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WHAT IS ATTENTION HYPERACTIVITY DISORDER (ADHD)?

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder, or a problem involving the development of the nervous system, and it is characterised by a combination of key ADHD symptoms:<br> <br> 1. Hyperactivity<br> <br> 2. Impulsivity and<br> <br> 3. Inattention<br> <br> These symptoms do not occur in a single specific environment only, such as with college, but across many areas of life. Predicated on the types of symptoms experienced, ADHD can be divided in three different subtypes:<br> <br> 1. ADHD mainly inattentive, which is associated with significant difficulty in concentration<br> <br> 2. ADHD mainly hyperactive-impulsive, which involves a need for continuous action or movement, and<br> <br> 3. ADHD combined, which is a mixture of both.<br> <br> <br> <br> Since ADHD was recognised as a clinical disorder first, there have been significant advances inside our understanding of it, both clinically and among the overall inhabitants. We realize that ADHD can have a significant impact on the life of both children and adults, but equally it is an extremely workable condition (see ‘ADHD treatments in Ireland’ below) and, when diagnosed and handled appropriately, its effect on can be significantly reduced.<br> <br> <br> <br> "WE REALIZE THAT ADHD CAN HAVE A SUBSTANTIAL IMPACT ON the life span of both Children and Adults BUT EQUALLY IT IS AN EXTREMELY MANAGEABLE CONDITION AND, WHEN DIAGNOSED AND MANAGED APPROPRIATELY, The IMPACT COULD BE SIGNIFICANTLY REDUCED"<br> <br> HOW Common IS ADHD? <br> <br> Variations in requirements found in ADHD diagnosis, as well as variations in information sources used in research make it difficult to estimation the exact quantity of people who have ADHD. Based on results from a comprehensive review, Willcutt (2012) approximated that between 5.9% - 7.1% children and adults have ADHD, with rates found to be similar across cultures. There is currently no specific data on the prevalence of ADHD in Ireland, with recent census data failing to distinguish between specific disabilities. However, data from the 2016 census signifies that 156,968 (3.3%) people experience difficulty learning, concentrating or remembering, with this being the most typical category of disability experienced by children of college going age. While these categories and amounts may represent ADHD quantities carefully, the broad nature from it is intended by this categorisation is impossible to identify specific data about ADHD.<br> <br> Studies on ADHD in children have shown that ADHD is more common in kids than girls, with kids approximately four times much more likely to be diagnosed with ADHD than ladies. This is reflected in data from the Central Statistics Office in Ireland (CSO) with almost as many boys of ages 5-19 reported to see learning twice, memory space or concentrating difficulties when compared to girls.<br> <br> <br> <br> A 2018 review has shown neurofeedback training to be at least as effective as medication in lowering the ADHD symptoms. Find out about our Clinic-led Home Neurofeedback service. <br> <br> <br> <br> ADHD DIAGNOSIS - HOW IS IT DONE?<br> <br> ADHD is a complex disorder that can only be diagnosed by a professional utilizing a true number of different tests. Should you suspect that you or your son or daughter has signs of ADHD, lots is had by you of options. You might, wish to first contact your GP. You are going to asked a variety of questions, such as what symptoms are shown, when they started, where and how often they occur, and how these symptoms affect quality of life. Your GP shall then determine if to refer you or your child to a Specialist, such as a psychologist, psychiatrist, paediatrician or mental health services. The specialist will carry out a comprehensive evaluation, which range from interviews with you, your son or daughter, and with significant others. It may also include some type of physical evaluation to guideline other potential issues, and assessments to assess abilities such as concentration, problem-solving and short-term storage.<br> <br> <br> <br> "ADHD IS A COMPLEX DISORDER THAT MAY ONLY BE DIAGNOSED BY A SPECIALIST USING A VARIETY OF DIFFERENT TESTS. YOUR GP MIGHT HELP YOU TO DECIDE WHETHER YOU WILL NEED TO SEE A SPECIALIST" <br> <br> <br> <br> Best Practice Recommendations: In line with the Country wide Institute for Health and Care Brilliance (NICE) guidelines, ADHD should only be diagnosed based on the mixture of findings from a full psychiatric and developmental history, a full psychosocial and clinical evaluation, like the checks outlined above, and reports and observations of the person’s mental state. A multidisciplinary team of Specialists should be used in the diagnosis and treatment of ADHD, with size of the united team varying with respect to the specific case. It is vital that the psychological services provided, as well as all communication with the average person and their family, are tailored to the specific age and capabilities of each person. Important recent additions (March 2018) to these guidelines include the necessity to establish an individual’s behavioural baseline, or their standard behaviour, and to account for any environmental factors which may be at place fully. The rules also state that, in cases of children under age five, parents must complete a certified parent program before a diagnosis of ADHD can be given, and that the advice of an additional professional should be considered before making a diagnosis.