ADHD: Wan Joyn fɔ Ɔndastand ɛn Manej wan Yunik Bren

Di tɔys dɛn we gɛt bɔku bɔku kɔlɔ dɛn we bin skata rawnd di wet rum kin mek Rɛn in fes smayl, ɛn dis kin mek i mɛmba in bɔy pikin we nem Lio. Bɔt tide, dɛn jɔs de mek in at pwɛl mɔ ɛn mɔ. I bin de ya bikɔs ɔf Lio, in 7 ia ol pikin we bin brayt ɛn gɛt trɛnk, we bin de tray tranga wan na skul. I bin de fid ɔltɛm, i nɔ bin de pe atɛnshɔn igen, ɛn in ticha bin dɔn tɔk saful wan se ADHD kin apin. Wren in at bin de pen. I bin dɔn no ɔltɛm se Lio difrɛn, bɔt we i tink bɔt wan diagnosis , i bin fil bad. I bin dɔn si bak se in padi Ɔlivia de dil wit di sem tin wit in pikin. I bin mek apɔntinmɛnt wit Dɔktɔ Priya, we na dɛn famili dɔktɔ , ɛn i bin op se i go tɔk klia wan ɛn gayd am.

“Tɛnki fɔ we yu si wi, Dɔktɔ Priya,” Rɛn se, in vɔys tik wit wɔri as i sidɔm wit Lio we de fidget na di chia nia am. “A rili bisin bɔt Lio. In ticha bin tɔk bɔt ADHD , ɛn mi padi we nem Ɔlivia, we gɛt pikin we gɛt ADHD, tink se insɛf go gɛt am. I jɔs tan lɛk se i gɛt bɔku tin fɔ tek am.”

Dɔktɔ Priya, we na wan yɔŋ dɔktɔ we de mɛn di famili ɛn we gɛt sɔri-at, bin smayl fɔ mek i fil fayn. "I rili ɔndastand fɔ fil se yu dɔn fil bad, Wren. ADHD kin bi bɔku tin fɔ prosɛs. Bɔt i kin bi bak wan tin we rili kɔmɔn ɛn we pɔsin kin ebul fɔ manej. Lɛ wi bigin fɔ tɔk bɔt wetin na ADHD, aw i kin prɛzɛnt pan pikin dɛn, ɛn wetin wi kin du fɔ ɛp Lio. Wi go tɔk bak bɔt wetin i min fɔ big pipul dɛn, bikɔs bɔku pan di prɔblɛm dɛn na di sem."

Wetin na ADHD?

Dɔktɔ Priya bin bigin fɔ tɔk se: “ADHD min fɔ Atɛnshɔn Dɛfisit Hyperactivity Disorder.” "Na nyurodivεlכpmεnt kכndishכn, we min se i de afekt aw di bren de gro εn wok.Bכku tεm, pipul dεm we gεt ADHD kin gεt difrεns pan di bren aktiviti, mכtalman pan di εria dεm we de kכntro di atεnshכn,bihayvya , εn impuls dεm."

I bin tɔk mɔ se: “I impɔtant fɔ ɔndastand se ADHD nɔto fɔ sho aw pikin gɛt sɛns ɔ aw in mama ɔ papa ebul fɔ du sɔntin.” “Na tru tru difrɛns pan nyurolɔjik we kin mek i nɔ izi fɔ pe atɛnshɔn, fɔ kɔntrol di we aw pɔsin de fil, fɔ kɔntrol di tin dɛn we pɔsin kin want fɔ du, ɛn fɔ manej di wok dɛn we pɔsin kin du ɛvride .”

"Bɔku pipul dɛn kin gɛt sɔm kayn nɔ pe atɛnshɔn ɛn chenj na dɛn ɛnaji lɛvɛl, bɔt fɔ pɔsin we gɛt ADHD, dis kin apin mɔ ɛn mɔ ɛn i kin rili ambɔg dɛn layf, skul, wok, rilayshɔnship , ɔltin," Dɔktɔ Priya ADD ed.

Fɔ No di Sayn Dɛm: Di sayn dɛm fɔ ADHD

“So, wetin na di sayn dɛm fɔ ADHD, mɔ pan pikin lɛk Lio?” Wren aks, i bin de tray fɔ kɔnɛkt di dɔt dɛn.

Dɔktɔ Priya bin ɛksplen se: “Di sayn dɛn kin difrɛn, Wren. "Bɔt jɔs lɛk ɔl ɔda tin dɛn, dɛn kin de insay tri men grup dɛn: nɔ kin pe atɛnshɔn, fɔ du tin pasmak, ɛn fɔ du tin kwik kwik wan. I impɔtant bak fɔ pul ɛni ɔda mɛrɛsin we go de mek yu gɛt dɛn sik ya."

Nɔ Atɛnshɔn: Mɔ Pas fɔ Jɔs Drim De

• I nɔ izi fɔ pe atɛnshɔn: “Dis kin tan lɛk prɔblɛm we yu de pe atɛnshɔn na klas, we yu de du homwok, ɔ we yu de tray tranga wan fɔ fala di tin dɛn we dɛn tɛl yu fɔ du, mɔ if bɔku tin dɛn de we yu fɔ du.”
• Fɔgɛt: “Bɔku tɛm, i kin fɔgɛt asaynmɛnt, wok na os, ɔ apɔntinmɛnt.Lio kin fɔgɛt fɔ kam wit in lanch bɔks na os ɔ fɔgɛt se i dɔn praktis fɔ ple sɔk.”
• I tan lɛk se yu nɔ de lisin: “I tan lɛk se yu ‘spɛs aut’ ɔ yu nɔ mared we yu de tɔk to am dairekt wan.”
• Fɔ mek mistek we i nɔ tek tɛm mek: “Mis di ditel ɔ mek mistek pan skul wok bikɔs i nɔ de pe atɛnshɔn gud wan.”
• I nɔ izi fɔ ɔganayz di wok dɛn: “Fɔ tray tranga wan fɔ plan ɛn put di wok dɛn fɔs, we kin mek di rum nɔ rɔtin ɔ di prɔjek dɛn nɔ kin dɔn.”
• Fɔ lɔs tin dɛn ɔltɛm: “Fɔ nɔ put di skul tin dɛn, tɔys, ɔ ɔda impɔtant tin dɛn di rayt we.”
• Fɔ avɔyd wok dɛn we nid fɔ tray tranga wan na yu maynd: “Fɔ de tek tɛm du homwok ɔ fɔ fɛn ɛkskyuz fɔ avɔyd fɔ du tin dɛn we nɔ izi fɔ yu maynd.”

