ADHS

A.D.H.S. = „Zappelphilippsyndrom“/= Aufmerksamkeitsdefizit-/Hyperaktivitätssyndrom

A.D.D. = Aufmerksamkeitsdefizitsyndrom

http://adhd.emedtv.com/

Hypoallergene Kost hilft Zappelphilipps. Zu diesem Ergebnis kommt auch ein niederländisches Forscherteam nach einer Studie mit 100 Freiwilligen. Jan Buitelaar von der

Radboud-Universität in Nijmegen und seine Kollegen bildeten eine Untersuchungsgruppe aus 50 Kindern mit ADHS im Alter von 4 - 8 Jahren, die 5 Wochen lang nur wenig allergene Nahrungsmittel erhielten. Die Basis dieser sogenannten Eliminationsdiät bildeten Reis, Gemüse, Fleisch und Wasser, die dann individuell andere Nahrungsmittel wie Kartoffeln, Obst oder Weizenprodukte ergänzten. Als Kontrollgruppe dienten 50 Gleichaltrige, die sich für denselben Zeitraum an einen Ernährungsplan mit allgemeinen Tipps zu gesundem Essen halten sollten.

Dabei stellten sie fest, dass sich die Ernährungsumstellung positiv auf die Aufmerksamkeit und das Verhalten der Kleinen auswirkte. Die spezielle Diät sollte daher Teil der Behandlung aller Kinder mit ADHS sein, empfehlen die Forscher in der Fachzeitschrift „The Lancet“ (Februar 2011)

ADHS Symptome können sich als folgt zeigen:

- redet viel - redet oft dazwischen

- antwortet auf Fragen, bevor diese beendet sind

- macht viel Lärm, auch beim Sprechen

- Regeln werden ignoriert

- erledigt Aufgaben nicht vollständig oder nicht richtig

- heftig und unerwartete Gefühlsreaktionen

- gesteigerte Erregbarkeit

- Ablenkbarkeit ist groß

- Lernschwierigkeiten

- trotz guter Intelligenz schlechte Schulleistungen

- Vergesslichkeit

- kann nicht warten

- ist Sprunghaft

- tölpelhaft ungeschickt

- Bewegungen wirken eckig

- impulsiv ohne Nachdenken

- Gerechtigkeitssinn ist übersteigert

- hat niedrige Frustrationsschwelle

Das ADS (Aufmerksamkeits-Defizitsyndrom) ist definitionsgemäß eine neurobiologische Störung, die durch erhebliche Beeinträchtigung der Konzentration und Daueraufmerksamkeit, mangelhafte Impulskontrolle und eingeschränkte emotionale Regulation gekennzeichnet ist. Bei zusätzlicher motorischer Hyperaktivität bzw. Unruhe spricht man vom ADHS (ADS mit Hyperaktivität, "Struwwelpeter-Syndrom"). Folge sind bei Kindern und Heranwachsenden Fehlverhalten in der Schule, Leistungsschwäche, Lernstörungen, ev. später auch Suchterkrankungen, Depressionen, Angststörungen. AD(H)S ist eine obligat im Kindesalter beginnende Verhaltens- und Lernstörung, die jedoch in 30 - 50 % der Fälle auch im Erwachsenenalter fortbesteht. Während die hyperkinetische Symptomatik oft verschwindet, halten die Aufmerksamkeitsprobleme, die emotionalen Störungen (Unruhe, Stimmungsschwankungen, Hypersensibilität) und die Impulsivität an. Als Ursache des AD(H)S wird heute eine angeborene neurogene Stoffwechselstörung angesehen, die zur Dysregulation von Neurotransmittersystemen wie Dopamin und Noradrenalin führt und die geordnete Informationsverarbeitung im Gehirn behindert. Vor allem die dopaminerge Signaltransduktion ist betroffen. Psychostimulanzien wie das Dopamin-agonistisch wirkende Ritalin (Methylphenidat), Amphetaminsaft oder Captagon (Fenetyllin) können die neuronale Aktivität normalisieren. Ritalin wirkt in ca. 70% der Fälle, gelegentliche ernstzunehmende Nebenwirkungen sind jedoch zu berücksichtigen. Bei Erwachsenen werden eher tricyclische Antidepressiva (Nortriptylin, Desipramin, Imipramin), Noradrenalin-Wiederaufnahmehemmer wie Strattera (Atomoxetin) und Edronax (Reboxetin) oder auch das Antidepressivum Venlafaxin eingesetzt. Neben der zweifellos vorhandenen genetischen Disposition wird die Rolle verschiedener Umweltfaktoren kontrovers beurteilt Reizüberflutung, Rauchen der Mutter in der Schwangerschaft, familiäre Probleme ("schlechtes Elternhaus") sind als aggravierende Faktoren anerkannt. Schilddrüsenhormone wirken regulierend auf das Neurotransmitternetzwerk.

