Diagnosis of Attention
Deficit Disorder

by Janet Combs

Many families go through a period of confusion and distress during the time leading up to the diagnosis of attention deficit disorder. A diagnosis of ADD or ADHD can either feel like a Godsend or like a death sentence depending on over-all emotional health of the family unit.

Most people who receive a diagnosis of attention deficit disorder go through a period of mourning. Sometimes they regret all the time that might have been lost in the past searching for the cause of their symptoms. They may also despair because they perceive the disorder to be bad news for the future.

Parents of a child with ADD often enter a mourning phase as they grieve for the child's lost potential. The classic stages of mourning, denial, anger, grief and finally acceptance of the situation. To complicate matters more, most parents of children with this ADD feel guilty for punishing their child in the past, when the child couldn't help their behavior.

Adults with attention deficit disorder are often treated by family members and employers as incompetent or obsessive-compulsives. The chaos that can reign as a result of not achieving a diagnosis of ADD can psychologically damage the adult sufferer for years as they resort to compulsive and addictive behaviors to cope with other people's reactions to the misunderstandings caused by this affliction. This is why for many the diagnosis of attention deficit disorder is finally a relief. At the very least a diagnosis can clears up some of the mysteries that lie behind an ADD sufferer's restless and inattentive behaviors.

Attention Deficit Disorder is a general term that describes all conditions that involve these three symptoms: distraction, impulsivity and hyperactivity. ADHD is a clinical term that is used to describe three subsets of the disorder: Combined Type, Predominantly Inattentive Type, and Predominantly Hyperactive-Impulsive Type. Many people casually use the term ADD as a generic term for all types of ADHD. 

Medication is often an important part of the comprehensive treatment of an individual with ADHD or ADD. Ritalin is the most commonly prescribed medication for ADHD. It is also very short acting and requires several doses a day.

Since teachers may not understand the short -acting nature of Ritalin, they may interpret the irritability caused by the "coming down" phase as the drug wears off as deliberate misbehavior. When teachers note difficult behavior in a child on Ritalin, be sure to find out whether it is occurring at a specific time of day. There are a number of medications that can be helpful for ADHD if the stimulants do not supply blanket coverage of the symptoms.

Often simple changes in the classroom environment can make a big difference for a child with a short attention span. The teacher can place him near the front of the class and work out secret visual or oral cues to remind him or her to stay on focused on the lesson.

Sometimes, the parent feels that further educational intervention is needed or the child will suffer devastating life-long consequences. As educational funding is not abundant the parent may be put in the position of being an advocate for his or her child.

Fortunately most teachers medical professionals are trained to be deal with children with ADD. Despite all convincing to the contrary, parents of a child with ADD might still feel that the disorder is all their fault and experience guilt and self-hatred. Parents should comfort themselves by realizing that s studies have shown that environment has very little to do with ADD and that the causes are usually genetic.

Community support is important during and after the time of the initial diagnosis of attention deficit disorder. It is easy for a family to become overwhelmed by the prospect of living with an individual with ADD for the rest of their lives. Embarrassment and shame may cause family members to isolate themselves just when they most need to reach out for support from teachers, therapists, medical professionals and extended family members.

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