Hyperactivity: Mɔ pas fɔ jɔs bi ɛnaji

• Fidget ɛn swɛt: “I de muv ɔltɛm, tap in fut, fidget wit in an, ivin we i fɔ sidɔm stil, lɛk na klas.”
• Nɔ rɛst: “Fɔ fil lɛk se i nɔ de rɛst, lɛk se i nɔ ebul fɔ rilaks ɔ sidɔm fɔ lɔng tɛm.”
• Rɔn ɔ klaym we nɔ fayn: “Yu bin tɔk se Lio lɛk fɔ klaym, Wren. We i de du tin pasmak, i kin bi na tin dɛn we i nɔ sef ɔ we nɔ fayn, lɛk fɔ klaym pan fɔnicha insay os.”
• I nɔ izi fɔ ple kwayɛt wan: “I de tray tranga wan fɔ du kwayɛt tin dɛn ɔ tin dɛn we i lɛk fɔ du. I kin nid fɔ de ‘we de go.’ ɔltɛm.”
• Fɔ tɔk pasmak: “Tɔk pas ɔda pikin dɛn, bɔku tɛm i kin ambɔg ɔ kɔntrol di tɔk dɛn.”

Impulsivity: Akt Bifo Yu Tink

• We yu de tɔk klia wan se: “Fɔ kɔl na klas we yu nɔ wet fɔ mek dɛn kɔl yu.”
• Fɔ ambɔg di tɔk-tɔk: “Bɔt insay tɔk ɔ aktiviti dɛn we dɛn nɔ invayt yu.”
• I nɔ izi fɔ wet fɔ dɛn tɔn: “Dɛn de tray tranga wan fɔ wet na layn ɔ fɔ tek dɛn turn na gem dɛn.”
• Fɔ du tin we yu nɔ tink bɔt di bad tin dɛn we go apin to yu: “Fɔ du tin dɛn we de mek yu gɛt prɔblɛm ɛn nɔ tink bɔt di bad tin dɛn we go apin to yu.”

Dɔktɔ Priya bin tɔk bak se: “I impɔtant fɔ mɛmba se dɛn tin ya na jɔs ɛgzampul dɛn. "Nɔto ɔl pikin we gɛt ADHD go gɛt ɔl dɛn sik ya, ɛn di kayn we aw dɛn kin biev kin difrɛn. Dɔn bak, bɔku pan dɛn tin ya kin bi di kayn we aw dɛn kin biev we dɛn smɔl, so i kin at fɔ no wetin gɛt fɔ du wit ADHD ɛn wetin nɔ gɛt fɔ du wit ADHD."

Di Difrɛn Tayp dɛn fɔ ADHD

Wren bin mɛmba se: “Difrɛn kayn ADHD dɛn de?Mi padi Ɔlivia bin tɔk bɔt sɔntin bɔt dat.

Dɔktɔ Priya bin kɔnfyus se: “Yɛs, dɛn de.” “Di American Psychiatric Association no tri men prɛzɛntɛnshɔn dɛm fɔ ADHD:”

1. Predominantly Inattentive Prɛzɛnteshɔn

Dɔktɔ Priya bin ɛksplen se: “Na dis dɛn bin de kɔl ADD trade. "Pipul wae gɛt dis kayn tin kin strɛs mɔ wit di sayn dɛm wae de sho se dɛn nɔr de pe atɛnshɔn.I kin izi fɔ lɛ dɛn nɔ pe atɛnshɔn to dɛn, dɛn kin fɔgɛt, ɛn i nɔ kin izi fɔ ɔganayz di wok dɛn we dɛn kin du. Bɔt dɛn nɔ kin du tin pasmak ɔ dɛn nɔ kin du tin kwik kwik wan."

“I fayn fɔ no se, risach dɔn sho se dɛn nɔ kin no dis kayn sik pan pikin dɛn, mɔ di gyal pikin dɛn, bikɔs dɛn nɔ kin sho di we aw dɛn de biev we kin ambɔg dɛn we kin mek dɛn pe atɛnshɔn to di strɛs we dɛn kin gɛt na klasrum.”

2. Prεdכminantly Hyperactive-Impulsive Prεzεntεshכn

Dɔktɔ Priya bin tɔk se: “Di wan dɛn we gɛt dis kayn tin kin gɛt mɔ aktiviti ɛn dɛn kin du tin kwik kwik wan.” "Dɛn kin fidget ɔltɛm, gɛt prɔblɛm fɔ sidɔm, tɔk pasmak, ɛn ambɔg ɔda pipul dɛn. Pan ɔl we dɛn nɔ kin pe atɛnshɔn, i nɔ kin klia pas di hyperactive-impulsive symptoms."

3. Kɔmbayn Prɛzɛnteshɔn

Dɔktɔ Priya bin tɔk se: “Dis na di kayn ADHD we bɔku pipul dɛn kin gɛt.” “Pipul dɛn we gɛt di kɔmbayn prɛzɛntɛnshɔn kin gɛt wan impɔtant miks pan ɔl tu di simptom dɛn we nɔ de pe atɛnshɔn ɛn we de mek pɔsin fil bad.”

