It is said to be the most common neurodevelopmental disorder in children and adolescents. Some experts are pushing back against a new set of guidelines.
was published to help parents and others understand ADHD and the different ways of managing it. But the guide itself has become controversial. So has the current push to have a primary diagnosis of ADHD supported by the cash-strapped NDIS., some experts argue there are “perils and pitfalls” in diagnosing children who have this disorder as disabled. ADHD is an ongoing pattern of behaviour that results in poor concentration and control of impulses, and interferes with functioning or development.
The guideline describes itself as “evidence-based” but Jureidini says only 12 of its recommendations are based on evidence, and the remaining 101 are based on opinion and experience.“Of the 12 recommendations, nine have low or very low-quality evidence. The remaining three are based on evidence of moderate quality,” he says.
Whitely says an evidence-based guideline would advise clinicians, teachers and parents to consider the predictable behavioural implications of relative immaturity, and be aware of it being misdiagnosed as ADHD.Meanwhile, Dr Melissa Raven, a psychiatric epidemiologist and also a member of the Adelaide University group, believes a campaign is under way “to sell” adult ADHD, encourage more diagnosis and drug treatment of children and adolescents, and support ADHD with the NDIS.
“We hope the senate inquiry will provide an opportunity for a more evidence-based understanding of the perils and pitfalls of labelling and treating children and adults who struggle with inattention, overactivity and/or impulsiveness,” Jureidini says.When asked if the Australian ADHD Professionals Association believed ADHD should be on the NDIS, its president, Professor David Coghill, said, ““I think people with ADHD should not be excluded from the NDIS.
Bellgrove says the guideline does not hone in on medication. “It talks more about psychological and psychosocial therapies for ADHD than any international guideline currently available.”
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