Attention Deficit Disorder
(ADD) is a neurological disorder that affects children from the
first months of their lives, through their school years, and into
adolescence and adulthood. It may be accompanied with
hyperactivity and is then known as Attention Deficit Hyperactivity
Disorder (ADHD). The hallmarks of ADD are difficulties with
attention, impulsivity and hyperactivity, which can be in varying
proportions. Individuals with the disorder have difficulty paying
attention, tend to act quickly without thinking things through,
rarely learn from past mistakes and have trouble sitting still for
lengthy periods.
Until recently,
Attention Deficit Disorder was considered to be a disorder of
childhood only. It is now recognised that up to 70 % of all
children with ADD continue to exhibit symptoms of the disorder as
adults. The condition does not always resolve in childhood as
previously thought. When ADD persists into adulthood it is often
associated with secondary problems such as anxiety, depression,
and drug and alcohol abuse. Management of the problem in childhood
decreases the risk of these secondary problems occurring later in
life.
The onset of
symptoms must occur before the age of seven and persist for six
months or longer. In other words, a child cannot suddenly develop
ADD; rather the signs must have been present for a relatively long
time. No two individuals with ADD present exactly the same profile
i.e. a child may have poor concentration and be impulsive without
being hyperactive. Since there is no "gold standard" for testing
ADD (the diagnosis made is a differential diagnosis and one of
exclusion) it is necessary to pay careful attention to the
developmental history of the child and his family's history in the
initial assessment. Recent technological advancements such as
continuous performance tests (CTP’s) and the quantitative
electroencephalograph (qEEG) are now being used to aid in the
diagnosis.