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Medical history for attention deficit hyperactivity disorder (ADHD)

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By Jeannette Curtis

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The medical history can provide information about whether problem behavior is caused by attention deficit hyperactivity disorder (ADHD) or another condition. A medical history includes the following:

Birth history

  • The mother's general health during pregnancy, including any exposure to infection and whether she drank alcohol, smoked, or used drugs
  • Delivery and birth: how a child was delivered, any problems that developed, birth weight, and general health of the baby when born

General health history

  • Any significant or serious illnesses or injuries
  • Any diagnosed medical or emotional conditions
  • General development, such as when sitting, crawling, and walking began
  • Any speech problems, such as difficulty talking or trouble understanding the meaning of words
  • Any hearing difficulties, and the results of any hearing tests
  • Sleeping habits, such as the daily average amount of sleep, and at what age naps were no longer needed
  • Whether the child is right- or left-handed
  • Food preferences, including any unusual cravings for substances that are not food (pica)
  • Whether the child has complete bladder and bowel control

Behavior

  • Temperament and general personality: whether or not the child was an irritable and demanding baby or a sad, anxious, or frustrated child
  • Whether the child has temper tantrums
  • Detailed descriptions of problem behaviors, including when the behaviors were first noticed, when they are most likely to occur (home or school), and what has been done to stop them
  • How the child's behavior compares to other children his or her age
  • What kind of relationships the child has with peers and family members

School performance

  • The name and type of school, grade level, and progress reports from the child's teachers
  • Scores on standardized achievement tests given in school
  • Legibility of handwriting
  • Consistency in completing and turning in homework and tests
  • Friendships and general relationships with peers
  • Involvement in hobbies, sports, and other group activities

Information about the family history

  • Parents' occupations and education
  • Parents' history of learning or behavior problems
  • Any suspicion or evidence of either parent having ADHD
  • Presence of any emotional illnesses, alcohol or drug abuse, or criminal behavior in the immediate family (mother, father, siblings)

Credits

Author Jeannette Curtis
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Pat Truman, MATC
Primary Medical Reviewer Michael J. Sexton, MD - Pediatrics
Specialist Medical Reviewer Mina Dulcan, MD - Child and Adolescent Psychiatry
Last Updated April 17, 2008
Last Updated: 04/17/2008