Tonge,
Box 6
www.mja.com.au
© 1998 MJA
| Attention deficit hyperactivity disorder
Symptoms -
Inattention
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Carelessness
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Does not listen
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Does not follow through
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Interrupts and cannot wait turn, talks excessively
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Avoids difficult tasks
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Fidgets, unable to sit still
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Forgetful, distractible, disorganised
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Impulsive
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Anxiety/depression (in about 20%)
Associated factors -
Difficult temperament
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Learning disabilities
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Pregnancy and perinatal complications with soft neurological signs
(brain impairment) (e.g., clumsiness)
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Family conflict and parenting problems (may be a reaction)
Management -
Parenting-skills training and home help
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Educational program for learning disabilities
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Environment modification to reduce distraction
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Tasks in small steps to channel energy
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Behavioural management of antisocial behaviour
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Family therapy for conflict
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Pharmacotherapy: stimulants (dextroamphetamine,
methylphenidate), clonidine, imipramine, and thioridazine in
consultation with a specialist
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