What does ADHD stand for?
Attention deficit hyperactivity disorder
What is ADHD?
Early onset, persistent pattern of inattention, hyperactivity and impulsivity
What is the age of onset for ADHD?
3-7 years
What are risk factors for ADHD?
Male FHx Social deprivation Family conflict Parental cannabis/alcohol exposure
What are the features of ADHD?
Inattention
Hyperactivity
Impulsivity
What would you see with inattention?
Highly distractable
Not listening when spoken to
Forgetting/losing things
What would you see with hyperactivity?
Restlessness/fidgeting
Reclessness
Excessive talking
What would you see with impulsivity?
Difficulty waiting
Temper tantrums
Disobedience
How is ADHD managed generally?
Provide support for parents/teachers
Support for the child
How is ADHD managed in pre-school age children?
Parent-training - reinforce good behaviours
Education programmes
How is ADHD managed in school age children?
Psychoeducation
CBT
Severe ADHD = ritalin
What are the ICD-10 criteria for ADHD?
Abnormality of attention, activity and impulsivity - at home
Abnormality of attention, activity and impulsivity - at school
Directly observed abnormality of attention or activity
Does not meed criteria for other disorders
Onset before 7
Duration of at least 6 months
IQ > 50