Understanding ADHD
Why our Comprehensive Diagnostic process is Essential
What is ADHD?
Why is an accurate diagnosis so important?
Is medication the only treatment?
ADHD and Coexisting Conditions
Approximately 70% of individuals with ADHD have at least one coexisting condition and oftentimes the symptoms of ADHD mask other conditions.
The coexisting conditions fall into 5 major categories: Disruptive Behavior Disorders, Mood Disorders, Learning Disorders, Sleep Disorders and Substance Abuse
There are primarily two conditions under the umbrella of disruptive behavior disorders: ODD and CD. Oppositional defiant disorder, referred to as ODD, involves a pattern of arguing, losing one’s temper, refusing to follow rules, blaming others, deliberately annoying others, and being angry and vindictive. Conduct disorder, CD, may also be present. Children with conduct disorder may be aggressive to people or animals, destroy property, lie or steal things from others, run away, or skip school. Adults with CD often exhibit behaviors that get them into legal trouble.
Mood disorders
There are primarily 3 conditions under the umbrella of mood disorders: anxiety, depression, and bipolar disorder. Mood disorders are characterized by extreme fluctuations in mood. Children with mood disorders appear frequently to be in a bad mood, may cry daily, or often be irritable with others. Adults with mood disorders often describe themselves as having mood swings for no apparent reason. When we think of mood disorders, we think of anxiety and depression. A more severe mood disorder is bipolar disorder, involving periods of elevated mood and energy followed by episodes of clinical depression. Approximately 38% of adults with ADHD have a co-occurring mood disorder, and up to 30% of children have a mood disorder.
Up to 50% of children with ADHD have a coexisting learning disorder, compared to 5% of children without ADHD. The most common learning disorders are dyslexia and dyscalia. Dyslexia affects how individuals acquire or use new information and dyscalia is a problem with speech.
Between 25% and 50% of parents report that their children and teens diagnosed with ADHD experience problems falling asleep and staying asleep. Many adults diagnosed with ADHD also report sleep problems; however it is not known whether sleep problems are a symptom of ADHD, made worse by ADHD, or a symptom of a coexisting condition.
Substance abuse
Research has shown that individuals with ADHD are at increased risk for substance abuse. It is important to note that the belief that children and adolescents prescribed stimulant medication for their ADHD are more prone to stimulant abuse than others is false; in fact, adolescents who are prescribed stimulant medication for their ADHD are less likely to subsequently use illegal drugs than children with ADHD who were not prescribed medication.