This article will look at the difference of the two ADHD types have different ages of onset and differential diagnosis. For each type, we will include the differential diagnosis and mental health and necessary tests to confirm or rule out the differential diagnosis. We will also talk briefly about the treatment strategy and priorities for medical diagnosis and accompanying mental.
- The popular age of the ADHD children
- Roots of ADHD in children
- Diagnosing ADHD symptoms
Typically, attention deficit disorder hyperactivity (ADHD) originally presented in infants and school age. One of the first steps in diagnosing this condition is to assess children for mental illness.ess and other internal medicine which includes the differential diagnosis. The workup may include laboratory, physiological, radiological and psychological test. While ADHD is determined that the initial diagnosis, the clinician can find the child have a medical diagnosis or mentally compromised. For children with ADHD and accompanying disorders, both disorders should be addressed in a comprehensive treatment plan for children to succeed in education efforts and their society.
2. The popular age of the ADHD children
The students in the age with the combined type or the hyperactive-impulsive type of ADHD contract early, approximately between kindergarten and second grade. Presented are often reminded by teachers or parents observed the difficulties of children with learning outcomes and / or peer interaction. This characteristic brings a child to treat the ADHD symptoms impulsiveness, hyperactivity, and attention as overuse activity, restlessness, and running, leaving his or her seat, talking, interrupted, and problems waiting for his turn.
Although the most likely diagnosis for a 7-year-old boy, who runs around, makes noise, lost everything, refused to do homework, and parents are disconnected ADHD combined type, type comprehensive price to exclude the diagnosis of mental health and other about the difference is essential. Psychiatric ADHD diagnosis can present with symptoms same as those hyperactive / impulsive sub-type of ADHD include other disorders causing behavioral disorders, anxiety disorders, emotional disorders, adjustment disorders , disorders of speech and language development, attachment disorders reactions, and other developmental disorders.
3. Roots of ADHD in children
Disruptive behavior disorders including opposition challenges disorder (ODD) and conduct disorder (CD). These disorders are frequently associated with ADHD. Children with ODD refuse to obey the rules at home and at school, and exhibit controversial behavior, anger, and continuity. Children with CD intentional violation of social norms and the rights of others, and currently acts including truancy, cruelty to people and animals, stealing, lying, and set fire.
Some anxiety disorder presenting in childhood can look like ADHD combined type. For example, children with post-traumatic stress disorder (PTSD) can experience the excitement, easily startled, lack of concentration, flashbacks, anxiety engines, and weakness in the relationship, and therefore can have symptoms similar to those of ADHD. Some children with generalized anxiety disorder (GAD) and panic disorder can become ADHD patients.
Bipolar disorder is a disorder most similar sentiments combined type ADHD, with hyperactivity, irritability, distractibility, risky behavior and reckless and poor academic performance. Some symptoms mainly distinguish bipolar disorder from ADHD, including hyper sexuality, decreased need for sleep, increased productivity, racing thoughts, and majestic.
Expressive language disorder and receptive mixture can relate with behavior and attention deficit hyperactivity, because when a child cannot have full understanding or verbal communication, he can become a mess and agitation. Likewise, poor children or severe hearing loss and listening to those who are not native English speakers may also manifest mimic ADHD behaviors as a result of the inability of children to understand the communicative language in the classroom.
Children who experience major changes or stress in their lives such as divorce, death or illness of a parent, and even bullying can bother with the stress and show symptoms evidence of ADHD. Children with severe deprivation as institutionalized in orphanages or who have been abandoned can have severe attachment disorder reactions and may exhibit some symptoms of ADHD.
4. Diagnosing the symptoms of ADHD
The child with mental retardation may appear to have ADHD, because the attention and motor activity consistent with their mental age, but not for their chronological age. They often have low IQ and the daily activities as feeding, bathing and dressing are impaired. The pervasive developmental disabilities might lead the children to impulsivity, hyperactivities and inattention. However, their main difficulty lies in the decline in communication and non-verbal language and preoccupation with the activities or certain interests.
These children do not pay attention to the major types of ADHD tend to present the following issues, sometimes between the third grade and sixth. ADHD symptoms of inattention include difficulty maintaining the attention, making careless mistakes, distractibility, forgetfulness, do not listen to talk, things take, avoid tasks and not accomplish service organizations and the poor. These symptoms often lead to a decline in academic performance in third grade or later, when the study requires the synthesis of the material and organizational skills necessary for long-term projects term papers. Differences include mental disorders and mental.
