Attention Deficit Hyperactivity Disorder Handbook A Physician's Guid
Readers of Attention Deficit Hyperactivity Disorder Handbook: A Physician's Guide to ADHD, second edition will find a concise and scholarly work covering the most recent advances in causes and management of ADHD. The book provides answers to the numerous
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J. Gordon Millichap
Attention Deficit Hyperactivity Disorder Handbook A Physician’s Guide to ADHD Second Edition
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J. Gordon Millichap, MD Northwestern University Medical School Division of Neurology Children’s Memorial Hospital Chicago, IL USA
ISBN 978-1-4419-1396-8 e-ISBN 978-1-4419-1397-5 DOI 10.1007/978-1-4419-1397-5 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2009938108 © Springer Science+Business Media, LLC 2010 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
In tribute to Nancy, and to Martin, Paul, Gordon, and John
Preface
ADHD, or attention deficit hyperactivity disorder, is a syndrome commonly encountered in children and adolescents, and occasionally in adults. It is often associated with learning disabilities, resulting in failure to achieve the expected level of academic performance. At least one child in every classroom and approximately 3–5% of the school-age population is inattentive, hyperactive, or both. The cause is diverse and often undetermined; genetic and environmental factors are invoked. A family member, either parent or sibling, has a history of ADHD in an estimated 80%, and minor anomalies of brain development, premature birth and anoxic injury, infection, and toxic nicotine and lead exposure are some of the presumed causes. A neurological basis for ADHD is supported by reports of MRI evidence of structural brain abnormalities, electroencephalographic dysrhythmias, and subtle signs of immature brain development on neurological examination. Parents may recognize hyperactive behavior soon after birth or when the child begins to walk, but the diagnosis is frequently delayed until a teacher observes the inability to focus, distractibility, and restless behavior in the classroom. An initial evaluation by the pediatrician or family physician is usually followed by consultations with the pediatric neurologist or psychiatrist, a psychologic
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