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Understanding ADHD: Causes, Symptoms, and Effective Management


Planning with a person with ADHD

Attention deficit hyperactivity disorder (ADHD) is a neurobiological condition that manifests in both genetic predisposition and environmental factors. As one of the most commonly studied childhood conditions, ADHD presents with symptoms that encompass both the child's inherent traits and their surroundings. This article aims to provide a comprehensive understanding of ADHD, including its potential causes, symptoms, and effective management strategies.

Causes of ADHD

ADHD's origins are multi-faceted, with several factors contributing to its development. Among these, brain anatomy and function play a significant role. Research indicates a correlation between lower activity levels in brain regions responsible for attention and activity control and the presence of ADHD. Additionally, genetics and heredity are influential, as ADHD frequently runs in families. Children with ADHD are at a 25% risk of having a parent with the disorder, and the condition often surfaces in multiple close family members. Notably, head injuries, premature birth, and prenatal exposures to substances like alcohol or nicotine elevate the risk of ADHD. While rare, environmental toxins like lead can also contribute. It's important to note that there is no evidence to support claims that ADHD results from excessive sugar consumption, food additives, allergies, or immunisations.


Prevalence and Awareness

ADHD's prevalence has increased over time, with more children receiving diagnoses and treatment. The exact cause for this surge remains uncertain, with debates over whether more children truly have ADHD or if increased awareness and improved diagnostic methods play a role. Currently, data indicates that ADHD affects approximately 9.4% of U.S. children aged 2-17, with varying rates across age groups and genders. Notably, boys are more frequently diagnosed than girls, often accompanied by co-existing mental disorders and learning difficulties. Greater awareness, refined diagnosis, and enhanced treatment options contribute to the increased number of children seeking assistance.


Symptoms and Subtypes

ADHD presents with core features of inattention and hyperactivity-impulsivity. These symptoms emerge before age 12 and can persist into adulthood. Boys and girls may exhibit different behaviours, with boys leaning towards hyperactivity and girls displaying inattentiveness. The disorder is further categorized into three subtypes: predominantly inattentive, predominantly hyperactive/impulsive, and combined type.


Managing ADHD

While ADHD represents a unique cognitive style, proactive management greatly enhances wellbeing. Approaches encompass both medication and empowering behavioural strategies. Early recognition and intervention can lend to influence over positive trajectories. ADHD's influence extends into various life facets, including self-esteem, relationships, and academic pursuits. Therefore, it's pivotal to equip individuals with personalised tools that empower them to flourish, embracing their distinctive strengths and navigating challenges with resilience.


Understanding ADHD involves recognising its complex interplay of genetic, neurological, and environmental factors. A multifaceted approach to diagnosis and management is essential for helping individuals with ADHD lead fulfilling lives. By upholding a commitment to ongoing research, awareness, and the implementation of evidence-based interventions, the field of psychology is better positioned to offer holistic and ethical support to individuals affected by ADHD, in accordance with the APS Code of Ethics.

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