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WHAT IS ADHD IN CHILDREN?

ADHD stands for attention deficit hyperactivity disorder. It is a medical condition. A person with ADHD has differences in brain development and brain activity that affect attention, the ability to sit still, and self-control. ADHD can affect a child at school, at home, and in friendships.

What Are the Signs of ADHD?
All kids struggle at times to pay attention, listen and follow directions, sit still, or wait their turn. But for kids with ADHD, the struggles are harder and happen more often.

Kids with ADHD may have signs from one, two, or all three of these categories:

Inattentive. Kids who are inattentive (easily distracted) have trouble focusing their attention, concentrating, and staying on task. They may not listen well to directions, may miss important details, and may not finish what they start. They may daydream or dawdle too much. They may seem absent-minded or forgetful, and lose track of their things.
Hyperactive. Kids who are hyperactive are fidgety, restless, and easily bored. They may have trouble sitting still, or staying quiet when needed. They may rush through things and make careless mistakes. They may climb, jump, or roughhouse when they shouldn’t. Without meaning to, they may act in ways that disrupt others.
Impulsive. Kids who are impulsive act too quickly before thinking. They often interrupt, might push or grab, and find it hard to wait. They may do things without asking for permission, take things that aren’t theirs, or act in ways that are risky. They may have emotional reactions that seem too intense for the situation.
Sometimes parents and teachers notice signs of ADHD when a child is very young. But it’s normal for little kids to be distractible, restless, impatient, or impulsive — these things don’t always mean that a child has ADHD.

Attention, activity, and self-control develop little by little, as children grow. Kids learn these skills with help from parents and teachers. But some kids don’t get much better at paying attention, settling down, listening, or waiting. When these things continue and begin to cause problems at school, home, and with friends, it may be ADHD.

How Is ADHD Diagnosed?
If you think your child has ADHD, make an appointment with your child’s doctor. He or she will give your child a check-up, including vision and hearing, to be sure something else isn’t causing the symptoms. The doctor can refer you to a child psychologist or psychiatrist if needed.

To diagnose ADHD, doctors start by asking about a child’s health, behavior, and activity. They talk with parents and kids about the things they have noticed. Your doctor might ask you to complete checklists about your child’s behavior, and might ask you to give your child’s teacher a checklist too.

After gathering this information, doctors diagnose ADHD if it’s clear that:

A child’s distractibility, hyperactivity, or impulsivity go beyond what’s usual for their age.
The behaviors have been going on since the child was young.
Distractibility, hyperactivity, and impulsivity affect the child at school and at home.
A health check shows that another health or learning issue isn’t causing the problems.
Many kids with ADHD also have learning problems, oppositional and defiant behaviors, or mood and anxiety problems. Doctors usually treat these along with the ADHD.

How Is ADHD Treated?
Treatment for ADHD usually includes:

Medicine. This activates the brain’s ability to pay attention, slow down, and use more self-control.
Behavior therapy. Therapists can help kids develop the social, emotional, and planning skills that are lagging with ADHD.
Parent coaching. Through coaching, parents learn the best ways to respond to behavior difficulties that are part of ADHD.
School support. Teachers can help kids with ADHD do well and enjoy school more.
The right treatment helps ADHD improve. Parents and teachers can teach younger kids to get better at managing their attention, behavior, and emotions. As they grow older, kids should learn to improve their own attention and self-control.

When ADHD is not treated, it can be hard for kids to succeed. This may lead to low self-esteem, depression, oppositional behavior, school failure, risk-taking behavior, or family conflict.
What Can Parents Do?
If your child is diagnosed with ADHD:

Be involved. Learn all you can about ADHD. Follow the treatment your child’s health care provider recommends. Keep all recommended appointments for therapy.
Give medicines safely. If your child is taking ADHD medicine, always give it at the recommended time and dose. Keep medicines in a safe place.
Work with your child’s school. Ask teachers if your child should have an IEP. Meet often with teachers to find out how your child is doing. Work together to help your child do well.
Parent with purpose and warmth. Learn what parenting approaches are best for a child with ADHD — and which can make ADHD worse. Talk openly and supportively about ADHD with your child. Focus on your child’s strengths and positive qualities.
Connect with others for support and awareness. Join a support organization for ADHD to get updates on treatment and other information.
What Causes ADHD?
It’s not clear what causes the brain differences of ADHD. There’s strong evidence that ADHD is mostly inherited. Many kids who have ADHD have a parent or relative with it.

ADHD is not caused by too much screen time, poor parenting, or eating too much sugar.

ADHD can improve when kids get treatment, eat healthy food, get enough sleep and exercise, and have supportive parents who know how to respond to ADHD.

