Evaluation by a physician

Evaluation by a physician who is knowledgeable in children's developmental and behavioral issues is needed. Since ADHD is a neurological dysfunction, thorough assessment of the neurological system is important. A clinical evaluation may identify dysfunctions or inadequacies that influence performance. A cluster of findings on examination and information from both parent and school personnel enables the physician to sort out the diagnosis of ADHD vs. other conditions.

Treatment for ADHD

Comprehensive treatment involves the same systems used in the evaluation process. Part of a child's treatment may mean parenting and teaching styles and performance evaluation should be adapted to assist the child in compensating for weaknesses.

Assisting a child in understanding his strengths and weaknesses through discussion of specific situations allows the child to organize and evaluate his performance. This involves the child in problem solving and gives him a feeling of control and the potential of developing self-confidence.

Selective use of medication therapy is another avenue of treatment. Expectations, limitations and potential side effects of the specific medication should be presented. The understanding that medication use is not a cure-all is vital.

Parents and teachers need to convey a unified message to the child that they understand his difficulties and that support and assistance is available. They also need to make clear that a commitment is expected from the child.

Communication, cooperation and compromise from the treatment team will help nurture this goal.

Mark Domoto, M.Ed., is a clinical developmental specialist with Penn State Guessing Health System, Milton S. Hershey Medical Center, Hershey, PA.

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