Attention deficit hyperactivity in children use Adderall

Hyperactive attention deficit disorder (ADHD) - the most common cause behavioral disorders and learning difficulties in pre-school and school age. Therefore, knowledge about this disease requires not only the children's neurology and psychiatry, but also pediatricians and family doctors buy adderall online. ADHD occurs in 4,0-9,5% of children, the proportion of boys and girls is about 5: 1 (NN Zavadenko, 2005).

Formation of the concept of ADHD had a close relationship with the development of the concepts of minimal brain dysfunction (MBD). MMD is generally regarded as the effects of early (pre- and perinatal) of local brain damage, manifested age immature individual of higher mental functions and their disharmonious development. In addition, many studies have confirmed the role of genetic predisposition in the genesis of the MMD (IV Ravich-Scherbo et al., 1999). Study MMD has shown that they are difficult to treat as a single nosology because of the diversity and heterogeneity of clinical manifestations of the etiology and pathogenesis factors. Therefore, in the International Classification of Diseases - ICD10 (WHO, 1994) are presented for a number of diagnostic criteria states previously considered within the MMD. Section F8 "Disorders of psychological development" are heading F80 - "Disorders of speech development", F81 - "disorders of scholastic skills (dyslexia, dysgraphia, dyscalculia)", F82 - "disorders of motor function (dyspraxia development, static-locomotor insufficiency) ". Section F9 "Behavioral and emotional disorders of childhood and adolescence" F90 contains a heading - "ADHD". Meanwhile, in the clinical practice frequently observed in children combination of symptoms that can be attributed not to one but to several columns of the above diagnostic ICD-10.

According to the classification of DSM-IY distinguishes between three main forms of ADHD: Combined form of ADHD, ADHD advantageous with attention disorders and ADHD with predominance of hyperactivity and impulsivity. In cases of full compliance with the observed clinical picture for the last 6 months both sections I and II listed criteria are diagnosed with ADHD combined form. This form is the most common: it accounts for 50-75% of cases of ADHD.

In full accordance of Section I of the symptoms criteria, with partial - Section II, diagnosed "ADHD with primary attention disorders." In this form it has to share 20-30% of cases. It can be formed as a result of combined forms of ADHD, as manifestations of hyperactivity in adolescence largely regressed.

In full accordance symptoms of Section II criteria and partial - of Section I of the diagnosis is formulated as a "prevalence of ADHD with hyperactivity and impulsivity." This form is more common in preschool children, in whom it is difficult to confirm violations of attention, and associates note in the first place the child unusually high motor activity. It accounts for no more than 15% of cases of ADHD.

Based on the fact that ADHD symptoms can evolve with age and persist for many years (and in some cases - and lifelong learning), in addition to the basic forms of ADHD stands residual type of ADHD.

The diagnosis of ADHD is considered to be justified only in cases where the symptoms experienced by the child are characterized by a considerable degree of severity, and persistence combined with each other. The individual and the temporal characteristics of the behavior of children who celebrated their parents or other persons close to the child by adults, even if they have some similarities with ADHD can not be considered the basis for statement of the diagnosis.

Many children with ADHD differ from peers of high physical activity as early as the first or second years of life. They can not be kept from the constant movement around the house, they are everywhere and climb all grab hands with many things deteriorate and break down. According to the mothers, once they briefly leave this child alone, both because of his indefatigable activity he might be in a dangerous situation and even receive any injury.

A child with ADHD is growing, but remains extremely mobile, it is in constant motion as if to it "attached motor" is not able to sit still and do something for a long time. This excessive activity always pointless and does not meet the requirements of a particular situation. Hyperactivity is also seen by unauthorized movements while performing tasks that require perseverance (fidgets in his chair, unable to keep the fixed arm and a leg). In addition, it is often combined with destructive behavior. Thus, school children can interfere with teachers, classmates distract and provoke their improper behavior during lessons. It is important to bear in mind that in the new situation, when meeting with strangers child with ADHD usually does not show his usual hyperactive, she for some time disappears, "brake" against the backdrop of unrest. This may hamper the identification of ADHD during the first expert meeting with the child and parents.

Intensity of hyperactivity in children with ADHD varies, and it is most typical for them in the preschool and early school age. In the future, it appears restlessness, fussiness, signs of motor restlessness (spinning, turning, sitting on a chair, always something pulls and fiddles with his hands, shakes leg, etc.). So, while hyperactivity is usually the first and most vivid manifestation of ADHD, it is her expressiveness gradually decreases as the child grows.