Attention deficit hyperactivity disorder

What is ADHD?
Many parents worry at times about how their children behave. Often, misbehaving is simply part of growing up. But in some children, it is caused by a medical condition called attention deficit hyperactivity disorder (or ADHD for short).
Children with ADHD find it hard to concentrate, are overly active and act without thinking. If your child has ADHD, it's important to get treatment. Otherwise, ADHD may affect how your child develops and create problems
at home and at school.

A child with ADHD can have difficulty concentrating.
But with the right treatment, your child's behavior can improve dramatically.
- ADHD is a medical condition. Children with the disorder find it hard to pay attention, are overly active and act before they think.
- Not all children with behavior problems have ADHD. Their behavior may be just a phase or part of some other problem.
- The symptoms of ADHD tend to get better as children get older.
- Treatments for ADHD include drugs and talking treatments.
- Treatments can't cure ADHD, but they can help your child develop and learn normally.
You may also hear ADHD called hyperkinetic disorder, or HKD for short. The term HKD is usually used when your child's symptoms are severe and your child has all three signs
of ADHD: inattention, overactivity and impulsiveness. Doctors sometimes call this combined type ADHD.
If your child has ADHD, bear in mind that it's nobody's fault. Nothing you or your child has done has caused the condition.
You may feel as if your child is behaving badly on purpose. But being strict with a child who has ADHD is unlikely to make
things better.
Many parents of children with ADHD offer this advice: "Don't try to cope with your child's problems on your own."
To understand what happens in ADHD, it's useful to know something about normal behavior. Our brain controls how we behave.
- Our brain enables us to react to what we see, hear and feel in the world around us.
- Millions of nerve cells send messages between our brain and our body.
- Chemicals called neurotransmitters help the messages travel from one nerve cell to another.
- For our brain to work properly and to tell us how to behave, we need to have just the right amount of these neurotransmitters.
Source:
Bradley JD, Golden CJ.
Biological contributions to the presentation and understanding of attention-deficit/hyperactivity disorder: a review.
Clinical Psychology Review. 2001; 21: 907-929.
Bradley JD, Golden CJ.
Biological contributions to the presentation and understanding of attention-deficit/hyperactivity disorder: a review.
Clinical Psychology Review. 2001; 21: 907-929.
Source:
Mercugliano M.
What is attention-deficit/hyperactivity disorder?
Pediatric Clinics of North America. 1999; 46: 831-843.
Mercugliano M.
What is attention-deficit/hyperactivity disorder?
Pediatric Clinics of North America. 1999; 46: 831-843.

