The Role of the Child Neurologist in Diagnosing and Treating Attention Deficit/Hyperactivity Disorder (ADD/ADHD): According to Most Studies in the United States, Attention Deficit Hyperactivity Disorder (ADD/ADHD) Occurs in One of Twenty School Age Children. However, Recent Studies from Puerto Rico and Canada Report an Even Higher Prevalence of One in Every Ten Children

By Ashwal, Stephen | The Exceptional Parent, January 2003 | Go to article overview

The Role of the Child Neurologist in Diagnosing and Treating Attention Deficit/Hyperactivity Disorder (ADD/ADHD): According to Most Studies in the United States, Attention Deficit Hyperactivity Disorder (ADD/ADHD) Occurs in One of Twenty School Age Children. However, Recent Studies from Puerto Rico and Canada Report an Even Higher Prevalence of One in Every Ten Children


Ashwal, Stephen, The Exceptional Parent


According to the U.S. Department of Education, nearly 2.5 million children under the age of 18 in the United States have ADD/ADHD.

Skeptics argue that one-tenth of the country's children cannot possibly be affected by a behavioral disorder. According to these critics, either this disorder is not valid or too many children are being wrongly diagnosed as suffering from it. However, two renowned psychiatrists-Dr. Joseph Biederman of the Harvard Medical School and Dr. Larry Silver, author of Attention Deficit Disorder: A Clinical Guide to Diagnosis and Treatment--feel that ADD/ADHD is still underdiagnosed

The fact of the matter is that ADD/ADHD is the most common neurobehavioral disorder in childhood and comprises about 50% of all referrals to child neurologists, neuropsychologists, behavioral pediatricians and child psychiatrists. The reason is quite simple: ADD/ADHD is an extremely difficult, challenging and complex disorder to accurately diagnose.

Children with ADD/ADHD, like chameleons change colors, behaving differently with different people (person-specific--symptoms) in different situations (task-specific-symptoms). For example, Michael's parents bring him to see the doctor because he swirls like a top and seems to be in constant motion at home, but in the physician's office he sits quietly. The doctor concludes that nothing is wrong with Michael. Jeffrey's mom is beside herself, because he does not listen to her and moves endlessly from one task to another, never completing anything while his father is at work. When his father comes home, Jeff stays still. Dad thinks that his wife does not know how to handle Jeff. The classroom teacher is pulling her hair out because Peter talks continuously in class and keeps interrupting her, but he plays peacefully with Madden Football at home or watches television without making a sound. Peter's parents think that his teacher is crazy and has lost control of her class.

The diagnosis of ADD/ADHD is often delayed because of its changing symptoms. Parent's keep vacillating between "our child is fine" and "our child has a disorder." Critics of ADD/ADHD use this variability to "prove that ADD/ADHD is not a disease." They argue that if ADD/ADHD were a disease, it would manifest itself under all circumstances and situations, whether in school, at a party, with the father or with the mother, doing homework or playing a football game video. However, ADD/ADHD is not unique among diseases to have variable or intermittent symptoms. Despite an underlying tendency for asthma, some children with asthma wheeze only under certain circumstances, and symptoms can vary in severity from one episode to another. We do not, however, brush aside asthma as a disease nor do we blame parents of asthmatic children for poor parenting because they allowed their children to be exposed to allergens, dust and fumes. Migraine is intermittent, and so is epilepsy. Symptoms of other behavior disorders, such as depression and schizophrenia, wax and wane also.

In fact, the very nature of this complex puzzling disorder is one of the reasons why child neurologists are often consulted and the pediatrician refers the family to a child neurologist for a more in-depth work up ... a differential diagnosis ... to confirm a diagnosis of ADD/ADHD and help develop an appropriate treatment regimen to be followed.

Child Neurologists are uniquely qualified to evaluate children suspected of having ADD/ADHD because they are trained to spend the time on taking a patient history so vitally important to forming a proper evaluation and assessment of coexisting conditions from depression to organic brain dysfunction to developmental problems. …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

The Role of the Child Neurologist in Diagnosing and Treating Attention Deficit/Hyperactivity Disorder (ADD/ADHD): According to Most Studies in the United States, Attention Deficit Hyperactivity Disorder (ADD/ADHD) Occurs in One of Twenty School Age Children. However, Recent Studies from Puerto Rico and Canada Report an Even Higher Prevalence of One in Every Ten Children
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.