– Article by Dr Sunitha Devi Vannemreddy MD(Hom)
                                        drsunithavannemreddy@gmail.com
What is life? We always wanted a safe, secured and hassle
free life. We want to work hard, earn enough money for our livelihood and
extend our family with joy filled life. Offspring are the major asset for every
parent. We will face each and every hurdle in our life to improve the future of
our kids. Every mother and father feels proud to see their children development
in right way. We want to learn about kid’s growth in mental, physical and
emotional levels.

Sometimes things go in another direction. Our cute
loving children will leave behind in education and we will watch different
changes in the behaviour of children, and in schools complaints are increasing,
teacher’s wants parents meeting in school to discuss about our children
behaviour; which makes us feel tensed and insecure.  Some children face different behavioural,
learning problems, which we don’t know what is going on in minds of our
children. To enlighten parents I would like discuss one behavioural and
learning problem called as “Attention Deficit Hyperactivity Disorder”
Attention Deficit Hyperactivity Disorder (ADHD):
untitled Why ADHD misdiagnosed with other disorders? Homeopathic Treatment.

ADHD is neuro behavioural disorder characterised by
inattentiveness, distractibility, hyperactivity and impulsivity. There is
significant problem in executive functions like, attention control and
inhibitory control that causes hyperactivity, impulsivity and inattentiveness,
which are not appropriate for their age. 
Mostly symptoms will find at the age of six to twelve years and should
be persists for more than six months to undergo for diagnosis.
But some people think that is it really a disease to be
treated or simply a personality which is not acceptable to this modern, busy
and high demand world. Some scientists come up with different theories, what
triggers ADHD in brain to executive functions like, attention, emotion control
and decision making is invariably affected.
The prevalence of ADHD in India, among primary school
children was found to be 11.32%. Prevalence was found to be higher among the
males (66.7%) as compared to that of females (33.3%). The prevalence among
lower socio-economic group was found to be 16.33% and that among middle
socio-economic group was 6.84%. The prevalence was highest in the age group 9
and 10 years.
Signs and symptoms:
ADHD, also known as attention deficit disorder (ADD) or
hyperkinetic disorder. ADHD was described by Hippocrates. The name Attention
Deficit Disorder (ADD) was first introduced in 1980 in the third edition of the
Diagnostic and Statistical Manual of Mental Disorders. In 1994 the definition
was altered to include three groups within ADHD:
1)     
The predominantly hyperactive-impulsive type
2)     
The predominantly inattentive type
3)     
The combined type
ADHD symptoms may start from childhood but it may continue
in adolescence and older people but the presentation will be more towards the
“restlessness”.
The predominantly hyperactive-impulsive type:
Most of the symptoms are associated with hyperactive and
impulsive and very few symptoms belong to inattentiveness.
PicExportError Why ADHD misdiagnosed with other disorders? Homeopathic Treatment.fidgeting or squirming, restless
PicExportError Why ADHD misdiagnosed with other disorders? Homeopathic Treatment.difficulty remaining seated
PicExportError Why ADHD misdiagnosed with other disorders? Homeopathic Treatment.excessive running or climbing, touching and playing everything which comes
in their way
PicExportError Why ADHD misdiagnosed with other disorders? Homeopathic Treatment.difficulty playing quietly
PicExportError Why ADHD misdiagnosed with other disorders? Homeopathic Treatment.always seeming to be “on the go”
PicExportError Why ADHD misdiagnosed with other disorders? Homeopathic Treatment.excessive talking or talks nonstop or talks abruptly
PicExportError Why ADHD misdiagnosed with other disorders? Homeopathic Treatment.blurting out answers before hearing the full question
PicExportError Why ADHD misdiagnosed with other disorders? Homeopathic Treatment.difficulty waiting for a turn or in line
PicExportError Why ADHD misdiagnosed with other disorders? Homeopathic Treatment.Problem with interrupting or intruding on others, grabs the things from
others.
