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Impulse Control > ADHD > Flashcards

Flashcards in ADHD Deck (8)
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1

Presentation

Boys-
-talking fast
-always moving
Girls-
-daydreaming
-internally distracted

2

Core features of ADHD

In DSM
1. inattention/distractibility
2. impulsivity
3. hyperactivity (may or my not be there)

Not in DSM
4. temperament lability (co-morbid)

3

Inattention

-must have 6 in the last 6 months
1. careless
2. difficulty sustaining attention
3. doesn't listen
4. no follow through
5. cant organize
6. avoids/dislikes tasks requiring sustained mental effort (procrastination)
7. loses important items
8. easily distractible
9. forgetful in daily activities

4

Hyperactivity and impulsivity

-must have 6 in the last 6 months

Hyperactivity
1. squirms and fidgets
2. can't stay seated
3. runs/climbs excessively
4. can't play/work quietly
5. "on the go"/ "driven by a motor'
6. talks excessively

Impulsivity
1. blurts out answers
2. can't wait turn
3. intrudes/interrupts others

5

compensatory strategies not seen in clinic

-quite place
-tricks to not lose things

6

Causes

-it is a brain thing
-normal- use frontal lobe to solve problems
-ADHD- use secondary paths
-brains develop slower- approximately a 3 year delay

7

Genetics

If a child has ADHD
-25-35% of siblings
-80-90% of identical twins
-15-30% of parents

If parents had ADHD
-25-50% of offspring

8

environmental causes

-less than 20% contribution
-mostly in utero, delivery, or postnatal

Evidence of small risks
-smoking
-alcohol
-birth complications
-lead
-polychlorinated biphenyls

Evidence that does not exist
-parenting
-watching TV