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Hyperkinetic Disorder: Treatment, Cost and Side Effects

What is the Hyperkinetic Disorder? How is the Hyperkinetic Disorder 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?

What is the Hyperkinetic Disorder?

Hyperkinetic disorder or Attention Deficit Hyperactivity Disorder (ADHD) is a behavior which becomes evident in early childhood itself. The behavior of the child is effected by underlying problems of poor attention, impulsivity and hyperactivity. In this condition, children under five are mostly inattentive and restless. But this does not necessarily mean that the child is suffering from ADHD. When the hyperactivity or inattention becomes exaggerated in comparison to other children, the child starts facing problems in school, social and family life, which gives way to the condition.

Around 2-5% of children can suffer from the problem of ADHD. This condition affects young boys more than girls. The exact cause of this condition is not completely known, however, ADHD is more common in children who have had significant traumatic experiences, early in life. ADHD can be a problem running in the family as well. A special assessment is required to make the diagnosis of ADHD as there is no single and simple test to identify the problem. Patterns of behavior and thorough observation of the child in school and at home is needed to make the diagnosis. Computerized and specialized tests may be needed to understand the problem better.

How is the Hyperkinetic Disorder treatment done?

Support and treatment is to be given to a child suffering from ADHD in all spheres of life, where the difficulties occur. It is of absolute importance for the teachers, family and parents to know and understand the condition which the child suffers from. The patient suffering from the problem also needs to recognize and work on bettering their condition. Behavioral management strategies like maintaining reward charts may be helpful for parents and teachers. Parent training programmes, the ones targeting the management of defiant behavior may be especially helpful. Special educational support may also be needed by patients.

Medications can be extremely helpful in treating both childhood and adult ADHD. The medications used in treating this condition helps in reducing hyperactivity and also helps in improving concentration. Medications have proven to help children communicate better with people and think more clearly. Stimulants like dexamphetamine and methylphenidate can be prescribed by doctors. Apart from that, non stimulants like atomoxetine may also be helpful. Methylphenidate is firstly recommended for children in the beginning of their treatment. Other non-stimulant medications can be prescribed if methylphenidate does not repond in the desired manner. The type of stimulants which are prescribed depends on a number of important factors like the signs and symptoms of the condition the child has and the method of treatment you want to opt for.

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

Symptoms of this problem starts appearing early in life itself. Behavioral symptoms of aggression, irritability, fidgeting, hyperactivity, lack of control and restrain, impulsivity and other signs can indicate towards a problem. Cognitive symptoms of difficulty in concentrating, forgetfulness or absent-mindedness and short attention span can make an individualeligible for the treatment.

Who is not eligible for the treatment?

Any individual who does not show symptoms of Attention Deficit Hyperactivity Disorder is not eligible for the treatment. People using MAO inhibitors should not take methylphenidate medication as it could result in a dangerous drug reaction. People who are allergic to methylphenidate or have glaucoma, a family history of tics or Tourette ’s syndrome, severe anxiety issues should not use these medications.

Are there any side effects?

Methylphenidate has a number of side effects which need to be considered before taking the medication. Complications of losing appetite, feeling light headed and having difficulties in sleeping may be noticed. Other side effects may also include being over focusing, staring and remaining quiet too often.

What are the post-treatment guidelines?

Children who have ADHD may need to be on medication for as long as they continue their education or schooling. Regular checking at least once every year is important to track the improvement caused by the treatment. Young people may also need explanation and support about the medications while growing up. It is recommended to not leave the course of medication abruptly as the signs and symptoms of the condition may become more extreme.

How long does it take to recover?

With time and age, the symptoms of this problem stops showing up as the condition goes away with the right kind of medications. However, according to researches, 70-80% of children with ADHD carry the problem into adulthood as well. These symptoms although get suppressed with time.

What is the price of the treatment in India?

The price of methylphenidate differs from brand to brand. However the price range of the medication is between Rs 100-500. Doctor’s consultation fee for ADHD can also range between Rs 500-4,000.

Are the results of the treatment permanent?

Taking medications for as long as prescribed may help in reducing the symptoms significantly. In some cases, the condition completely goes away. However, 70-80% of the cases reveal that patients live with the symptoms but the intensity of the problem reduces.

What are the alternatives to the treatment?

There are natural and alternative methods of dealing with the problem of ADHD. Eliminating food colorings and preservatives from your diet may be helpful in many cases. Avoiding potential allergens like chemical additives, milk, eggs, chocolates, other food items containing berries, chili powder, grapes, oranges etc may also help. Trying EEG biofeedback, considering yoga and tai chi and going for behavioral and parental therapies are all alternatives for the treatment.

Popular Questions & Answers

I am diagnosed with bipolar disorder, even after taking medicines for years ,i am not feeling well how ketamine therapy is helpful for me?

