Struggling
with ADHD?
At Smile Hospital, we specialize in personalized treatments designed to help you overcome ADHD and regain control of your life.
What is ADHD?
ADHD is a disorder in the neurodevelopment category whose symptoms consist of inattentiveness, hyperactivity, and impulsive disorder that affects everyday living. It is apparent in children and adults, but they may manifest the symptoms differently. These include perpetuity, lack of concentration, daydreaming, inability to complete exercises/completion of work (inattention), overactivity, constant movement, and inability to stay seated long (hyperactivity). Examples are speaking without hesitation when eating or playing a game and not taking one's turn to speak.
Some of the most widely held myths and misconceptions about ADHD are that it is a consequence of a child’s unmannered behaviour and that it does not affect adults. ADHD is a neurodevelopmental disorder with genetic and non-genetic risk factors, and a large proportion of adults still exhibit the symptoms. Another myth is that ADHD individuals are unable to focus in any respect. However, such individuals can focus extremely intently when interested in something—which creates another factor in the general misunderstanding of the disorder.
Types of ADHD
Attention Deficit Hyperactivity Disorder (ADHD) is classified into three main types based on the predominant symptoms exhibited. Therefore, Three subtypes have been identified and defined: Inattentive Presentation, Hyperactive-Impulsive Presentation, and Combined Presentation.
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The inattentive presentation involves symptoms such as problems with attention and organisation. People may experience difficulties performing complex, concentrated work, and it seems they have forgotten something; they get distracted quickly and disoriented. This type is slightly more common in girls and was formerly called Attention Deficit Disorder (ADD).
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Hyperactive-impulsive presentation is characterised by behaviours that reflect hyperactivity and impulsiveness but do not include impulsive inattention. They may sit or move around, talk, and act without considering the implications. This type is more pronounced, especially with young learners, and can be a source of much interference in a classroom.
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The combined presentation includes features of both the inattentive and the hyperactive-impulsive subtypes. Persons with this type show both inattention and hyperactivity-impulsivity; this is the most common form of ADHD.
Knowing these types is essential for determining the appropriate diagnosis of the condition and taking an individual approach to treatment, as each person's signs can differ.
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Signs and Symptoms
ADHD can present several signs and symptoms that manifest in both child and adult demographics but with marked differences in the presentation.
Symptoms in Children
ADHD in children is expressed by hyperactivity, impulsiveness, and inattention. Other symptoms include attention problems, inability to sit still, intrusiveness, and the inability to follow directions. Lack of attentiveness starts to manifest more and more as academic requirements gradually intensify: a student’s performance at school and interactions with peers may become problematic. The symptoms may also include poor concentration or difficulty focusing in children, which they display through their inability to do homework or even chores.
Symptoms in Adults
The manifestation of the symptoms may be different in adults. Even if hyperactivity disappears, difficulties in paying attention and controlling one’s impulses linger. Adults' developmental areas of concern include more problems with planning, organisation, and attention to work. They might also have mood swings, very little tolerance for other people’s frustration, and be easily irritated. Many adult ADHD patients do not realise that they suffer from the condition and blame their difficulties on their shortcomings.
Gender has a significant effect on the way that people experience the symptoms, with boys generally presenting with hyperactivity and impulsiveness and girls with inattention. This implies that in female subjects, the symptoms may be significantly less severe; thus, their condition may be unremarkable for a long time.
Causes and Risk Factors
ADHD is a complex disorder and has several causes and risk factors, including genetic and environmental factors and neurobiological impairment as well.
Genetic Factors
One study confirms that genetic factors play a massive role in the development of ADHD. Research with the most first-degree relatives and twins indicates that ADHD is heritable, meaning ADHD is an inherited disorder that is determined to a large extent by genetic factors. Though particular genes relating to ADHD have not been pinpointed, it is a realised fact that ADHD is hereditary, and a child with close family members with symptoms of ADHD has a higher chance of developing ADHD, too.
