[mina2u]

So many questions...

I am in the process of adopting a 9 yo boy that is manifesting ADHD like symptoms.

1. Our therapist says she thinks it is most likely not ADHD, but rather a reaction to trauma from his past. How is it determined if it is indeed ADHD or trauma? Why would past trauma manifest in this way? What are the chances of him getting diagnosed with something he doesn't have? (Just a note: he is developing a bond/attachment with us-he may have RAD but very minor case)

2. I have heard that diet modification is sometimes effective in lessening ADHD like behaviors. What would these diet modifications consist of? We have a well balanced die; we also do not use meds as a first recourse.

3. My son is being pegged by classmates as the disrupter in class due to his impulsiveness (sp) and becuase he cant seem to keep his hands, feet, eyes...body to himself. If he were to be found to have ADHD would you use meds to help in school?

[Dr. Art]

Many children who have been maltreated and have trauma are misdiagnosed with ADHD...trauma can cause similiar behaviors: difficulty concentrating, paying attention, problems with focusing, hyperarousal and hyper activity, etc.

In addition sensory integration disorders can be misdiagnosed as ADHD....I'd be sure to get a thorough evaluation by a therapist who is experienced in treating trauma and attachment disorders...see www.attach.org

regards

[mina2u]

Can children overcome ADHD behaviors due to post trauma, or is this something they will stuggle with most of their life?

[Dr. Art]

Past trauma does not and cannot cause ADHD. So, if you think the attention problems are "caused" by trauma, then the child does not have ADHD, but is experiencing one of symptoms of trauma. You do not treat flashbacks and attention problems and difficulty concentrating, etc that is caused by trauma with stimulant medications, as you do for ADHD; you provide psychotherapy for the trauma and, if indicated, an SSRI.

ADHD is a chronic condition that one never out grows.

Trauma can be chronic if not treated, but can be treated with psychotherapy and "overcome."

regards