The Online Psychologist And Hyperactivity
The two main symptoms are attention deficit disorder and lack of impulse control
, often accompanied by motor restlessness. These two sets of symptoms may occur together or separately, depending on what you determine to which subtype of ADHD is:ADHD hyperactive-impulsive type: the child has mainly hyperactivity and impulsivity.
ADHD inattentive type: the child has mainly inattention.
ADHD combined type: the child has the 3 features: hyperactivity, impulsivity and inattention.
SYMPTOMS OF ADHD (DSM-IV R)
1. Neglect: The child with ADHD who is inattentive have six or more of the following symptoms:
(A) often fails to give sufficient attention to details or makes careless mistakes incurred in schoolwork, work or other activities
(B) often has difficulty sustaining attention in tasks or play activities
(C) often does not seem to listen when spoken to directly
(D) often does not follow instructions and fails to finish schoolwork, chores, or duties in the workplace (not due to oppositional behavior or failure to understand instructions)
(E) often has difficulty organizing tasks and activities
(F) often avoids, dislikes or is reluctant to engage in tasks that require sustained mental effort (such as schoolwork or homework)
(G) often loses things necessary for tasks or activities (eg. Toys, school assignments, pencils, books or tools)
(H) is often easily distracted by extraneous stimuli
(I) is often forgetful in daily activities
2. The child with ADHD who is hyperactive and impulsive will have at least six of the following symptoms:
Hyperactivity
(A) often fidgets with hands or feet or squirms in seat
(B) often leaves seat in classroom or in other situations in which remaining seated is expected
(C) often runs about or climbs excessively in situations in which it is inappropriate (in adolescents or adults may be limited to subjective feelings of restlessness)
(D) often has difficulty playing or engaging in leisure activities quietly
(E) often "on the go" or often acts as if an engine
(F) often talks excessively
Impulsiveness
(G) often blurts out answers before questions have been completed
(H) often has difficulty awaiting turn
(I) often interrupts or intrudes on others (eg. Butts into conversations or games)
TREATMENT OF ADHD
Experts in childhood disorders do not preclude any therapeutic approach, offering a multidisciplinary approach:
- Drug treatment (first-line drugs in the treatment of ADHD are psychostimulants that promote attention and concentration, while reducing excessive motor activity and aggressive and antisocial behavior)
- Pedagogical support (If necessary, a customized education system)
- Psychological treatment (behavioral and cognitive behavioral therapy, social skills training, relaxation training, family mediation, group therapy, etc.).
- Occupational therapy (art workshops, sports, etc.).
ROLE OF FAMILY IN THE DETECTION AND EVOLUTION OF ADHD
Early detection, as in any other disorder, it is crucial, because the earlier you start the multidisciplinary treatment, better results are obtained. The role of the family is crucial for early identification of ADHD and, therefore, begin to treat it early. Usually the disorder is diagnosed when starting school (around age 6), when it notices symptoms on school adjustment.
How I can know if my child is hyperactive?
It is important to note that children, as a rule, prefer those activities or games that involve movement which consists of sit and concentrate. This does not mean that a child is hyperactive.
The first step we would assure that the diagnostic criteria above. If you are 6 or more of the criteria, either with prevalence of attention deficit or hyperactivity-dominated, it would be necessary to resort to professionals who can assist the child in this case a child psychiatrist and a psychologist.
It would also need to talk to the teacher or teachers of children to ensure adequate pedagogical attention.
Can my child improve?
As we know, early diagnosis and appropriate treatment will influence positively in its evolution. The support of family, teachers and the environment will also be instrumental in developing the disorder.
The prognosis is variable depending on the severity of symptoms and the existence of other problems or conditions that may occur at the same time. Symptoms may stay during adolescence, or it can refer at this stage, hyperactivity may disappear but persist attention deficit and impulse control problems.
Hyperactivity is usually the first symptom to subside, while the deficit of attention and concentration is often the last. Remission usually occurs between 12 and 20 years.
It is very likely that, with appropriate multidisciplinary treatment lead to a significant improvement and remission of ADHD symptoms, being that the child will have at a later adolescence and adult life active, productive and normal relationships and positive and proper socialization.
Anna Moles
Psychologist www.psicologoadistancia.com
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