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ADHD Testing: Beyond Brain Diagnosis

Posted Jan 31 2011 12:00am
ADHD Diagnosis Is No Longer Linear

If You Think ADHD is Limited To 3 Basic Subsets – Think Again
For years those with ADHD have suffered with the downstream effects of significantly shallow perception of the real underlying contributory  issues. From “bad mothers,” to “insufficient corporal punishment” the limited psychological implications of both ADHD diagnosis and treatment often prove woefully insufficient to provide consistent treatment results.

ADHD Ignorance Abounds
The unhappy result of this medical and public confusion is a profusion of anti-biologic reverie, persistent abundant speculation, ubiquitous polymorphous “expertise” in a paradoxical sea of beliefs, dogma, and remarkably limited scientific review – all this in spite of the fact that psychopharmacologic interventions for ADHD are some of the most studied and peer-reviewed of childhood disorders.

This superficial penetration of the facts has led to considerable confusion, missed diagnosis, failed treatments, unexplained dangerous impulsivity for self and others, and an overall disillusion with both the ADHD diagnosis and the medical process used to treat ADHD. The public is justifiably unhappy and suspicious. A too frequent question: is ADHD make-believe or real brain science?

Does Suicide Matter?
Noteworthy in this regard, repeatedly reported here at CorePsych Blog [and in my book on the subject: ADHD Medication Rules - Paying Attention To The Meds For Paying Attention ] is the confluence of cognitive anxiety and subsequent depression,  almost routinely associated with undiagnosed ADHD, leaving the suffering soul with the self-perception that the mind cannot be turned off and life is therefore arrested and meaningless. No way out, trapped below with executive function gone, thought-squirrels running amok in the brain, years of uncontrollable thinking, – these symptoms herald a far too common interpersonal mind-hell, with no elevator shaft to the sunshine. Suicidal thoughts, suicidal plans, suicidal acts, self injurious behaviors, and suicidal death become paradoxical opportunities for relief when no one understands – even the medical profession.

Biomedical Testing Matters
Reported recently here at CorePsych Blog is the fact that the new mind biology, from SPECT brain imaging to urinary testing do provide ADHD biomedical markers, functional scientific answers that completely support these prefrontal cortical, executive function observations. ADHD is a process that predictably occurs under certain contextual circumstances , and is not a 24 x 7 diagnosis, as academia and institutional thinking would have you believe. Moreover, ADHD is associated with many associated biomedical conditions, a greater complexity of presentations than is commonly appreciated, and is far more treatable if we simply identify the comorbid ADHD targets correctly through modern diagnostic tools to completely understand multiple contributory factors.

Weigh In With Your Add-on ADHD Comorbid Diagnoses Below
Full Attribution For Additions! If Anonymous Let Me Know

Not 3, Not 6 – How About 161 ADHD Subsets – Updated Here To 168 ADHD Subsets
Let’s take a moment to join together in working here on a new project, begun in these ethers by a distant colleague, Tess Messer PA on a recent blog post detailing a list of 161 ADHD subtypes. I am listing her excellent summary once again here, and asking you, faithful readers, to add your biomedical subsets to this list in the comments below. Please ReTweet and forward this posting to your colleagues, your friends, your family and let’s all think about this excellent start from Tess.

This is Tess’s list, look it over, and add your thoughts in the comments below. At this writing a comment over at Tess’s blog has already added mold. Let’s get serious, take a moment to add your two cents to the evolving biomedical review, the new mind-science for ADHD treatment. ADHD medications don’t work if we’re not treating primary ADHD, but secondary biomedical issues. [Tess placed an asterisk beside those conditions most commonly confused with primary ADHD from her perspective.]

I added a few more of my own thoughts at the bottom…


*Academic/Learning Problems:
1.  Dyslexia
2.  Cognitive impairment
3.   Specific learning disability
4.   Giftedness
5.   Memory discrimination problems
6.   Mismatch of behavioral style and environmental expectations
7.    Inappropriate educational setting

*Allergy Problems:
8.  Allergy induced Asthma
9.  Allergic bronchitis
10.  Allergic rhinitis, allergic sinusitis, allergic otitis
11.  Wheat, lactose, peanut and other food allergies
12.  Allergies to food dyes or preservatives
13.  Chronic antihistamine use

Autoimmune disorders 14.  AIDS
15.  Pandas, Pediatric autoimmune neuropsychiatric disorders
16.  Disorders or Carbohydrate metabolism
17.  Autoimmune neurological disorders and encephalopathy

18.  B vitamin deficiency anemia
19.  Iron Deficiency
20.  Sickle Cell Anemia

Biomedical Problems:
21.  Lead poisoning
22.  Arsenic exposure during development
23.  Toluene exposure during development
24.  Mercury poisoning
25.  PCBs exposure
26.  Manganese Poisoning
27.  Carbon Monoxide Poisoning
28.  Prenatal Cocaine Exposure
29.  Fetal Alcohol Syndrome
30.  Organophosphates intoxication
31.  Asthma medication reactions
32.  Seizure medication reactions

Chronic Illness 33.  Viral Infections
34.  Bacterial Infections
35.  Parasitic Infection
36.  Sequelae (symptoms resulting from) of  acute infection/trauma
37.  Chronic Asthma
38.  Chronic Infections
39.  Seizure Disorders
40.  Sickle Cell Disease
41.  Multiple Sclerosis

*Developmental Problems:
42.  Perceptual/processing disorders
43.  Pervasive Normal developmental variation
44.  Developmental disorders
45.  Development Disorders, not otherwise classified

