Disorders of attention and concentration

Attention Deficit-Hyperactivity Disorder is a developmental disorder which predominantly affects boys and 1 in 7 of the overall population. It is a complex continuum disorder, which can therefore be experienced to any degree from mild to severe.

There are two sub-types:

  • Attention Deficit Disorder (ADD) –passive-type
  • ADHD – active type.
  • It is usually recognised at an early age, although diagnosis is difficult before the age of 6 or 7 due to the activity of normally developing children overlapping with children with ADHD.

The over-riding features of ADHD are:

·         Excessive hyperactivity

·         Distractibility

·         Hypersensitivity

·         Poor concentration

·         Poor control of emotional responses

·         Poor organisational abilities

ADHD is a clinical condition and is therefore necessary to be diagnosed by a specialist clinician, preferably a neurodevelopmental paediatrician or child psychiatrist. It is due to a reduction in neurochemicals within the brain which inhibit regulatory functions within the cerebral cortex. Although ADHD has a strong genetic link often running in families, it is thought that it can also be caused or exaserbated by diet, pre-natal alcohol and drug abuse, trauma, lead poisoning and possibly oxygen deprivation.

Early Years/Pre-school
Inattentive type:

·         May appear unresponsive, and concerns may be evident about hearing

·         May seem disinterested in playing with other children, preferring to play alone

·         May appear slow to respond to instructions

·         May be late in developing self-help skills such as using the toilet independently

Hyperactive Type:

·         Excessive activity – always on the go

·         May find it hard to sit still

·         May react excessively and out of proportion to stimuli/sensations e.g. falling over, spiders...

·         May appear impatient

·         Moves between activities quickly not giving appropriate time and concentration

·         May be a chatterbox

·         May leave things untidily

·         May become easily distracted forgetting what they were doing

·         May dominate activities and always cause problems

 

Primary Years:

Inattentive Type:

·         May seem in his/her own world and daydreaming

·         May appear forgetful

·         May appear not to hear or be able to follow instructions

·         May lose or misplace equipment/apparatus

·         Difficulties in finishing work

·         May take longer than peers to finish work

·         May seem vague and passive

·         May appear to make careless mistakes

Hyperactive Type:

·         Restlessness persists

·         Turn taking and calling out may be a problem

·         May become aggressive to peers

·         Often out of seat

·         May be loud and appear not to understand social cues

·         May be forgetful

·         Impulsive, acting before thinking

·         Excitable and noisy

·         May find it hard to stay focussed and concentrate for a length of time

·         Easily distracted

·         May repeat the same mistake

·         May appear to understand but have forgotten the next day

·         Makes mistakes due to rushing work

·         Finds  it hard to calm down

·         May fiddle with things constantly

Secondary Years:

Inattentive Type:

·         Daydreaming and in a world of their own

·         Switches off

·         Unfinished work

·         Late for lessons

·         Forgets homework

·         Often loses things such as equipment

·         May appear to wonder off during conversations

·         May take time to respond to questioning

Hyperactive Type:

·         May continue to be distractible, finding staying on task for more than a few minutes tricky

·         May be fidgety and on the go

·         Interrupts conversations

·         Calls out in class

·         May fiddle constantly

·         May be highly excitable

·         May be impulsive, doing things or saying things without thinking through first

·         May work too quickly making silly mistakes

·         Loses interest quickly

Beyond Secondary:

·         Poor organisational ability may impact ability to get to work on time and impact type of job young person can take

·         Distractibility may impact ability to sustain employment, particularly office-based work

·         Emotional and behavioural difficulties may impact ability to control and regulate behaviour in public

·         Individual may be prone to depression

·         Difficulties in making and maintaining relationships

·         Difficulties in further study due to difficulties experienced when taking external exams

·         Ongoing literacy difficulties may impact everyday life

·         Ongoing numerical difficulties may lead to poor management of finances

Possible Access Arrangements:

Possible Access Arrangements:

·         Extra time for:  processing difficulties, slow reading, slow writing, reading comprehension difficulties

·         Scribe/wordprocessor/voice activated systems for: students with illegible handwriting or spelling

·         Reader for: students with exceptionally slow reading or poor comprehension

·         Prompter for: students with distractibility/poor concentration

·         Rest breaks for: students who experience visual stress, test anxiety, poor concentration

·         Coloured overlays or modified papers for: students who experience visual stress

·         Transcript for: poor writing/spelling

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Pearls-training,
9 Nov 2010 08:02
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