TY - JOUR T1 - NICE guideline review: Attention deficit hyperactivity disorder: diagnosis and management (NG87) JF - Archives of disease in childhood - Education & practice edition JO - Arch Dis Child Educ Pract Ed SP - 289 LP - 293 DO - 10.1136/archdischild-2019-316928 VL - 105 IS - 5 AU - Rebecca Amy Dalrymple AU - Lindsey McKenna Maxwell AU - Shiuli Russell AU - Jane Duthie Y1 - 2020/10/01 UR - http://ep.bmj.com/content/105/5/289.abstract N2 - Attention deficit hyperactivity disorder (ADHD) is one of the most common neurobiological disorders of childhood. ADHD is defined in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (Text Revision) (DSM-V-TR) and is termed ‘hyperkinetic disorder’ in the International Classification of Diseases, 10th revision (ICD-10).1 There are three principle features of ADHD: Impulsivity: causing premature and thoughtless actions with a potential for harm and desire for immediate rewards. Hyperactivity: a restless and shifting excess of movement. The patient may excessively fidget, tap or talk. Inattention: a difficulty sustaining focus as well as disorganisation.The diagnosis is based on a combination of these symptoms, in excess of what is normal for age or developmental stage. There is likely to be considerable impact on a child’s social, emotional and cognitive development, resulting in significant difficulties within the home, social and educational settings.A meta-analysis of 154 studies estimated a worldwide prevalence of around 5% using the ICD/DSM criteria.2 A further 5% of children are thought to have substantial difficulties with these symptoms but do not meet the diagnostic threshold for diagnosis.3 This guideline updates and replaces the previous NICE guideline CG72 (2008). This was used in conjunction with NICE technology appraisal guideline TA98 (2006), which covered some of the treatments for ADHD, such as methylphenidate, atomoxetine and dexamfetamine.This guideline was commissioned by NICE and developed by the National Collaborating Centre for Mental Health (NCCMH), a collaboration of organisations within the mental health field. There was input from service users, carers and professionals from psychiatry, paediatrics, clinical psychology, education, general practice, nursing and child and adolescent mental health services. The guideline is intended for use in children over the age of 3 years up to adulthood. See box 1 for a link to the full … ER -