Ear/Nose/Throat Problems:
46.  Tonsil and adenoid hyperplasia
47.  Chronic Ear Infection
48.  Chronic Sinusitis
49.  Chronic Upper Respiratory Infections

*Emotional Problems:
50.  Separation anxiety
51.  Social Anxiety
52.  Generalized Anxiety
53.  Attachment disorders
54.  Social Skills Problems

55.  Traumatic Events (house fires, major motor vehicle accidents)
56.  Abuse (sexual, physical or emotional)
57.  Loss by separation or death of a loved one
58.  Mismatch of behavioral style and expectations

Genetic and or Chromosomal Problems:
59.  Fragile X syndrome
60.  Williams Syndrome
61.  Mental retardation
62.  Neurofibromatosis
63.  XXY syndrome
64.  Klinefelter Syndrome
65.  XYY Disorder
66.  Porphyria

*Hearing Problems:
67.  Hearing deficits and Hearing loss
68.  Auditory Processing problems
69.  Auditory Discrimination problems

70.  Parasitic Infections (pinworms, roundworms, tapeworms and hookworm)
71.  Untreated or partially treated bacterial infections
72.  Viral infections
73.  Lingering symptoms of infections

74.  Lack of exercise
75.  Lack of Green space exposure
76.  Poor diet
77.  Major life transition (move, change of school)

Metabolic or Endocrine Problems:
78.  Hypothyroidism
79.  Hyperthyroidism
80.  Diabetes
81.  Hypoglycemia
82.  Menopause
83.  Hyperbilirubinimia (Gilbert’s Disease, mildly high bilirubin, inattention?)
84.  PMS
85.  Post Partum Depression

*Neurological Medical Problems:
86.  Tourette’s Syndrome
87.  Autism Spectrum Disorder
88.  Neurodegenerative disorders such as Alzheimer’s disease
89.  Temporal Lobe seizures
90.  Absence Seizures
91.  Post traumatic sub-clinical seizure disorder
92.  Other seizure disorders
93.  Neurodegenerative conditions
94.  Choreiform disorder
95.  Neurological infections
96.  Central Nervous System or Brain trauma
97.  Sensory Integration Disorders, Sensory defensiveness
98.  Migraine Headaches of all varieties
99.  Brain Tumors
100. Brain Cyst
101. ALS (amyotrophic lateral sclerosis)
102. Disorders of the Spine (infection, tumors, trauma)

Nutritional Problems:
103. Iron Deficiencies
104. Zinc Deficiencias
105.  Protein Deficiencies
106.  B vitamin Deficiency
107.  Omega-3 Fatty Acid deficiency
108.  Diets  high if food colorings, flavorings and preservatives
109.  Malnutrition

*Parenting Problems:
110. Inadequate Parenting
111. Child abuse or neglect
112.  Inconsistent expectations
113. Developmentally inappropriate parenting
114. Chaotic home environment
115. Stressful home environment
116. Cultural factors
117. Parental psychopathology
118. Parental chemical dependency
119. Parental Substance abuse
120. Exposure to Domestic Violence

Prescription Medication Problems:
121.  Asthma Medication
122.  Allergies Medication
123.  Headache Medication
124.  Seizure Disorder Medication
125.  Other Medication

*Psychiatric Problems:
126. Depression
127.  Anxiety [ed. note: Do these sound familiar?]
128.  Post Traumatic Stress Disorder
129.  Bipolar Disorder
130.  Conduct Disorder
131.   Oppositional Defiance Disorder
132.   Childhood Mania-Juvenile Bipolar Disorder
133.   Dysthymia
134.   Psychosis
135.   Adjustment Disorder

*Psychosocial Problems:
136.  Abuse (sexual, physical or emotional)
137.  Exposure to Traumatic Events (house fires, major motor vehicle accidents)
138.  Domestic Violence
139.  Loss by separation or death of a loved one

*Speech and Language Problems:
140.  Expressive/Receptive language disorder
141.  Phonological disorder
142.  Dyslexia
143.  Dysfluency
144.  Apraxia
145.  Central auditory processing disorder

*Sleep Disorders:
146.  Insomnia
147.  Breathing related sleep disorders and Sleep Apnea
148.  Night Terrors
149.  Delayed sleep Onset
150.  Sleep Motor Restlessness (Restless Leg Syndrome, Sleep Leg Discomfort)
151.   Sleep walking
152.  Confusional arousals
153.  Snoring

Substance Abuse Disorders:
154. Illegal drug  use
155.  Inadvertent drug intoxication (glue sniffing)
156.  Prescription drug abuse
157.  Ethanol abuse

*Vision Problems:
158.  All Vision Impairments
159.  Near sightedness
160.  Convergence Insufficiency
161.   Visual discrimination problems

Added on Tess’s blog:
162. Mold Neurotoxins

My Additions:
163. Lyme Disease
164. Ciguatera Neurotoxins
165. Adrenal Fatigue
166. Estrogen Dominance [PCOS, etc.]
167. IBS – Constipation, Diarrhea [ Transit Time under 18 hr or over 24 hr]
168. Hashimoto’s Autoimmune Thyroiditis

Tess Additions:
169: Parasitic Lung Disease
170: Primary antiphospholipid antibody syndrome


Now It’s Your Turn – Chime In Below!
Let’s get on this list gang and drop your comments below. Do recirculate this list to your list, it’s a great beginning to a significantly improved, more scientific ADHD dialogue. Thanks again, Tess!

Make sure you take a look at these pages!
ADHD Medication Rules Purchase
ADHD Medication Video Tutorials
“Rules” Affiliate Link
Neuroscience Details

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