title: Attention deficit hyperactivity disorder (ADHD): review for primary care clinicians.
abstract: Attention deficit hyperactivity disorder (ADHD) is characterised by impulsivity, hyperactivity and inattention. Up to 5% of primary school age children have ADHD. Both genes and environment play a role in the aetiology of ADHD. If left untreated, children with ADHD demonstrate a range of poor long-term psychosocial outcomes. The Strengths and Difficulties Questionnaire (SDQ) may be used to screen children for a range of psychiatric disorders, including ADHD.(1) Principal management options include medication (methylphenidate and atomoxetine are the first line), parent training programmes and school based interventions. It is important to provide a dedicated child mental health specialist service for children with ADHD. In addition to following the National Institute for Health and Clinical Excellence (NICE) guidelines,(2) the authors recommend the use of wider systemic approaches and early intervention to optimise the effectiveness of recommended treatment options.
authors.affiliation: Kraupl Taylor Research Fellow, Child and Adolescent Psychiatry, Institute of Psychiatry, London, UK.
authors.forename: Dennis
authors.initials: D
authors.lastname: Ougrin
authors.affiliation: Principal Therapeutic Social Worker and Systemic Family Therapist, Lewisham Child and Adolescent Mental Health Service, London, UK.
authors.forename: Sandie
authors.initials: S
authors.lastname: Chatterton
authors.affiliation: Director, West London Primary Care Research Consortium/Applied Research Unit, NHS Brent, ARU/Public Health, London, UK.
authors.forename: Ricky
authors.initials: R
authors.lastname: Banarsee
keywords: ADHD; atomoxetine; early intervention; hyperkinetic disorder; methylphenidate; parent training