TDAH


TDAH son las siglas de Trastorno por Déficit de Atención e Hiperactividad. Se trata de un trastorno de carácter neurobiológico originado en la infancia que implica un patrón de déficit de atención, hyperactivity and / or impulsivity, and that often is associated with other comorbid.
Es fundamental para el diagnóstico de TDAH evaluar que estos síntomas nucleares que hemos comentado ( attention deficit, hyperactivity and impulsivity) submitted:

1. From an early age: before 12 years.

2. Con una intensidad y frecuencia superior a la normal para la edad y la etapa de desarrollo del niño.

3. Que deterioren o interfieran en forma significativa en el rendimiento del niño en dos o más de los ámbitos de su vida: school or work, family and social.

4. No ser causados por otro problema médico, toxic, a drug or another psychiatric problem.

Although there may be clinical suspicion in children under 6 years the diagnosis of ADHD must have passed this age. further, es frecuente que el TDAH se reconozca en los niños cuando comienza la educación primaria, coinciding with difficulties in school performance and presentation of social dysfunctions.

SYMPTOM


Attention deficit

hyperactivity

Impulsiveness

Disorder D & eacute; deficit Attentions & COLLISION AND Hyperactivity (TDAH) has 3 nuclear symptoms (main):

– Lack of attention options | n
– hyperactivity
– Impulsiveness

These symptoms can occur with varying intensity in each patient and can occur independently. Thus, the symptomatic profile of those affected will vary in intensity and presentation (based on the predominant symptoms)

Not everything that looks like what is ADHD.

You will often see these characteristics of inattention, hyperactivity or impulsivity own behavior in childhood, since it is natural that children are very active, pay little attention, listen little ... But it is important to differentiate between a "normal" behavior and one that is not.

To be able to propose a possible Diagn & oacute; stico ADHD, They should meet the following criteria established by the DSM-5 (Manual Diagn & oacute; stico and be RIVER stico of Mental Disorders, Fifth edition):

– Manifest these behaviors or some of them disproportionately compared to other TODDLER years of age and about their level of development.
– Est & aacute; present from an early age (before 12 years).
– It affects at least two different environments of life TODDLER or: school, social and / or family.
– significantly impair their quality of life.
– It is not caused by a problem m & eacute; doctor, toxic or other psychiatric problem.

It is important to see a health professional who specializes in ADHD so you can perform Diagnostic & oacute; stico cl RIVER appropriate nico and avoid as & iacute; one Diagnostic options | err stico & COLLISION neo.

DIAGNOSIS


El diagnóstico del TDAH:

Ha de basarse en una valoración minuciosa para excluir otras posibles causas de las dificultades del niño, including information about your family, of teachers and evaluation by health professionals from different areas: child psychiatrists, Child psychologists, pediatricians, neuropsiquiatras, neuropsicólogos, etc.

La evaluación de este complejo trastorno debe realizarse desde una perspectiva multiprofesional que aborde tanto la evaluación psicológica, educational and medical.

     ADHD assessment protocol

    There is no single reliable test that alone allows make an exclusive diagnosis and.To establish the final diagnosis judgment is necessary to collect information from different sources around and intervene in the child and make systematic observations of their behavior and retrospective assessment of their behavior from the earliest agess.

    ADHD evaluation should include:

    1. Un examen médico completo para evaluar la salud general del niño y descartas problemas de tipo visual, auditory, anemias or lack of vital components for health.

    2. Una evaluación psicológica profesional para tener una idea clara de la condición emocional del niño, including tests of intellectual ability and cognitive development.

    3. Una evaluación familiar para la cual se utilizan las escalas de comportamiento.

    4. Una evaluación escolar que incluya la historia académica y de comportamiento del niño en el aula.

    El diagnóstico se basará en el cumplimiento de los criterios delDSM-V, which they are the diagnostic criteria established by the American Academy of Psychiatry (1994) or criteriaCIE-10 (1992) recognized and established by WHO.

    TREATMENT


    El tratamiento del TDAH debería ser multimodal e individualizado, taking into account the patient and his family. El objetivo del tratamiento multimodal es disminuir los síntomas al mismo tiempo que se reducen las complicaciones derivadas del trastorno y el impacto negativo que puede tener en la vida de los pacientes y de su entorno.

    El tratamiento multimodal del TDAH implica tres acercamientos:

    tratamiento farmacológico
    - Cognitive behavioral therapy
    - Treatment psicoeducativo (parents and teachers)

    De ahí que el tratamiento multimodal también se conozca como tratamiento combinado, because it requires multiple approaches and the involvement of different professionals.

    According to the results of studies, el tratamiento farmacológico sería el método más efectivo para reducir los síntomas nucleares del TDAH (attention deficit, hyperactivity and impulsivity)1, and psychological treatment (behavioral and psychoeducational) ayudaría fundamentalmente a la mejoría de las funciones ejecutivas (cognitive skills like starting tasks, get organized, plan things ...).

    Y es que se ha demostrado que educar al paciente y a la familia sobre el trastorno, adapt the environment to the needs of each person and improve skills approach to patients, Parents and educators, pueden ayudar a obtener buenos resultados en el tratamiento del TDAH, cuando se combina con una intervención farmacológica.