I bin tɔk bak se: “I impɔtant bak fɔ no se di we aw pɔsin kin si ADHD kin chenj as tɛm de go.” “Pikin we de mɔna pipul dɛn we de du tin pasmak, kin nɔ pe atɛnshɔn mɔ as dɛn de ol.”

Wetin kin mek pɔsin gɛt ADHD? Fɔ Eksplɔrɔ di Rut dɛn

“Wetin kin mek pɔsin gɛt ADHD fɔs?” Wren aks, i bin de luk fɔ ɛksplen fɔ di prɔblɛm dɛn we Lio bin gɛt.

Dɔktɔ Priya bin ansa se: “Pan ɔl we wi nɔ gɛt ɔl di ansa dɛn yet, risach dɔn sho se na tin dɛn we dɛn kin du togɛda.”

• Jɛnɛtiks: “Bɔku tɛm, ADHD kin rɔn na famili, we kin sho se na wan strɔng jenɛtik pat.If mama ɔ papa ɔ brɔda ɛn sista gɛt ADHD, pikin kin gɛt am bak.”
• Bren Structure and Function: “Stɔdi dɔn sho difrɛns pan di bren strɔkchɔ ɛn di wok we pipul dɛn we gɛt ADHD de du, mɔ pan tin dɛn we gɛt fɔ du wit atɛnshɔn, impuls kɔntrol, ɛn ɛgzibit wok.Fɔ ɛgzampul, sɔm risach dɔn sho se pipul dɛn we gɛt ADHD kin gɛt smɔl grey matter volyum na sɔm bren rijyɔn dɛn.”
• Nyurotransmitta dɛn: “Dɛn biliv se we sɔm kemikal dɛn na di bren nɔ balans, mɔ di dopamin ɛn norepinephrine, kin ɛp fɔ du sɔntin. Dopamine de involv fɔ mek pɔsin want fɔ du sɔntin, fɔ blɛs am, ɛn fɔ muv, bɔt norepinephrine de involv fɔ mek pɔsin de wach ɛn pe atɛnshɔn. Risach dɔn sho se we di dopamine we de na di bren dɔn go dɔŋ, dat kin mek i gɛt ADHD.”
• Di Tin dɛn we De Insay di Envayrɔmɛnt: “Pan ɔl we nɔto dairekt kɔz, sɔm tin dɛn we de apin na di envayrɔmɛnt we uman gɛt bɛlɛ ɔ we i smɔl kin mek di prɔblɛm bɔku, lɛk we pɔsin gɛt pɔyzin lɛk lid, pikin we i bɔn bifo tɛm, ɔ we i bɔn smɔl.”
• Prenatal Exposure: “Sɔm stɔdi dɛn dɔn sho se if pɔsin smok we i gɛt bɛlɛ, dat kin mek di pikin dɛn gɛt ADHD.”

Dɔktɔ Priya bin tɔk mɔ se: “I go mɔs bi se na kɔmpleks tin dɛn we dɛn kin du togɛda, pas fɔ bi wan tin we kin mek dɛn du am.”

Fɔ Gɛt di Diagnosis: Wan Kɔmprɛhɛnsif Ɛvalueshɔn

“So, aw dɛn kin no se pɔsin gɛt ADHD?” Wren bin aks. “Wan patikyula tɛst de?”

Dɔktɔ Priya bin ɛksplen se: “No wan tɛst nɔ de fɔ ADHD, lɛk blɔd tɛst.” “Di diagnosis de bays pan wan kɔmprɛhnsiv ɛvalueshɔn we de tink bɔt difrɛn tin dɛn.”

Step dɛn fɔ wan ADHD Evalueshɔn

1. Klinik Intavyu: “Di dɔktɔ go tɔk to yu, ɛn if i pɔsibul yu pikin, bɔt dɛn sik, mɛdikal histri, famili histri, ɛn ɛnitin we de mɔna dɛn.Dɛn go aks bɔt ustɛm di sik bigin, aw dɛn kin afɛkt ɛvride layf, ɛn if dɛn kin apin na bɔku say dɛn (ɛgz., os, skul, soshal sityueshɔn dɛn).”
2. Simptom Checklist ɛn Rating Scales: “Bɔku tɛm, dɛn kin yuz standad kwɛstyɔn ɛn raytin skel fɔ gɛda infɔmeshɔn frɔm mama ɛn papa, ticha, ɛn sɔntɛnde di pɔsin insɛf.Dɛn tul ya kin ɛp fɔ no aw di ADHD simptom dɛn kin gɛt ɔltɛm ɛn aw i kin tranga bay we dɛn de fala di krayteria fɔ no if pɔsin gɛt ADHD.”
3. Di tin dɛn we yu de si aw yu pikin de biev: “Di dɔktɔ kin wach aw yu pikin de biev, ilɛksɛf na di ɔfis ɔ tru di ripɔt dɛn we ticha dɛn ɔ ɔda pipul dɛn we de kia fɔ yu pikin dɛn kin gi, ɛn i kin luk fɔ sayn dɛn we de sho se i nɔ de pe atɛnshɔn, i kin du tin pasmak, ɛn i kin du tin kwik kwik wan.”
4. Mɛdikal Ɛgzamin: “I impɔtant fɔ ɛgzam in bɔdi fɔ mek yu nɔ gɛt ɔda sik dɛn we go mek yu gɛt di sem kayn sik, lɛk we yu gɛt tayroyd prɔblɛm, we yu nɔ de slip fayn, ɔ we yu nɔ de yɛri fayn.”
5. Edukeshɔnal Asɛsmɛnt: “Fɔ pikin dɛn we dɔn rich skul ej, infɔmeshɔn frɔm di skul bɔt aw dɛn de du dɛn skul, aw dɛn de biev, ɛn ɛni prɔblɛm we dɛn gɛt fɔ lan rili impɔtant.Skul dɛn kin du asɛsmɛnt fɔ ɛp fɔ no if dɛn gɛt di sik.”