The predominantly inattentive
type:
Most of the symptoms are
associated with inattentiveness and lesser or fewer symptoms are with
hyperactivity and impulsiveness. Children with this subtype don’t get along
with other children, they sit quietly but doesn’t pay attention to what they
are doing. Therefore, child may be may overlooked and difficult to diagnose
that they ADHD child for teacher or parent.
PicExportError Why ADHD misdiagnosed with other disorders? Homeopathic Treatment.Trouble paying attention to details or a tendency to make careless errors
in schoolwork or      other activities,
forgets to do homework, and often looses the things needed.
PicExportError Why ADHD misdiagnosed with other disorders? Homeopathic Treatment.difficulty staying focused on tasks or play activities
PicExportError Why ADHD misdiagnosed with other disorders? Homeopathic Treatment.apparent listening problems
PicExportError Why ADHD misdiagnosed with other disorders? Homeopathic Treatment.difficulty following instructions
PicExportError Why ADHD misdiagnosed with other disorders? Homeopathic Treatment.problems with organization
PicExportError Why ADHD misdiagnosed with other disorders? Homeopathic Treatment.avoidance or dislike of tasks that require mental effort
PicExportError Why ADHD misdiagnosed with other disorders? Homeopathic Treatment.tendency to lose things like toys, notebooks, or homework
PicExportError Why ADHD misdiagnosed with other disorders? Homeopathic Treatment.Distractibility, miss the details, forgets the things, frequently switch
from one activity to another. Distracted from irrelevant sights and sounds.
PicExportError Why ADHD misdiagnosed with other disorders? Homeopathic Treatment.forgetfulness in daily activities
PicExportError Why ADHD misdiagnosed with other disorders? Homeopathic Treatment.Difficulty in processing the problem accurately compared to other children.
PicExportError Why ADHD misdiagnosed with other disorders? Homeopathic Treatment.Day dream, become easily confused.
PicExportError Why ADHD misdiagnosed with other disorders? Homeopathic Treatment.Easily get bored, but if it enjoyable for him shows lot of attention,
completes it accurately without the help of others.
The combined type:
Both hyperactivity-
impulsiveness and inattentiveness seen in this type. Most of the ADHD cases are
combined type only.
ADHD in adults:
The hyperactivity tends to go
away with the age and turn into “inner restlessness” in teens and adults with
ADHD.
Be very impatient
Blurt out inappropriate comments, show their
emotions without restraint, and act without regard for consequences
Have difficulty waiting for things they want or
waiting their turns in games
Often interrupt conversations or others’ activities
People with ADHD have
difficulty in social skills like, social communication, interaction and forming
and maintaining friends. People with ADHD have attention deficits which
cause difficulty processing verbal and nonverbal language which can negatively
affect social interaction. They also may drift off during conversations, and
miss social cues. Therefore, most of them are rejected by peers.
Difficulty to maintain anger is more
common with ADHD, which in turn make them more rejected by others. People with
these tendencies are addicted to smoking, drinking or substance abuse. People
with ADHD may also develop mood disorders and obsessive-compulsive disorders.
Disorders associated with ADHD:
Most of the ADHD cases associated with
hypokalemic sensory overstimulation in 50% of children. Hypokalemic sensor
overstimulation is a form of attention deficit disorder in which the sensory
stimulation goes away abruptly after taking potassium supplements. The sensory
overestimation triggered by large carbohydrate meals, sodium chloride intake
and period following exercise. 
ADHD also accompanied by mood disorders,
bipolar disorder, major depressive disorder. Anxiety is also one of the factors
associated with ADHD.
Conduct disorder and oppositional defiant
disorder occurs with ADHD in 50% cases which expresses as antisocial
personality in adult ADHD cases.
Learning disabilities and primary disorder
of vigilance, it is characterised by poor attention and concentration; as well
as difficulties in swaying away.
