Faculty of Medicine
Universitas Padjajaran, Bandung
Education
• Medical doctor : Faculty of Medicine, Universitas
Padjajaran, 1985
• Pediatrician : Department of Paediatric,
Faculty of Medicine, Universitas Padjajaran,
1997
• Consultant : Paediatric Neurology,
Faculty of Medicine, Universitas Indonesia,
2002
Position
Lecturer of neurology departement in Faculty of
Medicine, Universitas Padjajaran, Bandung
Organization
- Indonesian Pediatric Society
Autism and Attention Deficit
Hyperactivity Disorder
(ADHD):
How to differentiate?
Purboyo Solek
Neurology Division
Department of Pediatric/ Medicine Faculty
Padjadjaran University/Hasan Sadikin General Hospital Bandung
Controversial issue….
DSM 4 DSM 5
ASD = ADHD
• ASD # ADHD
FLASH BACK..
Autism and Other Pervasive
Developmental Disorder (PDD)
Autistic
PDD-NOS disorder
Asperger Rett
Syndrome
Syndrome
Childhood
Disintegrative
Disorder
SCIENTIFIC FACTS...
• Male : female = 4 : 1
Sensory profile
Autism Type Based on social interaction skill
(Wing & Gold, 1996,2016)
ACTIVE BUT
ALOOF PASIVE
ODD
• Very minimal • Able to • Unable to
eye contact interact interact due
• Unable to shortly to
initiate or • Unable to ‘hyperactivity’
maintain sustain behaviour
interaction interaction while doing
some odd
behaviour
Stiff
Autism Type Based on Cognitive Level
COMPLEXITY OF
SYMPTOMS
Occupational
Therapy
Speech
Therapy
Sensory
Integration
Therapy
Methode
Cognitive Family
Age of
Level suport
treatment
Attention Deficit Hyperactivity Disorder
Hyperactivity
and Onset < 12 years
inattention
old
Impulsivity
Social function
Min 6 months All setting
impairment
Normal IQ level
DSM 5
A NEW UNDERSTANDING
OF ADHD IN CHILDREN
AN ADULTS
Regulating Utilizing
Organizing Focusing Managing Monitoring
alertness. working
prioritizing sustaining frustation and self-
Sustaining memory
and and shifting and regulating
effort and and
activating to attention to modulating action
processing accessing
work tasks emotion
speed recal
1 2 3 4 5 6
Activation Focus Effort emotion Memory Action
HYPERACTIVE
IMPULSIVE
TYPE OF ADHD
HYPERACTIVE-
INATENTION
IMPULSIVE
• Day dreaming • Restless
• Disorganized
• Learning difficulty
• Clumsy
• Depression
• ‘trouble maker’
• Anxiety
• Dominantly in Male
• Male : Female = 1:1
CLINICAL SYMPTOMS
50-60%
‘TROUBLESOME’
ADULT
KEY WORDS
Regulating Utilizing
Organizing Focusing Managing Monitoring
alertness. working
prioritizing sustaining frustation and self-
Sustaining memory
and and shifting and regulating
effort and and
activating to attention to modulating action
processing accessing
work tasks emotion
speed recal
1 2 3 4 5 6
Activation Focus Effort emotion Memory Action
purboyosolek@yahoo.com