Dɔktɔ Priya bin tɔk bak se: “Dɛn kin no if pɔsin gɛt ADHD if i mit sɔm patikyula tin dɛn we dɛn rayt na di Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5).” “Dεn krayteria dεm ya inklud wan pεrsistεnt patεn fכ inatεnshכn εn/כ haypa aktiviti-impulsiviti we de intafεr wit fכnshכn כ divεlכpmεnt, wit di sayn dɛn we kin apin bifo i ol 12 ia ɛn na bɔku say dɛn.”

Di we dɛn fɔ trit: Wan we we gɛt bɔku bɔku tin dɛn fɔ du

If Lio gɛt ADHD, wetin na di tritmɛnt we dɛn go yuz?” Wren aks, op ɛn fred miks na in vɔys.

Dɔktɔ Priya bin mek i biliv se: “Di gud nyus na dat, dɛn kin rili trit ADHD.” “Di we aw dɛn kin du tin we go wok fayn pas ɔl kin gɛt fɔ du wit wan kɔmbayn strateji dɛn we dɛn mek fɔ di pɔsin in nid.”

1. Bihayvya Tɛrapi: Lanin Skil fɔ Sakses

Dɔktɔ Priya bin ɛksplen se: “Bɔku tɛm, di tritmɛnt we dɛn kin gi pɔsin fɔ biev na di fɔs tritmɛnt, mɔ fɔ yɔŋ pikin dɛn.” “I de pe atɛnshɔn fɔ tich prɛktikal skil dɛm fɔ manej ADHD simptom dɛm ɛn fɔ mek yu wok fayn ɛvride.”

• Mama ɛn Papa Trenin: “Fɔ pikin dɛn we gɛt ADHD, fɔ tren mama ɛn papa dɛn rili impɔtant.I de tich mama ɛn papa dɛn fayn fayn we dɛn fɔ manej dɛn pikin in bihayvya, fɔ sɛt klia ɛkspɛkteshɔn, fɔ yuz gud riinfɔsmɛnt, ɛn fɔ mek wan strɔkchɔ ɛnvayrɔmɛnt.”
• Klasrum Manejmɛnt: “Ticha dɛn kin impruv strateji dɛn na klasrum fɔ sɔpɔt pikin dɛn we gɛt ADHD, lɛk fɔ gi klia instrɔkshɔn, fɔ sheb di wok dɛn to smɔl smɔl tin dɛn, fɔ yuz tin dɛn we pɔsin kin si, ɛn fɔ gi dɛn brek ɔltɛm.”
• Cognitive Behavioral Therapy (CBT): "CBT kin ɛp fɔ big pikin dɛm, yɔŋ pipul dɛm, ɛn big pipul dɛm we gɛt ADHD. I kin ɛp wan wan pipul dɛm fɔ no ɛn chenj di bad we aw dɛn de tink ɛn biev we kin mek dɛn gɛt prɔblɛm.I kin tich bak aw fɔ bia wit di prɔblɛm fɔ kɔntrol di strɛs, fɔ mek dɛn ɔganayz fayn, ɛn fɔ mek dɛn ebul fɔ yuz dɛn tɛm fayn fayn wan."
• Sɔshial Skil Trenin: “Sɔm pipul dɛn we gɛt ADHD kin strɛs wit sɔshal intarakshɔn.Soshal skil trenin kin ɛp dɛn fɔ lan fɔ ɔndastand gud gud wan soshal cues, fɔ tɔk to dɛnsɛf fayn fayn wan, ɛn fɔ mek dɛn gɛt gud padi biznɛs.”

2. Mɛrɛsin: Fayn-Tyuning Bren Kwɛstyɔn

Dɔktɔ Priya bin tɔk se: “Mɛdikeshɔn kin rili wok fayn pan wan ADHD tritmɛnt plan, mɔ fɔ di wan dɛn we gɛt mɔdaret to siriɔs sik dɛn.” “I impɔtant fɔ ɔndastand se mɛrɛsin nɔ de mɛn ADHD, bɔt i kin rili ɛp fɔ mek pɔsin pe atɛnshɔn mɔ, i kin mek i nɔ ebul fɔ du bɔku tin ɛn i nɔ kin du tin kwik kwik wan, ɛn i kin ɛp wan wan pipul dɛn fɔ ebul fɔ kɔntrol in sik dɛn fayn fayn wan.”

Stimulants: Di tin we dɛn kin pik pas ɔl

Dɔktɔ Priya bin ɛksplen se: “Stimulants na di mɛrɛsin dɛn we dɛn kin gi pɔsin fɔ ADHD.” “Dɛn de wok bay we dɛn de mek di dopamin ɛn norepinephrine we de na di bren go ɔp, we na nyurotransmitta dɛn we de ple impɔtant pat fɔ pe atɛnshɔn, . di tin dɛn we de mek pɔsin want fɔ du sɔntin, ɛn fɔ kɔntrol di tin dɛn we i want fɔ du.”

• Methylphenidate (Ritalin, Concerta): “Dis na wan tin we bɔku pipul dɛn kin yuz fɔ mek pɔsin fil fayn we kin kam insay shɔt akt, intamɛdiet-akt, ɛn lɔng-aktin fɔmyulashɔn.”
• Amphetamine-Based Stimulants (Adderall, Vyvanse): "Dεn stimulant dεm de bak insay difrεn fכmulashכn dεm. Vyvanse, fכ egzampl, na prodrug, we min se i de kכnvכlt to di aktif fכm (dextroamphetamine) na di bכdi. Dis kin gi wan smol, mכr sכmtεm ifekt εn i kin rεdכks di pכtεnshal fכ misyuz."

