Expert: Dr. Stephen Clairgate, child psychiatrist
You’ve certainly heard it before: so-called “hyperactive” children with difficult behaviour, those with developmental disorder With or without hyperactivity… These children, categorized as difficult, suffer from a disability that prevents them from paying attention and concentrating. Explanations of Dr. Stephen Clairgate, a child psychiatrist.
What does ADHD mean? What are the three types?
ADHD stands for “Child with Attention Deficit Disorder (AD) (T) with or without hyperactivity (H)”. this Neurodevelopmental disorder Which combines different symptoms. There are various suspected causes: genetic, environmental, associated with difficult childbirth … but nothing is currently officially linked to ADHD.
The disorder has three main behaviors: inattention, impulsivity, and hyperactivity. This is why there are three types of ADHD children: oblivious childrenwith prevalent symptoms of inattention, hyperactive and impulsive children, whose characteristics will predominate, and mixed disorder children, whose behavior mixes the two.
A child with ADHD will have it Difficulty concentrating attentionHe is challenged by all the stimuli he can see or hear, whether outside, in the garden, at school, or at home.” Child psychiatrist Stephan Clairgate prescribes. For example, in ADHD, inattention is characterized by shifting attention to all external noise or stimuli; A child is unable to stay alert for too long to follow an activity, for example. In ADHD, impulsivity is characterized by a child waiting with difficulty, in a waiting list for example. Finally, in ADHD, hyperactivity is characterized by the child’s going From one activity to anotherwithout finishing any.
This attention deficit disorder is persistent and recurs over a long period of time. ‘touches often boys It relates to 2 to 3% of children in an age group, but the diagnosis of ADHD is sometimes made with a hit.” Sorry to the specialist.
How old is ADHD diagnosed? What are the symptoms?
For a doctor, the diagnosis cannot be made reliably before the age of six. “Some professionals talk about ADHD for 3-year-olds, I think that’s a lot Too early To diagnose a child at this age, even if symptoms of ADHD are known. »
Symptoms of ADHD are characterized by motor hyperactivityInsomnia, impulsivity and attention deficit disorder, but these disorders can be caused by other conditions, so it is important to rule out all other causes before making an ADHD diagnosis. A diagnosis of ADHD occurs when all other causes have been ruled out. Because the child can suffer from educational disturbances, Hormonal pathology and anxiety disorders or my depression… »
Is my son hyperactive? What tests to find out?
As a parent, if you have a child who is often restless, and whose reactions are sometimes inappropriate behavioral standards Similar to ADHD, one wonders if their child does not have this problem. ” Children with ADHD are not constantly calm, except in front of screens, but it is the snake that bites its tail because of this screens promote hyperactivity, Call a child psychiatrist. Children with this syndrome should be examined in consultation with a specialist, whether a Child Psychiatrist Or a pediatric neurologist, to make a diagnosis, because the tests have to be done by these specialists.
Psychiatrist, child psychiatrist … Which specialist should be consulted and which treatment should be given?
Several sessions with one or more of these professionals will be necessary to make a diagnosis. ” If a doctor tells you that your child has ADHD after one session, it is not serious.” Dr. Clairgate warns. In fact, Various tests, including questionnaires, neuropsychological tests and assessment of the child’s family environment. ” Other tests to determine possible damage audio where Visiblebut also follow-up with a psychiatrist, it will be important to put it in place”, Again the doctor supports.
In terms of treatments, there is not much unfortunately. ” These are the most popular amphetamine derivatives Ritalin® (or methylphenidate), which is very dangerous, so children are closely monitored when prescribed. It can cause unwanted side effects, such as appetite suppressantDepressive states, headaches, tremors … “, Also determines the specialist.
Before starting any treatment, it is important to assess the child’s health condition. In the case of Ritalin®, it acts on dopamine, a cerebral neurotransmitter by slowing its removal. This makes the child calmer and lessens his troubles. If, according to some parents, it gives amazing effects on their children, the molecule has been classified as present “Modestly effective at best” According to the journal Prescrire. However, Ritalin does not treat ADHD and also requires follow-up psychotherapy for the child.
Instead, Dr. Stefan Clerget recommends extensive school monitoring, with the establishment of a school AESH (Accompanying a student with disabilities) to help the child on a daily basis, to engage teachers to enhance the child’s learning and create Session schedule Regularly with various health professionals, such as a speech therapist or psychologist to teach him how to regulate his emotions. Academic arrangements in class (schedule, daytime breaks, etc.) are sometimes recommended.
How does ADHD affect daily life?
In general, ADHD has a strong impact on the family life, social life and school life of the child, because he is often overwhelmed by his emotions. In fact, the child often AngryIt is rude and easily disobeys. Difficulties that often affect family life and do not favor a Calm weather. Psychological support is often recommended for all family members.
In school, difficulties are very present and have an impact on learning. The child may also feel low rating Because of his turmoil that can lead him to devalue himself and feel excluded by his comrades. It can be anxious and frustrating.
At home, problems have an impact on his behavior and parents are often brought in for consultation with the child who does not listen, who shows aggression, anger, disrespect for the rules … the same insocial communicationwhere disturbances can reverberate throughout the group and affect social relationships.
Individually, in a child with ADHD, we can find sleep disturbances, incontinence (bed wetting), learning difficulties, tics, worry Even obsessive-compulsive disorder (OCD).
In adolescence, hyperactivity often subsides, but attention and impulsivity disorders generally persist. This causes academic difficulties, Conflicts within the family And with other guys his age. Therefore it is important to maintain self-esteem, to prevent the teenager from drowning in a certain addiction, such as Excessive alcohol consumptionconsuming illegal substances, or even Misuse of screens and games. On average, one in two teens will still experience problems into adulthood, which will affect their social, personal and professional lives.