Environmental Factors
Other situations may also raise this risk, including environmental factors. Factors that increase the chance of ADHD in children include prenatal exposure to tobacco, alcohol, and drugs. Also, other environmental factors, such as accidental lead exposure and certain pesticides during early childhood development, have been linked to poor neurodevelopment.
Brain Structure and Function
From neuroscience literature, information shows that people with ADHD might show structural and functional abnormality in regions governing attention and impulsivity. These differences can impact the structural and functional connotations of the brain as well as observable behaviour.
It is, therefore, essential to have an understanding of these causes and risk factors to enable an early assessment of people who have ADHD for intervention purposes.
Diagnosis
The diagnosis of attention deficit hyperactivity disorder, ADHD, and the process, including clinical interviews, psychological testing, and other criteria according to the DSM-5.
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The standard process of diagnosing is said to start with a first assessment facilitated by physicians, including paediatricians and psychologists. This aims to get details about the problems the kid is likely to have and how they affect his life from parents, teachers, and the child.
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Clinical interviews are beneficial in defining an individual's history and current functioning state. They explore particular symptoms, their emergence and duration, and the conditions in which they manifest.
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Some psychological tests may include behaviour rating scales and checklists for assessing the severity of symptoms across settings.
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According to DSM-5 criteria, identifying subjects with ADHD is conditioned by their exhibiting a pattern of inattention and/or hyperactivity-impulsivity that causes significant impairment in functioning for at least six months.
Some problems observed in diagnosis are symptoms similar to those in other diseases, which can cause mistakes. In addition, learning anxiety, depression, or other related difficulties may illuminate the complexity of assessment, therefore calling for the proper evaluation by trained personnel.
ADHD Case Study
His concerned parents brought Arjun (name changed for privacy), an 8-year-old, to Smile Hospital. He had been looking for help from a well-known psychiatrist in Yamunanagar after his daily life was adversely affected by persistent behavioural issues. He was also hyperactive, had difficulty focusing and was impulsive, which negatively impacted his academic performance and social interactions.
His teachers said he would get up out of his seat in class, interrupt others, and struggle to finish assignments. They knew he had potential and encouraged his parents to get professional help, but these challenges. At home, Arjun’s parents were frustrated because he had emotional outbursts, forgot instructions, and couldn’t follow routines.
ADHD Across the Lifespan
Conduct disorder, as well as ADHD (Attention Deficit Hyperactivity Disorder), impacts children throughout and for the rest of their lives, with varying difficulties during each part of their lives.
In Children
ADHD presents difficulty with learning, and students with this condition have problems with academic prospects regarding focusing, doing homework for class, and following instructions. These challenges result in poor performance in classwork and high cases of suspensions and expulsions from school. Play also becomes affected: children with ADHD have an inadequate ability to form friendships since those with ADHD are always involved in reckless activities; hence, they end up being bullied, or they end up being rejected by other children.
In Teens
Having the child go through the transitional period to adolescence brings the issue of emotions to the forefront. Adolescents diagnosed with ADHD may suffer from high levels of anxiety, low self-esteem, and elevated levels of frustration. They also are at higher risk of practising high-risk behaviours like substance use and substance dependence, such as risky driving, primarily due to reduced control over their symptoms or in search of companionship.
In Adults
ADHD can be present in childhood but continue into adulthood, and this causes specific problems in the workplace, including time management, disorganisation, and inability to remain focused on particular tasks. Interpersonal relationships are likely to be affected through impulsivity and lack of effective communication, blurring parenting roles. ADHD has a lifelong impact, and most patients suffer from its symptoms in their adulthood while calling for individualised approaches to cope with the problem.
Knowledge of the issues above is essential to enhance the intervention domain and overall well-being of ADHD patients.
Treatment and Management
In treating and managing ADHD, drugs are usually prescribed for the child in conjunction with behavioural therapies and adjustments to the child’s day-to-day routines and activities.
