ADHD

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1
- Most common neurobiological disorder in childhood
- Begins in childhood, continues through adulthood
- Classified by
- Inattention, hyperactivity, and impulsivity
ADHD
2
what are the three types of ADHD
o Combined
o Inattentive
o Hyperactive-impulsive
3
symptoms of ADHD must be present by age
12
4
what is the average onset age for ADHD
7
5
is ADHD more common in boys or girls
boys
6
how many symptoms need to be present to diagnose
- 5-6 symptoms must be present, in multiple contexts, and show impact on function
7
what is the etiology of ADHD
- Specific underlying cause unknown
- Combination of genetic and environmental factors
- Dopamine
- Brain abnormalities
8
what percent of children have ADHD
what percent of adults have ADHD
children: 7-11%
adult: 3-5%
9
what are the signs of ADHD inattention
o Fails to give close attention to detail, difficulty sustaining attention
o Does not appear to listen when spoken to
o Difficulty following through with instructions
o Poor organization skills
o Avoids sustained mental effort
o Loses necessary items
o Often easily distracted
o Often forgetful in daily activity
10
what are the signs of ADHD hyperactive-impulsive
o Fidgets with hands, feet, body
o Moves around when expected to be sitting
o Runs about or feels restless
o Difficulty in quiet leisure activities
o Often “on the go” or uncomfortable being still
o Talks excessively
o Blurts out answers before questions completed
o Difficulty waiting or taking turns
11
how is ADHD diagnosed
no single test is available for diagnosis
pediatricain often refers to specialist
12
what are some co-morbid conditions for ADHD
o Autism
o Sensory processing
o Giftedness
o Learning disability
o Mental health conditions
 Anxiety, depression, ODD, OCD, bipolar
13
what is the course and prognosis of ADHD
lifelong disorder but clincal presentation changes overtime
14
what percent of people with ADHD receive special education
30-50
15
How does ADHD affect people in school
o High dropout rate (23-40%)
o Lower GPA
16
what medications are used for ADHD
stimulants and nonstimulants
17
what are the behavioral interventions for ADHD
o CBT
o Mindfulness
o coaching
18
How does ADHD impact occupational performance
- All areas of occupation can be impacted
- Executive functioning skills
- Sleep
19
Where might you work with individuals with ADHD?
School, outpatient, everywhere
20
what considerations are there for ADHD
safety
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