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Attention deficit hyperactivity disorder
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Attention deficit hyperactivity disorder

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Contributors: David Sullo MD
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Synopsis

Attention deficit hyperactivity disorder (ADHD) is a behavioral disorder typically presenting before the age of 12, characterized by a pattern of inattention and/or hyperactivity or impulsivity in more than one social setting. Among the behaviors contributing to functional impairment are difficulty focusing (sitting still, listening, following directions), fidgeting, restlessness, perpetual motion (running, climbing, jumping), persistent interrupting and talking, and other behaviors that interfere with social, occupational, or academic function.

When diagnosed in adults, presenting symptoms include inattention, restlessness, and impulsivity, but also involve emotional dysregulation (angry outbursts, low threshold of frustration), and executive dysfunction (trouble organizing and completing tasks, missing appointments or deadlines). Hoarding symptoms may be present in up to 25% of adults with ADHD.

Management of ADHD involves treatment of coexisting psychiatric, medical, or neurologic disorders, behavioral and pharmacologic interventions, psychotherapy, counseling, and family support. Clinicians should screen for bullying, as intervention can decrease the risk for future psychiatric symptoms.

A 2018 study has shown that in states with an age cutoff at September 1 for kindergarten entry, children born in August were significantly more likely to receive a diagnosis of ADHD than children born in September.

Codes

ICD10CM:
F90.9 – Attention-deficit hyperactivity disorder, unspecified type

SNOMEDCT:
406506008 – Attention Deficit Hyperactivity Disorder

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Last Updated: 12/05/2018
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Attention deficit hyperactivity disorder
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Attention deficit hyperactivity disorder
Copyright © 2019 VisualDx®. All rights reserved.