ECED 230
Spring 2014
Heidi Orman
means to have a short attention span accompanied by excessive activity” (Allen & Cowdery,
2012, p.176). ADHD was first described by Heinrich Hoffman as early as 1845. ADHD went
through a lot of name changes, some of which were brain injured and minimally brain damaged
(MBD). In the late 1960s it was called hyperactivity, and in 1980 the American Psychiatric
Association (APA) changed the name to Attention Deficit Disorder (ADD) which had two
subcategories: ADD with hyperactivity, and ADD without hyperactivity (Allen & Cowdery,
2012, p.177).
Allen & Cowdery stated that, some people believed that ADD couldn’t exist without
hyperactivity, others believed it could. The solution in 1987 was ADHD. In 1994 the APA
revised the definition of ADHD saying attention problems and hyperactivity are different (2012,
p. 177). Nonetheless, what are the types and causes of ADHD? How do you diagnose it? What is
the prevalence of it, and what are the treatments and accommodations that come with ADHD?
The authors of The exceptional child indicate that there are three different types of
noteworthy inattention. The second type is predominantly inattentive type, which means there is
term for the entire disorder. The third type is a combined type, which displays both inattention
and hyperactive-impulsive behavior (Allen & Cowdery, 2012, p.177). In conjunction with these
types of ADHD, there are other disorders that might go along with it.
The exceptional child emphasizes that, in 20-30% of ADHD cases other learning
disabilities accompany the disorder. In 1/3 to 1/2 of ADHD cases, mostly boys, ODD or
20-40% of the cases of ADHD. There is no accurate data for how many ADHD cases that
Bipolar Disorder accompanies (Allen &Cowdery, 2012, p. 179). There is no known specific
cause of ADHD.
There are however some hypotheses on the cause that are backed by studies. One is that
ADHD is genetic, a study done by Bee and Boyd in 2009 found that 1/4 of people have parents
with ADHD. In another study, twins showed the possibility of ADHD being genetic. Identical
twins are more likely to have it than fraternal twins (Allen & Cowdery, 2012, p.178-179).
Another possible cause that might have something to do with ADHD is a mother smoking
and drinking during pregnancy. Low birth weight, head injuries, exposure to lead, pesticides, or
other environmental toxins, increases the chance that a child will have ADHD. Even though no
disorder, n.d.).
To diagnose ADHD the child has to go through a comprehensive evaluation that includes,
a clinical assessment of the child’s developmental level, their academics, social, and emotional
abilities. There must be clear evidence of clinically significant impairment in social, academic, or
occupational functioning. The child has to show symptoms before age 7, they must be
continuous and the symptoms must be present in two or more settings. The symptoms are
inconsistent with other children (Allen &Cowdery, 2012, p. 178). So, knowing the symptoms,
found in 11% of boys and 4% of girls. Boys have it 2 times more often than girls. The onset of
ADHD is about 3 or 4 years of age. You don’t grow out of ADHD. The symptoms do decrease
ADHD RESEARCH REPORT 4
during teenage years (Allen & Cowdery, 2012, p.178-179). Between 30% and 70% of children
that have ADHD will have it as adults. Even with the prevalence of ADHD there are treatments
Treatments for ADHD are medication and/or behavior management, both work best
together. The medication can cause weight loss, insomnia, or increased blood pressure. In 1/4 or
more children with ADHD medication doesn’t work. Ritalin is the most commonly prescribed
drug for children with ADHD. Another medication for ADHD is Dexedrine (Allen &Cowdery,
2012, p.180). There are no known diets that help treat ADHD. Behavior management is where
you give children rewards when they are good, and punishments when they are bad. This is
needed even if medication works. Most misdiagnoses of ADHD are from inappropriate
environments (Allen & Cowdery, 2012, p.181). Some accommodations for children with ADHD
are extra time for assignments, special seating arrangements, providing the child with a note-
taking partner, and letting the student run occasional errands for the teacher (Flippin).
The history of ADHD is kind of scary, if a person was born in the 1800s then they would
have been considered brain damaged. Luckily, the APA changed the name to ADD in 1980.
Then they came up with ADHD in 1987, making 3 different types of the disorder. Sadly, there is
no known cause of ADHD. There are other disorders that come with ADHD, but that doesn’t
mean that you will have one. The process of diagnosing ADHD is very complicated, but
necessary. If you have ADHD you have 30 to 70% chance of having it as an adult. Even though
there are not very many treatments and accommodations when you have ADHD, there are some.
Resources
Allen, K. & Cowdery, G. (2012). The exceptional child (7th ed.). Belmont, CA: Wadsworth
Cengage Learning.
http://www.webmd.com/add-adhd/guide/adhd-causes
Flippin, R. (n.d.). ADHD Accommodations: 6 Modifications teachers can use in the classroom
with ADD children . . . today!. Additude Living Well with Attention Deficit. Retrieved
from http://www.additudemag.com/adhd/article/1664.html