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Attention Deficit/Hyperactivity Disorder, Pediatric

Katherine Williams, MD Reviewed 05/2023
 


BASICS

DESCRIPTION

  • Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder that manifests in early childhood characterized by distractibility, impulsivity, hyperactivity, and/o...

DIAGNOSIS

  • American Academy of Pediatrics (AAP) guidelines recommend DSM-5 TR criteria to establish diagnosis.

  • DSM-5 TR (1) criteria for children <17 years: ≥6 inattention criteria and/or ≥6 hyperac...

TREATMENT

GENERAL MEASURES

  • Always develop a behavioral health plan with parents and school.

  • Identify treatment goals based upon behaviors which are most harmful to the child's development.

  • Coordinate sch...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Office visits to monitor side effects and efficacy: End points are improved grades, rating scales, family interactions, and peer interactions.

  • Mo...

REFERENCES

1
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-5-TR. 5th ed., text revision). American Psychiatric Association Publishing; 2022.

ADDITIONAL READING

  • Felt  BT, Biermann  B, Christner  JG, et al. Diagnosis and management of ADHD in children. Am Fam Physician.  2014;90(7):456–464. [View Abstract on O...

CODES

ICD10

  • F90.2 Attention-deficit hyperactivity disorder, combined type

  • F90.0 Attention-deficit hyperactivity disorder, predominantly inattentive type

  • F90 Attention-deficit hyperactivity disorders

  • F90.9...

CLINICAL PEARLS

  • Identify treatment goals before initiating any intervention and make treatment plan based on these goals.

  • Behavioral therapy for child and parents, and coordination with teachers and be...

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