ADHD

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ADHD Attention Deficit and Hyperactivity
Disorder

• ??????? ????? ???????? ?????- ???????? (???? ???
  7)
• ???????, ????, ???? (???? ????????, ????????,
  ??????- ?????)
• ??????- ??????????
• ????????
• ???? ????? (????? ????? ?????? ?????????) ?? ????
  ???? 18

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(No Transcript)
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Nature vs Nurture

• E. Kendel (1979)
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• ????? ????? ???????? ???????? ??????????
• ????? (?????? ??? ??????), ????? , ??????????
• ???? ???? ??? ????? ????? ?? ?????? ??? ???? ????
  ???? ?????? ????? ?????? ?? ??? ???????.

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Nature vs Nurture (????)

• ?????? ?????? ??? ?????? ???????- ????? ?????? ??
  ??????? ?????? ???????.
• ?????? ????????? ?????? ???????.
• ?????? ?????
• ?????? ??? - ?????

6
????? ????? ?? ????? ??? ?????? ???? ???

• ???? ?? ????? ??? ??? (??????? ???)
• ????? ??? ?????? ??? ??????
• ????? ?????? ?????? (ODD )
• ????? ??????? (CD )
• ?????? ???? ???? (???????- ?????)
• ???????? ???? Petit Mal
• ???? ?????? ?? ????? ???????
• ????? ????? ?????? ?? ????????

7
????? ????? ?? ????? ??? ?????? ???? ??? (????)

• ???? ?????? ?????? (???, ????,??,???)
• ??????? ?????? (?????? ?- X ????? )
• PDD-Pervasive Developmental Disorders (??????
  ?????? ??????? ??????? ???????, ????? ??????? ???
  ?????, ?????? ??????? ????? ????) ?????? ??????
• ????? ???????? ???? ????????
• ????? ???????? (???? , ?????, ??????)

8
????? ????? ?? ????? ??? ?????? ???? ??? (????)

• ????? ???? ???? ???(Attachment disorder) ?????
  ??????, ??????? ,???????????? ????? ????? ??
  ????? ???? ?? ???? ???? ???? ?? ???? ?????.
• ?????? ????? (Regulatory Disorders )
• ?????? ????-???????? (PTSD )
• ?????? ?????????? (???? ?? ???? ?????? ?? ?????
  ?????)
• ?????? ???????? ????? (??? ????? ?????)

9
????? ????? ?? ????? ??? ?????? ???? ??? (????)

• ??? ?????? (??? ?????,??? ?????????
• ????? ????, 12B )
• ?????? ????? ?? ??????
• ?????? ?????
• (???? ????? ????????? ??????, ???? ??????
  ??????,???? ????? ????, ???? ?????? ????? ?????,
  ???? ?????? ????????, ???? ?????? ???????
  ????????? ?????)

10
????? ?????? ????? ???? ???

• ???????? ????? (???? ?????? ??????, ????? , ?????
  , ?????, ????? ???? ??????, ????? ????)
• ????? ?????? (???? ?????? ?????? ??????? ???
  ??????, ???? ?????? ?? ??? ??? ???? 4 )
• ??? (????? ?? ????, ???? ????? ???,????? ??????
  ???????? ?????????)
• ????? ???? (????? ?????? ??????, ????? ??????,
  ???? ???? ??????, ??? ??????? ??????? ????)
• ????? ??????? (????? ??? ???????? ????? ???? ???
  , ???, ??? , ??? )
• ??????? ????? ?????? ??????

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????? ADHD ?? ??? ?????

• ??? ????? ?? ?????? (?????, ??)
• ????????? ???? ???????
• ???? ??? ????? ????????, ???? , ?????, "??? ??
  ???"
• ???? ?????? ??????? , ????
• ????? ???"? ??????? (????? ????? ????"?)
• ??????? ???? ???? ???????, ?????? ???? ??????
  ????? ??????????
• ????? ?????? ?? ???? ???? ???? ????? ?????
• ????? ?????? ??? ???????? ??????? ?????

12
3 ?????? ?? ?????????

• ??? ??????
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13
??? ??????

• ??????
• ?? ???? ?????
• ???? ????? ?? ?????? (?????? ?????? )
• ?? ???? ??? ??????
• ???? ????????? (???? ????? ??????, ??? ?????)
• ???????
• ?????????
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14
????????????

• ????? ??????
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15
????????????

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16
(No Transcript)
17
???????? ??? ????? ?????

• 30 ??????? ????? ????????????
• 35 ?? ?????? ????? ?? ????? (????? ?????, ???
  ???? ????, ????? ?????? ??????)
• 25 ?????? ??????? (????, ???????, ????????)
• ????? ?????? ??? ??????, ???????
• ????? ??????, ????????
• ????? ??????. (?????? ???? ??????? ??? ?? ?????
  ??????, ??????, ????, ?????, ???)
• ?????? ??????? (comorbidity) 80- 70

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Co-occurring Disorders in Children (n579)
Oppositional Defiant Disorder 40
Tics 11
ADHD alone 31
Conduct Disorder 14
Anxiety Disorder 34
MTA Cooperative Group. Arch Gen Psychiatry
1999 5610881096
Mood Disorders 4
19
?????? ??????? (comorbidity) ??? ???? ??? ???
???????

• ????? ?????? ?????? ODD
• ????? ??????? CD ( ????? ?????? ?????)
• ?????? ????
• ????? ( 27 ???? 20 )
• ????? ???????? (?????? ??? ??? ?????????)
• ????? ???? ??? ?????????? ???"? (5-24) ?????
  ???? ????? ? 60 ?? ?? ADHD
• ?????? ????
• ????? ??????? ???????

20

• ?????? ????? 24-70 (????? 15-60,
• ????? 10-60, ?????
  60)
• ????? ????? ????? (Social Disability )
• ????? ????????? ??? 50 ( DCD )
• Developmental Cordination Disorder
• ????? ??? ?????? ????, ??????, ??????, ??????
  (????? ???, ????? ???????) ???? ??????. ????????
  ?????? ????? ???? ???? ????? ???? (?? 3 ). ?????
  ???? ??? ????? ????, ???? ???????, ???? ??? ?? ??
  ???, ???? ??????? ?????? ?????, ????? ?????
  ???????? ?? ?????? ??????? ???.

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Development of Self-ControlHypothetical Growth
Curve 30 Delay
adult level
Age (in years)
22
Potential Areas of Impairment
Academic limitations
Children
Relationships
Occupational/ vocational
Adults
ADHD
Low self esteem
Legal difficulties
Motor vehicle accidents
Injuries
Smoking and substance abuse
Adolescents
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?????? ?????? ?? ??????

• ????? ???? ?? ??????
• ????? ????? (???, ?????)
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• ????? ??????????/ ?????????
• ????? ???????
• ??????? ?????, ?????(?????)
• ?????? TOVA ???? ??????

24
?????? ???? ???? ??? 4-5

• ???? ??????? ?? ?????? ??? , ???????????? ?/??
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  ????? ????????? ?? ????
• ??? ???????? ??? ????- ??? ??????.
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  ???? ????
• ????? ?????? ?????? ???????? ?????? ?? ????????
  ??"?.

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• ???? ???- ?????- ???????- ??????
• ???? ?????- ????? ?????? ????? ???? ?????? ??????
• ?????? (????????? ?????, ????? ????)
• ????? ????? ?? ??????????? ?? ???? ??? ?????
  ???????? ????????, ????????? ?????? ??????? ?????
• ????? ?? ?????? ?????? (???)
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• ?????? ??????, ????? ??????, ????? ?????

26
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?? ???!
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put your mask first