- Posted October 23, 2012 by
ADHD – A Disorder Under Continued Investigation
The initial indication of a child possibly having ADHD occurs when either a parent or teacher complains about the child’s behavior. This is usually followed by a physician’s examination as well as a battery of tests, including visual and hearing tests to exclude other conditions. Once other diseases have been ruled out, the physician evaluates the child using a set of guidelines from the DSM-IV (Diagnostic and Statistical Manual of Mental Disorders). There are 18 symptoms listed and the child must have a specified number of them to be diagnosed with the condition. A few examples of these criteria used to diagnose ADHD include the following: often fails to give close attention to details or makes careless mistakes in schoolwork; often easily distracted by extraneous stimuli; often leaves seat in classroom; and, often has difficulty awaiting turn. Understandably, some people look at this and wonder whether this is even scientific enough to 1) diagnose a medical condition, and 2) determine the treatment by medication of a young child. The general treatment for ADHD includes behavioral therapy and medications, with some of the more commonly known medications being Ritalin and Strattera. The downside to medications, however, is their clear potential for adverse effects. The use of Ritalin can cause anorexia, weight loss, tics, and sleep disturbance, while Strattera has been implicated in causing suicidal thinking.
There is no doubt that ADHD is a common problem and is here to stay. The pervasiveness has undoubtedly been increasing, although this could be due to the fact that there is greater general awareness about the condition. Nevertheless, the diagnosis continues to be based on symptoms and behavioral characteristics, rather than physical medical evidence such as blood or tissue samples, and on account of this, more research is necessary to better understand the physiology of this disease. Given the arbitrary way in which this disorder is identified, the decision to start medication must be made cautiously and on an individual basis.