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It can still be ADHD even if there is no hyperactivity.

NIMH (http://www.nimh.nih.gov/health/topics/attention-deficit-hyperactivity-disorder-adhd/index.shtml)

It is normal to have some inattention, unfocused motor activity and impulsivity, but for people with ADHD, these behaviors:

  • more severe 
  • occur more often and in most areas such as school and home
  • interfere with or reduce the quality of how they functions socially, at school, or in a job
  • and can have produce some mood dysregulation and frustration

Medication can be helpful but also has risk.  We must weigh the risk to benefit.

Under proper supervision, stimulant medications are considered safe. However, there are risks and side effects, especially when misused or taken in excess of the prescribed dose. The following examples should not be considered exclusive.  Stimulants can raise blood pressure and heart rate and increase anxiety. Therefore, a person with other health problems, including high blood pressure, seizures, heart disease, glaucoma, liver or kidney disease, or an anxiety disorder should tell their provider before taking a stimulant. There may be a rebound of irritability as the medication wears off at the end of the day. Stimulants also can exacerbate tics, cause appetite and sleep problems.   Stimulants should not be combined with alcohol or other stimulating drugs. 

There are also non stimulant medications but they also have potential side effects.  Some non-stimulant medications can slow the heart rate and lower blood pressure.  Some cause drowsiness and some may cause urinary retention.

There are also off label medication for atypical situations. 

Behavioral therapy is a type of psychotherapy that aims to help a person change his or her behavior. It might involve practical assistance, such as help organizing tasks or completing schoolwork, or working through emotionally difficult events. Behavioral therapy also teaches a person how to monitor his or her own behavior, give oneself praise or rewards for acting in a desired way, such as controlling anger or thinking before acting.  Important things to remember for a person with ADHD.

  • Just get started
  • Now finish the task
  • Maintain structure and organization
  • Lack of sleep will make things worse so practice sleep hygiene
  • You can't think if you don't feed your brain.