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- ADD – Attention Deficit Disorder – seen as the Inattentive Type
- ADHD – Attention Deficit Hyperactivity Disorder – seen as the Impulsive Type
ADD is a term used to describe a child who has difficulty focusing and maintaining attention. A child must exhibit six or more of the following diagnostic criteria to be considered as suffering from ADD:
- Often has difficulty sustaining attention
- Often fails to pay attention to detail and makes careless mistakes
- Often does not seem to listen
- Often fails to complete work
- Often has problems with organization
- Often avoids/dislikes tasks that involve mental effort
- Often loses things
- Is easily distracted
- Is often forgetful
- Daydreaming or spaciness
Symptoms of ADD may start as early as primary school, where the child has trouble playing quietly, sharing toys, taking his nap and listening.
WHAT IS ADHD?Back to top
To be diagnosed as ADHD, the symptoms must have been present for more than six months, be inappropriate for the child’s age and intelligence, have developed before the age of seven, and have a negative impact in at least two social settings – home and school for instance
ADHD is a disruptive behaviour disorder characterized by:
- Excessive physical activity
- Restlessness, fidgeting
- Excessive talking
- Inability to pay attention
- These children are excessive in their behaviors. They move too much, interrupt others, intrude on others’ games, cannot settle down and seem to be driven by an endless motor. Typically, they have these symptoms in addition to those of ADD.
These symptoms result in a child who is frequently breaking the rules at home, at school, on the playground and consequently is not favored by adults or peers.
take turns in play and conversation looks very much like the lack of empathy seen in AD. Many children with ADHD are diagnosed with AD
We can all agree that these children are not living their lives as happily as they could. Daily life is tough for them. They live in a world that they cannot understand.
The ADHD and ADD child is also carbohydrate addicts, sugar junkies, surviving on a diet high in carbohydrates and little else. Parents will say that the child is a fussy
eater. The parents have allowed the child to dictate the diet, working on the premise that it is better that they eat something than nothing
disorders such as Autism spectrum disorder (ASD) and specific learning disorder. 
1. Inattentive (Ina): academic difficulties and peer neglect.
2. Hyperactive-impulsive(H-i): aggressive behaviour and peer rejection.
RISK FACTORS Back to top
- Family history: having a first degree relative with the same disorder or another mental disorder related to ADHD.
- Exposure to certain neurotoxins such as lead.
- Drug use, smoking and alcohol use while pregnant: this disrupts the development of the brain of the child.
- Premature birth.
- Head injuries at a young age: especially the frontal lobe area that controls impulses and emotions
SIGNS AND SYMPTOMS Back to top
Persistent form of inattention or hyperactivityimpulsivity that interferes with daily functioning or developments. This includes interference or reduction in the quality of social, academic or occupational functioning.
Children need six symptoms for six months; adolescents and adults need at least five symptoms.
1. Inattention (Ina):
- Careless mistakes.
- Cannot sustain attention.
- Does not seem to listen.
- Avoids tasks that require continuous attention.
- Difficult in organising tasks.
- Fails to finish school work.
- Loses things for tasks or activities.
- Destructed by irrelevant stimuli.
- Forgetful in daily activities such as chores or paying bills.
2. Hyperactivity-impulsivity (H-i): Children need six symptoms for six months; adolescents and adults need at least five symptoms.
- Fidgets a lot: taps hands and/or feet or squirming when seated.
- Leaves seat when should be seated.
- Runs and climbs at inappropriate times.
- Excessive talking.
- Always “on the go” or acting as “driven by a motor”.
- Not able to play quietly.
- Before a question is completed, blurts out the answer.
- Difficulty waiting for their turn.
- Interrupts or intrudes on others.
- Numerous inattentive and/or inattentive-impulsive symptoms present before 12 years of age.
- Numerous inattentive and/or hyperactive-impulsive symptoms present in two or more setting, that is, at home, school or work.
COMPLICATIONS Back to top
- Struggling to concentrate in school which may lead to academic failure and judgment by peers or others.
- Have a tendency to have more injuries and accidents.
- May have low self-esteem.
- Tend to have trouble interacting with others.
- Have a high risk of alcohol and drug abuse or other offending behaviours.
LIFESTYLE MODIFICATIONS [3;4]Back to top
- Limiting screen time: this includes computer screen, television screens, iPads, phones, etc.
- Talk to the doctor about behaviour therapy programs.
- Limit sugar, whether it be in beverages or food.
- Drink plenty of water: water can be taken instead of sugary beverages such as juices, soft drinks, energy drinks, alcohol, etc.
- Cessation of smoking
- Get plenty of sleep: set up a sleep routine for themselves.
- Take medication as directed by the doctor. Set up reminders if need be.
IMPACT OF ADHD ON THE FAMILY Back to top
- They may be marital conflict due to physical, emotional and financial strain.
- Financial burdens: from doctor visits, education or unable to sustain employment, medication and other therapies.
- Strained parent and other children relationships: as they may feel one child is getting more attention and not being disciplined to their extent.
- Working parents may not have time to monitor their children all the tine which can increase the probability of the child being involved in offensive
behaviours such as smoking or drug and alcohol abuse.
- Aggressive behaviour causing strained relationships in the immediate or with distant family members.
- Sibling rivalry due to physical and/or emotional aggression.
- Family members may develop mental or emotional disorder due to all the strain
SUPPORT TECHNIQUES Back to top
- Parent management training which can reduce parent-child conflict and disruptive behaviour, promote social and self-regulating behaviours.
- Family counselling: where they will educate the family on coping with individual and family stress related with ADHD including mood disturbances and marital strain
- Support groups which can help connect parents with other parents of children with ADHD or connect people with ADHD, sharing information and experiences.
- Individual counselling which can help address individual concerns and feelings
1. Burns, J. Roos, L. 2016. Textbook of Psychiatry for South Africa. 2nd edn. South Africa: Oxford University Press.
2. Renynolds, C. R. Kamphaus, R. W. Attention-Deficit/Hyperactivity Disorder (ADHD). America: Pearson; 2013.
3. Mayo Clinic Staff [Internet]. Attentiondeficit/hyperactivity disorder (ADHD) in children. America: Mayo Clinic; [updated 2019 Jun 25; cited
2019 Aug 19]. Available from: https://www.mayoclinic.org/diseasesconditions/adhd/symptoms-causes/syc-20350889.
4. Preidt, R. [Internet]. Lifestyle may be key to improving ADHD in kids. America: WebMD;[updated 2016 May 30; cited 2019 Aug 19]. Available
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WHAT IS ADHD? It is a Neurodevelopmental disorder which means it is present usually from a young age. Moreover, it affects various areas of development across a lifespan. It is the most commonly diagnosed behavioural disorder of childhood (1 in 20 worldwide). Furthermore, it is usually more common in male children than female children. 2…
WHAT IS GAD? A sufferer typically: Experiences relentless and exaggerated anxiety in the absence of valid concerns, which can be debilitating Is prone to always expect the worst Blows things out of proportion Grapples with all-consuming fear and dread to the point of it interfering with their ability to live a normal life