How Can ADHD Present In Patients?

Although ADHD stands for Attention-Deficit/Hyperactivity Disorder, the Philadelphia area’s Dr. Jacob Buinewicz explains that many people focus only on the “H.” The image of a hyperactive child bouncing off the walls has practically become a cliché at this point. That said, there is truth to the energy abundance. It’s just not the whole truth.

There are three primary ways ADHD presents in patients. Here’s a brief look at what it may look like.

Predominantly Hyperactive-Impulsive Presentation

As illustrated above, this presentation is all about motion. Patients tend to exhibit hyperactivity, which may look like constant squirming in a chair, fidgeting, and spontaneous movement. It can also manifest as frequent interruptions of others’ conversations and activities, as well as difficulty in controlling impulses.

What seems difficult to manage in a classroom setting or a home can also be a source of power for those with this presentation. The drive behind the constant motion and activity can be channelled into benefits, including effort in sports and other physical activities, “big swings” at large or complicated projects, and dynamism that even inspires others to tackle challenges of their own.

Predominantly Inattentive Presentation

This presentation is less about fiddling and wiggling and more about struggling to maintain focus. While distractions can involve moving around, the biggest challenge comes in remembering steps in tasks—even important ones—or fully completing projects and other endeavors. Patients’ lives may appear chaotic, with living spaces marked by jumbles, piles, and half-finished chores. Details often get missed.

Happily, this presentation also tends to come with a rich and vibrant “inner” focus, with a dazzling imagination and ability to make unexpected connections thinks to a perspective that shifts and wanders instead of staying rigidly fixed within expected confines.

Combined Presentation

The duality of a combined Attention-Deficit/Hyperactivity Disorder leads to both challenges and triumphs for patients. On one hand, the presentation can involve difficulties focusing and remembering, as in sitting still and controlling physical impulses. On the other hand, the seemingly boundless energy of the hyperactivity can fuel the daydreamy creativity of the attention-deficit presentation.

What to Do?

Patients with ADHD—or parents of patients with ADHD—often wonder how to approach their condition. Many people want to minimize the challenges, but may be reluctant to give up aspects of the condition they have come to rely on as strengths. While medication is certainly a demonstrably beneficial approach, the pharmaceutical route should be accompanied by other strategies as well.

Dr. Buinewicz explains that there are multiple techniques that can be employed depending on the patient, including behavioral interventions that include the development of healthier patterns of behavior that aid in day-to-day living. This strategy equips patients with tools they can use to shape their condition to their ultimate benefit. By focusing on building routines, they can continue to enjoy their creativity while better managing their time and coping with deadlines.

Psychoeducation is another approach, which puts information at the forefront of the strategy. The old saying that “knowledge is power” can be especially true for ADHD patients who learn more about the “why” behind their condition, then use that information to grow, better control their impulses, and develop more empathetic relationships in their families and communities.

A third option, cognitive behavioral therapy, focuses on connecting our actions and responses—or behaviors—to their preceding thoughts. By discovering the relationship between the two, patients can better control how one impacts the other.

Finally, as with many conditions that impact mental health, paying attention to physical health is tremendously important. Ensuring quality sleep, a healthy diet, and consistent exercise and physical activity can decrease symptoms and increase a positive outlook and experience. The importance of a supportive community also cannot be overstated.

For more information about ADHD and available treatment strategies proven to help patients make a difference in their lives, contact Buckingham Psychiatry by sending a message online or calling 484.466.5560.