Dɔktɔ Priya bin wɔn se: “I impɔtant fɔ no se pan ɔl we bɔku tɛm, di tin dɛn we de mek pɔsin fil fayn kin sef ɛn i kin wok fayn we dɛn yuz dɛn lɛk aw dɛn tɛl dɛn fɔ du am, dɛn kin gɛt bad bad tin dɛn fɔ du.” "Di sayd ɛfɛkt dɛn we kin apin na we i nɔ kin want fɔ it, i nɔ kin izi fɔ slip, i kin at fɔ ed, ɛn i kin at na di bɛlɛ. Nɔto ɔltɛm, i kin mek i gɛt tik ɔ chenj in maynd. I rili impɔtant fɔ wok klos wit dɔktɔ we yu de tek dɛn mɛrɛsin ya."

Nɔn-Stimulant: Ɔda Opshɔn dɛn

Dɔktɔ Priya bin tɔk se: “If di tin dɛn we de mek pɔsin fil fayn nɔ wok ɔ dɛn nɔ ebul fɔ tek am fayn, ɔ if pɔsin de wɔri bɔt aw fɔ yuz am, di mɛrɛsin dɛn we nɔ de mek pɔsin fil fayn na ɔda tin we pɔsin kin du.”

• Atomoxetine (Strattera): "Dis na selektiv norepinephrine reuptake inhibitor. I de wok bay we i de inkrisayz di norepinephrine levels na di bren, we kin mek yu pe atɛnshɔn ɛn ridyus impulsivity. I nɔto sɔntin we dɛn kin kɔntrol lɛk stimulant, ɛn i kin bi gud opshɔn fɔ pipul dɛn we gɛt histri bɔt sɔbstans abiuz ɔ di wan dɛn we gɛt bɔku sayd ɛfɛkt frɔm stimulant."
• Guanfacine (Intuniv) ɛn Clonidine (Kapvay): "Dɛn mɛrɛsin ya na alpha-2 adrenergic agonists. Fɔs, dɛn bin mek dɛn fɔ trit ay blɔd prɛshɔn bɔt dɛn dɔn si bak se dɛn kin ɛp fɔ gɛt ADHD, mɔ fɔ kɔntrol di we aw pɔsin kin du tin pasmak ɛn we i nɔ kin izi fɔ du.
• Sɔm mɛrɛsin wae de mek pɔrsin fil bad: “Sɔm mɛrɛsin wae de mek pɔrsin fil bad lɛk bupropion (Wellbutrin), kin ɛp sɔmtɛm fɔ gɛt ADHD, mɔr lɛk wae i kin kam wit pwɛl hat .

Dɔktɔ Priya bin tɔk mɔ se: “Fɔ pik di rayt mɛrɛsin ɛn di doz na tin we nid fɔ tek tɛm tink bɔt am ɛn dɔktɔ fɔ wach am gud gud wan.” "Wetin go wok fayn fɔ wan pɔsin nɔ go wok fɔ ɔda pɔsin. Bɔku tɛm, i kin tek sɔm tɛm fɔ tray ɛn mek mistek fɔ fɛn di bɛst mɛrɛsin ɛn di doz we go gi di bɛst bɛnifit wit di smɔl sayd ɛfɛkt dɛn."

Ritalin vs. Adderall: Wan Kɔmɔn Dilema

Wren bin tɔk se: “A dɔn yɛri bɔku tin bɔt Ritalin ɛn Adderall. “Wetin difrɛn, ɛn aw yu kin disayd uswan bɛtɛ?”

Dɔktɔ Priya bin gri se: “Dat na kwɛstyɔn we dɛn kin aks bɔku tɛm.” Ritalin ɛn Adderall ɔl tu na mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn ADHD. Dɛn ɔl tu de wok bay we dɛn de mek di dopamine ɛn norepinephrine lɛvɛl go ɔp na di bren, bɔt dɛn gɛt sɔm impɔtant difrɛns dɛn:”

• Ritalin (Mɛtilfenidat): .
  • di mεkanism: fכs i de blכk di riuptek fכ dopamin εn norepinephrine, we de inkrεs dεn avεlaybl insay di sinaps (di spεs bitwin di nεv sεl dεm).
  • di tεm we i kin bigin εn di tεm we i kin tek: Jεnarali i kin bigin fכ akshכn kwik bכt i kin tek sכt tεm we yu kכmpεr am wit Adderall. di fכmulashכn dεm we de akt sכt kin las 3-4 awa, we di fכmyuleshכn dεm we de akt fכ lכng kin las 6-12 awa.
  • Sayd ɛfɛkt: Di kɔmɔn sayd ɛfɛkt dɛn kin tan lɛk ɔda tin dɛn we kin mek pɔsin fil fayn ɛn i kin bi se i nɔ kin want fɔ it, i nɔ kin slip, i kin gɛt ed we i kin at, i kin at na in bɛlɛ, ɛn i kin mek i fred.
• Adɛral (Amfɛtamin/Dɛkstroamfɛtamin): .
  • di mεkanism: nכ de כnli blכk di riuptek fכ dopamin εn norepinephrine bכt i de mek dεn kכmכt frכm di nεv sεl dεm.
  • Aw i kin bigin ɛn aw i kin tek am: I kin tan lɛk se i kin bigin fɔ du am sloslo bɔt i kin tek lɔng tɛm we yu kɔmpia am wit Ritalin. di fכmyuleshכn dεm we de akt sכt kin las 4-6 awa, we di fכmulashכn dεm we de wok fכ lכng kin las 10-12 awa כ pas dat.
  • Sayd Ɛfɛkt: I tan lɛk Ritalin, bɔt i kin gɛt smɔl ay potenshal fɔ mek sɔm pipul dɛn nɔ want fɔ it ɛn fɔ mek dɛn nɔ slip fayn.