Psychostimulants are among the federally approved and most used medications, and they include methylphenidate and formulated amphetamine products. Methylphenidate and amphetamine are effective stimulants; however, non-stimulant medications, such as atomoxetine and guanfacine, may be used for patients for whom stimulants are contraindicated.
Behavioural techniques are the most recommended treatments for ADHD-related symptoms. CBT enables patients to adopt appropriate behavioural modification techniques primarily because it identifies and addresses lousy thinking habits. Parent training also allows caregivers to apply techniques for managing a child's behaviour properly.
This makes sense since other aspects of lifestyle can also help or hinder ADHD treatment efforts. Getting the proper nutrition, which entails various foods that can complement the child’s energy and exercise, can improve concentration and demote hyperactivity. To a great extent, the patient needs to maintain stable daily habits, ideally where the quality of sleep of the patient is significantly affected.
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Living with ADHD
Leading a life with ADHD requires appropriate handling of the condition and the everyday challenges associated with the condition.
Time Management
ADHD can also be well-suited to well-organized time management systems, such as calendars or time management books, for planning the day’s activities. In this category, alarms and reminders ensure that essential tasks and averagely forgotten deadlines, are checked.
Organisation Tools
Checklists and labelled storage infrastructures can facilitate the organisation of day-to-day activities. Designating an area for essential items reduces the chances of losing them and reduces stress.
Support for Families and Caregivers
The study shows that parents are the primary caregivers for children diagnosed with ADHD. Teaching about ADHD helps caregivers learn about different hurdles encountered and strategies to implement. A positive reinforcement model can be used to promote good behaviour and, at the same time, increase the subject’s self-esteem.
Encouraging a Strengths-Based Perspective
Abilities over disabilities encourage recovery or redevelopment. Small successes must be appreciated to build confident individuals with Attention Deficit Hyperactivity Disorder. By doing so, people will learn to deal with the challenges that come with life in their various areas of expertise.
Steps of the ADHD Treatment Process
The approach to the management of ADHD focuses on integrated brain training, such as neurofeedback and cognitive skills development, to help children before resorting to medication.
Medication should be used only in an emergency, such as when the child is expelled from school, has other legal problems, or if different types of treatment have been attempted.
Neurofeedback as the Preferred Treatment
Neurofeedback is, therefore, our primary treatment modality for ADHD. This technique also considers the fact that various research studies have confirmed that there are differences in the brain regions of people with ADHD. A brain scan will help locate areas of the brain that may be operating at undesired frequency, which we can then treat through biofeedback therapy. Neurofeedback therapy addresses abnormal brain activity by training clients to reduce slow wave production and increase concentrations of alert, balanced brainwaves.
Cognitive Skill Training
In addition to neurofeedback, we use the HighQ Cognitive Training Program, which combines over 16 leading cognitive training programs individually selected for each child’s strengths and needs. This program is centred on concentration, sustained attention, working memory, and executive skills, which are almost always compromised in children with ADHD. Furthermore, Cognitive training highlights the deficit and explains how to generalise these tasks to childhood activities, stimulating relatively typical, working-in-daily-practice skills
Emotional Management and Resilience Training
In general, those children and adults with ADHD symptoms are vulnerable to developing emotional problems such as anxiety, depression, and low self-esteem. To tackle these problems, the techniques used in cognitive behavioural therapy (CBT) and Acceptance and Commitment Therapy (ACT) are added to our program. This is what we teach people: how to cope with boredom and frustration while achieving their goals. Mindfulness also forms part of mindfulness practices to enhance focus for a particular period, plus calming emotions
Sleep Management
ADHD is often comorbid with sleep disorders, which impact around 80% of the population with ADHD. Lack of sleep seriously affects one’s ability to pay attention, so sleep must be well managed. Our program addresses these recommendations through sleep hygiene education to improve sleep quality, CBT to address racing thoughts, and neurofeedback to address sleep stability
Behavioural management
ADHD also impacts the family and relationship contexts or systems where the affected individuals function. As a behavioural management therapy, it treats noncompliance, lack of communication, defiance, and aggression and trains families to handle challenging behaviours at home or in the community. This support can reduce the feelings of loneliness common among parents who feel embarrassed to take their child out, which can lead to harassment and argumentation at home.