Obsessive compulsion also co occur with
ADHD and restless leg syndrome is commonly associated with ADHD.
In adolescents and adults, substance abuse
is commonly associated with ADHD.
Along with these conditions, difficulty in
sleep, persistent bed wetting, language delay, developmental coordination disorders
are commonly associated with ADHD cases.
Causes for ADHD:
Exact cause for ADHD is unknown. But
certain things play a role like during pregnancy, if mother smoke or drink
alcohol may have higher risk of having ADHD child. Children born with low birth
weight, premature birth or whose mother had difficult pregnancies have higher
risk for ADHD.
Children with head injuries to the frontal
lobe of brain or areas which controls impulses and emotions become ADHD. During
pregnancy mother exposed to lead, PCB’s or pesticides also may causes ADHD in
children. Researchers believe that, some toxins may interfere with brain
development, could lead to hyperactivity, rash behaviour and trouble paying
attention. 
images Why ADHD misdiagnosed with other disorders? Homeopathic Treatment.
ADHD runs in families. Parents with ADHD
have children with the disorder in 50-75% cases. If older sibling with ADHD,
then younger one may be in 30% cases born with ADHD.
Studies shows that brain chemical called
as neurotransmitters don’t work same in children and adults with ADHD. There
also tend to be differences in the nerve pathway works. Brain chemical Dopamine
also plays a role. It carries signals between nerves in brain and is linked to
movement, sleep, mood, attention and learning. 
Diagnosis of ADHD:
There is no single test involved to
diagnose ADHD in children and adults. ADHD diagnosed after person shows some or
most of the symptoms of ADHD in regular basis for more than six months.
Depending on the number and type of the symptoms, person will be diagnosed with
one of the subtypes of ADHD.
Paediatrician or child psychologists, can
diagnose ADHD with the help of standard guidelines from American academy of
paediatrics or the American psychiatric associations’ diagnostic and
statistical manual (DSM). The diagnosis involves gathering information from
several sources including schools, care takers and parents. Child behaviour
will be compared with other children of same age and standardized rating
scales.
To diagnose ADHD, child will receive full
physical examination including vision and hearing tests. Neuropsychiatric EEG
based assessment aid (NEBA) system, non-invasive scan that measures theta and
beta brain waves. The theta/beta ratio shown to be higher in children and
adults with ADHD.
Paediatrician also screens the complete
medical history for other conditions that may affect child’s behaviour. Certain
conditions that could mimic ADHD or cause the ADHD like behaviours are,
1)      Recent
major life changes like (death in family, recent migration from one place to
another)
2)      Undetected
seizures
3)      Thyroid
problems
4)      Sleep
problems
5)      Anxiety
6)      Depression
7)      Lead
toxicity
Diagnosing ADHD in adults:
It is not easy to diagnose adult with
ADHD, unless it is diagnosed in their children. Other times they seek
professional help for problems like depression, anxiety, then it might
diagnosed as ADHD.
Symptoms like, chronic lateness,
forgetfulness, anxiety, poor organizational skills, low self esteem, employment
problems, short temper, difficulty in finishing a task, unthinking and
immediate response; difficulty controlling behaviour and restlessness can be
noted in adult ADHD.
In order to be diagnosed with ADHD, an
adult must have persistent, current symptoms that date to childhood. For
accurate diagnosis,
1)      A
history of adult’s behaviour in childhood
2)      An
interview with the adult’s life partner, parents, closes friends or other close
associates.
3)      A
thorough physical examination that may include neurological testing.
4)      Psychological
testing. 
Diagnostic scales for ADHD:
Standard diagnostic scale for ADHD is
“VANDERBILT ADHD Diagnostic Parent Rating Scale”.
Each rating should be considered in the
context of what appropriate for the age of the child.
Frequency code: never=0; occasionally=1;
often=2; very often=3.
