Attention Deficit Hyperactivity Disorder/ADHD in Children FAQS

4th Pediatric Infectious Diseases Conference

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ATTENTION DEFICIT HYPERACTIVE DISORDER (ADHD)

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Dr Vihang N Vahia

Hon . Psychiatrist & Prof of Psychiatry
Dr R.N. Cooper Hospital & Seth G .S.Medical College,Bombay 400 056.

Consultant at:

Breach Candy Hospital.
Gandhi (Bhajekar) Hospital.
Hurkisondas Hospital.
Nanavati Hospital.

Q. My child aged 5 years does not sit still for more than few minutes. She finds it hard to concentrate and disturbs the class often. What should I do ?
Your child has a low attention span. However, before labeling your child as ADHD, it is imperative to rule out physical causes of restlessness in your child (commonest being worms). Also, consult your doctor to rule out epilepsy (an EEG may be recommended), psychosis, depression, anxiety etc. Many children with learning disabilities may suffer from short attention, as they may be depressed as they are unable to comprehend regular studies. Finally, your child may be having too many sensory inputs and as a result may be irritable.

Q. My child tends to day dream a lot and appears to be in his dream world. What should I do ?
Dreaming is a part of growing up and is considered normal. Abnormal day dreaming is when the dreams are so intense that they interfere with day to day activity. If your child has abnormal day dreaming, consult your doctor for further evaluation.

Q. How does one get ADHD ?
Though the exact cause of ADHD is still not known, it is postulated that these children suffer from minimal brain damage either prenatal, at time of birth or even in the neonatal age group.

Q. Is ADHD a hereditary condition ?
The incidence of ADHD is seen more frequently in first-degree relatives, in off springs of parents having depression, anxiety & personality disorders. Incidence is also higher in children of parents with alcohol & drug abuse. However, one should also remember that the severity and symptoms of ADHD also depend on the upbringing of the child.

Q. My child has ADHD. Does it affect the intelligence ?
Usually ADHD is seen in children with normal intelligence. IQ testing may show pseudo-retardation (i.e. the child may have normal IQ, but due to overactivity, testing may show a false low IQ)

Q. Is ADHD a life long condition? Can my child outgrow it ?
No, ADHD is not a life long condition. It is usually outgrown by the time the child becomes an adolescent.

Q. How do adults with ADHD behave ?
Usually children outgrow ADHD, as they grow older. Few preadolescents and adolescents may have residual symptoms. For them, the treatment is usually behavioral and cognitive therapy. There are anecdotal reports of various other therapies that have been tried like dance therapy, swimming, exercise, horse - riding etc to channelise their energies and increase their concentration.

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Behavioral Problems in Children : Frequently Asked Questions and Specialist Answers

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