ADHD definition - ANS exhibited as persistent age-inappropriate symptoms of
inattention, hyperactivity, and impulsivity that are sufficient to cause impairment
in major life activities
*characteristic behaviors vary considerably from child to child
*different behavior patterns may have different causes
ADHD history - ANS late 1950s: ADHD was called hyperkinesis
*led to the definition of hyperactive child syndrome
by the 1970s: deficits in attention and impulse control, in addition to hyperactivity
were seen as primary symptoms
1980s: increased interest in ADHD, rise in stimulant use generated controversy
ADHD Core Characteristics - ANS key symptoms fall under two categories:
-inattention
-hyperactivity-impulsivity
*using these dimensions to define ADHD oversimplifies the disorder - attention
and impulse control are closely connected developmentally
,ADHD diagnostic criteria (1 of 5) - ANS 1. a persistent pattern of inattention and/or
hyperactivity-impulsivity that interferes with functioning or development as
characterized by one or both of the following:
inattention: six or more of the following symptoms have persisted for at least 6
months to a degree that is inconsistent with developmental level and that
negatively impacts social/academic/occupational activities:
*at least 5 symptoms required for anyone age 17 and up
-often fails to give close attention to details or makes careless mistakes in
schoolwork, at work, or during other activities
-often has difficulty sustaining attention in tasks or play activities
-often does not seem to listen when spoken to directly
-often does not follow through on instructions and fails to finish schoolwork,
chores, or duties in the workplace
-often has difficulty organizing tasks and activities
-often avoids, dislikes, or is reluctant to engage in tasks that require sustained
mental effort
-often loses things necessary for tasks or activities
-often distracted by extraneous stimuli
-often forgetful in daily activities
ADHD diagnostic criteria (2 of 5) - ANS hyperactivity and impulsivity: six or more of
the following that have persisted for at least 6 months to degree that is
, inconsistent with developmental level and that negatively impacts directly
social/academic/occupational activities:
-often fidgets with or taps hands or feet or squirms in seat
-often leaves seat in situations where remaining seated is expected
-often runs about or climbs in situations where it is inappropriate (for adolescents
and adults it may just be feeing restless)
-often unable to play or engage in leisure activities quietly
-often "on-the-go" acting as if "driven by a motor"
-often talks excessively
-often blurts out answers before question has been completed
-often has difficulty waiting his turn
-often interrupts or intrudes on others
ADHD diagnostic criteria (3 of 5) - ANS 2. several inattentive or hyperactive-
impulsive symptoms were present before age 12
3. several inattentive or hyperactive-impulsive symptoms present in two or more
settings
4. must be clear evidence that symptoms interfere with or reduce quality of
social/academic/occupational functioning
5. symptoms do not occur exclusively during course of schizophrenia or another
psychotic disorder and are not better explained by another mental disorder
ADHD diagnostic criteria (4 of 5) - ANS specify whether:
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