<br> <br> <br> <br> A diagnosis of ADHD is only going to get using 1 of 2 ways to classify/diagnose - either International Classification of Diseases, 10th revision (ICD-10) or the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM 5), if lots is fitted by a person of strict diagnostic criteria. Using DSM 5, a kid must screen six or even more of the symptoms of hyperactivity and impulsiveness or six or more of the inattentiveness symptoms, the following. Symptoms will need to have persisted for at least six months and be negatively impacting sociable and educational or work-related activities. It is important to note that symptoms may vary in adults with ADHD, as layed out in the ‘Adult ADHD’ section below.<br> <br> SET OF SYMPTOMS of ADHD:<br> <br> INATTENTIVENESS (DSM-V)<br> <br> · Fails to provide close attention to detail or makes careless mistakes<br> <br> · Has difficulty sustaining attention<br> <br> · Will not seem to pay attention when spoken to directly<br> <br> · Does not continue on instructions, fails to finish tasks<br> <br> · Has difficulty organising jobs and activities<br> <br> · Avoids/dislikes/is reluctant to activate in tasks that want suffered mental effort<br> <br> · Often loses things necessary for tasks<br> <br> · Often easily sidetracked by extraneous stimuli<br> <br> · Often forgetful in day to day activities<br> <br> <br> <br> HYPERACTIVITY/IMPULSIVITY (DSM-V [3])<br> <br> · Often fidgets with/taps hands/feet, or squirms in seat<br> <br> · Often leaves chair in situations where remaining sitting is expected<br> <br> · Often runs around/climbs in situations where it is inappropriate<br> <br> · Often unable to play/participate in leisure activities quietly<br> <br> · Often ‘on the go’<br> <br> · Often discussions excessively<br> <br> · Often blurts out answers prior to the questions has been finished<br> <br> · Often has difficulty waiting his/her turn<br> <br> · Often interrupts others<br> <br> <br> <br> ADHD SPECIALIST Groupings IN IRELAND:<br> <br> There are a variety of Irish organisations dedicated specifically to ADHD. The main open public service for children and young people is CAMHS: Child and Adult Mental Health Services (CAMHS). CAMHS are a multidisciplinary HSE service providing specialist treatment and evaluation for young people experiencing mental health troubles, including ADHD. Individuals are described CAMHS by their GP usually, and will then get the opportunity to meet users of the CAMHS team who will assess if the service can be of great benefit to them. (See here to find out more)<br> <br> In addition, there are extensive groupings who assist with information and support for ADHD. Two of the primary ones are INCADDS and HADD.<br> <br> · INCADDS: The Irish Country wide Council of ADHD support groups is an umbrella group that is responsible for the coordination of ADHD organizations around the country, as well as for providing information on the disorder to the Minister of Education and the Minister of Health and Children. The company aims to develop and promote early diagnosis of the disorder, as well as supporting person-centred treatment and raising awareness of ADHD.<br> <br> · HADD Ireland: HADD Ireland is a voluntary organisation dedicated to providing those suffering from ADHD with high quality information, resources and support on the disorder. This consists of information and support groups for adults with ADHD, as well as parents and educators of children with ADHD.<br> <br> <br> <br> Neurofeedback is at least as effective as medication in reducing the symptoms of ADHD, but without adverse effects - and you will even do it from home.<br> <br> <br> <br> ADULT ADHD<br> <br> Regardless of the common misconception that ADHD occurs in childhood only, research shows that the disorder commonly persists into adulthood. However, the symptoms of adult ADHD differ from that of younger years ADHD, for the reason that they are more subtle often. It's estimated that adhd diagnosis ireland - https://www.actualise.ie/adhd in the overall adult population occurs in about 2.5% to 4.4% of people. Unlike ADHD in children, there is absolutely no specific list of adult ADHD symptoms, but associated symptoms below are listed. As with children, if you are a adult and suspect you have ADHD, you can travel to your GP, plus they shall decide if you should see a specialist. Additionally, specialists (including psychologists, psychiatrists or the mental health services) may be able to arrange for an adult ADHD assessment. In line with rigid diagnostic criteria, a specialist cannot give a medical diagnosis of adult ADHD unless symptoms have been present since child years.