said earlier, it is most commonly seen in children and adolescents, the usual complaints will be from the parents and teachers. The parents and teachers will complain that these children have difficulty sustaining attention, they are hyperactive and they are impulsive in their day to day activities.

Sustaining attention means that these children cannot sustain or carry out any particular task to the end. They get bored very easily, they will lose interest, they may want to start many activities; they will say that they want to join this activity, they want to do this thing but then halfway down the line they will get bored, and they will stop doing that activity. They would have difficulty in focusing which will result in making careless mistakes in their works, in their calculations, in their day to day works, in their homework. They will be making careless mistakes because they cannot just focus on what they are doing. They get distracted very easily. The teachers will complain that in the school when the teacher is teaching they are looking out of the window or they are speaking with other children. They will drop down their pencil, eraser, and maybe make mischief with other children. Many times there are younger children; they are always on the go. They cannot sit in one place. They are not in their seat; they are roaming around in the class; they talk excessively; they will blurt out answers; they are forgetful; they will not mention about homework or assignment which has been given to them or the project work which has been given. They will inform their parents just at the last minute and then everything will have to be rushed. They will forget or they will misplace their books. Their clothes will be in disarray at home if you visit their room. Everything will be like it is not in its place. They cannot wait for their turn. Now all these are problems which the children-parents pick up.

What is the effect of this on the children? Because of this kind of behavior they are labeled as mischievous. They are the ones who get pointed out whenever something goes wrong in the class. They will be the first ones to be signaled out and given punishment. And at times maybe it is not their fault also but because they show this kind of behavior they are labeled as mischievous and it is they who get the punishment. Everyone ridicules them for this kind of behavior. Even the parents punish them. This will lead to many times frustration, decreased confidence which in turn affects their school performance. Many times this results in deviantju8 behavior. In adolescence if we go on to see this may result in risk-taking behavior, seeking novelties and at times in drug-addiction also.

Now, what can be done about this?
As I said earlier it is a neuro-developmental disorder, we do not know as psychiatry illnesses, we don t know what the causes are of this illness or why does this illness occur. It may range from genetic to neurological to psychopharmic or neuro-developmental problems in the brain. But what is good is that treatment options are available. So what treatment options are there for ADHD? They are both pharmacological and non-pharmacological treatments available. Usually for children less than five years initially we advise non-pharmacological treatment. This non-pharmacological treatment is occupation therapy and sensory integration where depending upon the severity of the problem, children are called for occupation therapy sessions, parents maybe also given some home programme which they can carry out at home and this results in improvement. The improvement is slow but carried out religiously, diligently by the parents for a period of 1 year to two years this definitely is going to show improvement.

In other children or if the problems are severe enough, we do start medicines. In children parents are hesitant to start medicines and that too from a psychiatrist. But believe me there are good medicines available for ADHD, they do show response, there are no major side effects. The groups of medicines that are available are stimulants or non-stimulants. Stimulants are the first choice of drugs, usually we start with a low dose, so that the child can tolerate the dose, there is no side effect and then we gradually build up the dose so that the improvement is seen. Even if there is some side effect there is minor side effect which can be always taken care of. It is not that there is only one drug available, the child is not responding, we can definitely shift to some other. But the thing to understand is that treatment is required. This ADHD can be controlled and if the signs and symptoms of ADHD are controlled then the child s performance is definitely going to improve. It will not only reflect in the child s studies but also overall development of the child. So it is for the parents and teachers working in this field to find out these kinds of children who maybe having this problem and refer them for treatment.

Thank you. For any further enquiries you can always get me to me through Lybrate
Play video
ADHD (Attention Deficit Hyperactivity Disorder)
Here are Symptoms of ADHD and how to handle the Children suffering with ADHD.

Good afternoon, I am Dr. Lata Bhat. I am a pediatrician who is specially trained for newborn care and developmental problems of children. Today, I am going to talk about one of the conditions which is very common. It is known as ADHD- attention deficit hyperactivity disorder.

Many of you may have read about it in the newspapers or online. About 8-10% of schoolchildren have this problem. Now this is not a disease, so you need not be scared of this problem. All you need to know is to understand the kids and provide support and this is essential both by the parents and teachers. These kids have generally poor concentration, very easily distractible that means even if a door bell rings or a horn or if somebody is playing music or television or if somebody in the surroundings is talking and laughing their concentration gets distracted. They may or may not be hyperactive because the core component is lack of concentration which affects their studies. But they may be impulsive which means they may act without thinking. They may land up into frequent fights because of that. They may have certain behavioral issues which teachers and parents may find difficult to handle. They may have learning disability which can be because of lack of concentration or it can be specific learning disability.

Now, there is no need to get worried about it. All you need to do is to contact a developmental pediatrician, get the right assessment done. Then come to the management of these children. First and foremost, is how the parents and teachers handle the children are very important. They need a lot of attention, so kindly give it but it should be positive attention. Always praise and encourage for whatever good they do, never criticize. If there is a bad behavior, you first explain to them and then if it s a very small kid you can sometimes just track them so that they get distracted from the bad behavior and calm down. There is something called household roles.

You can fix certain household roles, routines so that children can understand the do s and dont s which itself takes care of 50% of the problems. Still if they behave badly, you can count up to 10 and then there is something called time-out. Time-out means 1 minute per year of each, if it s a 5 year old child then 5 minutes; it means that lights off, TV off, nobody is talking to them, physical, visual and verbal attention- all three are not given by anybody in the house and the child is made to sit in a corner. At the end of it, you hug the child and tell them that the child is very good but the behavior was bad so that the child does not lower his self-esteem because self-esteem of a child is supreme. Your behavior should always uplift the self-esteem of your child.

Secondly, what you have to remember is never criticize or compare him with any other child and all the adults should follow the household rules consistently. Coming to studies, they have a very short attention span. So set short targets for studies and give breaks in between. They need 1:1 attention for studies which means somebody has to sit with them while they are studying at home either the tutor or the parent. In school, the teacher should make sure that they are sitting in the front row, close to teacher, away from doors and windows and give them a little extra attention. Apart from this, you also need to remember that you have to decrease the TV, video, mobile and computer watching. These lead to hyperactivity. You also need to limit the amount of chocolates and fast food intake. Remember, by understanding the condition, you and the teacher can really make a difference to the child s future.

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