The Six Types of ADHD

March 8, 2010 by Dr. Yannick Pauli

Most pediatricians and psychiatrists diagnose ADHD based on a series of criteria outlined in the Diagnostic and Statistical Manual for Mental Disorders (DSM-IV).  According to the DSM-IV, there are three types of ADHD: inattentive type, hyperactive-impulsive type, and combined type.  But did you know that there are more than three types of ADHD?

Psychiatrist Dr. Daniel Amen has handled hundreds of children and adults with ADHD and developed a special brain imaging technique called the SPECT test to help him find the cause of the condition.  His work on SPECT imaging made him realize the full complexity of the disorder.  Over the years, he noticed that there are six distinct SPECT patterns in his ADHD patients, and that each requires a specialized treatment. Based on these observations, Dr. Amen came up with the six types of ADHD.

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Electrotherapy Stimulation: A Safe, Drug-Free ADHD Treatment?

February 22, 2010 by Dr. Yannick Pauli

The words “electro” and “therapy” often bring to mind cruel psychiatric treatments that seem more fitting in haunted asylums than in hospitals. Cranial electrotherapy stimulation (CES) is nothing like that. This fairly new technology involves administering very low electrical volts on the head to relieve depression, anxiety, and the symptoms of ADHD. Instead of going to a mental hospital to receive the treatment, CES can be done at home using a small handheld device. CES is approved by the Food and Drug Administration in the United States as a medical device, and recent studies show that it can improve attention spans and behavior among kids with ADHD. But is it really safe? Are there any side effects to CES?

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Enzyme Therapy for ADHD

February 15, 2010 by Dr. Yannick Pauli

If you’ve viewed the video we posted of Dr. Doris Rapp on ADHD and allergies, you’d be surprised to find that your child’s problematic behavior originates from the dinner plate. Many children with ADHD suffer from undiagnosed digestive problems that influence their cognitive function and autoimmune condition. There are many reasons behind why certain foods trigger unwanted behaviors, and one of this is a deficiency in digestive enzymes.

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Chelation Therapy for Mercury and Heavy Metal Detoxification

December 28, 2009 by Dr. Yannick Pauli

Current research shows a direct relationship between learning problems, developmental delays, and many symptoms associated with ADHD. In fact, a report from the National Academy of Sciences shows that mercury and heavy metal poisoning can account for as many as 3% of childhood neurological disorders in the United States. Children are particularly vulnerable to these toxic metals, not only because they have smaller bodies but also because they have not developed immune defenses against many of these toxins. The smallest exposure can do significant damage to a child’s developing nervous system. It’s not surprising that these toxins can cause ADHD-like symptoms, as well as chronic muscle pain, mood swings, chronic infections, and migraines.

There are many tests that can determine a heavy metal exposure, including nutrient element analysis and toxic elements test. Treatments for heavy metal poisoning vary according to the amount of exposure. Some can be addressed by zinc supplements, but more acute cases require advanced treatments like chelation therapy.

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Holiday Gift Guide for the ADHD Child

December 7, 2009 by Dr. Yannick Pauli

Kids with ADHD can be very difficult to buy presents for. Like many parents, you are probably at a loss as to what to get for your ADHD child this holiday season. If you buy an expensive toy, there’s a high chance that they’ll accidentally break it or lose interest in it after a few days. But if you get them something too simple, they may not even glance at it, leaving the present to gather dust at the back of a closet.

Before you head out to go Christmas shopping for your ADHD child, take the time to know your child and what hobbies or topics is he or she interested in. Children with ADHD may be fickle and easily bored, but they only behave this way when faced with tasks or subjects that do not interest them. But give them a present related to their real interests, and you’ll find that your child is actually capable of sitting still and staying quiet for hours – and using your present until it naturally falls apart. Here are some gift suggestions that might help you decide what to get your kids this Christmas.