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Ketamine helps in depressive disorder or depressive phase of bipolar mood disorder. It doesn't help in mania, hypomania or mixed phase of bipolar disorder. Your condition needs to be assessed first, to come to conclusion if ketamine infusions are ...
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I'm in 95% remission on medication, I take carispec 3 mg, valproate cr 1g, and bupropion xl 150 mg. I'm happy with my new doctor but I feel denied therapy for traumatic emotional sensitivity. I want a opinion if with these symptoms I should continue advocating for therapy or if it is harmful for me. 30, male, diagnosed early stage f20 15 years ago. Doctor's meds never worked, tried many throughout the years. Since childhood, violent father who struck me, family and my mother. No interest in school studies and unable to understand simplest subjects, always landed up in trouble with teachers who constantly berated me as a child. High school was further traumatising, bullied constantly by whole class and cursed upon to the point I was so conscious of myself and filled with anxiety everyday and the anxiety was high to the point of being almost psychotic. I avoided places like barber and school vicinity where I felt uncomfortable and became extremely anxious. Stopped speaking with father completely for 15 years even though we lived together until his death, retaliated his behaviour with outbursts of rage of my own. Since childhood and especially 11 years old, felt very sensitive and hurt by everything, started becoming detached and separate from the world, spending time alone by myself to cope and increased computer use. Was also not very expressive and that fuelled rage further. The sensitivity gave way to complete isolation and severe grief filled depression, weeping everyday, and that gave way to extreme irritability where I could not tolerate the slightest noises like building construction, kid crying, and lashed out physically and verbally. Electrical shock sensations in my chest also. Started having full on rage attacks, retaliatory outbursts where I shattered glass objects by the dozen, tore the house down everyday, and screamed at the top of my lungs, often curses which kids at school had said to me. Was hospitalized in 2015 3 months because of unending outbursts, felt others misunderstood that these curses were from trauma and I didn't deserve the torture. ​ get repetitive nightmares and flashbacks in dreams where my father is screaming violently, and I start screaming as well curses and rage and then beg in despair after breaking things in dream also, that please I don't want to go to nursing home. Or that my father is hitting my mother and I beg please don't hit her, I picture this as a kid. ​ wake up angry often unconsciously punching and kicking the near wall or bed. Often woke up unconsciously crying with tears in eyes. ​ the depression is such that I feel so sensitive and lonely. I crave intimacy but have no friends. I feel there is no one to love me. I feel i'm completely wretched and damaged and there is no good in me. I become hypersexual but scared of that. I feel want to marry a chaste, pure christian girl and conceive a child in her womb but get upset because that will never be. ​ I also stop all hygiene. 1 months ago started low dose vraylar because no other meds were helping. And every inch of irritability, rage, hygiene issue disappeared instantly and I feel happy for first time in life. But I do feel I need support for my trauma to prevent any depressive relapses in the future but the hundred doctors I saw just put f20 because I damage property, and say you are not a war victim. I feel misunderstood and that does not help. Thank you.

Reparenting Technique, BA, BEd, Transactional Analysis
Psychologist, Bangalore
I am glad that you are feeling 95% remission in your current treatment, which only means that the medicine is working well for you. But you are also right that you need therapy in tandem with the medication. You must seek the help of as good couns...
1 person found this helpful

Namaste to all doctors .sir I am taking clomipramine ,lithium ,risperidone ,clonazepam and acamprosate also .i was good when taking all these drugs except acamprosate .now from 3 days I am experiencing very anxious .what can I do .please help me.

Psychiatrist, Bangalore
Dear Syed, I don't know for what diagnosis, you are taking these tablets, at what dose and for how long. However if you are going to drink alcohol to reduce your anxiety, please take acamprosate also. It reduces the craving for alcohol!
1 person found this helpful

I want to ask this question regarding my mother who is 52 years old. I am sorry to write but I have to write all the symptoms in detail in order to count it and treat it. The whole family and others think that "iski nature hi aisi hai -- she is only like this" but I am sure she has some psychological issue. She feels inferiority complex all the time, sometimes any joke she takes on his heart and get angry, she thinks we are mocking her. If we take care of our father, she thinks we are taking care of our father more than her and we are not taking care of her, we are not concerned about her. If we give any special food or gift to our father, then she thinks we are taking care of father only, she stops talking to all, all of a sudden. If any other person is given more attention in the family then she feels why people are not giving any attention to her. She becomes secluded (alag thalag) at times after any such things which others could not even notice or which may not be a big deal for others, she then leaves eating. When on any issue arguing with her, at the end she plays victim card. Yes I am bad, yes I don't know anything. And becomes super angry and stops talking for a few days. She thinks no one cares for her, she often thinks may be we are against her. She is super negative. Any disease like gastritis when gets not cured, she feels she is suffering from any big disease and needs big treatment in big hospital, if we do treatment in our city hospital or with city doctor then she thinks we are not doing enough for her. When we grew up, I came to know from our father that she had depressive episodes when we are very young. She used to beat things violently, beat us at times. Currently she has ibs (irritable bowel syndrome) and with other medicines, tryptomer helped very much. I want to know ,what this psychological issue can be called. Anxiety disorder, depression or anything else or nothing? And what could be best thing to address this. This is effecting our life quality.

MB BS, MD - Psychiatry, MBA - Healthcare
Psychiatrist, Davanagere
It appears that you mother has chronic mild depression and left untreated along with a depressive personality disorder, has taken on a huge cost on your family. I also believe that there are instances where you are able to make her happy and she c...

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