Defined in ICD-10 as part of Hyperkinetic disorder (a more severe form of ADHD). Requires the following to be present:
- Developmentally inappropriate levels of:
- Inattention AND
- Hyperactivity AND
- Persisting for >6 month and be significantly impairing and pervasive across domains
- Must also be in children <7 years (older and it is counted as manic).
Why is it important?
2/3rds of adults who had ADHD as a child continue to have problems as adults.
Full assessment involving interviews with parents and child (alone/together), as well as information from schools, physical evaluation and cognitive tests should be done.
Psychoeducation- inform the parents and child about ADHD, give them resources and advice about treatments. Inform the GP and school.
NB in children <6 years old, there are issues of diagnostic uncertainty so pharmacological treatment is not recommended and does not have a large evidence base. If <6- parent training programmes are most commonly used.
- Parent training
- Behavioural classroom management strategies
- Social skill
- Diet: elimination and supplementation