ADHD - attention deficit - hyperkinetic disorder - Treatment

Individualized therapy
ADHD treatment goal is- To keep control of the dominant symptoms: disorders of attention, and impulsivity hiperkinetismul;- To integrate the child as well the social environment, thus preventing school abandonment, discrimination, drug addiction;- To help you follow a proper professional qualification or skill;
Cerebral metabolic disorder cure is not possible.
There is no time limit for starting ADHD treatment specialists are always focusing on a case by case, depending on individual symptoms. Moreover, it is not necessary in any situation and urge the immediate treatment of the syndrome. Is important for parents to advise in detail with your doctor, pediatrician and psychologist to determine the degree of severity and extension of the disorder.Starting treatment is necessary when ADHD leads to significant impairment of social life and psihce.
 Combination therapy is recommended:
- Medical education to patients, families, educators, teachers, about ADHD (child's recommended program established rigorously alternating learning activities with relaxation and the rating tasks, topics and responsibilities);- Parent training;- Behavioral therapy, aimed at acquiring new behavioral strategies by which the patient learns to control his reactions;- Psychotherapy, especially when associated symptoms such as anxiety, addiction or depression;occupational therapy: regular practice of sports activities (riding, climbing, judo, etc.).- Drug therapy;
Medications:Drugs used to treat ADHD act on hiperkinetismului, thereby increasing attention to self and motivation to return. Drug therapy is implemented judiciously, only if other methods prove ineffective or together with them to support them.But medicines do not fit in the class of sedatives, but on the contrary, they serve to stimulate activity. Methylphenidate site, for example, is a class psychostimulants amphetamine that releases neurotransmitters dopamine and norepinephrine. Methylphenidate acts at neuronal synapses, increasing the duration of action of the neurotransmitters dopamine, norepinephrine and serotonin even.This optimizes the improper functioning of these "messengers" in patients with ADHD. 70 to 90% of children treated with methylphenidate respond positively to treatment were seen in the increase in attention, concentration and reducing anxiety. Some children with ADHD taking this medication just to get to the level at which they may undergo psychotherapy.Methylphenidate in class but are included narcotics, the use to abuse can bring serious damage to health. Therefore, the doctor will prescribe medication only for a limited period, with special recipe. In children, however, it is necessary to stabilize the longer treatment duration of symptoms, which still remains controversial due to ignorance of long-term effects. Individual dose is established, starting with the lowest dose that increases gradually.Therapy is interrupted every 12 months to reassess the clinical picture of disease and drug effectiveness. Not recommended uncontrolled methylphenidate in preschoolers.Alternative to methylphenidate can use selective norepinephrine inhibitors such as atomoxetine. These substances act directly on noradrenaline by blocking its re-entry into cells and thereby increasing the concentration of this neurotransmitter in neuronal synapses.Side effects:
Of psihostimulantelor (methylphenidate)- Loss of appetite- Insomnia- Headache- Abdominal pain- Bouts of crying
 Of atomoxetine:- Insomnia- Loss of appetite- Dry mouth- Headache- Abdominal pain- Traversing oscillating- Rarely aggressive, even suicidal
Addition, one can use neuroleptics, antidepressants, sedatives.