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Overview

Hyperactivity Disorder: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Attention deficit hyperactivity disorder or ADHD is a condition, which greatly hampers the normal personality development of a child. This issue persists throughout the life of the ones afflicted, but it can, nonetheless, be controlled and kept at bay. ADHD can be treated through two different methods, although the best results are often found when the two are merged together.

The first form of treatment involves medicating the patient. Generally, doctors prescribe certain forms of stimulant to the child suffering from the disease. These medicines may include amphetamines and methylphenidate. These medications alone are effective in improving the symptoms in almost 70% of the children suffering from ADHD.

The other form of treatment involves behavioral therapy. In such a case, parents and children both undergo specialized classes to handle and control the effects of ADHD. Parents are taught the importance of positive reinforcement for a child suffering from hyperactivity disorder. Other important strategies are also imparted to them, so that they are able to cope with the symptoms of the disease and also reduce the same in their children.

The children are also taught vital skills such as better communications and problem solving. These behavioral modifications greatly help in alleviating the symptoms of ADHD.

How is the treatment done?

A better portion of the treatment for ADHD can be done at home without the need for medications. There are certain guidelines that parents need to follow in order to treat a child with ADHD at home. Firstly, parents need to take care of their own physical and mental health for such a treatment to work. Parents should also get educated properly on the disorder, so that they are better prepared for what their child may be facing.

Parents must also ensure that their child develop a good self-esteem. Additionally, it is quite helpful if parents can guide the child to succeed at school, as this builds confidence.

Medication along with behavioral treatment is the best way to proceed in case of ADHD. Doctors may prescribe a wide variety of drugs to your child in order to alleviate the symptoms. For instance, stimulants such as amphetamines and methylphenidates may be prescribed to the kid to reduce the hyperactivity.

Non-stimulants such as Atomoxetine, clonidine, and Guanfacine are also prescribed to the children. These are known to reduce the aggressive behavior commonly associated with ADHD. Physicians may sometimes also prescribe antidepressants to the patients.

Who is eligible for the treatment? (When is the treatment done?)

Children who show signs and symptoms associated with Attention Deficit Hyperactivity Disorder are eligible for the treatment. However, before starting the treatment, parents are highly advised to seek out medical opinion just to be sure that their child does suffer from the same.

Who is not eligible for the treatment?

Children who have not been diagnosed by a child psychologist to be suffering from ADHD are not qualified for this treatment. Although there are no adverse effects of the behavioral modifications in case of a normal child, the medications prescribed to ADHD patients should not be consumed by children not suffering from the disorder.

Are there any side effects?

The behavioral treatment does not have any side effects. However, there is some debate whether the medications prescribed are safe in the long run. Several studies have been conducted on the subject, but nothing conclusive has come to light. There are reports that the medication, especially the stimulants, can cause some adverse effects. Decreased appetite, headache, loss of sleep, and stomach pain are some of the most commonly reported side effects from the drugs.

What are the post-treatment guidelines?

Since ADHD cannot be cured completely, there is no post-treatment guideline as such. The condition can be kept at bay through medication and therapy. However, some form of treatment needs to be continued throughout the individual’s life.

How long does it take to recover?

There is no recovery period as such for the treatment of ADHD, as it is a continuous process. Medication needs to be continued throughout life in order to keep the symptoms at bay.

What is the price of the treatment in India?

Amphetamines cost around Rs 60 per 1000 mg, while 5 mg of methylphenidate costs around Rs. 45. Along with the cost incurred for physicians, treatment for ADHD in India can easily cross several Lacs of Rupees in a patient’s lifetime.

Are the results of the treatment permanent?

If an individual suffering from ADHD follows the medications and therapy prescribed to him/her, there is very little chance of the symptoms worsening. However, the patients must remain on the medications for the rest of their life to avoid relapsing.

What are the alternatives to the treatment?