Dɔktɔ Priya bin ɛksplen se: “Bɔku tɛm, di tin we pɔsin kin disayd fɔ du bitwin Ritalin ɛn Adderall kin kam pan di we aw wan wan pɔsin kin ansa ɛn wetin i lɛk.” “Sɔm pipul dɛn kin si se wan mɛrɛsin kin wok fɔ dɛn pas di ɔda wan, ɔ dɛn kin bia wan mɛrɛsin bɛtɛ we i kam pan di bad tin dɛn we kin apin to dɛn. Bɔku tɛm, i kin nid fɔ tray sɔm tin dɛn fɔ no di bɛst we fɔ du am.”

I bin tɔk bak se: “Ɔda mɛrɛsin dɛn de bak we de mek pɔsin fil fayn, lɛk Vyvanse, lɛk aw yu bin dɔn tɔk.” "Vyvanse na prodrug fɔ dextroamphetamine, we min se i de chenj to di aktif fɔm na di bɔdi. Dis kin rili mek i smol, smɔl smɔl ifɛkt ɛn i kin ridyus di pɔtnɛshɛl fɔ misyuz. Bɔku tɛm dɛn kin tray am if prɔblɛm dɛn de we de tolɛret Adderall ɔ Ritalin."

Di we aw dɛn nɔ de tek mɛrɛsin: Layf ɛn Sɔpɔt

“Ɛni ɔda tin dɛn de we wi kin du, apat frɔm mɛrɛsin, fɔ ɛp Lio?” Wren aks, i bin want fɔ fɛn ɔl di opshɔn dɛn.

Dɔktɔ Priya bin tɔk klia wan se: “Fɔ tru.” “Di chenj dɛn we dɛn kin chenj di we aw pɔsin de liv in layf ɛn di we aw dɛn kin sɔpɔt pɔsin kin ple impɔtant pat fɔ mek dɛn ebul fɔ kɔntrol ADHD.”

• Ɛksesaiz ɔltɛm: “Fɔ du ɛksasaiz na fayn we fɔ ɛp fɔ kɔntrol di sayn dɛn we de sho se pɔsin gɛt ADHD.I kin mek pɔsin ebul fɔ pe atɛnshɔn mɔ, i kin mek i nɔ ebul fɔ du bɔku tin, i kin mek i fil fayn, ɛn i kin mek i slip fayn.”
• Fɔ it tin dɛn we gɛt wɛlbɔdi: “Fɔ it tin dɛn we gɛt bɔku frut, vɛjitebul, ɔl gren, ɛn tin dɛn we nɔ gɛt bɛtɛ bɔdi, dat kin ɛp fɔ mek ɔlman gɛt wɛlbɔdi ɛn in bren wok.
• Slip Sufayf: “Fɔ slip fayn rili impɔtant fɔ ɔlman, bɔt i impɔtant mɔ fɔ pipul dɛn we gɛt ADHD.We pɔsin nɔ de slip fayn, i kin mek di sayn dɛn we de sho se i nɔ de pe atɛnshɔn, i kin du tin pasmak, ɛn i kin mek i nɔ want fɔ du sɔntin.”
• Structure and Routine: “Fɔ mek wan kɔnsistɛns rutin ɛvride wit schedule we yu kin no bifo tɛm fɔ it, homwok, aktiviti, ɛn fɔ slip kin rili ɛp, mɔ fɔ pikin dɛn we gɛt ADHD.”
• Ɔganayzeshɔn Strateji: “We yu yuz tin dɛn lɛk fɔ plan, chɛklist, ɛn fɔ mɛmba tin dɛn we yu kin si, dat kin ɛp fɔ ɔganayz ɛn fɔ yuz yu tɛm.”
• Tɛknik fɔ Tink ɛn Rilaks: “Praksis lɛk fɔ tink gud wan, fɔ du ɛksesaiz fɔ blo dip, ɛn fɔ du yoga kin ɛp fɔ mek yu pe atɛnshɔn, fɔ mek yu nɔ strɛs, ɛn fɔ mek yu fil fayn.”
• Mama ɛn Papa ɛn Ticha Sɔpɔt: Dis impɔtant fɔ ɛp dɛn fɔ ɔndastand di pikin.

Executive Dysfunction: Di Strɔgl we Ayd

Rɛn bin tɔk se: “Mi padi we nem Ɔlivia bin tɔk bak bɔt sɔntin we dɛn kɔl ‘ɛgzibit disfɔkshɔn.’ “Wetin na dat, ɛn aw i gɛt sɔntin fɔ du wit ADHD?”

Dɔktɔ Priya bin ɛksplen se: “Ɛgzibit disfɔkshɔn na wɔd we dɛn kin yuz fɔ tɔk bɔt prɔblɛm dɛn wit wan sɛt ɔf mental skil dɛn we impɔtant fɔ plan, ɔganayz, stat ɛn dɔn di wok dɛn, fɔ manej tɛm, fɔ pe atɛnshɔn, ɛn fɔ rigul di filin dɛn.” “Bɔku tɛm, dɛn tin ya nɔ kin izi fɔ pipul dɛn we gɛt ADHD.”

I kɔntinyu fɔ tɔk se: “Tink bɔt di ɛgzibit wok dɛn as di ‘CEO’ na yu bren.” “Dɛn gɛt di wok fɔ manej ɛn kɔdinɛt ɔl di ɔda kɔgnitiv prɔses dɛm.”