Sr No
condition
1
Doesn’t pay attention to details or mistakes, careless
mistakes, such as home work
2
Doesn’t seem to listen when spoken to directly
3
Doesn’t follow through on instructions and fail to finish
school work.
4
Has difficulty sustaining attention to tasks or
activities
5
Has difficulty organising tasks or activities
6
Avoids, dislikes or reluctant to engage in tasks that
requires sustained mental effort
7
Loses things necessary for tasks or activities
8
Is easily distracted by external stimuli
9
Is forgetful in daily activities
10
Fidgets with hands or feet, squirms in seat
11
Leaves seat when remaining in seat expected.
12
Runs about or climbs excessively in situations when
remains seated is expected
13
Has difficulty playing or engaging in leisure activities
quietly
14
Is “on the go” or often acts as if “driven by motor”
15
Talks too much
16
Blurts out answers before questions have been completed
17
Has difficulty waiting his or her turn
18
Interrupts or intrudes on others
19
Argues with adults
20
Loses temper
21
Actively defies or refuses to comply with adult’s
requests or rules
22
Deliberately annoys people
23
Blames other for his or her mistakes or misbehaviour
24
Is touchy or easily annoyed by others
25
Is angry or resentful
26
Is spiteful or vindictive
27
Bullies, threatens 
or intimidate others
28
Initiate physical fights
29
Lies to obtain goods for favours or to avoid obligations
30
Is truant from school without permission
31
Is physically cruel to people
32
Has stolen items of nontrivial value
33
Deliberately destroys others property
34
Has used weapon that causes severe harm
35
Is physically cruel to animals.
36
Has deliberately sets fire to cause damage
37
Has broken into someone else’s house or business
38
Has stayed out at night without permission
39
As runaway from home overnight
40
Has forced someone into sexual activity
41
Is fearful, anxious, worried
42
Is afraid to try new things for fear of making mistakes
43
Feels worthless or inferior
44
Blames self for problems, feels guilty
45
Feels lonely, unwanted, unloved(complaints that no one
loves him or her)
46
Is sad, unhappy or depressed
47
Is self conscious or easily embarrassed
total
score
 Academic performance:
Sr no
performance
Problematic
Average
Above average
1
Reading
2
Mathematics
3
Written expression
Class room behaviour:
Sr No
Behaviour
Problematic
Average
Above average
1
Relations with peers
2
Following directions/rules
3
Disrupting class
4
Assignment completion
5
Organisational skills
Basing on this widely elaborative scale,
we can find out what is the severity of condition and progression of condition
during the treatment. 
Why ADHD most often misdiagnosed:
Most of the children are often readily
diagnosed with ADHD due to sleep troubles, careless mistakes, fidgeting or
forgetfulness. However some of the conditions are often misdiagnosed as ADHD as
it mirrors some of the symptoms.
Some of the conditions mistakenly
diagnosed as ADHD are, bipolar disorder, mood disorders, some of behavioural
problems, Autism, low blood sugar levels, sensory process disorders, sleep
disorders, hearing  problems.
Bipolar disorders are tends to develop
later after age 18, when ADHD develops early after 6 yrs age. ADHD is chronic
problem, while bipolar is episodic and remain dormant for periods between
outbursts. ADHD children are tends to be unnerved by overstimulation, while
bipolar children are typically respond to disciplinary action and conflicts with
authority figures. Depression, irritation and memory loss is commonly
associated with bipolar disorder but ADHD children do not experience despair as
a symptom.
Moods with someone with ADHD approach
suddenly and can dissipate quickly, but in bipolar it will goes longer for
hours and days. Lack of attention and easily distracted nature are common for
ADHD where as in bipolar mood disorders it is a pathological condition.
Children with Autism spectrum disorders
are often overexcited by stimulating environments and may struggle with social
interactions. The behaviour of autistic children may mimic the hyperactivity
and social developmental issues common in ADHD.
