1.What manifestations should be considered ADHD?
A: ADHD is attention deficit hyperactivity disorder, also known as hyperactivity disorder.
The main manifestations are inattention, excessive activity regardless of the occasion, impulsive behavior, the course of the disease can be accompanied by learning difficulties, conduct disorders (refers to aggressive and aggressive speech and behavior, lying, truancy, stealing, cheating, drug use, etc.), mood disorders, tic disorders (refers to a part of the body muscle or muscle group sudden, rapid, involuntary, repeated contraction movement or involuntary vocalization), etc.. In layman’s terms, ADHD is characterized by difficulties in concentration (inattentive conversations, short and variable social activities, reading difficulties), lack of planning, inability to be quiet, hyperactivity, difficulty sitting still, procrastination, inability to finish things, poor self-control, irritability, temper tantrums, impulsiveness, aggressiveness, difficulty in self-regulation, often “risky “dangerous” behavior, difficulty completing tasks despite self-assurance, difficulty following rules and instructions, and difficulty adapting to change. Poor ability to cope with frustration.
2.How can normal children who are active and mischievous be distinguished from ADHD?
A: Normal active children, especially preschoolers, are active, mischievous and curious about new things or unfamiliar environment during the process of growth and development, and they are more active, and they can adjust their behavior according to the requirements of the environment.
Key Differentiators.
Normal active children.
(1) activities and occasions in line with the classroom, such as the quiet when not moving or less active, outdoor when very active and active.
(2) The amount is moderate.
(3) The activity has rules and requires queuing or acting according to the rules of games, traffic, etc.
Children with ADHD.
(1) The amount of activity does not correspond to the occasion, such as laziness in the playground, but good movement and disorder in the classroom.
(2) Excessive activity regardless of the setting.
(3) Behaviorally, the child with ADHD does not line up in order, and other children play games he is eager to join but often does not follow the rules and make trouble, so people do not want to interact with him. He is good at running red lights, impulsive, and does not consider the consequences.
3.Early detection of ADHD in children
(1) Hyperactivity, even when sitting in a chair, the body shakes back and forth.
(2) Can not concentrate on listening to others or playing games, even interested in children’s television programs are difficult to watch at ease, attention is very easy to shift.
(3) Does not follow rules and tends to jump ahead of others, often answering questions before they are finished.
(4) Has variable interests and is eager to do the next thing before the previous one is finished, and likes to intervene in other people’s ongoing activities.
(5) Often loses or destroys his or her toys, books, pencils, etc.
(6) Often behaves dangerously without regard to the consequences and is prone to self-injury or injury.
(7) Others, such as tantrums, sleep talking, urine loss, sleep difficulties, etc.
4.Some manifestations in kindergarten period.
(1) Not easy to identify, mainly manifested as
(2) restlessness, over-activity, difficulty sitting still
(3) Poor self-control, irritability and temper tantrums.
(4) impulsiveness, accident-prone, and aggressiveness
(5) prone to failure and inability to concentrate
(6) Easily aroused and has difficulty with self-regulation
(7) Difficulty in following rules and instructions and adapting to change.
(8) Some are accompanied by speech and language difficulties.
5.When should I go to the hospital to see a specialist?
A: If you find that your child is inattentive, has too much activity regardless of the occasion, or has impulsive behavior that affects daily life, learning, interaction with children, or is often complained about by teachers or children, you should see a specialist.
6.How can parents deal with their children with ADHD?
A: Systematic treatment under the guidance of a specialist.
At present, scientific research has confirmed that the main treatment options for children with ADHD over 7 years old are: medication, behavior management and psychotherapy, and integrated treatment (medication, parenting guidance, behavior management and psychotherapy, school support). Large-scale overseas trials have proven that medication is the most basic and reliable treatment for children with ADHD over the age of 7, and combined with parenting guidance, behavior management and psychotherapy, school support and other comprehensive measures can achieve more satisfactory results.
The American Academy of Pediatrics guidelines and the Chinese Medical Association guidelines for the diagnosis and treatment of ADHD have identified methylphenidate as the first-line treatment for ADHD. It can relieve 70%-80% of children’s symptoms, improve concentration, improve academic performance, and reduce hyperactivity and impulsivity. The use of these drugs as prescribed is safe except for contraindications, and adverse reactions are rare. Common adverse reactions such as loss of appetite, stomach upset, insomnia, headache and dizziness usually disappear gradually after a few weeks of treatment.
In conclusion, if parents find that their children have some manifestations of ADHD, they should visit a specialist hospital and develop a formal treatment plan suitable for their children under the guidance of a doctor for comprehensive treatment. Do not follow the advertisements, non-standard treatment not only delay the child’s condition, but also waste time and money.
Typical cases and countermeasures
1.Parents’ complaint: My daughter, 4 years old, is hyperactive, has difficulty concentrating, and is only quiet when watching her favorite TV; sometimes she likes to tease other children, and is particularly excited when people come to the house, shouting and running around. The kindergarten teacher sometimes complains that she runs around while other children are doing exercises or sleeping.
Response: The qualitative diagnosis of ADHD and medication such as methylphenidate are basically not made before the age of 6. The child has some tendencies of ADHD, which can be treated by parenting guidance and behavior management. Stay tuned for our parenting workshop to discuss this issue.
2. Male, 11 years old. He has difficulty concentrating and has not completed his homework before 11PM every night under supervision, and often makes mistakes in his homework. Fails most of his studies. Lacks planning, cannot be quiet, overactive, has difficulty sitting still, procrastinates, cannot finish, has poor self-control, is irritable, loves to lose temper, impulsive, aggressive, parents often receive complaints from teachers and classmates. He has difficulty with self-regulation, often engages in “risky” behavior, has difficulty completing tasks despite self-assurance, and has difficulty following rules and instructions. The parents had no choice but to change kindergartens and schools several times due to their son’s disruptive behavior since childhood, hurting others for no apparent reason. The parents had used various methods to educate their child, including scolding, physical punishment, appropriate restrictions on his freedom, and coaxing, all of which did not work, and the parents became increasingly frustrated. In order to have more time and energy to supervise their son’s studies, the parents gave up various social activities among friends to help tutor the child, but still with little success.
After some ADHD-related questionnaires and clinical examinations, the child was diagnosed with attention deficit hyperactivity disorder (ADHD) and started a systematic and comprehensive treatment under the guidance of a doctor, including parenting guidance, behavior management and psychotherapy, and school support on top of medication. After one semester of systematic treatment, the child’s academic performance is now mostly in the upper 80s and 90s, and his ability to manage his own behavior has improved significantly.