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Attention-Deficit/Hyperactivity Disorder, Pediatric

D. David O’Banion, MD and Mark Wolraich, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Attention-deficit/hyperactivity disorder (ADHD) is a chronic condition that is characterized by a persistent pattern of developmentally inappropriate inattention and/or hyperactivity...

DIAGNOSIS

  • Primary care clinicians should consider an extended visit to evaluate any child, age 4 to 18 years, presenting with behavioral and/or academic problems related to ADHD symptoms.

  • To make the d...

TREATMENT

GENERAL MEASURES

  • Treat ADHD as a chronic disease and use the medical home model. Partner and discuss treatment options with families (both parents and patients). Include the school when possi...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Initially, follow-up by phone/email may be every 1 to 2 weeks until proper dosing is achieved. First follow-up in clinic in 1 month. After successful titration, p...

ADDITIONAL READING

  • Graham J, Banaschewski T, Buitelaar J, et al; for European Guidelines Group. European guidelines on managing adverse effects of medication for ADHD. Eur Child Adolesc Psychiatry. &#...

CODES

ICD9

  • 314.01 Attention deficit disorder with hyperactivity

ICD10

  • F90.9 Attention-deficit hyperactivity disorder, unspecified type

  • F90.1 Attn-defct hyperactivity disorder, predom hyperactive type

  • F90.0...

FAQ

  • Q: Is medication needed every day?

  • A: Not exactly, but stimulants only help on days when taken. Some patients need medication daily in order to function successfully with peers or in structured env...

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