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Hyperaktive barn, veiviser: Hva gjør legen?

Innhold i artikkelen

Sykehistorien

Legen vil kunne spørre deg/dere om:

  • Hva er det med barnets atferd dere reagerer på?
    1. Hyperaktivitet
    2. Konsentrasjonsvansker
    3. Impulsivitet, skiller seg fra andre ved bråe innfall, gjør uventede ting
    4. Det er aggressivt
    5. Kan ikke være i ro
    6. Er uoppmerksomt
    7. Adlyder ikke beskjeder
    8. Reagerer med uro når ting blir kjedelig
  • Hvor lenge har barnet vært hyperaktivt?
    • Helt fra fødselen
    • Fra 1-års alderen
    • Fra 2-3 års alderen
    • Fra 4-5 års alderen
    • Fra skolealderen
  • Hva består barnets konsentrasjonsvanskene i?
    1. Klarer ikke å holde fokus, blir lett distrahert
    2. Avslutter oppgaver før de er ferdige
    3. Ser ikke ut til å høre etter når de blir snakket til
    4. Glemmer, har vansker med å huske ting
    5. Følger ikke instrukser
    6. Gjør ofte unødvendige feil
    7. Mangler evnen til å planlegge ting
    8. Mister ofte eller forlegger ofte ting
  • Hva består barnets hyperaktivitet i?
    1. Det er hele tiden i bevegelse, i aktivitet
    2. Fikler og vrir på ting hele tiden
    3. Klarer ikke å sitte stille, være rolig eller slappe av
    4. Beveger seg rundt hele tiden, løper ofte, klatrer
    5. Prater uavbrutt 
    6. Er snarsint, har kort "lunte"
  • Hva består barnets impulsivitet i?
    1. Det handler uten å tenke
    2. Gjetter i stedet for å ta seg tid til å løse et problem
    3. Roper ut svar i klassen uten å vente på å bli spurt eller før hele spørsmålet er stilt
    4. Blander seg inn i andres samtaler eller spill/lek
    5. Avbryter ofte andre
    6. Sier gale ting på gale tidspunkt
    7. Klarer ikke å holde følelser under kontroll, fører til sinte utbrudd eller raserianfall
  • Hvordan har tilstanden utviklet seg?
    • Er konstant
    • Er økende
    • Er avtakende
  • Har barnet lærevansker?
    1. Nedsatte motoriske ferdigheter
    2. Dårlig språk
    3. Skrivevansker
    4. Lesevansker
  • Har barnet tegn på andre tilstander?
    1. Angstlidelse
    2. Depresjon
    3. Vekslende maniske/depressive perioder, bipolar lidelse
    4. Tvangstanker og tvangshandlinger
    5. Reaksjon etter større traume etter nettopp å ha flyttet, ha mistet en kjær, skilsmisse, utsatt for mobbing
    6. Atferdsforstyrrelse i form av å lyve, gjøre hærverk, være voldelig
    7. Tics - episodiske rykninger, verbale utbrudd
    8. Søvnvansker
    9. Rusmiddelmisbruk
  • Hvilke konsekvenser har tilstanden for barnet?
    1. Blir mobbet
    2. Blir sosialt isolert
    3. Nedsatte prestasjoner i barnehage, skole, ev. jobb
    4. Klarer ikke å knytte varige bånd til andre
    5. Tar større risikoer enn andre
    6. Opplever flere skader eller ulykker enn andre barn og ungdommer
    7. Kriminalitet
Annonse

Legeundersøkelsen

  • Det viktigste diagnostiske hjelpemidlet for legen er sykehistorien og observerinng av barnet/ungdommens atferd under legeundersøkelsen
  • Ved uklarhet om diagnosen gjør legen en generell fysisk undersøkelse

Andre undersøkelser

  • Tilleggsundersøkelser som blodprøver og bildeundersøkelser har i de fleste tilfeller liten verdi

Henvisning til spesialist eller sykehus

  • Ved rimelig grunn til å mistenke en ADHD-diagnose henvises barnet/ungdommen til spesialisthelsetjenesten for en samlet vurdering og diagnostikk

Dette dokumentet er basert på det profesjonelle dokumentet ADHD/hyperkinetisk forstyrrelse . Referanselisten for dette dokumentet vises nedenfor

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