Table 1. Diagnostic Criteria for Attention-Deficit / Hyperactivity Disorder
What is ADD/ADHD? According the American Psychiatric Association's Diagnostic and Statistical Manual for Mental Disorders (DSM), ADD is defined as follows:
A. Either (1) or (2):
(1) six (or more) of the following symptoms of inattention have persisted for at least 6 months to a degree that is maladaptive and inconsistent with developmental level:
(2) six (or more) of the following symptoms of hyperactivity-impulsivity have persisted for at least 6 months to a degree that is maladaptive and inconsistent with developmental level:
B. Some hyperactive-impulsive or inattentive symptoms that caused impairment were present before age 7 years.
C. Some impairment from the symptoms is present in two or more settings (e.g. at school [or work] and at home).
D. There must clear evidence of clinically significant impairment in social, academic or occupational functioning.
Source: Diagnostic and Statistical Manual, IV, Washington, D.C., American Psychiatric Association, 1994.
We feel that while these form part of a diagnosis, they are too subjective in their nature and thus usually result in the over-prescribing of medications, often without the recommended co-therapy regime that the medication insert recommends.
For Adults, fewer criteria are needed. Hmmm. Shall we drug not just the kids, but the adults too? I think not. First accurate testing. Then true treatment IF it is indicated.
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