The frontal lobe, which sits right behind your forehead, is your brain's control center.
Doctors aren't sure exactly what goes wrong in ADHD. But they think that the behavior problems are linked to the way that
the front part of the brain works.
- Studies suggest that this part of the brain works more slowly in children with ADHD than in other children.
Source:
Bradley JD, Golden CJ.
Biological contributions to the presentation and understanding of attention-deficit/hyperactivity disorder: a review.
Clinical Psychology Review. 2001; 21: 907-929.
1 - Children with ADHD may have an imbalance in the neurotransmitters in the front part of the brain. Some doctors believe they don't have enough of a neurotransmitter
called dopamine. Children with ADHD may also lack the neurotransmitter
norepinephrine
Norepinephrineis a neurotransmitter, which is a chemical that helps to send information between nerve cells. It is similar to epinephrine. Your body produces epinephrine when you're in stressful situations, which increases your blood pressure and heart rate.norepinephrine. - Without enough dopamine, the front part of the brain cannot deal with and react to information in the way that it should.
Source:
Bradley JD, Golden CJ.
Biological contributions to the presentation and understanding of attention-deficit/hyperactivity disorder: a review.
Clinical Psychology Review. 2001; 21: 907-929.
1 - This is why some drug treatments for ADHD are used try to increase the amount of dopamine in the brain. (See What treatments work for ADHD?)
- The outside world rushes in with a flood of noise and images
- The child cannot decide what's important and gets confused.
For instance, a child without ADHD can sit happily in a room playing with a toy while the television is on, two adults talk
and a car honks in the background. A child with ADHD will probably find this impossible. This child's brain is unable to deal
with all the different sights and sounds, and decide which is important. The child gets confused and can't concentrate.
Unfortunately, there are no tests that show whether the front part of a child's brain is working normally. So doctors have
to rely on what children, parents and teachers say in order to diagnose ADHD.
ADHD is nobody's fault. Nothing you or your child has done has caused it. Too much television, too much sugar or poor schools
do not cause ADHD.
3
Source:
Hill P, Taylor E.
An auditable protocol for treating attention deficit/hyperactivity disorder.
Archives of Disease in Childhood. 2001; 84: 404-409.
Hill P, Taylor E.
An auditable protocol for treating attention deficit/hyperactivity disorder.
Archives of Disease in Childhood. 2001; 84: 404-409.
The truth is, nobody knows exactly what causes ADHD. It is probably caused by a combination of many different things.
Many parents wonder if ADHD could be linked to what their child eats. There is not enough good research to be sure whether
changing your child's diet can improve the symptoms of ADHD. But there is some evidence that children with ADHD may not be
eating enough essential fatty acids.
4 These are found in foods such as meat, fish and eggs. But studies have shown that changing what children eat does not improve their symptoms. There is also some evidence that, in a small number of children, ADHD may be linked to an allergy to food additives, such
as artificial colors and preservatives.
1 To learn more, see Vitamin and mineral supplements, and special diets.
Source:
Scottish Intercollegiate Guidelines Network.
Attention deficit and hyperkinetic disorders in children and young people.
Scottish Intercollegiate Guidelines Network clinical guideline 52. 2001. Available at: http://www.sign.ac.uk (accessed 2 October 2008).
Scottish Intercollegiate Guidelines Network.
Attention deficit and hyperkinetic disorders in children and young people.
Scottish Intercollegiate Guidelines Network clinical guideline 52. 2001. Available at: http://www.sign.ac.uk (accessed 2 October 2008).
Source:
Bradley JD, Golden CJ.
Biological contributions to the presentation and understanding of attention-deficit/hyperactivity disorder: a review.
Clinical Psychology Review. 2001; 21: 907-929.
Bradley JD, Golden CJ.
Biological contributions to the presentation and understanding of attention-deficit/hyperactivity disorder: a review.
Clinical Psychology Review. 2001; 21: 907-929.
Although researchers don't know what causes ADHD, they have found certain risk factors for the condition. Risk factors are things that may make it more likely that a child will have the condition. But, so far,
there is no solid evidence that these things actually cause ADHD. We know only that they seem to happen more often in children
who have the condition. To learn more, see Risk factors for ADHD.
Sources for the information on this page:
- Bradley JD, Golden CJ.Biological contributions to the presentation and understanding of attention-deficit/hyperactivity disorder: a review.Clinical Psychology Review. 2001; 21: 907-929.
- Mercugliano M.What is attention-deficit/hyperactivity disorder?Pediatric Clinics of North America. 1999; 46: 831-843.
- Hill P, Taylor E.An auditable protocol for treating attention deficit/hyperactivity disorder.Archives of Disease in Childhood. 2001; 84: 404-409.
- Scottish Intercollegiate Guidelines Network.Attention deficit and hyperkinetic disorders in children and young people.Scottish Intercollegiate Guidelines Network clinical guideline 52. 2001. Available at: http://www.sign.ac.uk (accessed 2 October 2008).
This information was last updated on May 12, 2009
This information is for educational use only, and is not a substitute for prompt professional medical advice. Readers should always consult a physician or other professional for advice and treatment.
© BMJ Publishing Group Limited 2009. All rights reserved.
© BMJ Publishing Group Limited 2009. All rights reserved.
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