a brief history of attention deficit hyperactivity disorder
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AA
Brief HistoryBrief History
ofofAttention DeficitAttention Deficit
Hyperactivity DisorderHy
peractivity Disorder
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18441844
Heinrich Hoffmann writes 2 childrens poems
titled Fidgety Philip and Johnny Head in
Air. Both poems are said to represent two
types of ADHD being the Hyperactive and
Inattentive forms. This is the first known
recording of Hyperactive Childhood
Behaviour.
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The Story of Fidgety Philip
Let me see if Philip can
Be a little gentleman
Let me see, if he is able
To sit still for once at table:
Thus Papa bade Phil behave;
And Mamma look'd very grave.
But fidgety Phil,
He won't sit still;
He wriggles
and giggles,
And then, I declare
Swings backwards and forwards
And titlts up his chair,
Just like any rocking horse; -
"Philip! I am getting cross!"
See the naughty restless child
Growing still more rude and wild.
Till his chair falls over quite.
Philip screams with all his might.
Catches at the cloth, but then
That makes matters worse again.
Down upon the ground they fall.
Glasses, plates, knives, forks and all.
How Mamma did fret and frown.
When she saw them tumbling down!
And Papa made such a face!
Philip is in sad disgrace.
Where is Philip, where is he?
Fairly cover'd up you see!
Cloth and all are lying on him;
He has pull'd down all upon him.
What a terrible to-do!
Dishes, glasses, snapt in two!
Here a knife, and there a fork!
Philip, this is cruel work.
Table all so bare, and ah!
Poor Papa, and poor Mamma
Look quite cross, and wonder how
They shall make their dinner now.
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19021902
Sir George Frederick Still a British doctor
began documenting cases that involved
impulsive childhood behaviour. He
diagnosed the problem and called it a
Defect of Moral Control.
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1930s1930s
The term Post-Encephalitic Disorderis
coined after the encephalitis epidemic of
1917-1918. Resulting brain damage is
thought to be the cause of hyperactivity.
Minimal Brain Damage is another term
used to describe what will in the future be
ADHD.
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19371937
Dr. Charles Bradley began introducing the use ofstimulants to treat hyperactive children.
19561956Ritalin was introduced and used for the first time
as a treatment for children suffering fromhyperactivity.
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Early 1960sEarly 1960sMinimal Brain Dysfunction becomes the medical
term of choice to use for hyperactive children.
Mid 1960sMid 1960s
Stimulant medication becomes common treatmentfor people diagnosed with ADHD.
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19681968The American Psychiatric Association (APA)
created a diagnostic category forHyper-kinetic Reaction of Childhood.
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1970s1970sAlong with hyperactivity, impaired attention
and impulse control (verbal, cognitive andmotor) are recognized as primary
symptoms of ADHD.
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19801980
The American Psychiatric Association
officially refers to the disorder asAttention
Deficit Disorderfor the first time. At this
time ADD and ADHD were separate
diagnoses. Over the next twenty years
the APA further defined ADD until arriving
at todays definition of ADHD,AttentionDeficit Hyperactivity Disorder.
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19871987
The APA renames the disorderAttention
Deficit Hyperactivity Disorder. The APA
noted that ADHD was a medical diagnosis
based on behavioural problems whichwere different than problems associated
with emotional confusion.
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19961996Along with Ritalin, a second medication is
approved by the FDA for the treatment ofADHD. The new stimulant is called
Adderall.
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19971997The first study of Strattera in children with
ADHD is launched. In 2002 Stratterabecame an FDA approved stimulant used
to treat ADHD in children, adolescents and
adults.
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19981998The American Medical Association released
the national institute of Health ConsensusStatement on ADHD stating that ADHD is
one of the best researched disorders.
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20092009Presently there are additional medications
such as Concerta and Focalin that havebeen approved and are being used along
with Ritalin and Strattera for treatment of
ADHD.
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Local ResourcesLocal Resources
Canadian Mental Health Organization, Winnipeg Region
432 Ellice Street
Winnipeg Manitoba
R3B 1Y4
(204)982-6100
Learning Disabilities Association of Manitoba617 Erin Street
Winnipeg, Manitoba
R3G 2W1
(204) 774-1821
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ADHD TreatmentADHD best treated with a combination of
medication and behaviour modification.
Good treatment plans will include closemonitoring, follow-ups and any changes
needed along the way.
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MedicationStimulants are the most widely used treatment.
Between 70-80 percent of children with ADHD respondpositively to these medications.
Short acting (3-6 hours)
- Ritalin
- Adderall
Long acting (8-12 hours)
- Daytrana
- Concerta
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Behaviour ModificationInvolves using strategies like positive
reinforcement for desired behaviour andconsequences for inappropriate behaviour.
Also used to improve the childs relationships byimproving interactions with other children andadults.
Has been shown to be more beneficial whenparents and teachers are involved instead of whenchildren receive therapy alone.
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Referenceshttp://www.cdc.gov/ncbddd/adhd/treatment.ht
ml
http://www.adhd.ca/portals/adhd/eng/1215450116369.html
http://www.keepkidshealthy.com/medicine_cabinet/ADHD_medications.html
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Home and School PartnershipHome and School Partnership
Before the student arrives:
Contact the parents and set up a time to meet if possible.
Talk to other teachers in the school for ideas on how the student behaved previously classes and what methodsthey used
Determine a good place for the student to sit away from distractions (ex. Doors, Windows, Fans).
Determine a place where the student can go if he really cant concentrate and wants to work someplace withless distractions.
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Home and School PartnershipHome and School Partnership
In Class
- Shine a light on students strengths.
- Use strategies in class parents have found successful at home.
-Set up Cues to remind student to take their medication.
-Use a homework log book to keep in communication with the
parents.
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Fact or Fiction1. All children with ad/hd are hyperactive.
2. AD/HD is result of poor parenting and lack of proper nutrition.
3. Effective treatment for children with ADHD is a combination of medication and behavioral modification.
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