Wednesday, May 1, 2013


Attention deficit hyperactivity disorder or ADHD as it is called is predominantly the disorder of children characterized by inattention, hyperactivity and impulsiveness.

Children with ADHD are typically children with normal intelligence IQ quotient but low academic record. ADHD is one of the causes of diminished academic output despite normal intelligence.

Presentation of ADHD

Children with ADHD present with following complaints-

1.      Inattention in school, work, home and social settings. Teachers may complain that the child does not listen in school while the class is going on. The classwork is usually found incomplete. The child is easily distracted. Patents might notice that he does not listen to them. They do not do homework completely. The child is unable to complete any task and frequently engages in another task. Frequently shuffles channels of television.

2.      Hyperactivity-Teachers may complain that the child does not sit on his chair while the class is in progress. Parents see that the child does not eat food in one go and runs here and there between meals.

3.      Impulsivity- Engages in frequent fights. They are angered easily and can cross road without checking on sides for vehicles. They are very prone to get injuries frequently and jumps their turns.

Cause of ADHD

 A prenatal insult to brain is provided as an explanation to reason for development of ADHD. There might be familial history of ADHD.

Diagnosis of ADHD

Although the above symptoms almost seal the diagnosis of ADHD but for a confirmation of ADHD a thorough evaluation by a psychiatrist is must.

Treatment of ADHD

Treatment of ADHD includes-

1.      Psychological

2.      Pharmacological

Psychological treatment includes various exercises which include attention span increasing tasks such as separating two types of grains, coloring figures without spilling color outside the figure, block assembly.

Pharmacological treatment includes drugs like amphetamines, atomoxetine, methyl phenidate, clonidine, venlafaxine.

Prognosis of ADHD

With proper treatment, symptoms associated with ADHD are adequately controlled and academic performance rises. But if treatment is discontinued the symptoms frequently reappear.

Course of ADHD

Around 50 % of children remit and lead a normal life. Rest may have the disorder throughout life but inattention and hyperactivity improve impulsivity being most resistant.

Wishing a long and healthy life

Dr Hitesh Sharma
MBBS MD(Psychiary)
For asking a query or phone/video consultation with me visit-