Debunking common myths about ADHD

IT occurs in as many as one in twenty school-going children, making Attention Deficit Hyperactivity Disorder (ADHD) more common than many people think.

Mostly misunderstood and potentially disabling, it can have a significantly negative impact on the quality of life for those suffering from it.

ADHD was defined in a medical journal as early as 1902 as a ‘marked inability to concentrate and sustain attention’.

Although prevalent, it is not without controversy, with many professionals and members of the public voicing concern regarding the correct diagnosis of the disorder and the possible long-term impact of the medication used to treat it.

‘Failure to diagnose ADHD could have significantly detrimental consequences, making it critical that children suspected of having the disorder be correctly diagnosed by a qualified professional at an early age,’ says Dr Anitha Gangaram, a psychiatrist practising at Netcare Waterfall City Hospital in Midrand.

Importance of correct and early diagnosis

‘The diagnosis of ADHD should be based on a thorough interview by a clinician who is experienced in making the diagnosis.

‘A comprehensive history is usually obtained from the patient, a relevant family member, as well as the school in the case of a young child or adolescent.

‘In addition rating scales and comprehensive questionnaires are used to make as accurate a diagnosis as possible.

‘Further complicating the diagnosis and treatment of ADHD is the fact that the exact cause is not actually known, as well as the many common myths surrounding the effects of the medication used to treat it,’ says Dr Gangaram

‘Failing early and correct diagnosis, ADHD in children can lead to problems at home and at school and can significantly impact the child’s ability to learn and socialise successfully.

‘These children may also struggle to follow family routine which often has a negative effect on the parent-child relationship.’ She says two-thirds of children and adolescents with ADHD will continue to have symptoms as adults, again emphasising the importance of early diagnosis and management.

Left untreated ADHD can significantly impact the quality of life of the sufferer

Myths

All children will be inattentive, impulsive and overly active from time to time.

‘The three most common myths are: that ADHD medication will make the child seem drugged, that it is addictive, and that children who take this medication are more likely to abuse alcohol or drugs when they become teenagers.

‘These are all totally unfounded, as with the appropriate medication at the appropriate dose, ADHD medication controls ADHD symptoms without causing significant side effects.

‘At the right dose, it is also not addictive for appropriately diagnosed patients.

‘When it comes to increased substance abuse in adolescence, the opposite is in fact true.

‘Leaving ADHD untreated will see teenagers seeking alternative substances in order to self-medicate,’ she stresses.

And while there remains much controversy about the impact of diet on ADHD, Dr Gangaram says there is no concrete scientific proof of a causative link between diet and the condition.

‘Naturally, being exposed to a healthy and balanced diet is important in promoting optimal health and well-being in children and adults alike.

‘And even though there have been suggestions that sugar and preservatives can in fact impact ADHD symptoms, there is no convincing medical evidence to suggest this is always the case. Excessive sugar intake and preservatives will only worsen symptoms of ADHD in children who are specifically sensitive to these, but not in all children.

‘Of note is that these have not been scientifically proven to cause the disorder.’

Consulting a quali7ed professional is key

Although there are definite symptoms that may indicate that a person or child is suffering from ADHD, Dr Gangaram again emphasises the importance of consulting a qualified professional to make a diagnosis.