Attention Deficit Disorder-ADHD - Understanding the Acronym

It wasn't very long ago that Attention Deficitpediatricians, or behavioral neurologists, and sometimes
Hyperactivity Disorder (ADHD) was shrouded inclinical social workers.
mystery. Unless directly affected by it through theirSpecialty Can diagnose ADHD Can prescribe
children, most parents did not fully understand andmedication, if needed Provides counseling or training
certainly could not readily identify something like ADHD.Psychiatrists Yes Yes Yes
Fortunately today parents have greater access toPsychologists Yes Yes (only in NM & LA) Yes
information through schools, community professionalsPediatricians or Family Physicians Yes Yes No
and the World Wide Web. Yet even though theNeurologists Yes Yes No
National Institute of Mental Health (NIMH) estimates thatClinical Social Workers Yes No Yes
approximately 2 million children in the United States(Retrieved from ldonline.org/adhdbasics/diagnosis 3/14
have ADHD (that's roughly 1 child out of every2007)
classroom of 25-30 students) many parents are stillIf you're unsure about who to contact first, you can
unsure about how to identify symptoms, who to turnalways start with your family pediatrician or physician.
to for diagnosis, and how to work with their schoolHe or she may or may not be able to do a preliminary
once a diagnosis has been made.assessment; however, they can absolutely make a
It's important to understand that ADHD is not a productreferral to the appropriate mental health specialist for
of poor parenting. It does not discriminate according tofurther exploration and diagnosis.
gender, race, or age. It is a very real disorder andThe first step is to collect information and rule out
requires proper attention. If not properly diagnosed andother contributing factors that may affect your child's
treated, ADHD may carry serious consequencesbehavior. Significant experiences such as a sudden
including school failure, problems with relationships,change in the child's life (i.e. the death of a loved one,
family stress and disruption, and depression. Withparents' divorce, etc.), a learning disability that may
education and understanding however, parents cancause underachievement, anxiety or depression, even
learn to be an advocate for their ADHD child and helpmedical causes such as a middle ear infection that
him/her achieve success in the classroom and atmay result in intermittent hearing loss, can cause
home.ADHD-like behaviors in a child. Specialists may also
Identifying Symptomslook to the child's school and medical records,
ADHD is not easy to diagnose. The primaryenvironmental stressors and parental and/or teacher
characteristics of ADHD are inattention, hyperactivity,interaction with the child as other contributing factors to
and impulsivity. While many young children can exhibitthe child's erratic behavior.
these characteristics to some degree, true ADHDIf after all of the information has been collected and
symptoms are significant and present themselvesanalyzed against the current DSM-IV-TR and the
over the course of several months. According to thehyperactivity, impulsivity, and inattention are deemed
Diagnostic and Statistical Manual of Mental Disorderssignificant, and found to be long-standing, an ADHD
(DSM-IV-TR) there are three patterns of behavior thatdiagnosis may be made.
indicate ADHD - being consistently inattentive, beingWhat Next?
hyperactive, and/or being impulsive far more thanAs a parent, you are your child's most important
others of the same age. Children with ADHD mayadvocate. It's critical to know what's expected of your
show one or a combination of these behavior patterns.school, and how to utilize the resources available to
It isn't unusual for a child (or even an adult for thatyou in your community. Honest and open
matter) to have difficulty sitting still, paying attention orcommunication with your child's teachers is critical to
controlling impulsive behavior from time to time.his/her success in the classroom - especially if you
However, with ADHD these issues are constant andsuspect that your child may have ADHD. Your child's
so pervasive that they impact every aspect of theirschool is legally obligated to evaluate your child at your
lives, including both the home and school environment.request. The request should be made in writing, and
Who Can Diagnose?should include background information including the
If you suspect ADHD may be affecting your child, it'schild's name, your name, the date, and the reason you
important to know which individuals can make a properare requesting the evaluation. If the school refuses to
diagnosis. Specific training in the diagnosis of mentalevaluate your child, there are advocacy groups in
disorders, and specifically ADHD is obviously ideal.every state including the Parent Training and
These individuals most often include child psychiatristsInformation (PTI) center and the Protection and
and psychologists, developmental/behavioralAdvocacy (P&A) agency.