ADHD
Perturbatio attentionis cum hyperactivitate
What it is
A neurodevelopmental disorder of attention, activity and impulse control.
Symptoms & signs
- Distractibility
- impulsivity
- restlessness
- poor time sense
- emotional dysregulation
- task paralysis
🚩 Get help if…
- call 112 / 911 now Thoughts of suicide or self-harm
- see a doctor soon Chest pain, fainting or racing heart on stimulant medicine
- see a doctor soon Repeated accidents, injuries or risky driving
- see a doctor soon Heavy drinking or drug use
Where it strikes
Medical treatment
- Methylphenidate and lisdexamfetamine — clear short-term symptom control; an advantage over no drug beyond a year or two has never been shown mixed evidence
- Atomoxetine, guanfacine mixed evidence
- Behavioural coaching trials support
- Structure at work and school trials support
- Trigeminal nerve stimulation (Monarch eTNS) — FDA-cleared 2019 for ages 7–12, on one small sham-controlled trial
- EndeavorRx video game — FDA-authorised 2020 for ages 8–12; it improved an attention-test score, not parent-rated symptoms
Natural & lifestyle
- Exercise
- sleep regularity
- protein-forward breakfast
- external structure (timers, lists)
- omega-3 (modest)
Emerging & experimental
- Neurofeedback
Alternative, off-label & anecdotal
Approaches used outside the guidelines, with what their supporters report and what testing has found so far.
- Few-foods elimination diet — trials show benefit in a subset mixed evidence
- Saffron — a small trial comparable to methylphenidate early / small studies
- 'Green time' outdoors — small studies, better attention early / small studies
- Cutting out sugar — trials found sugar does not cause hyperactivity not confirmed in trials
ICD codes
- ICD-10 F90.0
- ICD-11 6A05.Z Attention deficit hyperactivity disorder, presentation unspecified