Subklinische Schilddrüsen-Unterfunktion werden gehäuft bei AD(H)S-Kindern gefunden, Kritische Autoren bringen daher nervöse Störungen der Kinder (ADHS) mit der Zwangsjodierung der Nahrungs- und Futtermittel in Verbindung. Ist man sich nicht ganz sicher, ob Hyperaktivität der Kinder o. eigene Erregungszustände, Reizbarkeit, inneres Zittern, vermehrte Schweißneigung o. Schlafstörungen tatsächlich jodbedingt sind, dann kann man zunächst versuchen, mindestens 4 Wochen lang die Jodspeicher zu leeren. In dieser Zeit müssen natürlich alle jodhaltigen Medikamente (Kaliumjodid!) abgesetzt und jodhaltige Nahrungsmittel (Seefisch/Meeresfrüchte/Milch(produkte) und alle Nahrungsmittel, die mit Jodsalz zubereitet wurden, gemieden werden. Haben sich die vorgenannten Beschwerden durch diese Umstellung gebessert, dann kann man späterhin bei Bedarf versuchen, wieder geringe Mengen natürlicher Jodverbindungen einzuschleichen.

Unverträglichkeitsreaktionen gegenüber Nahrungsmitteln und NM-Additiva, Belastung mit Neurotoxinen wie Schwermetallen (Pb/Hg/Al/Cd/As) o. Organochlorverbindungen und Überempfindlichkeit gegenüber Chemikalien (MCS) sind in ihrer Bedeutung umstritten. Gesichert ist das gehäufte Vorkommen von Mikronährstoffdefiziten (Magnesium, Zink, Niacin, Pyridoxin, Thiamin, Folat, Vitamin C, Omega-3-Fettsäuren, seltener auch Vit B12, A, E, B2 und Pantothenat) bei AD(H)S. Supplementierung mit Vitamin B6, Omega-3-Fettsäuren, Flavonoiden und Phosphatidylserin verbessert die Symptomatik oft wesentlich und wirkt in Verbindung mit Entgiftung (Detoxifikation), Ernährungsumstellung und ggf. Korrektur einer Darmflorastörung äußerst effektiv zu wirken. Nahrungsmittelunverträglichkeiten sollen bei der Mehrheit der betroffenen Kinder vorkommen. Eine entsprechende Eliminationsdiät ist daher häufig erfolgreich.

Der US Arzt Dr. med. Carl Pfeiffer vom Princeton Brain Bio Center ist schon Ende der 60er Jahre der Frage nachgegangen, ob nicht die Ursache von bestimmten psychischen Störungen in einem gestörten Stoffwechsel liegen könnte. Eine gesunde Gehirnfunktion ist schließlich auf eine ausgewogene "Chemie" angewiesen. In den darauf folgenden Jahrzehnten an Forschung verdichteten sich die Erkenntnisse immer mehr, dass es in der Tat verschiedene Mangelerscheinungen an Vitaminen und Mineralien in Verbindung mit Gen-Defekten gibt, die zu erheblichen nervlichen Turbulenzen führen. Diese werden von der gegenwärtigen neuropsychiatrischen Medizin immer noch ignoriert und natürlich falsch behandelt, z.B. mit Psychopharmaka. Den wahren Ursachen auf die Spur gelangt man in dem Moment, wo man sich dafür interessiert.

Aktuell und durch die Erkenntnisse der Neurotransmitter Diagnostik will ich einen Botenstoff in Zusammenhang mit ADHS bringen: Glutamat

In dem Zusammenhang gibt es ja den Begriff "Erregungs-Toxizität?"

Glutamat (= Glutaminsäure) ist der hauptsächliche erregungs- übertragende Neurotransmitter zur neuronalen Kommunikation, essentiell für Erkenntnis, Gedächtnis, Bewegung und Sinne. Ohne Glutamat wären wir blind, taub und geschmacklos. Glutamat und sein "Vetter", Aspartat (= Asparaginsäure) sind auch die vorherrschenden Aminosäuren im Hirn (hier dienen sie beide der Erregungsübertragung und können sich gegenseitig ersetzen) wie auch in Nahrungsmitteln:

Weizen-Gluten besteht zu 43%, Milch-Casein zu 23% und Gelatine zu 12% aus Glutamin.

