At present, there are no clear pathological changes as a basis for diagnosis, and the history is mainly based on the medical history provided by the parents and teachers of the child. Clinical features. Physical examination. Psychiatric examination is the main basis.
I. Main symptoms
The following symptoms are more common than those of most people of the same age, and 6 of the following behaviors or attention disorders, or 6 of impulse disorders and hyperactivity are required.
1.Attention
(1) Often unable to pay close attention to details, or in doing homework. Inattentive errors in work or other activities.
(2) Often unable to maintain attention when completing tasks or playing games.
(3) Often appears not to be listening when others speak to him/her.
(4) Often fails to consistently follow instructions, complete homework, daily chores, or work obligations.
(5) The ability to organize tasks or activities is often impaired.
(6) often avoids or resents tasks that require sustained mental effort, such as homework
(7) often loses the necessities of a task or activity, such as schoolwork, pencils, toys, or tools
(8) is often easily attracted to external stimuli
(9) Often forgets things during daily activities.
2. Hyperactivity
(1) Often restless with hands or feet, or squirming while sitting.
(2) Leaves his or her seat in class or other situations that require him or her to remain seated.
(3) Often running or climbing up stairs in inappropriate situations.
(4) Is often inappropriately boisterous during play and has difficulty participating quietly in recreational activities.
(5) Demonstrates persistent hyperactivity where the social environment or the demands of others do not cause the child to change significantly.
(6) Often talks excessively.
3. Impulsivity
(1) Often blurts out answers to questions before they are completed.
(2) Often fails to line up or wait in order in games or organized situations.
(3) Often interrupt or interfere with others.
Course of the disease
The disease usually starts before 7 years old and lasts for more than 6 months.
Severity
1.Mild The symptoms meet or slightly exceed the diagnostic criteria with only minor or no impairment of school and social functioning.
2.Moderate Symptoms and impairment are between mild and severe.
3.Severe The symptoms exceed the diagnostic criteria by a large margin, with significant and extensive impairment in school, family, and partnership social functioning.