Our New Medical Centre and Institute is officially opened by our Health Minister in 1993, January 31th. Y.A.B Dato. Lee Kim Sai.

ADHD (attention deficit hyperactivity disorder) and ADD (attention deficit disorder)

Attention deficit hyperactivity disorder (ADHD) and attention deficit disorder (ADD) refer to a range of problem behaviours associated with poor attention span. These may include impulsiveness, restlessness and hyperactivity, as well as inattentiveness too short attention spend, don't listen to orders and advise and often prevent children from learning and socialising well. ADHD is sometimes referred to as hyperkinetic disorder.

At least one of the following symptoms must have persisted at least for three months to an extent that is unusual for their age and level of intelligence:

Blurts out answers before the questions have been completed.
Fails to wait in lines or await turns in games or group situations.
Interrupts or intrudes on others, likes ot jump into others conversations or games.
Talks excessively without appropriate response to social restraint.

Epileptic seizures can cause a child to become drowsy, impairing their attention. Epilepsy can also cause unusual behaviour and lead to abnormal perceptions.
Hearing problems such as deafness or glue ear can make it hard for a child to follow instructions and make them appear inattentive.
Reading problems, making it hard to complete tasks or follow instructions.
Obsessive compulsive disorder leads to people following strange rituals that preoccupy their thoughts and distract their attention.
Tourette's syndrome involves repetitive, involuntary jerking movements of the body and sudden outbursts of noise or swearing.
Autism and Asperger's syndrome often lead to difficulties in understanding and using language.
Prolonged periods of insufficient sleep, causing poor concentration.

Some children may be very active or be easily distracted or have difficulty concentrating. If these behaviours are relatively mild, they should not be considered a disorder.

ADHD often occurs alongside other difficulties and is not the sole cause of problem behaviour. Children may exhibit temper tantrums, sleep disorders, and be clumsy. Other behavioural problems that occur with ADHD include:

confrontational defiant behaviour, which occurs in most of these kids. The child loses their temper, argues and refuses to comply with adults and deliberately annoys others.

conduct disorders occur in at least 25 per cent of children. The child may be destructive or show deceitful behaviour such as lying, breaking rules and stealing.

specific learning difficulties, including dyslexia, occur in 25-30 per cent of children.

severe clinical depression occurs in about 30 per cent of children.

anxiety disorders occur in 30 per cent of children.

Brain injuries due to birth trauma or pre-birth problems. The brain structures believed to be related to the development of ADHD are vulnerable to hypoxic damage during birth. The damage is caused by inadequate oxygen (QI flow) reaching parts of the brain while blood flow is reduced.

Environmental conditions:

Family stress.
Educational difficulties.

The time for treatment depends on individual case but all can improve from the very first week of intensive treatment. Best recovery can be acheived between 60days to 6 months of intensive treatment.

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