Source: https://kidshealth.org/en/parents/adhd.html

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Cosmetic Surgery in Teens: Information for Parents

Pediatric Cosmetic surgeons perform both reconstructive and cosmetic surgery. Reconstructive surgery repairs a physical defect that affects a child’s ability to function normally (e.g., a cleft palate).
Cosmetic surgery aims to improve someone’s physical appearance and is mainly about improving their self-image or confidence.


Age of Consent
The question of cosmetic (aka aesthetic) surgery in teens can be a thorny subject. There are no specific laws in the United States that prevent teenagers from getting cosmetic surgery; however, parental consent is required for patients under the age of 18. Therefore, the responsibility falls to parents to help their children make the right decision.

Common Cosmetic Surgeries Performed on Teens
Cosmetic surgery can be appropriate in selected teenagers and can be safely done. In 2013, the American Society of Plastic Surgeons (ASPS) published data showing that number of cosmetic surgery done for the teens has actually come down progressively over the years, in contrast to the media reports suggesting otherwise.

For example, in 2013 the ASPS reported that members performed 63,600 surgeries on patients between 13-19 years of age. The most common surgeries included:

Breast augmentation (breast implants) – The Food and Drug Administration (FDA) considers aesthetic breast augmentation for patients less than 18 years of age to be an off-label use. The FDA has not approved breast augmentation in patients younger than 18. According to the ASPS, over 8,000 surgeries were performed in 2013 on 18-19 year old girls.
Rhinoplasty (nose reshaping) – This is the most requested aesthetic surgical procedure by teens. It can be performed when the nose has completed 90% of its growth, which can occur as early as age 13 or 14 in girls and 15 or 16 in boys.
Breast reduction – Frequently, this surgery is performed on girls with overly large breasts that may cause back and shoulder pain, as well as restrict physical activity. Breast reduction usually is delayed until the breasts have reached full development. In some boys, excessive breast development (gynecomastia) can become a significant problem. In those cases, the excess tissue can be removed.
Otoplasty (ear pinning) – This surgery is recommended for children as they near total ear development at age five or six.
Liposuction
Non-surgical cosmetic procedures
The ASPS reported nearly 156,000 non-surgical cosmetic procedures including botulinum (Botox®) injections, skin resurfacing, and laser treatments of hair, skin and veins.

If Your Teenager Wants Plastic Surgery
They must voice a specific concern and have realistic goals. Teens who are able to voice a specific concern and have realistic goals for their outcome are candidates for cosmetic procedures. For example, a teen who notes a hump on the nose and requests to have it removed, has a specific complaint. If that teen’s goal is to have a straight nose and blend in with peers, the outcome is likely to be achieved, so this teen may be a good candidate for cosmetic surgery. It the teenager believes that a straight nose will increase popularity, the goal is unrealistic and the teenager is not a good candidate for surgery.
They must show maturity and understand the procedure, risks, and consequences. A good candidate for cosmetic surgery is mature enough to understand the procedure, its risks, and what limitations the recovery period will require. The teenager requesting nasal reshaping who cannot rearrange their sports obligations to allow 6-8 weeks for surgery and healing is not yet ready to commit to the surgery and is not a good candidate for surgery. A mature teenager should also have an understanding of the possible things that can go wrong and be willing to accept that situation should it happen.
They must initiate the request for surgery. It is never advisable for a parent to suggest plastic surgery. The idea has to come from the child. Parents may project their own experiences and want to protect their children from emotional harm. If a teen has prominent ears, but is not bothered by them, that teen is not a good candidate even if the ears would respond well to an otoplasty. Parents who request consultation for a teen in this case may tell the doctor, “My ears have always bothered me and I don’t want my child to have the same problem.” If the teen is not requesting the surgery, there is no patient consent, even if there is parental consent.
​If your teen asks you about cosmetic procedures– particularly on the ears, nose or breasts – they may be candidates for cosmetic surgery. Explore what they feel they would like to change and why they would like it changed. Research what surgery might be like, what its risks are and how it would affect their activities. If as a parent-teenager team, you feel that cosmetic surgery may be appropriate, ask your pediatrician for a referral to a pediatric plastic surgeon who can explain more about it to you and your child.
Check Credentials
State laws permit any licensed physician to call themselves a “plastic” or “cosmetic” surgeon, even if not trained as a surgeon. Look for certification by the American Board of Plastic Surgery (ABPS). If the doctor operates in an ambulatory or office-based facility, the facility should be accredited. Additionally, the surgeon should have operating privileges in an accredited hospital for the same procedure being considered.

Source: https://www.healthychildren.org/English/ages-stages/gradeschool/puberty/Pages/Cosmetic-Surgery-in-Teens-Information-for-Parents.aspx

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