WHTA IS ADD?

What is ADD?

Attention Deficit Disorder, or ADD/ADHD, is a psychological term currently applied to anyone who meets the DSM IV diagnostic criteria for impulsivity, hyperactivity and/or inattention.  The diagnostic criteria are subjective and include behavior which might be caused by a wide variety of factors, ranging from brain defects to allergies to giftedness.  ADD, as currently defined, is a highly subjective description, not a specific disease. 

Confusion and controversy is caused by the tendency of some mental health professionals to assume that everyone diagnosed with ADD has some mysterious, irreversible brain defect.  This assumption has its roots in the very first group of severely ADD people ever studied, who suffered from encephalitis, or a swelling of the brain.  We also have learned that birth defects and brain injury from toxic chemicals such as lead often cause ADD.  However, over the last several decades the ADD diagnostic criteria have been so broadened as to include many people with no brain defects at all. 

ADHD has three subtypes:

• Predominantly hyperactive-impulsive
  • Most symptoms (six or more) are in the hyperactivity-impulsivity categories.
  • Fewer than six symptoms of inattention are present, although inattention may still be present to some degree.
• Predominantly inattentive
  
  • The majority of symptoms (six or more) are in the inattention category and fewer than six symptoms of hyperactivity-impulsivity are present, although hyperactivity-impulsivity may still be present to some degree.
  • Children with this subtype are less likely to act out or have difficulties getting along with other children. They may sit quietly, but they are not paying attention to what they are doing. Therefore, the child may be overlooked, and parents and teachers may not notice symptoms of ADHD.
• Combined hyperactive-impulsive and inattentive
  • Six or more symptoms of inattention and six or more symptoms of hyperactivity-impulsivity are present.
  • Most children with ADHD have the combined type.

How is ADD Diagnosed?

ADD should be diagnosed by a psychologist or psychiatrist who is knowledgeable about ADD as well as giftedness and creativity.  Avoid diagnosis by a pediatrician, since pediatricians as a group are far more likely to simply prescribe medications without properly assessing the child.  Psychiatrists and neurologists are far more likely to prescribe medications before acquiring a total picture of the patient.

Attention deficit hyperactivity disorder -- also referred to ADD or ADHD -- is a biological, brain based condition that is characterized by poor attention and distractibility and/or hyperactive and impulsive behaviors. It is one of the most common mental disorders that develop in children. Symptoms may continue into adolescence and adulthood. If left untreated, ADHD can lead to poor school/work performance, poor social relationships and a general feeling of low self esteem. Read more about the basics of ADHD.  

CAUSES

The exact cause of ADHD has not been determined, however the condition is thought to have a genetic and biological component. ADHD tends to occur among family members. Many research studies currently focus on identifying which genes, or combination of genes, may cause a person to be more susceptible to ADHD. Physical differences in parts of the brain are also thought to be linked to ADHD. Read more about the causes of ADHD. Watch a video describing the causes.