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Everything You Need to Know About ADHD

What is ADHD?

Attention deficit hyperactivity disorder (ADHD) is a mental health disorder that can cause above-normal levels of hyperactive and impulsive behaviors. People with ADHD may also have trouble focusing their attention on a single task or sitting still for long periods of time.

Both adults and children can have ADHD. It’s a diagnosis recognized by the American Psychiatric Association (APA). Learn about types of ADHD and symptoms in both children and adults.

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Symptoms

ADHD symptoms

A wide range of behaviors are associated with ADHD. Some of the more common ones include:

  • having trouble focusing or concentrating on tasks
  • being forgetful about completing tasks
  • being easily distracted
  • having difficulty sitting still
  • interrupting people while they’re talking

If you or your child has ADHD, you may have some or all of these symptoms. The symptoms you have depend on the type of ADHD you have. Explore a list of ADHD symptoms common in children.

Types

Types of ADHD

To make ADHD diagnoses more consistent, the APA has grouped the condition into three categories, or types. These types are predominantly inattentive, predominantly hyperactivity-impulsive, and a combination of both.

Predominantly inattentive

As the name suggests, people with this type of ADHD have extreme difficulty focusing, finishing tasks, and following instructions.

Experts also think that many children with the inattentive type of ADHD may not receive a proper diagnosis because they don’t tend to disrupt the classroom. This type is most common among girls with ADHD.

Predominantly hyperactive-impulsive type

People with this type of ADHD show primarily hyperactive and impulsive behavior. This can include fidgeting, interrupting people while they’re talking, and not being able to wait their turn.

Although inattention is less of a concern with this type of ADHD, people with predominantly hyperactive-impulsive ADHD may still find it difficult to focus on tasks.

Combined hyperactive-impulsive and inattentive type

This is the most common type of ADHD. People with this combined type of ADHD display both inattentive and hyperactive symptoms. These include an inability to pay attention, a tendency toward impulsiveness, and above-normal levels of activity and energy.

The type of ADHD you or your child has will determine how it’s treated. The type you have can change over time, so your treatment may change, too. Learn more about the three types of ADHD.

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ADD vs. ADHD

ADD vs. ADHD

You may have heard the terms “ADD” and “ADHD” and wondered what the difference is between them.

ADD, or attention deficit disorder, is an outdated term. It was previously used to describe people who have problems paying attention but aren’t hyperactive. The type of ADHD called predominantly inattentive is now used in place of ADD.

ADHD is the current overarching name of the condition. The term ADHD became official in May 2013, when the APA released the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). This manual is what doctors refer to when making diagnoses for mental health conditions. Get a better understanding of the difference between ADD and ADHD.

Adult ADHD

Adult ADHD

More than 60 percent of children with ADHD still exhibit symptoms as adults. But for many people, ADHD symptoms decrease or become less frequent as they get older.

That said, treatment is important. Untreated ADHD in adults can have a negative impact on many aspects of life. Symptoms such as trouble managing time, forgetfulness, and impatience can cause problems at work, home, and in all types of relationships. Find out more about the signs and symptoms of ADHD in adults and how they can impact your life.

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ADHD in children

ADHD in children

One in 10 children between ages 5 to 17 years receives an ADHD diagnosis, making this one of the most common childhood mental disorders in the United States. For children, ADHD is generally associated with problems at school. Children with ADHD often have trouble succeeding in a controlled classroom setting.

Boys are more than twice as likely as girls to receive an ADHD diagnosis. This may be because boys tend to exhibit hallmark symptoms of hyperactivity. Although some girls with ADHD may have the classic symptoms of hyperactivity, many don’t. In many cases, girls with ADHD may:

  • daydream frequently
  • have anxiety
  • have depression
  • be hyper-talkative rather than hyperactive
  • be overemotional

Many symptoms of ADHD can be typical childhood behaviors, so it can be hard to know what’s ADHD-related and what’s not. Learn more about how to recognize ADHD in toddlers.

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Causes

What causes ADHD?

Despite how common ADHD is, doctors and researchers still aren’t sure what causes the condition. It’s believed to have neurological origins. Genetics may also play a role.

Research suggests that a reduction in dopamine is a factor in ADHD. Dopamine is a chemical in the brain that helps move signals from one nerve to another. It plays a role in triggering emotional responses and movements.

Other research suggests a structural difference in the brain. Findings indicate that people with ADHD have less gray matter volume. Gray matter includes the brain areas that help with:

  • speech
  • self-control
  • decision-making
  • muscle control

Researchers are still studying potential causes of ADHD, such as smoking during pregnancy. Find out more about the potential causes and risk factors of ADHD.

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ADHD testing

ADHD testing and diagnosis

There’s no single test that can tell if you or your child has ADHD. A recent study highlighted the benefits of a new test to diagnose adult ADHD, but many clinicians believe an ADHD diagnosis can’t be made based on one test.

