Is hyper activity of the child a disease? It concerns, in France, 400 000 children.

A recent study claims that French children are the most likely to suffer in Europe, but doctors continue to question the reality of this disorder.

"My child is a hyperactive" ... The temptation is strong, in front of a difficult child, turbulent, to stick to it this label very fashionable rather than that of "dirty kid". However, hyperactivity is only one symptom that contributes to a high-profile psychiatric disorder: ADHD, for "Attention Deficit / Hyperactivity Disorder". A diagnosis that would affect 3 to 5% of school-age children in our country, one to two per class, or 400,000 aged 4 to 18 years. The mediatization of hyper activity has masked the importance of other symptoms that belong to three families: agitation but also impulsiveness (lack of patience, anger) and especially attention deficit.

Invention or particularism American, on evaluation? These accusations are not new, nothing typical of our time, or of our modern way of life: Medicine has been talking about it since 19th century, and in societies that have not benefited from our development, we find children suffering from the same symptoms;

No responsible area has been identified in the brain; It is more likely that the circuit matures, which explains why one-third of the children recover without treatment, thanks to the ripening process that has to be followed.

Is education involved?

Most families of patients seem to lack consistency in the requirements of daily life but this goes back to genetics: Its importance is such, found in 70% of cases, that it is not uncommon for a parent to be affected of the same disease; Even the two ... which does not facilitate the treatment!

The absence of brain abnormality or detectable chemical changes leads some doctors to talk about invention to justify the prescription of drugs, psychostimulants, considered by some as drugs.

A world of paradoxes

The treatment of ADHD is the world of paradoxes: use of video games to stimulate attention, while there is still little said aggravators, and especially use of a drug close to amphetamines. Prescribing a stimulant seems at first sight paradoxical in a hyperactive. In fact, we use its action on the deficit of attention, which has the effect of calming the agitation. A quick tour on the internet shows the passionate atmosphere surrounding these drugs, which some people do not hesitate to call "kiddy coke", the children's drug. A highly controversial treatment, probably effective, but too prescribed in nearly eight million children worldwide.

In France, only 5% of ADHD follow this drug treatment which is reserved for serious forms and in case of failure of other approaches. Our doctors prefer the rehabilitation techniques, the education of the child certainly but also of the parents, the work with the teachers; Real solution but much more restrictive than the use of a simple pill ...

All tracks must be explored.

There is no link between ADHD and intelligence, and the academic difficulties most of these children experience are related to behavioral or attention deficit disorders. Yet, as we age, 50% of children retain their symptoms, which explains the figure of 7% of the adult population reached, according to the most recent study.

A video Why Doctor to know more

Pourquoidocteur offers in this new issue of C our Health (CNS) a program on the child with high potential, better known as early child. The rate of boys and girls with high potential in France is estimated at 3%, ie 1 to 2 pupils per class. A third of them are in school failure. These children are mostly misunderstood, hypersensitive and often out of step with their peers. Being or having a child with high potential is not easy. What are the keys to better understanding these young people? When and how to identify their earliness What health professionals and associations can families count on?
CNS answers all these questions with the guests of the Dr. Lemoine :
The Dr. Olivier Revol, neuropsychiatrist, head of the Center for Learning Disorders at the Lyon Neurological Hospital
Roberta Poulin, President of ASEP (Swiss Association for Early Children)

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