Adults with ADHD require communication skills in our program, as well as controlling behaviour that may ruin personal or working relationships. We equip parents and partners with proper ways of handling their feelings of anger towards individuals with ADHD. Children must be shown the right ways to respond; the parents should control their behaviours to teach them how to do so.
We employ behaviour and cognitive behaviour therapy to create a family-friendly atmosphere. Again, family therapy could be given to brothers/sisters or partners who need more attention.
Social Skills Training
Children and adults diagnosed with ADHD often have social problems that make them rejected by their peers. The most fundamental social skills conducted in our program are greetings, eye contact, and appropriate anger management. This training also focuses on preventing temper and thinking about the repercussions of activities
Accommodations in Educational and Workplace Settings
Some people will be more comfortable with accommodations than with hours of therapy. Teachers develop ways to handle symptoms within a learning environment. We help young adults in higher education with the study approach and how to apply for special arrangements during exams. In a working context, we support adults in developing patterns to reduce the manifestations of childhood ADHD.
Types of Therapy For ADHD
ADHD therapy involves some methods that can be grouped depending on the treatment options offered to children and those provided for adults. Other therapies include cognitive-behavioural therapy (CBT), mindfulness-based cognitive therapy (MBCT), and dialectical behavioural therapy (DBT). In most cases, the child attends therapy sessions, and the parents or teachers may also be involved; however, adults always concentrate on their treatment.
Cognitive Behavioral Therapy
CBT is understood as the most efficient kind of psychotherapy for ADHD. It covers problems such as procrastination, time management, and planning disorders. CBT for ADHD is based on the main components of education: organisation, time management, coping with distractibility, and cognitive restructuring. These may be optional modules; the first focuses on procrastination, while the second involves a partner or spouse in therapy.
Mindfulness-Based Cognitive Therapy (MBCT)
This incorporates both mindfulness and meditation. A literature review indicates that MBCT effectively decreases distractibility and mind waning by strengthening the executive control network of the mind. It also enhances executive cognitive skills and enables people to moderate their emotions.
Dialectical Behavioral Therapy
DBT mainly aims to teach the ability to manage further impulsivity, hyperactivity, and attention abilities. Its components are mindfulness, emotional regulation, interpersonal skills, and distress tolerance. Literature concerning DBT demonstrates enhanced emotion management and impulse control on standard instruments, including the State-Trait Anger Expression Inventory (STAXI).
ADHD Coaching
ADHD coaching is not a form of psychotherapy, yet it is rapidly gaining traction as an effective method for managing ADHD. Professional ADHD coaches provide guidance on setting goals, identifying potential problems, and finding ways to overcome them. They also use text messages, emails, or calls to reciprocate with clients regarding goals and ensure they are on track. Coaches and other incentives form part of self-rewards that help maintain motivation and success.
Supportive Psychotherapy
Supportive psychotherapy is a type of psychotherapy that assists clients in getting the maximum utilisation of what they have in terms of coping strategies. The organisation of time and materials are clinical goals that this patient-oriented approach relies on to achieve optimum control of stress and ADHD.
Interpersonal Therapy
Interpersonal therapy (IPT) is used to treat ADHD and focuses on the disorder's impact on relationships. Counsellors help clients examine how they or others around them interact based on ADHD-related action patterns, such as forgetting things or delaying tasks. IPT also focuses on a person's problems, such as low self-esteem or feelings of failure, and guides a patient to distinguish between what one is going through and what others see.
