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ATTENTION DEFICIT HYPERACTIVITY DISORDER<br />

(ADHD)<br />

The Diagnostic and Statistical Manual of Mental Disorders<br />

(DSM) has laid down certain guidelines to help identify a<br />

person with ADHD. According to the diagnostic <strong>ma</strong>nual,<br />

people with ADHD display a combination of inattention,<br />

hyperactivity and impulsivity. People who are inattentive find<br />

it difficult to focus on a particular task and get bored quickly.<br />

Read on.<br />

Ten-year-old Nita just can't seem to sit still. She talks a mile a<br />

minute and fidgets constantly. The teachers complain that she<br />

disrupts the class constantly and never follows instructions.<br />

Her homework and projects are always incomplete and full<br />

of careless errors and she is easily distracted. Nita has the<br />

classic signs of a person with Attention Deficit Hyperactivity<br />

Disorder or ADHD.<br />

19<br />

Symptoms<br />

The Diagnostic and Statistical Manual of Mental Disorders<br />

(DSM) has laid down certain guidelines to help identify a<br />

person with ADHD. According to the diagnostic <strong>ma</strong>nual,<br />

people with ADHD display a combination of inattention,<br />

hyperactivity and impulsivity.<br />

According to the DSM, signs of inattention include:<br />

becoming easily distracted by irrelevant sights and sounds<br />

failing to pay attention to details and <strong>ma</strong>king careless<br />

mistakes<br />

rarely following instructions carefully and completely<br />

losing or forgetting things like toys, or pencils, books, and<br />

tools needed for a task<br />

Some signs of hyperactivity and impulsivity are:<br />

feeling restless, often fidgeting with hands or feet, or<br />

squirming<br />

running, climbing, or leaving a seat, in situations where<br />

sitting or quiet behavior is expected<br />

blurting out answers before hearing the whole question<br />

having difficulty waiting in line or for a turn<br />

People who are inattentive find it difficult to focus on a<br />

particular task and get bored quickly. While they <strong>ma</strong>y display<br />

effortless concentration doing things they enjoy, <strong>ma</strong>king a<br />

deliberate and conscious effort to organize and complete a<br />

task or to learn something new is difficult. Hyperactive people<br />

seem to bounce off the walls with energy and just cannot sit<br />

still. Impulsive people don't think before they act or speak.<br />

They have difficulty waiting for things to take their natural<br />

course. Everything must happen right away.<br />

There have been times in all our lives when we have been<br />

overly impulsive, inattentive or hyperactive. But that does not<br />

mean that we are afflicted with ADHD. These behaviours are<br />

sympto<strong>ma</strong>tic of ADHD if they appear early in life, before the<br />

age of 7. However, the age of onset can vary and symptoms<br />

<strong>ma</strong>y even appear in early adolescence. They must be excessive,<br />

long-term and pervasive. They must occur more often than<br />

in other people of the same age group. The behaviours must<br />

cause a real handicap in atleast two areas of the person's life<br />

such as school, home, work, or social interactions.<br />

Boys are at least three times as likely as girls to develop the<br />

disorder.<br />

Impact of ADHD<br />

As a result of the disorder, children with ADHD often engage<br />

in disruptive activities and antisocial behaviour that alienates<br />

their peers and other people around them. In addition,<br />

their academic perfor<strong>ma</strong>nce tends to suffer because of their<br />

inattention and easy distractibility. Parents of children with<br />

ADHD experience high stress levels that are linked to their<br />

extreme frustration in attempting to discipline their children.<br />

This can lead to problems in the <strong>ma</strong>rriage and in the worst<br />

case, even divorce. Unfortunately, ADHD is not a disorder<br />

that disappears with time. ADHD persists into adulthood.<br />

However, the good news is that there are ways in which one<br />

can alleviate the symptoms.<br />

Geetika Chopra, ASP Gulf

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