There are a number of alternative forms of treatment for ADHD. The most popular among these include elimination diet, supplementing the food with omega 3s, training the memory of the one afflicted, neurofeedback, and parental training. However, there is some debate as to whether these procedures are as effective as medication and therapy.

Safety: Very High Effectiveness: Medium Timeliness: Very High Relative Risk: Very Low Side Effects: Medium Time For Recovery: Medium Price Range:

Rs. 5,000-Rs. 5,00,000

Popular Health Tips

How To Prevent ADHD During Pregnancy?

MD, MBBS
Psychiatrist, Delhi
How To Prevent ADHD During Pregnancy?

The tendency for the development of Attention Deficit Hyperactivity Disorder, which is more popularly known as ADHD, during the months of pregnancy is growing with each passing day. The main reason behind this is the increased exposure to the digital devices. This disorder is characterized by some specific characteristics, the most common ones being the inability to concentrate on anything and being hyperactive at all times of the day. People tend to show impulsive actions in all cases.

But the good news is that the researchers have come up with some possible solutions to ADHD during pregnancy with the help of which it can be prevented-

  1. Curb the intake of sugars: One of the main steps that you can take towards preventing the development of ADHD during your pregnancy is going on a low sugar diet. Several types of research have proved that when the mother has a high sugar diet, it directly correlates to the development of ADHD. The reason behind this is quite simple. It is because there is a particular gene in the human body called the IGF2 and this gene is responsible for the development of the brain. But when there is a high amount of sugar in the diet, the IGF2 levels are compromised which ultimately leads to the development of ADHD. So, don’t take too much of processed proteins and stick to a healthy diet. If necessary, approach a dietician who can give you a proper diet chart to follow.
  2. Get the proper probiotics for yourself: Probiotics have a major role in many of the health conditions and one of them is the development of ADHD in pregnancy. Adding the necessary probiotics to a pregnant woman is not only good for her overall health but also enhances the growth and development of the fetus. Not only does the application of the right probiotics prevents the chances of development of ADHD in newborns, but it also reduces the risk of development of conditions like autism, bipolar disorder, mood disorders, and even schizophrenia.
  3. Keep your cell phones away from you: All forms of digital devices create a heavy impact on the fetus leading to ADHD in many cases. Mobile phones are no doubt an important part of your lifestyle but you can keep them away from yourself when they are not needed, especially, keep them away from your pockets.
  4. Drink filtered water: Unfiltered water contains many chemicals and other unhygienic substances. You should refrain from consuming unfiltered water especially in your months of pregnancy.

In the months of pregnancy, when your body is vulnerable to the outside factors that are harmful, you must stay extra vigilant and take all the precautions necessary to ensure that your child does not develop ADHD. Maintain your diet and don’t skip your checkups. In case you have a concern or query you can always consult an expert & get answers to your questions!

2480 people found this helpful

Attention Deficit Disorder - How It Can Be Treated?

Ph.D Psychology, M.Phil - Psychology
Psychologist, Jaipur
Attention Deficit Disorder - How It Can Be Treated?

Attention deficit/hyperactivity issue (ADHD) is a mental condition that is marked by a continuous example of inattention as well as hyperactivity-impulsivity that meddles with the working or advancement of that person. Inattention implies that a person gets distracted from tasks, lacks focus and is not concentrating on the task at hand. Hyperactivity implies that a person tends to move around continuously, especially into situations in which it is not needed. Impulsivity implies that a person makes hurried decisions without thinking about them and that may have negative outcomes or risky consequences.

Here are a few ways with which you can treat ADHD.
Therapy: Along with medicines, certain treatments can be valuable in treating ADHD in children, teenagers and grown-ups. Therapy is helpful in treating other problems as well. For example, anxiety or nervousness issue that may show up with ADHD. The types of the therapies that might be used are as follows.