Group Therapy
Group therapy gives people with ADHD an opportunity to interact with fellow persons who have the same disorders. A particular type of group therapy involves teaching people with ADHD-I strategies for planning and organising, how to start tasks, as well as lifestyle changes. The activity group members engage in to reduce stress or help with attention is mindfulness meditation.
Narrative Therapy
Narrative Therapy helps individuals externalise ADHD-related difficulties, helping to lower self-stigma. It helps them not focus on themselves or the negativity associated with ADHD but instead view it as the issue. In sparkling moments, individuals can start reconstructing their stories and recognising strengths.
ADHD therapy for children usually involves parents or teachers. The parents learn techniques such as consistent discipline, a disciplined structure, and positive reinforcement. Teachers, therefore, are concerned about how the little child can be assisted in understanding time, being disciplined, and observing discipline in terms of emotions and behaviours in the classroom. Both involve working with parents and teachers to ensure the child's success.
Why Choose Rana Hospital to Treat ADHD
Rana Hospital has the ideal premise for treating ADHD since they get to the root of the causes of the disorders and focus mainly on the patient. The hospital has several competent doctors providing solutions to patients with customised medical and psychosocial care, including medicines, behaviour therapies, and ADHD coaching.
Their wellness model guarantees that the patients get the appropriate help to cope with symptoms such as inattention, hyperactivity and impulsivity. Also, as a result of the given strategies, children and adults are welcomed in Rana Hospital, making the patients feel more willing and interested. The hospital recognises the fact that it is only equipped to use the best research-grounded approaches to treating ADHD, therefore making it a reputable centre.
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This was my best decision I made in in my life. Dr. Ashish helped me get through depression and anxiety with so much patience and care. He's a great listener. Please go to this hospital for treatments. They'll help you out a lot.
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Why anxiety occur?There is no particular cause of anxiety disorder; however, various aspects of life can cause anxiety, like traumatic experiences, any significant change, the loss of any loved one, or other mental or health issues. If you are looking for an anxiety disorder doctor near me who can provide you with a diagnosis and personalized treatment plans, then Smile the best mental hospital in India is the answer.
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Can anxiety disorder cause weight loss?Yes, anxiety disorder causes regular stress and fear in the mind of the patient, which further causes loss of appetite and various digestion issues and contributes to weight loss. Visit Smile Hospital for your diagnosis in case you are observing unusual weight loss while suffering from anxiety disorder.
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Can anxiety disorder cause high blood pressure?Yes, anxiety disorder causes a pounding heart and high blood pressure, in which the individual develops a fight or flight response for any small event. If you or someone you know is struggling with anxiety or related symptoms, Smile the best mental hospital in India offers specialized care for psychiatric conditions
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What anxiety disorder feels like?In anxiety disorder, an individual feels constant fear, worry, and panic about upcoming events and situations. Sometimes anxiety disorder causes trembling and difficulty breathing. If you or someone you know is experiencing symptoms of anxiety, Smile Hospital provides compassionate care for anxiety disorders and other mental health concerns.
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Can anxiety disorder be cured permanently?There's no permanent medication or therapy that can cure the anxiety disorder permanently. However, under the extensive care provided by the specialists at Smile, the best mental hospital in India, you can expect a faster recovery with the help of counselling, therapy, and medications.
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What is the cost of therapy for depression?The cost of treatment for anxiety disorder and depression varies according to the duration of the mental health therapist's experience, location, and whether you have insurance. However, you can consider Smile Hospital for affordable treatments.
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How Smile Hospital Helps in treating anxiety disorder?The expert psychiatrist doctor at Smile the best mental hospital in India provides personalized care for anxiety disorders. They start with a comprehensive diagnosis, exploring potential causes, and then offer tailored treatments like medication, exposure therapy, and group therapy. With their support, you’ll receive expert guidance and compassionate care for managing anxiety effectively.