[Diagnosis, pathogenesis and treatment of attention deficiency syndrome]

Attention deficit hyperactivity disorder is the dominant form of cognitive and behavioral dysfunctions in childhood, the disease has a chronic course and manifests in adolescents and adults in 50-80% of cases. An adequate diagnosis is the testing of parents and teachers using the Conners questionnaire in two stages, the second is mandatory after 6 months to confirm the persistence of symptoms over time. The pathogenesis is based on violations of mediation of dopamine and norepinephrine in the fronto-striate-thalamic system, responsible for the function of constant attention, caused by molecular genetic mechanisms. Atomoxetine (Cognitera) in combination with pedagogical and psychological methods of correction seems to be an adequate drug for many months of use, taking into account international and Russian experience of use.