Kɔmɔn Chalenj dɛm fɔ Ɛgzibit Disfɔkshɔn na ADHD

• Plan ɛn Fɔ Prioriti: “Fɔ tray tranga wan fɔ plan di prɔjek dɛn, sheb di wok dɛn to smɔl smɔl tin dɛn, ɛn put wetin nid fɔ du fɔs.”
• Ɔganayzeshɔn: “I nɔ izi fɔ kip trak fɔ di tin dɛn we yu gɛt, fɔ yuz di tɛm fayn fayn wan, ɛn fɔ kip di wokples we ɔganayz.”
• Wok Mɛmori: “Trɔbul fɔ kip infɔmeshɔn na yu maynd we yu de wok pan wan wok, lɛk fɔ mɛmba instrɔkshɔn ɔ fɔ fala bɔku tin dɛn we yu fɔ du.”
• Initiation and Follow-Through: “I nɔ kin izi fɔ stat fɔ du wok, mɔ di wan dɛn we pipul dɛn kin si se kin mek pɔsin taya ɔ we nɔ izi fɔ du, ɛn fɔ tray tranga wan fɔ kɔntinyu fɔ gɛt maynd ɛn fɔ dɔn dɛn.”
• Atɛnshɔn Rigyuleshɔn: “Fɔ mek pɔsin in maynd izi fɔ pul in maynd pan, fɔ gɛt prɔblɛm fɔ chenj yu maynd bitwin wok dɛn we yu fɔ du, ɛn fɔ tray tranga wan fɔ kɔntinyu fɔ pe atɛnshɔn to yu fɔ lɔng tɛm.”
• Imɔshɔnal Rigyuleshɔn: “Fɔ fil bad bad wan, i nɔ kin izi fɔ yu fɔ kɔntrol di we aw yu at pwɛl ɔ we yu vɛks, ɛn we yu kin want fɔ du sɔntin ɔltɛm.”
• Fɔ Wach yusɛf: “I nɔ kin izi fɔ yu fɔ no aw pɔsin de du tin, fɔ no se i dɔn mek mistek, ɛn fɔ mek chenj dɛn as nid de.”

Dɔktɔ Priya bin tɔk bak se: “Dɛn prɔblɛm dɛn ya kin rili afɛkt di we aw pɔsin de lan buk, di we aw i de wok, ɛn di layf we i de liv ɛvride.” “I impɔtant fɔ adrɛs ɛgzibit disfɔkshɔn spɛshal wit strateji lɛk fɔ yuz vijual ɛd, brok dɔŋ wok, yuz tayma ɛn mɛmba, ɛn mek wan strɔkchɔ ɛnvayrɔmɛnt.”

ADHD pan Big Pipul Dɛn: Nɔto Jɔs Tin we De Na Pikin

Dɔktɔ Priya bin tɔk se: “Pan ɔl we wi dɔn de pe atɛnshɔn pan Lio, i impɔtant fɔ mɛmba se ADHD kin afɛkt big pipul dɛn bak.” "Dɛn nɔ ɛva no se bɔku big pipul dɛn we gɛt ADHD we dɛn bin smɔl. Dɛn kin dɔn gɛt di we aw dɛn kin ebul fɔ bia wit di prɔblɛm dɛn we dɛn de du fɔ lɔng tɛm, bɔt dɛn kin stil de tray tranga wan fɔ lɛ dɛn nɔ pe atɛnshɔn to dɛn, dɛn kin du tin kwik kwik wan, ɛn dɛn nɔ kin ebul fɔ du di wok fayn fayn wan."

I bin ɛksplen se: “Adult ADHD kin sho difrɛn we pas di ADHD we pikin dɛn gɛt.” "Di we aw pɔsin kin du tin pasmak nɔ kin rili klia, pan ɔl we i nɔ kin izi fɔ pe atɛnshɔn, nɔ ɔganayz, ɛn i kin gɛt prɔblɛm wit di we aw pɔsin de fil. I kin ambɔg di we aw pɔsin de wok, di rilayshɔnship, ɛn di wan ol kwaliti fɔ layf."

Kɔmɔn Sayn dɛn fɔ Adult ADHD

• I nɔ kin izi fɔ pe atɛnshɔn pan di mitin dɛn ɔ we wi de tɔk to pipul dɛn.
• Trobul fɔ manej di tɛm ɛn fɔ mit di de dɛn we dɛn fɔ dɔn du am.
• Fɔ de tek tɛm ɛn fɔ mek i nɔ izi fɔ bigin ɔ fɔ dɔn di wok dɛn.
• Nɔr kin rɛst ɛn nɔr kin ebul fɔ rilaks.
• Fɔ du tin kwik kwik wan, lɛk fɔ ambɔg ɔda pipul dɛn ɔ fɔ disayd fɔ du sɔntin wantɛm wantɛm.
• Fɔgɛt ɛn i nɔ kin izi fɔ mɛmba di apɔntinmɛnt ɔ kɔmitmɛnt dɛn.
• Imɔshɔnal disrɛgyuleshɔn, lɛk fɔ chenj in maynd ɔr i nɔr kin izi fɔ kɔntrol wae yu vɛks.
• Rilayshɔnship prɔblɛm bikɔs ɔf fɔgɛt, nɔr de pe atɛnshɔn, ɔr de du tin kwik kwik wan.

Dɔktɔ Priya bin advays se: “If ɛni wan pan dɛn tin ya gri wit yu, Rɛn, i fayn fɔ mek yu tɔk to yu dɔktɔ.” “Bɔku tɛm, dɛn nɔ kin no se big pipul dɛn gɛt ADHD, bɔt dɛn kin gɛt fayn tritmɛnt dɛn.” Dɛn se pas 60 pasɛnt pan di pikin dɛn we dɛn kin no se gɛt ADHD kin kɔntinyu fɔ gɛt di sik te dɛn big.

Kɔndishɔn dɛn we de apin togɛda: We ADHD nɔ de travul in wan

Dɔktɔ Priya bin tɔk se: “I impɔtant bak fɔ no se bɔku tɛm, ADHD kin de togɛda wit ɔda tin dɛn we kin apin to pɔsin in maynd.” “Dis kin mek fɔ no di sik ɛn fɔ trit am at fɔ du.”

