“The ADHD brain is like a Ferrari engine… with bicycle brakes.” – Dr Ned Hallowell.
ADHD in children is usually diagnosed by a doctor after a child has shown six or more specific symptoms of inattention or hyperactivity on a regular basis for more than six months in at least two settings. This is a diagnosis that takes several steps to get enough information from you, your child, the teacher and a psychologist that specialises in educational assessments. The diagnosis can be made from the age of five and can be classified as:
• <15%: Hyperactive/impulsive type. They fidget, blurt answers, can’t wait for their turn, interrupt others, can’t stay seated and are very noisy and talkative. Their excessive climbing causes multiple injuries, but for the most part they can pay attention.
• 23-30%: Inattentive type. Formerly called attention deficit disorder (ADD). These children are not overly active. They lose items, don’t listen, don’t finish tasks, and are disorganised and easily distractible. They cannot work alone, love watching television, might be anxious and are often female. • 50-75%: Combined type (inattentive and hyperactive/impulsive).
Kids treated with both ADHD drugs and behavioural therapies have better social skills.
Drugs for Childhood ADHD Stimulants such as Ritalin and Concerta, are highly effective treatments for childhood ADHD and help children focus their thoughts and ignore distractions. It is not the preferred drug for introverted children and may cause abdominal pain, lack of appetite and insomnia. Non stimulants like Strattera works better for the introverted child and assists with anxiety. It takes up to six weeks to work and is best started during holidays.
We often use these in combination – every child is different.
By Dr Deseré Ferreira