Newsletters

Healthy Child Spring/Summer 2003

ADHD- Understanding Attention Deficit/Hyperactivity Disorder

by: the American Academy of Pediatrics (AAP)

Almost all children have times when their behavior veers out of control. They may speed about in constant motion, make noise nonstop, refuse to wait their turn, and crash into everything around them. At other times they may drift as if in a daydream, failing to pay attention or finish what they start.

However, for some children, these kinds of behaviors are more than an occasional problem. Children with attention-deficit/hyperactivity disorder (ADHD), have behavior problems that are so frequent and severe that they interfere with their ability to live normal lives.

These children often have trouble getting along with siblings and other children at school, at home and in other settings. Those who have trouble paying attention usually have trouble learning. An impulsive nature may put them in actual physical danger. Because children with ADHD have difficulty controlling this behavior, they may be labeled "bad kids" or "space cadets."

ADHD is a condition of the brain that makes it difficult for children to control their behavior. It is one of the most common chronic conditions of childhood. It affects 4 percent to 12 percent of school-aged children. About three times more boys than girls are diagnosed with ADHD.

Left untreated, more severe forms of ADHD can lead to serious, lifelong problems such as poor grades in school, run-ins with the law, failed relationships, and the inability to keep a job.

But effective treatment is available. If your child has ADHD, your pediatrician can offer a long-term treatment plan to help your child lead a happy and healthy life. As a parent, you have a very important role in this treatment.

Common Behaviors and Symptoms

At one time or another, almost all children seem to show symptoms of Attention-Deficit/Hyperactivity Disorder (ADHD). It is normal for all children to show some of these symptoms from time to time. Your child may be reacting to stress at school or home. She may be bored or going through a difficult stage of life. It does not mean she has ADHD.

True ADHD symptoms appear on a regular basis and can interfere with learning. Part of any evaluation is identifying behavior symptoms. ADHD includes three behavior symptoms: inattention, hyperactivity and impulsivity.

Table 1

SYMPTOMS OF ADHD
Symptom Inattention

How a child with this symptom may behave

  • Inattention Has a hard time paying attention, daydreams
  • Does not seem to listen
  • Is easily distracted from work or play
  • Does not seem to care about details, makes careless mistakes
  • Does not follow through on instructions or finish tasks
  • Is disorganized
  • Loses a lot of important things
  • Forgets things
  • Does not want to do things that require ongoing mental effort

Hyperactivity
  • Is in constant motion, as if "driven by a motor"
  • Cannot stay seated
  • Squirms and fidgets
  • Talks too much
  • Runs, jumps and climbs when this is not permitted
  • Cannot play quietly
Impulsivity
  • Acts and speaks without thinking
  • May run into the street without looking for traffic first
  • Has trouble taking turns
  • Cannot wait for things
  • Calls out answers before the question is complete
  • Interrupts others


Children with ADHD may have one or more of the symptom groups listed in Table 1. The symptoms usually are classified as the following types of ADHD:

  • Inattentive Only (formerly known as attention deficit disorder [ADD]) — Children with this form of ADHD are not overly active. Because they do not disrupt the classroom or other activities, their symptoms may not be noticed. Among girls with ADHD, this form is most common.
  • Hyperactive/Impulsive — Children with this type of ADHD show both hyperactive and impulsive behavior, but can pay attention.
  • Combined Inattentive/ Hyperactive/Impulsive —Children with this type of ADHD show all three symptoms. This is the most common type of ADHD.
    If your child is 6 years of age or older and has shown symptoms of ADHD on a regular basis for more than 6 months, it is important to discuss this with your pediatrician.

It is also very important that you pay close attention to safety. A child with ADHD may not always be aware of dangers and can get hurt easily.

Frequently Asked Questions

1.Will my child outgrow ADHD?

ADHD continues into adulthood in most cases. However, by developing their strengths, structuring their environments, and using medication when needed, adults with ADHD can lead very productive lives. In some careers, having a high-energy behavior pattern can be an asset.

2. Why do so many children have ADHD?

The number of children who are being treated for ADHD has risen. It is not clear whether more children have ADHD or more children are being diagnosed with ADHD. ADHD is now one of the most common and most studied conditions of childhood. Because of more awareness and better ways of diagnosing and treating this disorder, more children are being helped.

3. Are schools putting children on ADHD medication?

Teachers are often the first to notice behavior signs of possible ADHD. However, only physicians can prescribe medications to treat ADHD. This follows a careful process of diagnosis.

For a referral to a Saint Barnabas Medical Center pediatrician, please call 1-888-SBMC-DOC.

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