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New Study Supports Multimodal Chiropractic as an Effective ADHD Treatment

November 2, 2009 by Dr. Yannick Pauli

There’s more to childhood ADHD than just chronic hyperactivity and inattention. Children with ADHD are likely to experience other psychiatric conditions like depression and anxiety. What is less well known is the relationship between ADHD and motor coordination problems, particularly in the spine’s postural muscles and ocular (eye) muscles. For this reason, ADHD falls under an umbrella category called developmental delay syndromes (DDS), which encompasses conditions like learning disabilities, dyslexia, and dyspraxia. In fact, researchers discovered that dyspraxia, or poor motor coordination and muscle strength, is a common denominator of these four conditions. If these conditions persist in one child, can treating the co-morbid motor impairment problems have a positive effect on attention problems, hyperactive behavior, and impulse control?

The answer to this may lie in chiropractic treatment. Chiropractic is a profession that specializes in the correction of spinal dysfunctions called “vertebral subluxations”. Those spinal problems lead to neurological dysfunctions that can lead to symptoms similar to ADHD. The brain relies on a spine with proper structure and movement for it to function well, and any problems with the spine can affect how the brain receives and transmits information. By addressing these structural problems, chiropractic can treat both the motor coordination issues and cognitive deficits found in ADHD. The last decade has seen a number of studies on this subject, but a new long-term study published in the Journal of Manipulative and Physiological Therapeutics shows how a multi-modal chiropractic treatment can help.

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Brain Retraining Programs for ADHD

October 26, 2009 by Dr. Yannick Pauli

For many kids with ADHD, the biggest challenge they confront everyday is the inability to pay attention – in the classroom, while doing their homework, sometimes while watching a movie. Of all the human faculties, attention used to be one of the least understood. It’s neither a skill nor a talent; it seems to be an inborn ability that cannot be taught or acquired. However, the latest developments in neuro-imaging and genetics provide us with a wider and more sophisticated understanding of how attention works. Studies show that attention is critical to more practical life skills, like the ability to organize things, make deep connections with others, even developing a conscience. More importantly, researchers have discovered that people can be taught how to pay attention, even if they suffer from ADHD.

Brain retraining programs are designed to correct old habits of thinking that lend itself to distractibility, inattention, and lack of focus. Using imaging technology and foundations in neuroscience, brain retraining programs are an alternative treatment that can target the same deficits ADHD medications seek to correct. Although these technologies have not been around long enough to determine if their benefits will last, kids and adults who have tried them found that brain retraining helps in the here and now. The following brain retraining programs are particularly helpful for children with ADHD, but they come with their own drawbacks and limitations.

Neurofeedback

What it does: Neurofeedback is based on the principle that individuals with ADHD have abnormal brain wave pattern that are either over-stimulated or under-stimulated. Beta waves should appear in tasks that require concentration and focus, but individuals with ADHD usually have large theta wave patterns, which indicate a state of daydream. Neurofeedback can retrain the brain until they emit beta waves, thus eliminating symptoms of inattention and distractibility.

How it works: The practitioner will take the medical history of the child and identify the symptoms that need to be treated. Then electrodes will be strapped on to the child’s head while he or she performs a cognitive task like reading out loud. The brain wave activity will be mapped out so the practitioner can figure out the abnormalities in the pattern – which is the theoretical source of the child’s ADHD symptoms. Through a computer game, the child’s brain will then be retrained. The computer game will only work if the child concentrates and emits beta waves. If there are too many theta waves, the game stops working and will only resume when the child concentrates once more. The positive benefits of neurofeedback training remain for months and years after the last session. After a year of therapy, patients tend to reduce their medication dose by 50% or stop taking them altogether.

Costs and drawbacks: The sessions are only 30 minutes long and completely painless. However, the average cost of a treatment course can range anywhere from $2,000 to $5,000. Neurofeedback practitioners are also only available in certain areas. Finally, neurofeedback can only address the inattention issues of the ADHD spectrum and should be used in combination with other treatments.

Bottom line: If you can afford to pay for the neurofeedback treatments, it seems to be worth a shot, especially if your child cannot concentrate on schoolwork.

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