Sunday, 10 February 2008

hallowell and rateys diagnostic



Hallowell and Ratey's Diagnostic Criteria for ADD in Adults

found yourself putting the milk away in the cereal cupboard on a

regular basis or reading a magazine in the lobby long after that

meeting you were supposed to be at started and wondered whether you

have ADD or ADHD or AD/HD or Hyper Kinesis or Minimal Brain

Dysfunction or whatever they're calling it this year, you could do no

better for yourself than to turn to Doctors Edward M. Hallowell and

John J. Ratey for diagnosis.

I have long linked to their classic book on ADHD, "Driven to

Distraction", on my site and have used their list of criteria as

fodder for many articles. Their book explores the phenomenon of ADHD

through the cases of Dr. Hallowell and provides in depth descriptions

of the various aspects of this disorder. I found the book revelatory

and insightful, even comforting. I especially found it useful in

providing words for me to help explain myself better to my wife in the

early years of our marriage. I am much more articulate now than I was

then but I still find this book an irreplaceable reference to own.

For your convenience, I am listing their very comprehensive list of

criteria here with links to my articles based on each point. For more

information on each point, please refer to their book or follow the

link to my article. If you find yourself within these twenty points I

heartily recommend that you purchase their book or at least borrow it

from the town library. I feel confident that you won't regret it.

Please keep in mind, however, that ADHD traits mirror those found in

everyday, average people. The difference is in their intensity and

disfunction. Also keep in mind that this list tends to focus on the

negative aspects of ADHD.

SUGGESTED DIAGNOSTIC CRITERIA FOR ATTENTION DEFICIT DISORDER IN

ADULTS

NOTE: Consider a criterion met only if the behavior is considerably

more frequent than that of most people of the same mental age.

A. A chronic disturbance in which at least fifteen of the following

are present:

1. A sense of underachievement, of not meeting one's goals

(regardless of how much one has actually accomplished).

2. Difficulty getting organized.

3. Chronic procrastination or trouble getting started.

4. Many projects going simultaneously; trouble with follow-through.

5. Tendency to say what comes to mind without necessarily considering

the timing or appropriateness of the remark.

6. A frequent search for high stimulation.

7. An intolerance of boredom.

8. Easy distractibility, trouble focusing attention, tendency to tune

out or drift away in the middle of a page or a conversation, often

couple with an ability to hyperfocus at times.

9. Often creative, inituitive, highly intelligent.

10. Trouble in going through established channels, following "proper"

procedure.

11. Impatient; low tolerance for frustration.

12. Impulsive, either verbally or in action, as in impulsive spending

of money, changing plans, enacting new schemes or career plans,

and the like.

13. Tendency to worry needlessly, endlessly; tendency to scan the

horizon looking for something to worry about, alternating with

inattention to or disregard for actual dangers.

14. Sense of insecurity.

15. Mood swings, mood lability, especially when disengaged from a

person or a project.

16. Restlessness

17. Tendency toward addictive behavior.

18. Chronic problems with self-esteem.

19. Inaccurate self-observation.

20. Family history of ADD or manic-depressive illness or depression or

substance abuse or other disorders of impulse control or mood.

B. Childhood history of ADD.

C. Situation not explained by other medical or psychiatric

condition.

Driven to Distraction, page 73

tags technorati : ADD ADHD AD/HD Hallowell Ratey Diagnosis

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Labels: ADHD, Book Review, Hallowell and Ratey

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