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Early Intervention for ADHD: Importance of Treating Secondary Problems

[포인트경제] As with all treatments, early treatment of ADHD is important. In particular, because ADHD is a developmental disorder caused by innate temperament problems, secondary problems can be prevented if treated early. However, in real-world clinical settings, rather than visiting a pediatric psychiatrist solely because of ADHD, in most cases, it is because the child has learning difficulties, emotional problems, or language problems that accompany ADHD, or because the The child’s behavioral problems are so severe that parents are unable to take action.

This is due to resistance to long-term drug treatment, lack of awareness of approaches such as psychotherapy and neurofeedback, and family opposition to psychiatric treatment. Because of this, there are many unfortunate cases where good opportunities are missed.

Seulgi Lee, director of brain science at Suinjae

Symptoms of ADHD begin before age 7, but behavioral problems become apparent as soon as children start school, so it is often diagnosed at school age. School age is a period when peer relationships become important, and important psychological factors for self-evaluation and self-image formation are established through trial and error and the experience of being accepted by peers.

The problem with inattention and hyperactivity in children in the lower grades of elementary school is that if these problems persist for a long period of time, they not only lead to functional decline in various areas such as studying and peer relationships, but also lead to to difficulties in forming peer relationships, leading to depression, anxiety disorders and behavioral problems. It can turn into a disability, etc.

The most common behavioral characteristics of children with ADHD are refusal to go to school, inability to concentrate during class, moving around and being interrupted repeatedly, sudden frequent blinking, or frequent throat clearing. In addition to ADHD, which is already well known to parents, there may be other problems such as academic maladjustment, tics, dyslexia and reduced visual attention, for which it is necessary to carry out accurate and systematic diagnosis and treatment.

The most widely used treatment method for children with ADHD is pharmacological treatment, and it has been consistently shown in national and international studies to be effective in improving the core symptoms of attention deficit hyperactivity disorder and impulsivity.

However, according to an article by Pfiffner and Calzada (Interventions to improve social competence) published in 2000, pharmacological treatment does not significantly improve peer relationships, negative social behavior and low self-esteem in relation to increasing prosocial behavior in children with ADHD. It was underlined. Furthermore, it has been reported that when the drug is discontinued, therapeutic effects are not maintained and there are clear limitations in helping patients achieve peer-level social skills.

According to research, stress from social relationships affects the prefrontal cortex, deteriorating higher-level brain functions and making people obsessed with immediate rewards, which can be considered a cause of ADHD. Therefore, children who have repeated failures in peer relationships and have a very negative image of themselves need appropriate treatment.

You can find stability in your life only by curing loneliness, the sense of victimization and the inferiority complex caused by failure in interpersonal relationships. Adjustment training at home and at work is also necessary. You need to learn how to deal with various problems you may encounter in life. As awareness of the importance of peer relationships and ADHD has increased, various studies on the causes and treatments have been conducted recently in Korea. Among them, one field that has recently attracted attention with active testing and research is a program to improve concentration using neurofeedback.

Neurofeedback is a cutting-edge concentration-related device that can increase the efficiency of information processing and help improve concentration through voluntary regulation of brain waves. Neurofeedback training implemented through a precisely organized neurological brain training system is used to improve various cognitive abilities.

By changing your neural activity pattern 2-3 times a week through neurofeedback training, you can consolidate positive neural network patterns and create an optimal state for processing social information. In addition, if you receive a concentration improvement course that can maintain an adequate level of brain attention, it can help you become the subject of human relationships and have the initiative to lead.

Seulgi Lee, director of brain science at Suinjae

Leading economic journalist Shim Seong-pil

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