  • Psycho-education: Psycho-education implies that you or your kid will be urged to understand ADHD and how it affects you. It can help children, adolescents and grown-ups understand why they have been diagnosed with ADHD. It can also help you adapt and manage the condition.
    • Behavioral treatment: Behavioral treatment gives support to the caretakers of the people with ADHD, and may include teachers and guardians. The treatment includes behavior administration, which uses a group of prizes to encourage your child to attempt to control their ADHD.
    • Social skills training: Social skills training includes children or youngsters taking part in role-plays or pretending to be in certain situations. This intends to show them how to carry on in social circumstances by figuring out how their behavior influences or affects others.
  • Cognitive behavioral treatment (CBT): Cognitive behavioral treatment (CBT) is a talking therapy that can help you deal with your issues by changing the way you think and behave. A CBT advisor would attempt to change how your kid feels about a situation, which would thus change their conduct.
  • Eat less carbs: Individuals with ADHD need to eat a healthy diet. A few people may see a connection between types of foods and declining ADHD side effects. For instance, sugar, food colorings, added sugars, and caffeine are frequently blamed for increasing hyperactivity.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2854 people found this helpful

Attention Deficit Hyperactivity Disorder - How To Know If Your Child Is Suffering?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Attention Deficit Hyperactivity Disorder - How To Know If Your Child Is Suffering?

It is sad to hear of a loved one suffering, but it is downright painful if that someone is your own child. Attention deficit hyperactivity disorder (ADHD) is a condition which was not paid much attention to for many years. The fact remains, however, that ADHD is something that can adversely affect the life of your child and their relationships. One example is Olympian Michael Phelps, who had been diagnosed with this disorder. In order to know if a child does suffer from it, it is important to pay attention to a few signs.

Signs You Must Not Ignore

  1. To start off, if a child seems to be fidgety all the time, it is a good sign that there is a chance that he or she may have ADHD. While it is true that children often display feelings of excitement as well as a degree of restlessness most of the time, the ability of a child suffering from ADHD to sit still, quite literally, surpasses any normal standards for even a very restless child who does not have ADHD.
  2. As a matter of fact, most children who are diagnosed with the disorder are diagnosed by the time they are 7 or 8 years old. For many kids, this has something to do with the signs that are displayed once they join school, which are related to their behavioural habits. For example, children who have ADHD are likely to show their inability to await their turn in a group activity. As a result, they are likely to interrupt not only their peers, but also their teachers to say express their thoughts.
  3. For those who are not well versed with this issue that so many children face, the behaviour of a child with ADHD come across as being outright selfish. However, this is really not the case. In many cases, since children with ADHD find it difficult to follow plans and set out tasks, their inability to do so is often considered as lack of intelligence. Such judgements can lower the morale of the child and make him or her feel inadequate, insecure and left out.

Many children who have ADHD are not loud and usually do not stand out in a group. Rather, they are more likely to be the quiet ones who daydream. All this can have major effects on the academic record of the child, and it is fair to say that he or she is quite likely to under perform compared to the rest of the students in the class.

If you see any of these signs, do not be alarmed. However, do seek a doctor’s opinion to know for sure if your child has ADHD. If you wish to discuss about any specific problem, you can consult a Psychiatrist.

2912 people found this helpful

Attention Deficit Hyperactivity Disorder (ADHD) - A Guide!

Consultant Dyslexia, Autism & Child Psychologist. Consultant Clinical & Mental Health Psychologist., Post Masters Doc in Behavioural Medicine , Post Masters Doc Psychology
Psychologist, Noida
Attention Deficit Hyperactivity Disorder (ADHD) - A Guide!

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:

  1. 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 

  2. 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 disordera 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. If you wish to discuss about any specific problem, you can consult a psychologist.

2583 people found this helpful

ADHD - Know The Symptoms

MBBS, MS - General Surgery, MCh - Pediatric Surgery
Pediatric Surgeon, Jaipur
ADHD - Know The Symptoms

If you have noticed your child to be restless and anxious all the time, it might look cute as the child is highly energetic, but it could be a cause for concern at the same time. It is not normal and the child could be having ADHD that is attention deficit hyperactivity disorder. As the name suggests, it is a disorder with deficiency of attention and in which the child is always hyperactive.