Something as benign as low blood sugar
levels also mimics the symptoms of ADHD. Children with low blood sugar levels
or hypoglycaemia show aggression, hyperactivity, inability to sit still and
inability to concentrate.
Sensory processing disorder can produce
symptoms similar to ADHD like, under or over sensitive to touch, movement, body
position, sound, taste, smell and may be accident prone or have difficulty in
paying attention, especially if they feel overwhelmed.
Children with ADHD, tend to difficulty in
calming down and falling asleep. However, some sleep disorders shows some
symptoms of ADHD because of lack of sleep. Lack of sleep causes difficulty in
concentrating, communicating and following instructions and creates decrease in
short term memory.
It may be difficult to diagnose hearing
problems in young children who do not know how to fully express themselves.
Children with hearing problem have hard time to pay attention because of
inability to hear properly. Missing details and underdeveloped communication
and difficulty in social situations mimics as lack of focus and concentration
often mistaken as ADHD symptoms.
However kids are kids after all. They are
easily get distracted, bored and doesn’t want to concentrate if they are not
interested in the particular activity. Even though they are normal, sometimes
teachers and parents compares with peers and mistaken as ADHD children. But
every child is unique in their activities, interests and behaviour and they may
be low or high in the behaviour compared to other peers which often mistaken as
ADHD symptoms. 
Treatment for ADHD:
Treatment of ADHD is aimed to reduce the
symptoms of disorder and improving the functioning. Treatment includes
medication, psychotherapy, education and training or a combination of both
medication and psychotherapy.
Medications include counterintuitive to
treat hyperactivity with stimulants which activates brain circuits to support
attention and focussed behaviour. But long term usage of these stimulants leads
to various side effects like, loss of appetite and insomnia.
Behaviour therapy main aim to improve
their behaviour and it involves practical assistance, such as help to organise
the tasks and completing the homework like that. Behavioural therapy also
teaches the child how to monitor his or her behaviour. Therapist can teach the
children social skills, such as how to wait for their turn, share toy, ask for
help or respond to teasing. Learning to read facial expression and tone of the
voice in others, and how to respond appropriately.
Homeopathy and ADHD:
Homeopathy is scientific system of
medicine which acts on the person as a whole not on the disease.
Individualistic and constitutional treatment, enable to take complete history
of the child including mother’s pregnancy history and take totality of the
symptoms of the child in mental, emotional and physical plane. Basing on the
symptom totality, correct homeopathic medication is drawn and treats the child.
Homeopathy helps to reduce the symptoms of ADHD without any side effects and
helps to improve their quality of life. Homeopathy definitely helps to cure the
ADHD cases, unless we can treat the person with correct and appropriate
medications. Side effects other system of medications also be treated with
homeopathic medication.
Homeopathic remedies indicated in ADHD
are, LACH, LYCO, RUTA, BELL, CHAM, THUJA, SULPH, OPIUM, SEPIA, STRAM, PHOS,
CALC-C, RHUS TOX, NAT-M, CHIN, CARCINOSIUM, NUX-M, PLAT, MEDO, ARN, BAR-C,
PULS, STAPH, ALUM, PHOS-AC.
RUBRICS which help in ADHD cases:
GENERAL-ENERGY EXCESS OF,
MIND- ABSENTMINDED
MIND- ABSORBED
MIND- ANSWERING, hastily
MIND- BROODING
MIND- CLIMBING, desire to
MIND- CONCENTRATION, difficult.
MIND- CONFUSION OF MIND
MIND- FORGETFUL
MIND- GESTURES makes
MIND- IMPATIENCE
MIND- LOQUACITY
MIND- MISTAKES, making calculating
MIND- MISTAKES, Differentiating objects
MIND- MISTAKES, Making reading
MIND- MISTAKES, Making writing, omitting
MIND- QUESTIONS, speaks continually in
answer, without waiting for,
MIND- RESTLESSNESS
MIND- RUNNING, desire for,
MIND- SENSITIVE, external impressions to
all
Indicated remedies for ADHD:
BARYTA CARB: dwarfish mentally and
physically. Inattentive and lack of concentration in class. Constant need of
physical as well as emotional support. Weakness of memory seems to forget
everything and doesn’t like change, shy and pick or bites his nails to show his
shyness. Delay in achieving motor skills, clumsy. Prone to recurrent
infections, great sensitive to cold weather. Absent minded, absorbed, aversion
to play and always clings to mother. 