<br> <br> <br> <br> "REGARDLESS OF THE COMMON MISCONCEPTION THAT ADHD OCCURS IN CHILDREN ONLY, RESEARCH HAS SHOWN HOW THE DISORDER COMMONLY PERSISTS INTO ADULTHOOD. HOWEVER, THE SYMPTOMS OF ADULT ADHD CHANGE FROM THAT OF Years as a child ADHD, FOR THE REASON THAT THEY ARE OFTEN MORE SUBTLE"<br> <br> <br> <br> ADULT ADHD Symptoms:<br> <br> · Carelessness and lack of focus on detail<br> <br> · Continually losing or misplacing things<br> <br> · Continually starting new jobs before finishing old ones<br> <br> · Inability to target or prioritise<br> <br> · Poor organisational skills<br> <br> · Forgetfulness<br> <br> · Restlessness/edginess<br> <br> · Often interrupting others, find it hard to keep quiet<br> <br> · Blurting replies, and poor cultural timing when talking to others<br> <br> · Irritability and an instant temper<br> <br> · Extreme impatience<br> <br> · Mood swings<br> <br> · Inability to deal with stress<br> <br> · Taking risks, often with little/no regard for basic safety of themselves or others<br> <br> <br> <br> <br> <br> ADHD TREATMENTS IN IRELAND:<br> <br> You may often hear that there surely is no known cure for ADHD, but there are always a true variety of effective treatment/management possibilities to you or your son or daughter if diagnosed. These include a range of behaviour and medications therapies, and frequently a combination of both. ADHD medication can offer short-term improvement in symptoms with each dosage, allowing for better focus, reduced impulsivity, and a calmer demeanour. Numerous types of therapies can be used in ADHD treatment also, including psychotherapy, behaviour therapy and positive behaviour support (PBS), cognitive behavioural therapy (CBT) and cultural skills training, as well as training for instructors and parents. Most often, the specialist who makes the ADHD diagnosis shall be well placed to give you advice on treatments, or might provide the treatment themselves or through a network of professionals.<br> <br> <br> <br> The specialist shall discuss all treatment options with you, and help you on what is most ideal for you or your child. We have provided some given information on the number of treatment plans below.<br> <br> <br> <br> · Stimulant medications, which are mainly comprised of amphetamine and methylphenidate substances, are commonly used to take care of ADHD. Such medications have been proven to work in improving symptoms of ADHD. However, medications have also been associated with effects including insomnia, anxiousness, nightmares, and appetite suppression. If using these medications, you or your son or daughter will be required to attend regular check-ups with your specialist to assess the type of improvements or undesireable effects are being experienced.<br> <br> · Behaviour therapies/cognitive behaviour therapies come in a variety of forms, however the aim is usually to help the given individual to develop the tools and skills needed to better control their own behaviour, helping these to increase positive behaviours and reduce disruptive behaviours. Behavioural interventions applied by parents and instructors are often recommended as an initial treatment option also. The key advantages of behavioural therapies are (1) they derive from learning, you need to include acquiring skills and (2) you can involve your family/partner/college etc. Some of the services above outlined, including CAMHS, offer additional support training and services to both children and adults with ADHD and their own families.<br> <br> · Neuroscience-based interventions are also available for both adults and children, including Neurofeedback Training (NFT).<br> <br> NFT is really as a form of ‘brain training’ where patient’s brainwaves are monitored using electrodes, and they are then given opinions based on if the brain activity sometimes appears as desirable or not. Recent research has exhibited that NFT has lasting, long-term results on ADHD symptoms six-months after treatment, and these results continue to improve as time passes even without further NFT periods. Research in addition has shown the consequences of NFT after half a year were equal to advantages of taking medication. In conditions of NFT providers, you should check whether your company is Board Qualified with the Biofeedback Qualification International Alliance (http://www.bcia.org)<br> <br> <br> <br> <br> <br> If you are thinking about neurofeedback as a potential treatment for the symptoms of ADHD, please speak to us - we can help decide the best course for you, including if (1) neurofeedback is right for you and (2) whether clinic-based or home neurofeedback would be suitable.

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