Attention Deficit Hyperactivity Disorder

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Transcript Attention Deficit Hyperactivity Disorder

ATTENTION DEFICIT
HYPERACTIVITY
DISORDER (ADHD)
By: Coleen M. Guest
Methods for Teaching
Fall 2001
Attention Deficit Hyperactivity
Disorder
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ADHD dates back to 1902. The disorder has
gone through numerous name changes.
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Maximal Brain Damage
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Minimal Brain Dysfunction
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Hyperkinetic Reaction of Childhood
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Attention Deficit Disorder with or without
Hyperactivity
Attention Deficit Hyperactivity Disorder
What is ADD/ADHD
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ADHD consists of two basic symptoms.
- Poor attention Span
- Weak Impulse Control
Executive Functions of ADHD
 Defined as
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the ability to engage in mental activities that help
deflect distractions, recall goals, and take steps
needed to reach them. These are divided into four
groups.
 Working Memory
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Holds information in mind while performing another
task.
 Internalization of Self-directed Speech
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Process of talking out loud to solve problems
Executive Functions Continued
 Self Regulation
- Controlling reaction to an event
 Reconstruction
- Breaking down observed behavior and
combining
parts into new
actions that are not previously
learned.
AD/HD Primarily Inattentive Type
AD/HD-I
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Fails to give close attention to details or
makes careless mistakes.
Has difficulty sustaining attention.
Does not appear to listen.
Struggles to follow through on instructions.
AD/HD Hyperactive/Impulse Type
AD/HD-HI
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Fidgets with hands or feet or squirms in chair.
Has difficulty remaining seated.
Runs about or climbs excessively.
Acts as if driven by a motor.
Talks excessively.
Blurts out answers before questions have been
completed.
Difficulty waiting or taking turns.
Interrupts or intrudes upon others.
AD/HD Combined Type
AD/HD-C
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Individual meets both sets of attention and
hyperactive/impulsive criteria.
According to the DSM-IV, ADHD
Has Three Categories
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Predominantly inattentive type
Predominantly hyperactive impulsive
type
Combined type (onset of symptoms
must occur before the age of seven and
must be present for six months)
Causes of ADHD
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Brain Structure
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Heredity
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Environment
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Pregnancy and Birth Complications
People with ADHD
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3-5 percent of children have ADHD
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2-4 percent of adults have ADHD
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There are three times as many boys diagnosed
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10-26 percent of children with ADHD have a
learning disability
People With AD/HD Continued
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30-65 percent have emotional or
behavioral problems
Characteristics of ADHD
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Students exhibit noncompliance,
disagreeable and annoying behaviors.
Students have a difficult time forming and
keeping relationships with peers.
Stress is added to families sometimes
leading up to isolation from family and
friends and divorce between parents.
Treatment for ADHD
 Behavior modification
- Reinforcements, rewards, immediate
consequences, and cues to reinforce rules.
 Medication
- Stimulate Drugs: Ritalin, Dexedrine, Adderall,
Cylert and Desoxyn.
- Antidepressants: Elavil, Tofranil, and Prozac.
Treatment Continued
 Diet and Nutrition
– Scientists do not support the use of diet.
– The once popular Feingold Diet has not
proven to adequately control symptoms.
References
American Psychiatric Association. (1994).
Diagnostic and statistical manual of mental
disorders (4th ed.). Washington, DC:Author.
Bender, W.N., & Mathes, M.Y. (1995).
Students with ADHD in the inclusive classroom:
A hierarchical approach to strategy selection.
Intervention in School and Clinic, 30, 226-234.