Frightened easily. Laughing immoderately.
CALC CARB: indicated for sluggish
children, slow at school, slow at games, clumsy in action. Sluggishness in
their attitude, also feels happy constipated. Slow in speech, frequently
reflects long before answering. Habit of constantly putting fingers in mouth. Frightened
easily at trifles. Weak in geometry, makes mistakes in simple calculations.
Biting nails. Can not bear to be looked at. Head sweats profusely while
sleeping. Difficult and delayed dentition.
CAPSICUM: ailments from change of
residence, school. Extreme  sensitive ad
touchy children. Sluggish, placid and lazy, due to which the child hates any
form of physical exercise. Strong fear of reproach.  Children who feel unloved and uncared. Child
hates anything unexpected than the daily routine. Tendency to catch cold
easily.
CHAMOMILLA: excessive temper tantrums and
conduct disorders in children of mother who abused to drugs, coffee or tobacco.
Irritability and peevish. Cannot bear to be touched. Restless, move from person
to person, fidgety, extremely dissatisfied. They want to be carried and petted.
The child cannot enjoy music, sensitive to music. Child tends to put fingers in
mouth all the time. Capricious appetite and marked thirst.
CINA: cross, irritable, ill humoured,
cannot bear anything coming near, does not want to be touched. Desires many
things but rejects when offered. Temper tantrums and attention seeking
behaviour. Restless, cannot lie for five minutes, moves constantly. Cannot sits
in one place. Cannot resist touching anything on table. Not pleased or
satisfied with anything. Mischievous. Biting nails. Behavioural problems in
children. Constant desire to pick his nose until it bleeds.
HELLEBORUS: indicated for those who feel
stupid, that they cannot cope with life challenges. They are sluggish, dull,
unresponsive. Have difficulty in memorising and articulating thoughts. They
have tendency to despair, strong aversion to making any effort, yet are easily
angered.
LACHESIS: indicated for those loquacious,
agitated, hyperactive and restless. Moody with emotions. Conduct disorders characterised
by violent anger, biting, jealousy and rudeness. Always loves to interfere in
others conversations. Children who are born with feelings of hostility towards
world, their mothers also have similar feelings during pregnancy. Complaints
worst after or during sleep. Left sided complaints.
LYCOPODIUM: aversion to company, playing
outdoors, prefers to be in safe secure zones. Causeless crying. Lazy children,
tendency to procrastinate any work or duty given to him or her. Terrible hand
writing, weak in mathematics, especially in calculations. Helpful in dyslexic
children, who makes mistakes in reading, speaking and writing the words.
Restless, stamping their feet when sitting. Tendency to bite or put everything
in mouth.
However, these are some indicated remedies
but the careful observation, complete case history and reportorisation will
give a constitutional remedy indicated for child is the correct medication to
help in treating the ADHD children. 
Dr.Devendra Kumar MD(Homeo)
International Homeopathic Consultant at Ushahomeopathy
I am a Homeopathic Physician. I am practicing Homeopathy since 20 years. I treat all kinds of Chronic and Acute complaints with Homeopathic Medicines. Even Emergency conditions can be treated with Homeopathy if case is properly managed. know more about me and my research on my blog https://www.homeoresearch.com/about-me/
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Dear dr.sunitha thanks for such an informative elaborate article I have ever seen on the internet regarding Attention Deficit Hyperactivity Disorder (ADHD) and Homeopathic treatment.