Diagnosing ADHD In Children

Attention-deficit/hyperactivity disorder or ADHD is characterized by a developmentally unfitting poor attention span or age-inappropriate features of hyperactivity and impulsivity or both. To meet the diagnostic criteria the disorder must be exhibited for at least six months, cause deterioration in academic or social functioning and occur before the age of 7 years old. Diagnosing ADHD is made by confirming numerous symptoms in the Inattention Domain or the Hyperactivity-impulsivity Domain or both. The child may measure up for the disorder with evidences of inattention only or with indications of hyperactivity and impulsivity but not inattention. Some children display multiple symptoms along both dimensions. There are three types: predominantly inattentive type, predominantly hyperactive-impulsive type and combined type.

Now that we have the technicalities over and done with, what do they all really mean? Inattention in school or home may include carelessness, difficulty in concentration, appears not to be listening when others are talking to them, failure in finishing tasks, disorganized, dislikes work that need full concentration, often loses things, easily distracted and forgetful. Hyperactivity means fidgety, cannot sit still, uncontrollable behaviour, loud play, jumpy and impulsive talking. Impulsivity here means blurting out answers without prior consultation, impatience, and interrupts all the time.

Now when diagnosing ADHD, the parent and teacher are the ones consulted to fill out a questionnaire. The simple checklist names all manner of behaviours as stated above and all one have to do are to check the appropriate box. When the task is done, the assessment is immediately made against the criteria. Each domain must have a result of six or more positive symptoms. If the scores do not meet the required number of symptoms exhibited, then there is no ADHD.

It is funny that parents have a tendency to defend undisciplined children by throwing words like ADHD and ADD about. They should not for this is a serious disorder and needs treatment. However, some parents like to say ADHD and ADD as a way of finding an excuse to their children’s rash behaviours. Most of the cases brought in for diagnosing ADHD are most always negative. Unfortunately, some parents refuse to believe results and want a retest. It is as if they want or need the diagnosis to give them the excuse that they are not inadequate as parents.

Children who exhibit some of the symptoms above should never be labelled an ADD or ADHD sufferer. That is a stigma that can never be removed once given. For parents to want the diagnosis, it is not fair on the children. Most of the children who do not meet the criteria but came in for testing actually just want attention from their parents and their naughtiness was just their way of sending a message.

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