Dr. Robert G. Kohn, 5404 West Elm Street, Suite Q,
McHenry, Illinois 60050 Ph: (815) 344-7951 Fax: (815) 759-3807
What is ADHD/ADD?
Listen to Dr. Kohn speak on ADHD/ADD.
ADHD/ADD is the most common neurological-behavioral syndrome in childhood, and usually continues into adulthood. It is a condition composed
of problems with attention, self-control, impulsivity and hyperactivity.
How Can Dr. Kohn Help?
Dr. Kohn uses a variety of evaluation forms and Assessment Tools in his Practice.
He believes in a Holistic view of the patient and their problem.
His approach is to use a Biological-Psychological-Social framework to assess symptoms because he knows that
the proper diagnosis leads to proper treatment.
The Quotient Test is an objective computer-based tool that measures
attention and motion components used in the evaluation of ADHD. These measures
are compared to the clinical information provided by the patient on the Evaluation Forms.
The IVA+Plus Test is a unique combined auditory and visual continuous performance test
that provides objective data in order to assess attention in both children and adults.
The biological component for the treatment of ADHD/ADD includes the use of stimulant medication (Amphetamines - Adderall, Dexedrine, Vyvanse;
Methlyphenidates - Concerta, Daytrana, Focalin, Metadate, Ritalin) or non-stimulant medication (Atomoxitine- Strattera). These medications may be
used in combination or separately depending on associated conditions such as anxiety or depression.
The use of Modafanil (Provigil) may be added for problems with wakefulness not adequately responding to the above medication.
The choice of medication used is evaluated based on the problem list and goals discussed at the initial visit. Each medication has a specific
duration of action (how long it lasts effectively) and side effect profile
(loss of appetite, nausea, chest pain, insomnia, personality changes) that determine whether it is chosen or not.
The psychological component for the treatment of ADHD/ADD is tailored to the unique personality characteristics and individual needs of the patient.
This may include further testing by a Psychologist to determine whether a specific learning disorder is present.
As part of the routine evaluation for older teens and adults, Dr Kohn uses the NEO 5 Factor Personality Test,
and may use the Kiersey Temperament Inventory.
The social component for the treatment of ADHD/ADD requires an understanding of the fit between the patient and their world.
In children, this means a full awareness of their performance in school and family; in teens this means a close look at their fit with school,
family, work, teams/activities and peers. In adults, this refers to a more global understanding of the fit between you and your work, family,
partner and life choices.
ADHD/ADD refers to a condition in which selective attention skills, self control and motivation are disturbed.
Poor self esteem, foolish life choices or substance abuse may also develop resulting in chronic feelings of inadequacy,
social paralysis and addiction.
Attention problems are selective and may involve difficulties with directing one’s focus, maintaining focus, dividing attention and shifting attention.
Attention problems appear unique to each age of development and intelligence level. Motivation problems are selective and are directed by one’s interest much more so than by whether a goal is important.
Self control problems result from acting without forethought and appear impulsive. The ability to monitor what is occurring
right now with what one remembers is relevant with what choice needs to be made later appears to be deficient.
Children with ADHD/ADD
Children - there is often a more obvious degree of restlessness and hyperactivity than forgetfulness and inattention in preschool
to mid-elementary school age children. Boys are more often noticed with this problem than girls.
The American Academy of Pediatrics has recommended that a diagnosis of ADHD be established based on the following core criteria as
defined by the American Psychiatric Association in the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV).
ADHD symptoms must:
Present before age 7
Persist for at least 6 months
Be more frequent and severe than is typical for children at
comparable developmental stages
Manifest in multiple settings, such as school and home
Adversely affect functioning in school or social settings
Preteens with ADHD/ADD
Preteens - reading and scholastic problems with self control and attention appear more obviously at this age.
Teacher comments of the child not working to his/her ability and parent observations that disorganization surrounds homework are more common.
Teens with ADHD/ADD
Teens - social skills appear to lag behind with hypersensitivity to any perception of criticism appear to compound
difficulties with listening, observing and working efficiently on school and after school projects.
Experimentation with alcohol, marijuana will eventually affect nearly 70% of teens unless recognized and treated effectively.
College Students with ADHD/ADD
College students - for some the demands of an unstructured environment result in inability to
maintain a proper day and night schedule and balance studies with a social life.
The opportunities for distraction into activities involving sexual experimentation and drug often leads to consequences
that result in academic probation or dismissal. Depression may set in for the first time paralyzing the ability to continue school work.
Adult Women with ADHD/ADD
For adult women with ADHD, with marriage, careers or families demanding an increasing efficiency in planning and organization skills,
often mood disorders set in and are misdiagnosed as the primary problem.
A growing distance between one's potential and self esteem may drive you to avoid examining the source of the problem. If
your child is diagnosed with ADHD, you may eventually try their medication.
Adult Men with ADHD/ADD
Adult men with ADHD/ADD are often without prior diagnosis. For them, the ongoing challenges at work with details of paper work or presentations
become anxiety provoking. Substance abuse, often alcohol, compounds the challenges to balance career with mental health and treatment
may mistakenly be directed to addiction or anxiety without a broader understanding of ADHD/ADD.
Jobs may change in succession along with relationships until either you recognize the pattern,
it is pointed out to you by a professional or you end up trying your child’s stimulant medication and seek expert evaluation for yourself.