By Leisch
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1997; Adler and Chua 2002). Recent research into brain imaging in the US suggests that whilst the brains of children with ADHD generally mature at a normal rate, some aspects of frontal brain development are delayed by up to three years (Shaw et al. 2007). This is most evident in the frontal cortex and temporal lobe areas, which play an important role in controlling and focusing thinking, attention and planning, suppressing inappropriate actions and thoughts and working for reward. These are all functions implicated in ADHD.
Whilst ICD-10 allows the diagnosis of hyperkinetic conduct disorder, it discourages the use of multiple diagnoses. When other disorders are present, the clinician is encouraged to diagnose these separately. In comparison, DSM-IV permits multiple comorbid diagnoses to coexist with ADHD with few exceptions. Despite differences relating mostly to symptom severity, weighting and pervasiveness, both the ICD-10 and the DSM-IV diagnostic frameworks recognise the symptoms of ADHD to be broadly similar.
2). 3). 3 ICD-10 criteria for impulsivity • • • • Often blurts out answers before the question is complete Often fails to wait turn in groups, games or queues Often intrudes into games or conversations Often talks excessively without response to social appropriateness Diagnostic and Statistical Manual of Mental Disorders (DSM) The DSM is a handbook for mental health professionals and includes standardised diagnostic criteria for a range of mental disorders (American Psychiatric Association 1994).