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Attention Deficit Hyperactivity Disorder (ADHD) is a neuropsychiatric developmental disorder. Although it is frequently diagnosed during childhood, it often persists into adulthood. This disorder mainly affects the executive functions, which allow us to plan, organise and complete tasks. ADHD has three basic characteristics that globally affect the social, emotional, and cognitive development of an affected individual:
ADHD is classified into three types based on the symptoms:
Predominantly hyperactive/impulsive type
Predominantly inattentive type
It is said to be more common for boys to show symptoms of hyperactivity symptoms, while girls show more symptoms of inattention.
ADHD often exhibits comorbidity with other disorders, hence the importance of a comprehensive assessment:
Anxiety Disorders, Obsessive-Compulsive Disorder, and Depression:
Substance Use Disorder:
To evaluate whether an individual suffers from ADHD, it is necessary to use psychological tests designed to measure the symptoms related to ADHD. The tests focus on measuring the individual’s attentional processes. They also evaluate the individual’s performance in the areas of memory, intelligence, processing speed, self-control or self-regulation, reasoning, and problem solving, among others.In addition to specialised tests used to assess ADHD, it is also necessary for the psychiatrist or psychologist to perform observation evaluations, interviews with parents and teachers, and symptom checks.
ADHD treatment can be divided into two broad areas: biological treatment and psychological treatment.Biological treatment refers mainly to psychiatric medication. Psychiatrists can prescribe and monitor medicines used for ADHD, both stimulants and non-stimulants. However, rules about medication vary by country. In the UK, medication is recommended as a first-line treatment for adults, but is only recommended for severe ADHD in children. However, in the US, medication is recommended for all ages.Psychiatrists prescribe ADHD medications as necessary for patients. They also fine-tune the medication type, dose, and preparation for each individual. This approach can reduce or eliminate side effects. While medications do not cure ADHD, they can significantly improve the symptoms for about 80% of people with ADHD, helping them function in their daily lives.Psychologists, counselors, social workers and therapists can help children and parents understand ADHD and develop strategies to reduce symptoms and improve their daily lives. Behavioural and cognitive therapies exhibit effective results in the treatment of inattention for ADHD. These are usually the first line therapies recommended for those with mild symptoms or for younger children. Other psychological therapies include cognitive behavioural therapy, family therapy, school interventions, social skills training, parent management training, and interpersonal psychotherapy. Psychologists should work closely with teachers and school counselors to plan support and interventions at school to minimize the effects of ADHD on a child’s performance.
If you think you or your child are suffering from symptoms of ADHD, seek further assessment from a doctor to discuss what sort of treatment might be helpful. Come see us at our Tokyo psychiatry clinic at American Clinic Tokyo in Akasaka for assessment. Dr Andrew Kissane, our UK-trained, British psychiatrist is a native English speaker. He is on the General Medical Council’s specialist medical register in the UK, is a member of the Royal College of Psychiatrists, and holds a Japanese medical license.If you wish to have a complete evaluation and assessment for ADHD, please email us requesting our psychological testing service at our Shintomi office.