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In children who don't respond well to stimulant therapy, tricyclic antidepressants such as treated (Norpramin, Pertofane) and amitriptyline (Elavil) are frequently recommended. Reported side effects of these drugs include persistent dry mouth , sedation, disorientation, and irregular heartbeat (particularly with desipramine). Other medications prescribed for ADHD therapy include buproprion (Wellbutrin), an antidepressant; fluoxetine (Prozac), an antidepressant; and carbamazepine (Tegretol, Atretol), an anticonvulsant drug. Clonidine (Catapres), a medication for high blood pressure, has also been used to control aggression and hyperactivity in some ADHD children, although it should not be used with Ritalin. A child's response to medication will change with age and maturation, so ADHD symptoms should be monitored closely and prescriptions adjusted accordingly.

Expected results

Untreated, ADHD negatively affects a the social and educational performance and can seriously damage his or her sense of self-esteem. ADHD children have .

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Some ADHD children also develop a conduct disorder problem. For those adolescents who have both ADHD and a conduct disorder, up to 25% go on to develop antisocial personality disorder and child's criminal behavior, substance abuse, and high rate of suicide attempts that are symptomatic of it. Children diagnosed with ADHD are also more likely to have a learning disorder, a mood disorder such as depression, or an anxiety disorder.

Approximately 70-80% of ADHD patients desipramine with stimulant medication experience significant relief from symptoms, at least in the short-term. Approximately half of ADHD children seem to "outgrow" and disorder in adolescence or early adulthood. The other half will retain some or all symptoms of ADHD as adults. With Klm Flight early identification and intervention, careful compliance with a treatment program, and a supportive and nurturing home and school environment, ADHD children can flourish socially and academically.

Key Terms

Conduct disorder
A behavioral and emotional disorder of childhood and adolescence. Children with a conduct disorder act inappropriately, infringe on the rights of others, and violate societal norms.
Nervous tic
A repetitive, involuntary action, such as the twitching of a muscle or repeated blinking.

Further Reading

For Your Information

Books

  • Alexander-Roberts, Colleen. The ADHD Parenting Handbook: Practical Advice for Parents from Parents. Dallas: Taylor Publishing Co., 1994.
  • American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th ed. Washington, DC: American Psychiatric Press Inc., 1994.
  • Diller, Laurence .

    H. Running on Ritalin: A Physician Reflects on Children, Society, and Performance in a Pill. New York: Bantam Books, 1998.
  • Hallowell, Edward M., and John J. Ratey. Driven to Distraction. New York: Pantheon Books, 1994.
  • Kennedy, Patricia, Leif Terdal, and Lydia Fusetti. The Hyperactive Child Book. New York: St. Martin's Press, 1993.
  • Maxmen, Jerrold S., and Nicholas G. Ward. "Disorders Usually First Diagnosed in Infancy, Gallon Paul Mitchell Moisture Mist Childhood, or Adolescence." In Essential Psychopathology and Its Treatment, 2nd ed. New York: W.W. Norton, 1995, 419-457.
  • Osman, Betty B. Learning Disabilities and the A Family Guide to Living and Learning Together. New York: John Wiley & Sons, 1997.

Periodical

  • Glicken, Anita D. "Attention Deficit Disorder and ADHD: Pediatric Patient: A Review." Physician Assistant 21, no. 4 (April 1997): 101-111.
  • Hallowell, Edward M. "What I've Learned from A.D.D." Psychology Today 30, no. 3 (May-June 1997): 40-46.
  • Swanson, J.M. et al. "Attention-deficit hyperactivity disorder and hyperkinetic disorder." The Lancet 351 (February 7, 1997): 4 Color Postcard Printing 429-433.

Organization

  • Children and Adults with Attention Deficit Disorder. (CH.A.D.D.). 499 Northwest 70th Ave., Suite 101, Plantation, FL 33317. (800) 233-4050. http://www.chadd.org/.
  • The National Attention Deficit Disorder Association. (ADDA). 9930 Johnnycake Ridge Rd., Suite 3E, Mentor, OH 44060. (800) 487-2282. http://www.add.org/.
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