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Pluralized Therapy-The Logical Approach to ADD Attention deficit disorder in earlier times was given a variety of names including minimal brain dysfunction minimal brain damage hyperkinetic syndrome and hyperactive child syndrome DSM III 1980 published by the American Psychiatric Association describes two subtypes of attention deficit disorder attention deficit disorder with hyperactivity ADD-H and attention deficit disorder without hyperactivity ADD The child with ADDADD-H is described as one who shows signs of a short attention span inability to concentrate and impulsivity This impulsivity often causes the ADDADD-H child to act before thinking which in turn leads to social friction academic failure and self-esteem issues which can lead to further problems such as suicide Attention deficit disorders can be treated in a number of ways psychotherapy family systems therapy parent training biofeedback and medication both stimulant and anti-depressant are some of the most widely used treatments Proper diagnosis is important to the outcome of any of the above treatments Whalen 1983 cautions against diagnosing children who are overactive rambunctious and even a bit distractible as ADDADD-H as many young children tend to display these symptoms at one time or another Because of the overlap of symptoms between ADD and ADD-H DSM IV 1987 has three subcategories 1 For children whose difficulties are primarily from hyperactive-impulsive behavior 2 For those whose difficulties are primarily those of poor attention and 3 For those who have both sets of problems Barkley 199 suggests that ADDADD-H should be treated as two separate but related disorders Presently the majority of the research combines ADD and ADD-H when studying different treatments Currently treatment of children diagnosed with ADD or ADD-H largely involves the use of medication A few studies suggest that family therapy is the best cure for this disorder A more comprehensive and more logical theory is a combination of medication and family therapy Treatment of ADDADD-H with either a stimulant or an antidepressant does have positive effects on
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