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Dumb Lamp.
Ha... Here is a funny story an ENT resident told me sometime ago. It happened in the1st City Hospital in Moscow, Russia. It is actually a very good hospital in terms of the staff experience. Though the buildings are 100 years old. Doesn't matter. ...
Experiencing Ache Knees and Back? You may have Osteoarthritis
Are you noticing as you mature you are experiencing stiffness or
pain in your knees, ankles, back, and elbows? If you are 35 and
above symptoms like these may be the early signs of
Osteoarthritis.
What is Osteoarthritis?
According to...
I Cured My Arthritis You Can Too
Yes... I Cured My Arthritis You Can Too
From the age of 11 to age 53 I avoided holding hands; they were
painful to the touch, so puffed up, sore and hot!!!
Raising four children, of course, I had to hold their hands. I
tried so hard not...
Introduction to Flower Essences
This article is offered for free use in your ezine, print publication or on your web site, so long as the author resource box at the end is included, with hyperlinks. Notification of publication would be appreciated. Flower Essences “The simple...
Weight Loss? 2 Basic Skills You Need
Laurel Mellin, M.A., R.D.
Associate Clinical Professor , University of California at San Francisco School of Medicine
Director, Institute for Health Solutions
Author, The Pathway: Follow the Road to Health and Happiness
The Solutions: 6 Winning...
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Attention deficit hyperactivity disorder 101
Introduction
This is a type of mental disorder, which occurs primarily in school-aged children but can also be diagnosed for the first time in the late teens esp., if some of its symptoms are left unnoticed. It was once falsely thought that after puberty the children don’t need treatment.
These types of children are given special advantages under Section 54 of the Rehabilitation Act of 1973.
Diagnosis
The disorder, as described in DSM IV-TR, is best characterized by three main symptoms of impulsivity, hyperactivity and inattention. For making a diagnosis in a child the disorder must start before age 7 and the symptoms must continue for 6 months. Children having signs of impulsivity and hyperactivity are restless, unpredictability, tendency to fail, difficult to stay seated and blurting answers without even giving thought.
Feelings of inattention are getting distracted, making careless mistakes and trying to finish off things very fast. Although they start very fast but quickly jump to another job without completing the former one.
Besides these other symptoms are vision problems such as double vision
Cause
The cause is still not clear. Among the hypotheses are anatomical structural problems in frontal lobes and the basal ganglia of the brain. Some propose the theory of genetics. Others claim that certain environmental causes are smoking and having alcohol in pregnancy. Finally some hypothesize that taking artificial sweeteners and additives might be the cause.
Differential diagnosis
Certain disorders such as autism, certain personality disorders, oppositional defiant
disorder and learning disorders might at times mimic ADHD and mislead the doctors. Some disorders like bipolar disorder may accompany ADHD. Some children with ADHD may eventually develop some conduct disorder or anxiety or depression. Untreated the child is prone to both the social and family problems besides decreased self-esteem.
Management
The first step in the diagnosis of the disorder is to interview the parents and then the teachers although psychologists, psychiatrists, pediatricians or the teachers of the child can diagnose the disorder. Generally the parents are not the first to notice. The best person to manage the child in this context is a psychiatrist. There are basically two sets of management and both are to be given simultaneously in order to manage the child. The disorder might run forever. Nutrition and child psychotherapy do not seem to help in the treatment.
Medical
Although there are different medications available in the market but the most effective ones are adderal, Ritalin and strattera. Like all other CNS medicines, these are not without any side effects. For e.g. adderal has side effects of nervousness, irritability, dry mouth, sleeplessness and stomach upset. Similarly Ritalin causes above symptoms and decreased appetite. Strattera comes with the side effects of insomnia and anorexia.
Counseling
In a recent study long term combination therapy with both the medical and the counseling were far better than either of them alone.
About the Author
Shruti arora writes about Attention deficit hyperactivity disorder topics.
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