Mental illness may include language and learning ability, anxiety disorders, emotional disorders, adjustment disorders, and psychiatric disorders. Medical illnesses including seizures, neurological disorders such as neurofibromatosis, thyroid dysfunction, sleep disorders, toxic insults to the central nervous system (CNS) side effects the drug, and infectious diseases.
Children with disorders receptive language processing may look delicate attention because they cannot understand the class instructor. Children with learning disabilities can also start fighting after third grade because the complex task of learning than the bigger challenge.
Some anxiety disorders, including GAD, separation anxiety disorder, PTSD, panic disorder, social phobia, and OCD, all of which can be characterized by poor performance and the difficult class notes reviews; Some children may even prove mild mental agitation. Verify the child to worry about anything usually evoke a long list of worries and concerns that easily distinguish the anxiety from ADHD child.
Depression, accompanied by mental retardation its movement, lack of energy, and poor attention and concentration, mimic ADHD do not pay attention. However, the child is depressed and tearful sad, and have their appetite, sleeping time and energy changed into difficulty. Adjustment disorders including depression or anxiety can mimic ADHD also do not pay attention. This child will have experienced a recent stress in your life and change is marked and fast in learning activities.
Occasionally, children may manifest for an evaluation for ADHD do not pay attention with mental disorders including schizophrenia. A careful interview revealed that the child will have the strange behavior and beliefs, delusions, or hallucinations, and it looks like internally preoccupied.
Medical disorders that mimic the ADHD symptoms do not pay attention to be fully assessed in the laboratory tests, physical examination, and physiological monitoring. The absence and simple partial seizures can manifest staring spells or missing part of the school day as a result of the seizure. An EEG should be claimed to dismiss epilepsy as the cause of the lack of attention and staring spells.
Children with sleep disorders and sleep disruption non-REM REM, including sleep apnea, restless legs syndrome and other sleep disorders, may present with inattention and learning outcomes cream. In addition, some high school students were a teenager and would not pay attention to sleep and “spacy” from lack of sleep. A history of sleep and a sleep study can eliminate sleep disorders are the cause of the lack of attention and learning difficulties. The obstructive sleep apnea can be the sign of ADHD symptoms after tonsillectomy and adenoidectomy. Children with neurofibromatosis can start experiencing difficulties in primary schools with the problems began when lesions appear in the brain. A physical examination will reveal cafe au laity skin neurofibromas points. Genetic testing for the disorder is confirmed.
Some toxic heavy metals, especially lead poisoning, which can lead to problems with attention and concentration and can be evaluated with a main screen. Children’s cancer treatments, including radiation central nervous system and chemotherapy in the shell, which can result in advising neurocognitive that mimic the symptoms of ADHD but not presented before 7 years of age these behaviors are the result of a CNS insult rather than a major mental illness. Some drugs, including antihistamines, benzodiazepines, inhibitors of serotonin reuptake selective, and anti-seizure medications, can cause inattention and hyperactivity.
Children infected with HIV vertical transmission may have difficulty with attention and learning performance because the subcortical infection or a related dementia. Children who are no diagnosed with Lyme disease can also manifest attention and concentration difficulties. These children are at risk for HIV or Lyme disease and presented in high schools with new-onset ADHD should be screened for these infections.
A workup for a school-age child with ADHD presentation should include a careful history of the mother during pregnancy and child birth, developmental milestones, and medical history, and family history of health and mental illness. Any education, achievement and speech and language test before should be reconsidered, and if not available, can be carried out, usually by a psychologist, to assist in the preparation education plan.
If indicated, test to assess differences include a lead screen, thyroid function test, HIV and Lyme concentration, brain power, genetic testing, sleep studies, and physical exam thoroughly. A psychiatric history of the child and consider any stress or psychological damage should be completed. An examination of the mental condition of children including an evaluation of cognitive and memory needs to be done.
Treatment should begin with medical conditions or major mental, whether it’s ADHD or a disorder of the differential ADHD diagnosis. The stability of any cardiovascular disease and neurological should be completed first in order to minimize changes in blood pressure and frequency of seizures may occur with commonly used ADHD drugs. Thorough assessment could result in the right diagnosis and successful treatment of school age in patients presenting with symptoms of attention deficit disorder or ADHD combined type.