Pediatrics Book

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ADHD DiagnosisAka: ADHD DSM IV Criteria

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  1. See also
    1. ADHD
    2. ADHD Differential Diagnosis
    3. ADHD Comorbid Conditions
  2. Types of ADHD
    1. Primarily Inattentive Type (314.00)
    2. Primarily Hyperactive-Impulsive Type (314.01)
    3. Combined Type (314.01)
    4. Not otherwise specified (314.9)
  3. Diagnostic Scales
    1. Conners Parent and Teachers Questionnaires
      1. Gold standard survey, but copyrighted and expensive
      2. (1985) Psychopharmacology Bulletin 21:816
      3. Available from Multi-Health Systems: 800-456-3003
    2. ADHD Rating Scale-IV
      1. Dupaul (1998) ADHD Rating Scale IV, Guilford
    3. Barkley (1991) ADHD workbook, Guilford Press
      1. Scales and Surveys for ADHD evaluation
      2. May be photocopied freely
    4. Achenbach Behavioral Checklist
      1. Available from (802) 656-8313
    5. ADD-II Comprehensive Teacher Rating Scale (ACTeRS)
      1. Available from MetriTech: (800) 747-4868
    6. Child Behavior Rating Scale
      1. Available from Western Psych. Resources: 800-648-8857
    7. Copeland Symptom Checklist for ADD
      1. Available from Resurgens Press: (404) 457-2004
  4. Diagnostic Criteria
    1. ADHD Symptoms and signs onset before 7 years
    2. Symptoms and signs Persists for 6 months or longer
    3. Impairment in more than 1 setting
    4. Severity beyond developmental level
  5. Inattentive ADHD Criteria (6 of 9 present)
    1. Fails to give close attention to details
    2. Difficulty sustaining attention
    3. Does not appear to listen
    4. Has difficulty following instructions
    5. Difficulty with organization
    6. Avoids tasks requiring sustained attention
    7. Often loses things
    8. Easily distracted
    9. Forgetful in daily activities
  6. Hyperactive, Impulsive ADHD Criteria (6 of 9 present)
    1. Fidgets or squirms
    2. Difficulty staying seated
    3. Runs or climbs inappropriately
    4. Difficulty engaging in activities quietly
    5. Always "on the go", "driven by a motor"
    6. Talks excessively
    7. Blurts out answers
    8. Difficulty in waiting their turn
    9. Interrupts or intrudes upon others
  7. References
    1. (1994) DSM 4, APA
    2. Accardo (1999) Pediatr Clin North Am 46:845
    3. Barbaresi (1996) Mayo Clin Proc 71:463
    4. Smucker (2001) Am Fam Physician 64:817

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