ADHD: Causes, Risk Factors and More
With more and more children, teenagers and even adults being diagnosed with attention-deficit/hyperactivity disorder (ADHD), many Americans are asking, "What is ADHD?"
ADHD is a chronic mental condition characterized by inattentiveness, impulsiveness and hyperactivity. Between 3 and 5 percent of all American children of school age suffer from ADHD. While ADHD always begins in childhood, it may persist into adulthood. Approximately half of all children with ADHD will continue to battle the disorder as adults.
ADHD Symptoms
In most children who are diagnosed with ADHD, symptoms tend to appear before the age of 7. ADHD symptoms are grouped into two categories:
Hyperactivity-Impulsive Behavior
- doesn't remain seated
- feels restless
- fidgets or squirms
- has a hard time staying quiet and talks excessively
- has a hard time waiting for his turn
- interrupts or intrudes on others
- often blurts out answers to questions in class (if applicable)
- runs or climbs excessively.
Inattention
- avoids work that requires sustained mental effort
- easily distracted
- fails to finish work, chores or tasks
- fails to pay close attention to details or makes careless mistakes in work or other activities
- forgetful
- frequently loses items
- had a hard time following instructions
- has trouble sustaining attention during tasks
- seems to not listen.
Generally, a child is diagnosed with ADHD only if he shows six or more inattention symptoms and six or more hyperactivity-impulsive behaviors for at least six months. Most children with ADHD do not exhibit all of the symptoms of ADHD.
ADHD Causes
While scientists believe that structural changes in the brain are likely the leading cause of ADHD, most also believe that environmental factors can contribute to the disorder or worsen the behavior of someone with the disorder. Researchers believe that the following factors play a role in ADHD:
- Altered Brain Function and Anatomy: Researchers have discovered that the brains of people with ADHD are different from those of people without the disorder. For one thing, people with ADHD don't appear to properly use neurotransmitters, chemicals in the brain that send messages.
Also, people with ADHD appear to have less activity in the areas of the brain that are responsible for activity and attention.
- Childhood Exposure to Environmental Toxins: Preschoolers and infants who are exposed to environmental toxins, such as lead, are at an increased risk for developing ADHD.
- Genetics: ADHD appears to run in families. Approximately 25 percent of children with ADHD have a family member with the disorder.
- Maternal Smoking, Drugs Use and Exposure to Toxins: Children who were exposed to smoke, alcohol, drugs and other toxins while in the womb are at an increased risk for developing ADHD.
ADHD Risk Factors
In addition to the possible causes of ADHD, other risk factors that put people at a higher risk for developing ADHD include:
- being male
- experiencing brain trauma during pregnancy or delivery
- having Tourette's syndrome.
Talking to Your Doctor About ADHD
If you or your child experiences ADHD symptoms, schedule an appointment with your doctor. He will be able to determine if the symptoms are, in fact, due to ADHD, or if they are caused by another condition.
If unidentified or left untreated, ADHD can put a person at risk for:
- family problems
- poor performance at work and school
- problems with friends
- self-image problems
- social problems.
Getting a timely ADHD diagnosis is important.
ADHD Treatments
If your doctor determines that you or your loved one is suffering from ADHD, he will discuss treatment options with you. While many doctors support the use of psychostimulant for ADHD, counseling, special accommodations in the classroom (if applicable) and support of family and friends are also key parts of ADHD treatment.
Resources
Mayo Clinic Staff (2007). Attention-deficit/hyperactivity disorder. Retrieved on Aug. 15, 2007, from the Mayo Clinic Web site: http://www.mayoclinic.com/health/adhd/DS00275.
Neubauer, David N. (2006). ADHD Overview. Retrieved Aug. 15, 2007, from the Health A to Z Web site: http://www.healthatoz.com/healthatoz/Atoz/common/standard/
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adhd/adhd_gen_ovw.jsp.