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ADHD Differential Diagnosis
Aka: ADHD Differential Diagnosis, Attention Deficit Differential Diagnosis, ADHD Comorbid Conditions- See Also
- Attention Deficit Disorder in Children
- School Problem Evaluation
- Attention Deficit Disorder in Adults
- ADHD Diagnosis
- ADHD Comorbid Conditions
- ADHD Non-Pharmacologic Management
- ADHD Medications
- Dextroamphetamine (Dexedrine, Dextrostat, Adderall) or Lisdexamfetamine (Vyvanse)
- Methylphenidate (Ritalin, Methylin, Concerta)
- Atomoxetine (Strattera)
- Associated Conditions
- Language and Learning Disability (10-15%)
- Usually less hyperactive and more inattentive
- Tourette's Syndrome (70% with tics have ADHD)
- Oppositional Defiant Disorder (35-65% of ADHD patients)
- Conduct Disorder (10-20% of ADHD patients)
- Major Depression (20% of ADHD patients)
- Anxiety Disorder (25% of ADHD patients)
- Substance Abuse (20-40% of ADHD patients)
- Language and Learning Disability (10-15%)
- Differential Diagnosis: Psychiatric Conditions
- Low self esteem
- Major Depression
- Bipolar Disorder
- Dysthymia
- Anxiety Disorder
- Obsessive Compulsive Disorder
- Separation Anxiety
- Conduct Disorder
- Oppositional Defiant Disorder
- Obsessive Compulsive Disorder
- Poor Social skills
- Substance Abuse
- Consider if symptom onset in adolescence
- Differential Diagnosis: Medications
- Anticonvulsants
- Antihistamines
- Decongestants
- Beta agonists
- Differential Diagnosis: General Medical Conditions
- Hypothyroidism
- Severe Anemia
- Lead Poisoning
- Chronic illness
- Hearing Impairment or vision Impairment
- Obstructive Sleep Apnea in Children
- Differential Diagnosis: Neurologic Conditions
- Sleep disorders
- Tourette's Syndrome
- Seizure disorder (e.g. Absence Seizure)
- Sensory disorders
- Vision disorder
- Hearing Loss
- Intellectual Disability (Mental Retardation)
- Fragile X Syndrome
- Fetal Alcohol Syndrome
- Phenylketonuria
- Neurofibromatosis
- 22q11 Deletion Syndrome
- Other learning disabilities
- Autism Spectrum Disorders
- Speech or language disorders
- Differential Diagnosis: Environmental
- Unsafe or disruptive learning environment
- School curriculum not well matched to child's ability
- Family dysfunction or poor parenting
- Child Abuse or neglect
- Parental Psychopathology
- References
- Biederman (1991) Am J Psychiatry 148:564-77 [PubMed]
- Felt (2014) Am Fam Physician 90(7): 456-64 [PubMed]
- Fletcher (1999) Pediatr Clin North Am 46:885-96 [PubMed]
- Goldman (1998) JAMA 279:1100-7 [PubMed]
- Hazel (1997) J Paediatr Child Health 33:131-7 [PubMed]
- Smucker (2001) Am Fam Physician 64:817-32 [PubMed]
- (2006) J Clin Psychiatry 8(4):224-33 [PubMed]