ADHD is a disorder in which the symptoms usually show up before the age of seven. It is characterized by a group of behavioral symptoms that include inattentiveness, hyperactivity and impulsiveness. The impact of these symptoms is felt extensively where his overall self-esteem is affected, be it at home, preschool or school, academics or extracurricular activities and in interpersonal relationships.

The most common symptoms, which are almost diagnostic of ADHD are:

  1. Inability to hold attention: The child's attention span is very short and it is very difficult to keep them engaged on one particular thing.
  2. Increased restlessness: The child would be extremely restless and gets distracted easily.
  3. Fidgeting: The child would be seen constantly fidgeting with his fingers.

The following are the less common ones:

  1. Learning disability is rare, but can happen. However, the good news is that it does not affect the child's intelligence.
  2. Sleep disorders
  3. Difficulty in following directions
  4. Poor executive functioning skills
  5. Disorganization, which can lead to poor motor coordination and impaired movements
  6. ADHD kids tend to forget things very easily and need help with coordinating movements
  7. The child suffering from ADHD could easily tire and/or feel lethargic with very low energy levels. This can lead to the child procrastinating things and not wanting to do things on priority basis
  8. These children also have difficulties with fine motor and cognitive skills and so there is delay in their overall participation in games.

While these are the pressing symptoms of ADHD, occupational therapy can play a significant role in managing the child in the following ways. As a first step, the caregiver should have a detailed discussion with the school staff and any other people with whom the child interacts significantly.

This will help identify areas that need support from an Occupational Therapy, which are the following:

  1. Support with gross and/or fine motor skills
  2. Support with improving handwriting
  3. Support with engaging in playing sports and games
  4. Support in engaging in social activities
  5. Improving sensory processing difficulties
  6. Improving visual perception
  7. Support in adapting to the environment
  8. Teaching strategies to participate in various social and academic activities

So, while an ADHD child is definitely a cause for concern, proper support from family can help manage the condition. If you wish to discuss about any specific problem, you can consult a pediatrician.

1898 people found this helpful

Popular Questions & Answers

My child hyper active I don’t know how to handle him? No one wants to play with him. He feels very lonely sometimes he has even no friends by nature he very good boy he is very sharp minded but I don’t where he is going wrong? please help me I am very stressed.

MD - Psychiatry
Psychiatrist, Chennai
Attention deficit hyperactivity disorder (ADHD) affects children and teens and can continue into adulthood. ADHD is the most commonly diagnosed psychiatric disorder of children. Children with ADHD may be hyperactive and unable control their impulses. Or they may have trouble paying attention. These behaviors interfere with school and home life. It’s more common in boys than in girls. It’s usually discovered during the early school years, when a child begins to have problems paying attention. Symptoms are grouped into three categories: Inattention. Is easily distracted Doesn't follow directions or finish tasks Doesn't appear to be listening Doesn't pay attention and makes careless mistakes Forgets about daily activities Has problems organizing daily tasks Doesn’t like to do things that require sitting still Often loses things Tends to daydream Hyperactivity. Often squirms, fidgets, or bounces when sitting Doesn't stay seated Has trouble playing quietly Is always moving, such as running or climbing on things (In teens and adults, this is more commonly described as restlessness.) Talks excessively Is always “on the go” as if “driven by a motor” Impulsivity. Has trouble waiting for his or her turn Blurts out answers Interrupts others Consult a psychiatrist, if he has even few of these symptoms mentioned above, child needs detailed psychological evaluation and then treatment. All the best.

I want to ask the question regarding the medicine tab inspiral- sr 20. It is prescribed to me by my doctor in the morning. I want to know that it has short term affect only i.e. On the daily basis from morning to evening or on taking it daily for weeks or months it creates long lasting affect. I.e. We should not miss its doses to get near to permanent change in mind and how long does it take to start this medicine make an impact on us or create changes. Please clear my all the confusions one by one. Thank you.

