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Related Experiment Videos

Evaluating the hyperactive child in your office: is it ADHD?

T M Johnson1

  • 1University of Alabama School of Medicine-Huntsville Program, USA.

American Family Physician
|July 1, 1997
PubMed
Summary

Diagnosing attention-deficit hyperactivity disorder (ADHD) in children requires careful in-office assessment. Physicians can differentiate ADHD from misbehavior through observation and parent questioning for effective treatment.

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Area of Science:

  • Pediatric Medicine
  • Child Neurology
  • Behavioral Science

Background:

  • Attention-deficit hyperactivity disorder (ADHD) is a common neurobiologic disorder in childhood.
  • Family physicians often face initial complaints of hyperactivity and impulsivity.
  • Accurate initial assessment is crucial for timely diagnosis and management.

Purpose of the Study:

  • To outline a practical strategy for the initial in-office assessment of hyperactivity and impulsivity in children.
  • To differentiate between volitional misbehavior and potential ADHD symptoms.
  • To enhance the effectiveness of diagnostic tools and treatment monitoring.

Main Methods:

  • Clinical observation of the child's behavior during examination.
  • Strategic questioning of parents regarding the child's behavior.
  • Utilizing initial assessment findings to guide further diagnostic steps.

Main Results:

  • Careful observation and targeted questioning can help distinguish ADHD-related behaviors from typical misbehavior.
  • A skilled initial assessment improves the utility of diagnostic checklists and tests.
  • It increases physician confidence in diagnosis and provides a baseline for treatment evaluation.

Conclusions:

  • An effective initial office assessment is vital for diagnosing childhood ADHD.
  • This approach optimizes the use of further diagnostic measures and treatment planning.
  • It ensures appropriate care for children experiencing hyperactivity and impulsivity.

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