Children may concentrate poorly and underperform at school despite being intelligent, if they have Attention Deficit Hyperactivity Disorder (ADHD). The assessment is through taking very careful and detailed descriptions of their behaviour both at home and school in a range of activities, backed up by questionnaires filled in by teachers and parents. Some children don’t have the hyperactive/impulsive element, and have pure Attention Deficit Disorder (ADD). Both ADD and ADHD can be associated with specific learning problems such as dyslexia, and problems with motororganisation such as dyspraxia. Assessment requires expertise and experience, since children may not have the full syndrome, and may be able to concentrate well for short periods despite having the disorder, specially with close supervision; this can lead it to be missed. Aggression and defiance can be an accompaniment of ADHD, especially since having a more impulsive temperament is more likely to lead to outbursts. However, it can also occur in the absence of ADHD, so this needs to be assessed at the same time, as the management is rather different: teaching children anger management and teaching parents calm parenting strategies is usually Management of ADD/ADHD is through careful implementation of psychological strategies at home and at school, 25% extra time for exams and use of keyboard where appropriate, and stimulant medication (Ritalin, etcetera), where appropriate. When correctly prescribed, stimulants are usually highly effective with minimal side-effects.
At The Child and Family Practice our specialists can help with both physical and mental health needs, education and family problems, mediation and medicolegal reports. We aim to offer sensitive individually tailored confidential highly professional services and, where necessary, integrated care across a range of professions and specialities.