ISM Fall Semester 2018 Mrs. Click DISCLAIMER! – Some of the information used in this presentation were gathered from various outside sources. ☺ My Mentor and Mentorship Site: ❖ Mentor: Dr. Stacey Mathew Abraham, M.D ❖ Mentor’s Profession: Pediatrician ❖ Mentorship Site: UTMB Children’s clinic of Clear Lake Project: UNDERSTANDING ADHD My project topic for this semester is based on the different types of ADHD, and how a patient can be diagnosed and treated in each case.
I chose this topic because I know someone who is
affected by ADHD from childhood, and I was also able to meet several patients at the clinic who suffered from acute to severe ADHD, which peaked my interest toward the subject. What is ADHD? A chronic disorder that causes hyperactivity, impulsive actions, distraction etc.
It’s very common. There are more than 3 million cases of
ADHD reported in the United States per year.
ADHD often begins in childhood and can last till adulthood.
Key Points
TYPES OF DIAGNOSING MANAGING ADHD AND
MEDICINES ADHD ADHD TIPS ADDICTION Types of ADHD ❖ 3 types of ADHD include:
Inattentive: Inability to focus on a single task, not
capable to concentrate, gets bored very quickly, is not a good listener etc. This is Most common in kids. Hyperactive/Impulsive: Impatient, talkative, fidgets constantly, makes inappropriate comments etc. Combined: Patient shows both characteristics. This is most displayed in Adults. Diagnosing Different Types of ADHD There are no Specific “test” for ADHD. However, Psychologists are allowed to run a diagnosis. There are several guidelines and CHAT sheets to diagnose ADHD in patients, some of the characteristics include: Talks excessively and constantly moves Short Tempered MAY show aggressive behavior Symptoms must be observed for more than six months on children over the age of 7, on a regular basis Management Tips for Children With ADHD There are several guidelines accessible to adults that helps them gain a better perspective about the condition, that therefore, allows them to help facilitate the life of a friend or a family member who has been diagnosed with ADHD. Some tips to help manage a child with ADHD include: Management Tips for Children With ADHD Use timers and limits to make Appreciate your children for the concept of time visible and work that are deemed to be significant to your child. appropriate.
ADHD children may not behave
as you desire, use comments and re-assert your rules till they understand your policies. ADHD medication and their Mechanisms of Action
Methylphenidate: Blocks Dopamine reuptake inhibitors so
Dopamine stays in cell longer. Examples include: Ritalin, Concerta etc.
Dexmethylphenidate: It works by increasing levels of the
neurotransmitters, norepinephrine and dopamine in the brain. Example: Focalin ADHD Medication and their Mechanisms of Action (Therapy)
Support groups: A group for counseling where people of similar
conditions share their experiences with each other. Cognitive behavioral therapy: Talk therapy is about changing negative thoughts, and characteristics relating to distress. Intervention: Psychological Unit that deals with personal conflicts rooting from “school, work, family, and social life.” Psychoeducation: Classes about mental health that provides visitor with hope and strength to control their symptoms. Family therapy: Counseling that allows families to understand each other, the condition and be more free with each other. ADHD and Drug Addiction People who take ADHD medication are less likely to become addicted to drugs, than those who remain undiagnosed or the ones who choose not to treat their condition. Study shows that over 15% of adults with ADHD have deliberately used/ has been addicted to the usage of drugs and alcohol. The research concluded that drug and alcohol addiction is about three times more prevalent in people who are diagnosed with ADHD than the general population. ADHD and Drug Addiction A survey by Harvard Medical School shows that 70% of teens who does drugs does it to “improve their mood, sleep better” etc., and not because of their desire to get high. They believe that the same notion of “self- medication” using marijuana and other drugs is common against people diagnosed with ADHD.
Drug dependency starts for children at an age as
early as fifteen. Final Product
I have decided to create a
brain model, with Dopamine neurons and receptors to explain how dopamine levels affect ADHD, and how medication can help. FINAL
PRODUCT
ADHD ON THE BRAIN.
CURRENT EVENT: MICHAEL PHELPS SHARES ADHD EXPERIENCE Michael Phelps, the Olympic swimming superstar, openly discussed about how he was bullied as a child by his fellow friends and even by some of his teachers who claimed that he would never survive, or “amount to anything in this world”. Phelps was diagnosed with ADHD by his pediatrician in the sixth grade due to his inability to focus in class and constant hyperactivity that agitated others around him. He used swimming lessons to self-discipline himself and utilized the physical aspect of the sport to control his hyperactivity or “nervous” energy that made him “jumpy and fidgety”. Today, Michael Phelps is a 33-year-old professional Olympic swimmer, with 23 gold medals, 39 world records, and he holds the title for the most Olympic medals won by anyone at a single Olympic Game category. Conclusion: By the end of this semester, I have learned more about the importance of communication and leadership skills. I am now more aware of the responsibilities and standards you are expected to meet as a Pediatrician, and I also have a better knowledge of the reality and daily work expectations of the profession. Thank You!
I would like to thank my mentor and my
teacher Mrs. Click for giving me the opportunity to learn more about my dream occupation. I am also grateful to all the staff in the Children’s Clinic for being patient and generous to me, and to all the patients and visitors who allowed me to observe them. Citations Rube, Tasha. “How to Treat ADHD Naturally in Children.” WikiHow, WikiHow, 1 July 2018, www.wikihow.com/Treat-ADHD-Naturally-in-Children. “ADHD in Children.” Healthy Eating Tips to Prevent, Control, and Reverse Diabetes, www.helpguide.org/articles/add-adhd/attention-deficit-disorder-adhd-in-children.htm. “Brain Differences in ADHD.” ScienceDaily, ScienceDaily, 16 Feb. 2017, www.sciencedaily.com/releases/2017/02/170216105919.htm. Wilens, T E. “Mechanism of Action of Agents Used in Attention-Deficit/Hyperactivity Disorder.” Current Neurology and Neuroscience Reports., U.S. National Library of Medicine, www.ncbi.nlm.nih.gov/pubmed/16961428. “Attention-Deficit/Hyperactivity Disorder (ADHD) in Children.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 16 Aug. 2017, www.mayoclinic.org/diseases- conditions/adhd/symptoms-causes/syc-20350889. “What Are the Three Types of ADHD?” Healthline, Healthline Media, www.healthline.com/health/adhd/three-types-adhd. Lane, Kari. “Working With Your ADHD Child's Teachers and School.” WeHaveKids, WeHaveKids, 9 Nov. 2017, wehavekids.com/education/Working-with-Your-ADHD-Childs- Teachers-and-School.