Overview
Attention-deficit/hyperactivity disorder (ADHD) is a brain disorder marked by an ongoing pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development.
Signs and Symptoms
Inattention and hyperactivity/impulsivity are the key behaviors of ADHD. Some people with ADHD only have problems with one of the behaviors, while others have both inattention and hyperactivity-impulsivity.Most children have the combined type of ADHD.
In preschool, the most common ADHD symptom is hyperactivity.
It is normal to have some inattention, unfocused motor activity and impulsivity, but for people with ADHD, these behaviors:
Inattention
People with symptoms of inattention may often:
Hyperactivity-Impulsivity
People with symptoms of hyperactivity-impulsivity may often:
Diagnosis of ADHD requires a comprehensive evaluation by a licensed clinician, such as a pediatrician, psychologist, or psychiatrist with expertise in ADHD. For a person to receive a diagnosis of ADHD, the symptoms of inattention and/or hyperactivity-impulsivity must be chronic or long-lasting, impair the person’s functioning, and cause the person to fall behind normal development for his or her age. The doctor will also ensure that any ADHD symptoms are not due to another medical or psychiatric condition. Most children with ADHD receive a diagnosis during the elementary school years. For an adolescent or adult to receive a diagnosis of ADHD, the symptoms need to have been present prior to age 12.
ADHD symptoms can appear as early as between the ages of 3 and 6 and can continue through adolescence and adulthood. Symptoms of ADHD can be mistaken for emotional or disciplinary problems or missed entirely in quiet, well-behaved children, leading to a delay in diagnosis. Adults with undiagnosed ADHD may have a history of poor academic performance, problems at work, or difficult or failed relationships.
ADHD symptoms can change over time as a person ages. In young children with ADHD, hyperactivity-impulsivity is the most predominant symptom. As a child reaches elementary school, the symptom of inattention may become more prominent and cause the child to struggle academically. In adolescence, hyperactivity seems to lessen and may show more often as feelings of restlessness or fidgeting, but inattention and impulsivity may remain. Many adolescents with ADHD also struggle with relationships and antisocial behaviors. Inattention, restlessness, and impulsivity tend to persist into adulthood.
Risk Factors
Scientists are not sure what causes ADHD. Like many other illnesses, a number of factors can contribute to ADHD, such as:
ADHD is more common in males than females, and females with ADHD are more likely to have problems primarily with inattention. Other conditions, such as learning disabilities, anxiety disorder, conduct disorder, depression, and substance abuse, are common in people with ADHD.
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Treatment for Neurodevelopmental Disorders at NCI
An Interdisciplinary Clinical Team Approach
We use a multi-layered treatment approach when treating neurodevelopmental disorders. Patients are treated by an interdisciplinary team of clinicians that includes: a clinical neuropsychologist, a clinical psychologist or behaviorist, a cognitive rehab/speech language therapist and a neuromodulation clinician.
We provide a comprehensive combination of traditional, complementary, as well as, experimental treatments not typically available at any other clinics. For instance, when treating cognitive disorders we typically treat by combining cognitive rehabilitation, with cognitive enhancers, and one or more forms of neuromodulation superimposed on comprehensive behavioral health plan that utilizes specific nutrition requirements, heart-rate variability training, maximizing sleep and the reduction of stress. Similar combination therapies are used for treating a variety of neuropsychiatric conditions such as OCD, as well as, in the treatment of chronic pain and fatigue.
Some of these treatments and consultation options include:
Neurocognitive Rehabilitation
Patients admitted to the cognitive rehabilitation program enter a module based on their primary type of cognitive impairment, e.g., the Attention, Working Memory and Executive System impairment module. Each patient will receive specific treatments for this type of cognitive disorder using a combination of remedial, adaptive and compensatory interventions that have been developed at the NeuroCognitive Institute for their module.
Neuromodulation
We often combine cognitive and language rehabilitation with neuromodulation. Neuromodulation is evolving as a treatment option for treating the cognitive, behavioral and psychiatric symptoms and deficits resulting from neurodevelopmental disorders.
Techniques include invasive procedures such as deep brain stimulation and electroconvulsive therapy (ECT), as well as, non-invasive techniques such as transcranial direct current stimulation tDCS, neurofeedback and rTMS. At NCI, we only use non-invasive neuromodulation intervention combined with other rehabilitation interventions to enhance treatment response.
Speech and Language Therapy
Speech and language therapy focuses on improving speech and abilities to understand and express language.
NCI has speech therapists who can help assess speech delays, restore speech and language skills from young children to adults with neurodevelopmental disorders.
Behavioral Health Interventions
Behavioral health interventions focus on changing or modifying a patient’s lifestyle such as diet and introducing specific exercise programs to enhance cortical and cognitive functioning.
Pharmaceuticals and Nutraceuticals
We use various medications to treat the cognitive, neurobehavioral and neuropsychiatric deficits and symptoms of neurodevelopmental disorders.
Contact Us
If you or know anyone who needs help, contact The NeuroCognitive Institute for assessment and treatment. Call (973) 601 0100 or sign up as a new patient and we will get back to you as soon as we can.
