ADHD And Comorbidity www.theminiadhdcoach.com/adhd-comorbidity
ADHD And Comorbidity www.theminiadhdcoach.com/adhd-comorbidity
In general terms, Comorbidity is used to define two or more conditions that coexist in an individual simultaneously.
Treating one condition will not cause the symptoms of the other conditions to resolve as well, meaning both conditions need to be treated concurrently to manage the patient in a better way.
Recognizing comorbid conditions early on is important to recognize the prognosis and accurate management of any disease.
The same goes for ADHD comorbidity.
It is now established that around 60-80% of people with ADHD might have one or more similar conditions impacting their mental health.
These mental disorders might show through signs of depressive symptoms that can lead to different types of illnesses such as comorbid bipolar disorder, major depressive disorder, comorbid psychiatric disorder, conduct disorder, and such.
So despite a doctor treating you with ADHD medications, you might not feel entirely better due to the existence of said comorbid conditions.
For the sake of easier understanding, lets group ADHD comorbid conditions into three main groups:
Learning Disorders
Children with ADHD might have varying degrees of difficulty in school or learning at a pace comparable to other children their age.
While ADHD symptoms might be contributing to this learning difficulty, often up to 45% of these children might be experiencing a comorbid condition that is keeping them from learning at a normal pace.
This could result in a childhood depression that will eventually affect them as they grow into adulthood.
A learning disability does not necessarily mean an intelligence deficit, it can simply refer to a decreased ability in one or more areas of learning, including reading, writing, speaking and understanding.
Some common learning disabilities that coexist with ADHD include:
Dyslexia: difficulty reading words
Dysgraphia: difficulty writing
Dyscalculia: difficulty doing calculation
According to research, boys with ADHD have a higher chance of up to 65% of developing learning difficulty, while girls with ADHD have a 57% risk of having a learning disability.
This could also be related to autism spectrum disorder where people that are affected by it are having a hard time learning and focusing on a certain task.
Children with ADHD having comorbid disorders need a multidisciplinary approach from a psychiatrist and occupational therapist along with teachers who are trained to help them.
A doctor could help by giving the child ADHD medications that are aimed to minimize the symptoms of ADHD, while occupational therapy can help the child overcome his challenges by devising ways that he can learn despite having them.
It is often a bumpy road to good results, but it's always possible with the right amount of determination.
Conduct disorders and mood disorders constitute a major portion of ADHD comorbidities.
These are more common in adults with ADHD but can also present in children with the disorder.
Common symptoms of Mood-related or conduct disorders include: Low mood, Persistent fatigue, Loss of appetite despite being physically healthy, Lack of interest in activities, Anti-social behavior, Repetitive bursts of sudden anger or sadness, Meltdowns,Unexplained irritability, Irrational feelings of guilt,Sleep disturbances and an Increased sensitivity to certain sounds or light.
People with ADHD often present with a myriad of symptoms and no two individuals will necessarily have the same symptoms.
It’s important to recognize these signs and symptoms early on so they can be managed from the beginning.
Conduct or mood disorders that are more likely to present in childhood include,Oppositional Defiant Disorder, Depressive/Dysthymic Disorder, Generalized Anxiety Disorder (GAD) and Autism Spectrum Disorder (ASD)
The most common of these happened to be ODD, with a prevalence of up to 41% in children with ADHD(10).
Mood disorders that are more common in adult ADHD include, Major depressive disorder, Bipolar disorder, Anxiety Disorder, Substance Abuse Disorder, Oppositional Defiant Disorder, Psychiatric Disorders, Conduct Disorders, Anxiety disorder, Comorbid Disorders, and Panic Disorder.
The most common of these happen to be anxiety disorders, with up to 47.1% prevalence in adults with ADHD.
Among anxiety disorders, social phobia is the most with a prevalence of 29.3%.
Given the stats above, it's safe to say that people with ADHD are more likely to develop mood or conduct disorders than those without ADHD.
In light of this fact, doctors and caregivers should pay close attention to patients with diagnosed ADHD and offer routine analysis to rule out the presence of other psychiatric disorders.
It is also important that ADHD treatment should be monitored to avoid substance abuse by the affected person.