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The slow and long-acting nonstimulant atomoxetine (Strattera), is primarily a norepinephrine reuptake inhibitor and, to a lesser extent, a dopamine reuptake inhibitor.

It may be more effective for those with predominantly inattentive concentration.

It differs in having fewer or no typical symptoms of hyperactivity or impulsiveness.

However, the core problems of ADHD do not disappear with age.

that the manifestation of hyperactivity simply changes with adolescence and adulthood, becoming a more generalized restlessness or tendency to fidget.

That happened because research by Virginia Douglas had suggested that the attention deficits were more important than the hyperactive behaviour for understanding the disorder.

The new label also reflected the observation of clinicians that attention deficits could also exist without hyperactivity.

In some cases, children who enjoy learning may develop a sense of fear when faced with structured or planned work, especially long or group-based assignments that require extended focus, even if they thoroughly understand the topic.

Children with ADHD may be at greater risk of academic failures and early withdrawal from school.that some of the symptoms of ADHD present in childhood appear to be less overt in adulthood.This is likely due to an adult's ability to make cognitive adjustments and develop compensating or coping skills to minimize the impact of inattentive or hyperactive symptoms.It is, therefore, important to ensure that a child's cultural background is understood and taken into account as part of the assessment.In 1980, the DSM-III changed the name of the condition from "hyperkinetic reaction of childhood" to "attention deficit disorder" (ADD).Stimulants are typically formulated in fast and slow-acting as well as short and long-acting formulations.The fast-acting amphetamine mixed salts (Adderall) and its derivatives, with short and long-acting formulations bind to the trace amine associated receptor and triggers the release of dopamine into the synaptic cleft.Teachers and parents may make incorrect assumptions about the behaviours and attitudes of a child with ADHD-PI, and may provide them with frequent and erroneous negative feedback (e.g."careless", "you're irresponsible", "you're immature", "you're lazy", "you don't care/show any effort", "you just aren't trying", etc.).In the UK, diagnosis is based on quite a narrow set of symptoms, and about 0.5–1% of children are thought to have attention or hyperactivity problems. Children from all cultures and social groups are diagnosed with ADHD.However, children from certain backgrounds may be particularly likely to be diagnosed with ADHD, because of different expectations about how they should behave.

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