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Is ADHD Hereditary?

We don’t really know that much about ADHD, despite endless studies, it seems to be that ADHD is in some cases hereditary, but not in others. It is currently believed that some 75% of cases are caused by at least one parent’s genes. However, there are some interesting theories out there, including Natural Selection dating back to evolution, as the spontaneous, and sometimes risky actions some people with ADHD may take, would have back then made the person more likely to explore the unknown, finding food source, or new territory.

Furthermore, hyperactivity may have been favourable in situations individuals found themselves in such as having quicker response times and superior hunting skills.

These days however, there’s a Tesco on every corner, food and drink comes prettily packaged for us and all we have to do is put it in the oven. So why didn’t the gene die out after it was no longer needed?

The body produces many chemicals; however, it has been found that many of the genes which make up ADHD are directly linked to Dopamine. Not because too much dopamine is being produced, but quite the contrary. This lack of dopamine has been linked to a lack of concentration, which is what makes education far more difficult when in a mainstream class environment due to the fact someone with ADHD really cannot sit still and unless they are doing a subject that interests them, their minds will jump from thought to thought.

Because ADHD is so widely diagnosed, there are some other theories on the subject. Because ADHD initially manifests itself as ‘bad’ behaviour, generally disrupting the classroom, not being able to do anything quietly, struggling to sit and eat meals at the table, impatience and often interrupting conversations or activities, we have to ask ourselves where the invisible line is where normal childhood behaviour ends, and where traits for ADHD begin.

It is believed that although there are genuine cases of ADHD out there, a fair amount of cases are either false positives are linked with something to do with the child’s home life, or is linked to academic success.

For example, Child A is 8, and he has an IQ of 147, well above the national average for his age. He enjoyed school however, towards the end of this academic year, he’s started to misbehave. Has he started adolescence incredibly early? After several incidents, the head teacher brings in the schools SENCO (Special Educational Needs Co-ordinator), it is decided that Child A should be referred to a specialist. After many months of reviewing Child A’s characteristics, traits, general intelligence and academic achievements, the conclusion is not that Child A has ADHD, but is instead bored in class, because he is too advanced for the work that is being given, and he needs something that will stretch his mind and challenge him to learn at a slightly higher level. The changes are made, and Child A goes on to continue excelling in school.

Child B on the other hand is also 8, with an IQ of 103, which is in line with the national average. However, unlike Child A, he’s in the academic year above, making him the youngest child in the class. The start of the year started relatively well, however, towards the end of the first quarter of the year, his work began to deteriorate, as did his behaviour. He underwent the assessment process, and it was confirmed that indeed, he does have ADHD, however, this coupled with the work he’s being set being too advanced for him to comprehend at this stage, it’s decided that he is given 1-1 support when needed, and a simpler work load until he gets up to speed.

Child C is 9; he was recently taken into care. He has a lower than average IQ of 88, however, when doing something he enjoys in the classroom and at home, he’s well behaved and channels all of his energy into that activity. However, when doing something he isn’t interested in, he misbehaves, throwing regular temper tantrums, running riot and generally creating anarchy. During the process of him being taken into care, it was discovered that he had been subject to physical and emotional abuse and that during the pregnancy the mother also smoked and drank heavily. The diagnosis when completed did state that Child C does have ADHD, and also Foetal Alcohol Spectrum Disorder. Although FASD has little to do with Child C’s ADHD, it does have an impact on his learning potential, and the physical abuse could have triggered the ADHD as it was a traumatic brain injury that resulted in the ADHD. Child C was finally sent to a special school that could cope with his complex needs.

As you can see with the 3 case studies (taken from my own experiences), ADHD can be hereditary, however, it can also be triggered by traumatic brain injuries. The reasons are yet unknown why it can take years for the ‘trigger’ to finally start, however, one thing is certain, if your child, or anyone’s for that matter has ADHD, there is help out there, and also many therapeutic methods available.

Can ADHD be cured?

In a perfect world, anything and everything could be cured, from HIV/AIDS to Cancer, Schizophrenia to Bipolar, and Autism to ADHD. Unfortunately, that isn’t the case, and there doesn’t look to be any change in that any time soon. It’s not through not trying or the endless research and tireless efforts on scientist’s parts. We simply haven’t had that breakthrough yet.

Unfortunately, if you have ADHD, it’s there for life, similar to nearly every other mental health disorder. If ADHD is in the early stages (between the ages of 6 and 12) you’ll have to wait at least 6 months until the first observation to get a Statutory Assessment of Special Educational Needs. It is worth the wait and the frustration however, for this nice little piece of paper opens many doors, predominantly to services normally off limits for the general public, including state funded fee paying boarding school placements specialising in ADHD/Mental Health/Behavioural Problems, placements in special schools (I’ll cover these in greater detail shortly). You’ll also be able to receive specialist care, support from social services, and in many cases, an increased sense of self. By sense of self, I mean those awkward questions that you didn’t have the answer to now have an answer. We aren’t talking the answer to why, how or what happens next, but explaining the traits visible to come down to the final diagnosis.

Now, what this actually comes down to, is not can ADHD be cured, but how to deal with it on a daily basis. For those of you reading this from an educational/information point of view, who don’t have any immediate family or friends who have ADHD living with you, I want you to imagine for just 10 minutes, how your life would be affected were the whirlwind thoughts that are common in people with ADHD to be going through your head. People with ADHD have been known to describe their thought patterns as erratic, swinging from one thing to the other, often feeling like they’re going 1 million miles a minute. This is of course, untreated ADHD.

There are various medications on the market for ADHD. Generally, there are two main flavours of drugs. They are completely different chemical combinations, making them ideal for a vast spectrum of ADHD treatment. Methylphenidate which is more commonly known as Ritalin and Adderall, where the active ingredients are Salts of racemic amphetamine and Dextroamphetamine. The latter is a potent medication, with some very interesting side effects.

Although you may see Amphetamine and think of Raves in the 90’s, when taken in therapeutic doses the majority of side effects can be wiped off the list, such as change in libido, Euphoria followed by mild Dysphoria, anxiety and Amphetamine Psychosis. Amphetamine Psychosis generally only occurs in people heavily abusing Amphetamine, however, in very rare cases, over very long periods of time (years without having any time off the drug), however, should this situation arise the full recovery rate is set at between 85% and 95%. The unaccounted 5% however were abusing the drug over a period of time, and weren’t taking it as a therapy.

Going back to the schools, you’ll find that they are trained, qualified and highly fit for their jobs. The schools will have a variety of therapies available to best meet the needs of a young person with ADHD, and because these schools are able to essentially set their own curriculum after fulfilling the requirements of Maths, English, Science and ICT, that leaves a lot of hours in the day. Obviously there are lessons still, however, during these non-core lessons, pupils are able to go to various therapies, be that music, art, drama, or simply just spending an hour a week speaking to a life coach.

I know of one school that managed to get all core lessons and more into 2 days, allowing the pupils to then go to college for 2-3 days to study for NVQ’s in CateringTrowel Trades, Car Mechanics, Hairdressing, and many more, giving them a decent building block for entering the world upon leaving. Some of the success stories include one pupil going on to become a Brewer for Whitbread, another went on to become a full time mechanic upon completing his level 3 and one went on to become a successful brick layer. All of these pupils have ADHD however, if it wasn’t for the carefully constructed combination of individual therapies and medications, their stories would be far from happy endings.

You see, it isn’t a case of being able to cure ADHD at present, it’s giving people the correct tools and mechanisms early on in life to ensure that they have a fighting chance of survival in the real world, and with the correct medications and therapies, while also learning life skills, is the best sure fire at present to treat ADHD.