TY - JOUR T1 - NICE guideline: attention deficit hyperactivity disorder JF - Archives of disease in childhood - Education & practice edition JO - Arch Dis Child Educ Pract Ed SP - 24 LP - 27 DO - 10.1136/adc.2009.175943 VL - 95 IS - 1 AU - M Atkinson AU - C Hollis Y1 - 2010/02/01 UR - http://ep.bmj.com/content/95/1/24.abstract N2 - ADHD (attention deficit hyperactivity disorder) is a heterogeneous behavioural syndrome characterised by maladaptive levels of hyperactivity, impulsivity and inattention. ADHD (as defined by DSM-IV-TR) is a common disorder affecting 3.6% of boys and 0.85% of girls between the ages of 5 and 15 years in the UK.1 DSM-IV describes three subtypes of ADHD according to the mixture of symptoms: predominantly inattentive (ADHD-I), predominantly hyperactive-impulsive (ADHD-HI) and combined type (ADHD-C). The ICD-10 definition of hyperkinetic disorder (HKD) describes a severe subgroup of the DSM-IV combined type ADHD and affects about 1.5% of primary school-age boys. In recent years there has been an increase in the clinical recognition of ADHD/HKD with a corresponding rise in the numbers diagnosed and treated, from an estimate of 0.5 per 1000 children diagnosed in the UK 30 years ago2 to more than 3 per 1000 receiving medication for ADHD in the late 1990s.3 This article summarises the main recommendations from the ADHD guideline produced by the National Institute for Health and Clinical Excellence. Readers should refer to the full guideline for the complete set of recommendations and supporting evidence4 (www.nice.org.uk/CG072). The diagnosis of ADHD in children, young people and adultsThe treatment of children aged 3 years and older, young people (12–18 years) and adults with a diagnosis of ADHD and HKDSpecific treatments such as pharmacological and psychological interventions including family interventions, cognitive–behavioural treatments and parent training; other physical treatments are also considered such as dietary elimination and supplementationThe management of ADHD in the presence of co-morbid conditions in children, young people and adults including conduct problems, anxiety, autism spectrum disorder (ASD), learning disability, neurological disorders and substance misuseThe organisation of care and services for children, young people and adults with ADHD. The guideline was developed by the … ER -