To make a diagnosis, your doctor will assess any symptoms you or your child has had over the previous six months. Your doctor will likely gather information from teachers or family members and use checklists and rating scales to review symptoms. They’ll also do a physical exam to check for other health problems. Learn more about ADHD rating scales and what they can and cannot do.

If you suspect that you or your child has ADHD, talk to your doctor about getting an evaluation. For your child, you can also talk to a counselor at their school. Schools regularly assess children for problems that may be affecting their educational performance.

For the assessment, provide your doctor or counselor with notes and observations about you or your child’s behavior. If they suspect ADHD, they may refer you or your child to an ADHD specialist. Depending on the diagnosis, they may also suggest an appointment with a psychiatrist or neurologist.

Treatment

ADHD treatment

Treatment for ADHD typically includes behavioral therapies, medication, or both.

Types of therapy include psychotherapy, or talk therapy. With talk therapy, you or your child will discuss how ADHD affects your life and ways to help you manage it. Another therapy type is behavioral therapy. This therapy can help children or adults with ADHD learn how to monitor and manage their behavior.

Medication can also be very helpful for a child or adult with ADHD. Medications for ADHD are designed to affect brain chemicals in a way that enables you to better control impulses and actions. Find out more about treatment options and behavioral interventions that can help ease ADHD symptoms.

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Medication for ADHD

ADHD medication

The two main types of medications used to treat ADHD are stimulants and nonstimulants.

Central nervous system (CNS) stimulants are the most commonly prescribed ADHD medications. These drugs work by increasing the amounts of the brain chemicals dopamine and norepinephrine. Examples of these drugs include methylphenidate (Ritalin) and amphetamine-based stimulants (Adderall).

If stimulants don’t work well for you or your child, or if they cause troublesome side effects, your doctor may suggest a nonstimulant medication. Certain nonstimulant medications work by increasing levels of norepinephrine in the brain. These medications include atomoxetine (Strattera) and antidepressants such as nortriptyline (Pamelor).

ADHD medications can have many benefits, as well as side effects. Learn more about medication options for adults with ADHD.

Natural remedies

Natural remedies for ADHD

In addition to — or instead of — medication, several remedies have been suggested to help improve ADHD symptoms.

For starters, following a healthy lifestyle may help you or your child manage ADHD symptoms. The Centers for Disease Control and Prevention (CDC) recommends the following:

Studies have also shown that yoga, tai chi, and spending time outdoors can help calm overactive minds and may ease ADHD symptoms. Mindfulness meditation is another option. Research in adults and teens has shown meditation to have positive effects on attention and thought processes, as well as on anxiety and depression.

Avoiding certain allergens and food additives are also potential ways to help reduce ADHD symptoms. Learn more about these and other nondrug approaches to addressing ADHD.

Is ADHD a disability?

Is ADHD a disability?

While ADHD is a mental disorder, it’s not considered a learning disability. However, ADHD symptoms can make it harder for you to learn. Also, people with ADHD often have learning disabilities.

To help relieve any impact on learning for children, teachers can map out individual guidelines for a student with ADHD. This may include allowing extra time for assignments and tests or developing a personal reward system.

Although it’s not technically a disability, ADHD can have lifelong effects. Learn more about the potential impacts of ADHD on adults and children and resources that can help.

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ADHD and depression

ADHD and depression

If you or your child has ADHD, you’re more likely to have depression as well. In fact, the rate of major depression in children with ADHD is more than five times higher than in children without ADHD. And up to 31 percent of adults with ADHD have been found to also have depression.

This may feel like an unfair double whammy, but know that treatments are available for both conditions and the treatments often overlap. Talk therapy can help treat both conditions. Also, certain antidepressants, such as bupropion, can sometimes help ease ADHD symptoms.

Of course, having ADHD doesn’t guarantee that you’ll have depression, but it’s important to know it’s a possibility. Find out more about the link between ADHD and depression.

Tips for coping

Tips for coping with ADHD

If you or your child has ADHD, a consistent schedule with structure and regular expectations may be helpful. For adults, using lists, keeping a calendar, and setting reminders are good ways to help you get and stay organized. For children, it can be helpful to focus on writing down homework assignments and keeping everyday items, such as toys and backpacks, in assigned spots.

Learning more about the disorder in general can also help you learn how to manage it. Organizations like Children and Adults with Attention Deficit Disorder or the Attention Deficit Disorder Association provide tips for management as well as the latest research.

Your doctor can provide more guidance in ways to manage your ADHD symptoms. Here are tips for helping your child with ADHD manage daily tasks and activities, from getting ready for school in the morning to applying for college.

Outlook

Outlook

For children and adults, untreated ADHD can have a serious impact on your life. It can affect school, work, and relationships. Treatment is important to lessen the effects of the condition.

But it’s still important to keep in mind that many people with ADHD enjoy fulfilling and successful lives. Some even tout the benefits of the condition.

If you think you or your child may have ADHD, your first step should be to talk to your doctor. They can help determine if ADHD is a factor for you or your child. Your doctor can help you create a treatment plan to help you manage your symptoms and live well with ADHD.

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