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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