Kɔmɔn Kɔndishɔn dɛn we De Ɛgzistin

• Wae pɔrsin kin wɔri: “I kin rili kɔmɔn fɔ mek pipul dɛm wae gɛt ADHD kin gɛt wɔri bak. De prɔblɛm wae kin kam wae pɔrsin gɛt ADHD kin mek pɔrsin wɔri, ɛn wae pɔrsin de wɔri kin mek di ADHD simptom dɛn wɔs, ɛn dis kin mek dɛn gɛt bad bad saykl.”
• Pwɛl hat: “Pipul wae gɛt ADHD kin gɛt bɔrku prɔblɛm bak fɔ gɛt pwɛl hat. De strɛs wae kin kam pan pɔrsin wae gɛt dis maynia sik, wae dɛn kin gɛt prɔblɛm wit dɛn skul ɔr woke, ɛn wae dɛn kin gɛt prɔblɛm wit ɔda pipul dɛm wae gɛt ADHD kin mek pɔrsin fil bad, nɔr gɛt op, ɛn nɔr kin gɛt bɛtɛ ɔnɔ fɔ insɛf.”
• Disabiliti fɔ Lan: “ADHD kin apin togɛda wit di disabiliti fɔ lan, lɛk dislɛksia (diflɛsɛ fɔ rid) ɔ diskalkul (diflɛnt fɔ mats).Dis kin mek i nɔ izi fɔ lan buk ɛn i kin nid spɛshal sɔpɔt fɔ lan buk.”
• Oppositional Defiant Disorder (ODD) ɛn Conduct Disorder (CD): “Dɛn kayn prɔblɛm ya we kin apin to pikin dɛn we gɛt ADHD kin bɔku pan pikin dɛn we gɛt ADHD. ODD kin bi se dɛn nɔ de du wetin rayt, dɛn kin agyu, ɛn dɛn kin vɛks, bɔt CD kin gɛt fɔ du wit mɔ siriɔs tin dɛn we kin pwɛl di lɔ ɛn we kin mek dɛn vɛks.”
• Disɔda fɔ Yuz Sɔbstans: “Yubɔdi ɛn big pipul dɛn we gɛt ADHD kin gɛt mɔ risk fɔ yuz sɔbstans, we kin bi as we fɔ mɛn dɛnsɛf ɔ fɔ bia wit di prɔblɛm dɛn we ADHD kin gɛt.”

Dɔktɔ Priya bin tɔk mɔ se: “I rili impɔtant fɔ adrɛs ɛni kɔndishɔn we de togɛda nia ADHD.” “Fɔ ɛgzampul, fɔ trit di ADHD nɔmɔ we nɔr de adrɛs di ɔndalayn wɔri ɔ pwɛl hat, kin nɔr kin woke fayn fayn wan.”

Di Impɔtant fɔ Intavyu ɛn Sɔpɔt kwik kwik wan

“Wetin na di lɔng tɛm lukin-grɔn fɔ pikin dɛn we gɛt ADHD?” Wren aks, kɔnsyusɔn bin de na in fes.

Dɔktɔ Priya bin mek i biliv se: “If dɛn no di rayt we ɛn trit pikin dɛn we gɛt ADHD, dɛn kin ebul fɔ go bifo.” "Fɔ ɛp fɔ du tin kwik kwik wan na di men tin. I kin ɛp fɔ mek yu nɔ gɛt prɔblɛm wit dɛn skul, prɔblɛm wit ɔda pipul dɛn, ɛn fɔ mek yu nɔ gɛt bɛtɛ ɔnɔ fɔ yusɛf. I kin ridyus bak di risk fɔ gɛt tin dɛn we yu de liv togɛda lɛk fɔ wɔri ɛn pwɛl hat."

I bin ɛksplen se: “Di gol fɔ tritmɛnt nɔto fɔ ‘krɔs’ ADHD bɔt fɔ mɛn di sik dɛn fayn fayn wan, fɔ mek di we aw fɔ bia wit di sik, ɛn fɔ bil pan di tin dɛn we di pɔsin ebul fɔ du.” “I de bɔt fɔ gi pawa to pipul dɛn we gɛt ADHD fɔ du ɔl wetin dɛn ebul fɔ du.”

Wan Path Forward: Op ɛn Empowerment

Wren bin tɔk se: “Tɛnki, Dɔktɔ Priya.” “Dis dɔn rili ɛp mi. A fil se a dɔn no mɔ ɛn a rɛdi fɔ ɛp Lio.”

Dɔktɔ Priya bin ansa wit wam smayl se: “Yu wɛlkɔm, Wren.” "Mɛmba se, nɔto yu wan de pan dis joyn. Bɔku tin dɛn de fɔ sɔpɔt yu ɛn Lio. Wi go wok togɛda fɔ mek wan plan we go adrɛs in patikyula nid dɛn, ɛn a biliv se i go ebul fɔ go bifo wit di rayt sɔpɔt."

"I impɔtant bak fɔ mɛmba se bɔku pipul dɛm wae gɛt ADHD gɛt spɛshal trɛnk ɛn talɛnt. Bɔrku pan dɛn kin rili ebul fɔ mek tin, dɛn gɛt trɛnk, ɛn dɛn kin tink ɔdasay. If dɛn trit dɛn fayn ɛn sɔpɔt dɛn, dɛn kin lan fɔ kɔntrol dɛn sik ɛn liv layf we go mek dɛn gladi." I bin tɔk bak.

We Rɛn kɔmɔt na di dɔktɔ in ɔfis, i bin fil nyu op. Di rod we bin de bifo am kin tranga, bɔt i nɔ bin de fil igen se i dɔn lɔs ɛn i nɔ bin de fil bad igen. I bin gɛt tin dɛn we i no, ɔndastand, ɛn dɔktɔ we de sɔpɔt am, i bin rɛdi fɔ ɛp in bɔy pikin fɔ waka na in spɛshal rod ɛn fɔ gri wit ɔl wetin i ebul fɔ du. I bin no bak se sɔntɛm dɛn go want fɔ mek dɛn chɛk am bak, bikɔs bɔku pan di sayn dɛn we big pipul dɛn kin gɛt bin tan lɛk se dɛn rili sabi am.

Kwɛstyɔn dɛn we dɛn kin Aks Bɔku tɛm (FAQ) .