Symptoms and Diagnosis

Children feel a strong urge to move and it is often difficult to stop them. This is normal and healthy behavior. But some children feel the need to move to the extent that limits them to everyday life. This is often seen in the early years of school. Attention Disorder / Hyperactivity is one of the most common disorders in childhood and adolescents. Focus is on three basic symptoms of attention deficit, impulsivity and hyperactivity disorder. These symptoms are more pronounced than in children of the same age and are often spread in adulthood. This affects academic or later professional performance. In addition, the disorder can also cause social problems.

Symptoms of attention deficit / hyperactivity disorder

ADHD symptoms vary by age and degree of development. Imprisoned children of preschool age are mainly the result of motor unrest and hyperactivity. In elementary school age, this is particularly noticeable in situations where the child should be quiet and therefore mainly at school. In adolescence, hyperactivity manifests itself as an internal discomfort and often persists in that form in adulthood.

A similar trend is also evident in the attention deficit disorder. In primary school she is mostly in the classroom, and the affected children often can not concentrate as long as their colleagues. With increasing age and thus increasing the development, the intensity of the symptoms often decreases. However, the range of attention of the affected children also decreases with age compared to their peers.

The third core symptom, impulsiveness, has greater stability. Although this symptom may be reduced with age, in many cases it shows high persistence.

According to DSM-V, three types can be distinguished: predominantly inattentive, predominantly hyperactive-impulsive or mixed.

Attention Deficit and Hyperactivity Disorder Diagnosis

To diagnose Attention Deficit / Hyperactivity Disorder, the child must be at least moderately impaired in functioning. Symptoms and resulting functional limitations occur in different situations. If that is not the case, ie Symptoms occur only in a particular situation, further clarification is needed. The onset of the disorder takes place before the age of 7 years. In addition, the symptoms should last for at least 6 months.

ICD-10 Non-Compliance Criteria:


  • are often ignorant of the details or mistakes in care in school and other work and activities,

  • they often can not keep track of tasks and playing games,

  • They often do not hear what they are told

  • often can not follow explanations or fail to fulfill their duties, duties or duties in the workplace (not because of objection or because the explanations are not understood),

  • often distort the organization of tasks and activities,

  • often avoid unpopular work, such as homework, which requires mental stamina

  • often lose items that are important to certain tasks, such as school work, pens, books, toys and tools,

  • are often hindered by external stimuli,

  • often forget about their daily activities

Hyperactivity Criteria by ICD-10:


  • often waving their hands and feet or spinning on their seats,

  • leave your place in the classroom or in other situations where seating is expected

  • they often walk around or go too far in situations when it is inappropriate (in adolescents and adults it is just a feeling of discomfort),

  • they are often unnecessarily loud when playing or having trouble with quiet parties,

  • show a constant pattern of excessive motor activity, which the social context or prohibitions can not fully influence.

Impulse Criteria by ICD-10:


  • they often answered the question before the question was completed,

  • Often I can not wait in line or wait until they come into play or in group situations,

  • others often interrupt and interfere with others (for example, participating in a conversation or game of others),

  • often speak excessively without adequate response to social limitations.

For a satisfactory diagnosis, the child should show at least 6 symptoms of symptoms, at least 3 symptoms of hyperactivity and at least one symptom of impulsiveness. Differential Diagnostic Investigation plays an important role because concentration problems and hyperkinetic disorders can be the expression of many diseases. Professional diagnosis is needed for a reliable diagnosis.