Pain Medicine Externship, Fellowship In Addiction Psychiatry & Addiction Medicine, MBBS Bachelor of Medicine and Bachelor of Surgery
Psychiatrist, Panchkula
Dear lybrate-user I am assuming you were prescribed Inspiral (methylphenidate) for ADHD. This medication will not cause long term changes to your brain, rather will help you increase productivity on a daily basis i.e. Each day you take them your work efficiency and quality of life will be better. Over time this may help you have a better life amd increase your cnofidence. If you miss a dose your day could be worse than what ot was earlier due to rebound effects.

Does ADHD cause premature ejaculation? I feel symptoms same as ADHD related symptoms? Im walking very quickly sometimes ,i do not like to sit in one place, I do not have single thoughts, several thoughts ruining in my mind, sometimes I feel like anxiety, sometimes I would go to run quick without knowing me ,I am 23 if would really affect adhd so what the treatment?

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
ADHD usually doesn't go undiagnosed till tour age ..and premature ejeculation should not be a symptom of it which would make u feel u r suffering from it.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
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
Attention Deficiency Disorder and Attention Deficiency Hyperactivity Disorder in Children
Here are symptoms, reasons and management of ADD and ADHD.

Hi my Dr Priyanka Srivastava doctor at lybrate. Today lets understand the concept of Hyperactivity in children.

This hyper activity as we say that it says attention deficit disorder and attention deficit hyperactivity disorder in children. So in its normal for children to occasionally forget their homework, daydreaming during the class, frigidity during the dining table and act without thinking. So these attentive impulsivity and hyperactivity are all the science of ADD which get effects the child's ability to learn and get along with others. So let's address this problem by recognising its signs and symptoms. The signs and symptoms of ADD or ADHD typically appear before the age of 7. However at times it can be difficult to distinguish between a normal behaviour and ADD child.

What are the signs and symptoms of a ADD child.

Number one is the child who cannot sit still are having the symptoms of ADD.
Number two is who never seem to listen. When the child is never seem to listen.
Thirdly is the children who do not follow the instructions, no matter how clearly you present them.
Fourth who blurred out inappropriates comments at inappropriate timings.
Fifthly is who tend to be moody and overreact emotionally.
Sixthly, Sometimes these children are labelled as troublemakers or criticized for being lazy and indisciplined.
Seventhly, they were stuck to you as disrespectful, weird or needy. So these are all signs and symptoms of ADD or ADHD. So it is a time for the parents to take a call and to consult a psychologist.
What are the reasons behind ADD.

Number one, whenever there is a learning disabilities our problems with reading writing Motor skills all language In a child.
Number 2 is any traumatic experiences in their life.
Number 3 is psychological disorders which include anxiety, depression and bipolar disorder.
Number four is behaviour disorder such as conduct disorders.
Number 5 is when there are medical conditions including thyroid problems, neurological conditions, sleep disorders and so on.
Apart from all these things, there are certain positive traits with ADD children. ADD children are usually very creative children. ADD children are very flexible to the social environment. Number 3 is there enthusiastic and spontaneous to the action. Number 4 is they have a high energy drive to take on their life situations. ADD is not related to intelligence as it is far away from that because many ADD children are far more intelligent than others. Now what are the parenting trip to that need to be followed to manage this type of a children. Effective parenting we mean it's not the bad behaviour of the parent but it is an effective behaviour from the parents to the child. It requires open communication from the child towards parents. It requires more structuring. Parents it requires more love and affection from the parent to the child.

If all these been given during the parenting an ADD child can overcome with this issue of the problem if you are wanting to concern more in detail about this type of any issues related to the children you can consult me online and offline 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.

For any other further information, you can contact me on lybrate.com.
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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 .
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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.
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