Der Geschmacksverstärker Natrium-Glutamat wird den meisten industriell hergestellten Nahrungsmitteln beigefügt. Aspartat bildet die Hälfte des Süssstoffes Aspartam (Nutrasweet), die Basis

der meisten Diät-Produkte. Ironischerweise sind Glutamat und Aspartat zugleich die stärksten der über 70 Erregungs-Toxine, welche mit speziellen neuronalen Glutamin-Rezeptoren in

Hirn und Rückenmark in einer Weise reagieren können, die Zellschäden hervorruft. Diese Reaktionen sind vermutlich die Ursache neurodegenerativer Erkrankungen und werden mit Migräne und Konzentrationsstörungen, Verlust von Gedächtnis und Intellekt in Zusammenhang gebracht. (Quelle: ZfN, Rosler 23.6.2004)

Meiden sollte man also versuchsweise Glutenhaltige und kaseinhaltige Speisen und natürliche alle anderen Quellen von Glutamat (Geschmacksverstärker).

Die volle "Dröhnung" bekommt, wer sich an Fertiggerichten aus dem Supermarkt satt isst, an Suppen und Sossen von Knorr, Maggi, Campbells, an 5-Minuten-Terrine, Salatsoße, Kartoffelbrei, Wurst, Schinken, Chips von Chio. Auch wer in Kantinen isst und in Restaurants, kann dem Glutamat kaum entgehen.

Der Geschmacks-Verstärker Natrium-Glutamat (E621 bis E625) ist auch enthalten in Additiva wie:

- Hydrolysierte Pflanzenproteine - Weizenprotein

- Kasein-Hydolysat

- Natürliches Aroma

- Hefe-Extrakt (getarnt in Bio Erzeugnissen bis zu 5% )

- Würze - Gewürze

- Carrageen

- Maltodextrin

- Trockenmilcherzeugnis

Krankheit: Mangelnde Impulskontrolle/Ungleichgewicht zwischen Dopamin und Noradren?/verbunden mit Migraine?;

Beschwerden: Trockene Haut/Durst;

Kind: Hyperaktiv/unaufmerksam/Wutausbrüche/Stimmungsschwankung/schlecht organisiert/impulsiv/Angehörigen mit ADHS/Beschwerden haben vor 7e Lebensjahr angefangen;

Positiv: Viele Ideen/offen(herzig)/hilfsbereit/gibt gerne/tatkräftig/schnelle Reaktion;

Mann: Instabile Partnerschaften/Probleme mit Arbeit/überfördert/Suchtgefährdet;

Frau: Tagträumerei/P.M.S./unsicher/ängstlich/depressiv;

Ursache: Mutter hat Iodmangel +/o. Bluthochdruck/raucht/trinkt Alkohol während Schwangerschaft. Reflexen bestehend vor/während/nach Geburt werden nicht zu

willentliche Handlungen umgewandelt und zeigen dadurch das A.D.H.S.syndrom/das dopaminerge System kann durch übermäßige Stimulation während der 1en Lebensjahre zu stark entwickelt sein/vererbte Anlage für Migräne?;

Chinese medicine: a person with poor “boundaries” (overextending themselves/acquiescing to others/existing in “co-dependent relationship”adhs?) may experience problems with their lungs. In feeling one’s entire being as a sponge (porifera family), one senses its open boundaries and vulnerability. the sea’s corollary to complete dependency without a womb. The child, only recently released from the womb, experiences boundary problems through the lungs.

Vergleich: Cocain (Beschreibung von Gebrauch ist Beschreibung von Zustand ADHS-ähnLICH). Dys. Heroin (Heroinabhängigen haben gleiche Hirnbeschwerden wie A.D.H.S.).

Siehe: Ritalin + Nosoden allgemein + Borreliose

Allerlei: Erwartet wird das in späterem Leben Parkinson als Folge von Ritalingebrauch auftreten kann.

‡ sanguinisch: braucht Vielfalt um Interesse des Kindes zu befriedigen/diese Vielfalt muss abwechselend sein/das Kind für sich gewinnen ‡

Folgende Text hat anthroposofische und allopatische und homöopatische Elemente:

The terms “attention disorder” and “hyperactivity” are applicable to certain children and to the social context of Western industrialized societies.

Individual behavior problems are coupled with individual gifts and creative potentials.

Mitteln verschrieben in „Scientific study of homeopatic treatment“ gekenmerkt mit *.

Attention Deficit Hyperactivity Disorder:

• inattention and increased distractibility (= ADD),

• impulsivity, with poor inhibition capacity in the mental and behavioral spheres, and also (optionally)

• intense urge to move: motor hyperactivity (= ADHD)

What is demanded in the “normal” relationship of thinking to acting reflects exactly the reigning paradigm of thought and behavior in technologically advanced Western

societies/it fails to take into account the evolution of a child’s consciousness and action/it fails to acknowledge the existence of an artistic, creative type of thinking characterized

by an intense openness to everything that is new and arises in the moment. As artists or inventors, human beings can free themselves from the calculated certainty of rationally

determined action (theirs could rightly be called a “risk-taking” style of thinking and behavior). Leisure-time and parenting behavior of adults tends not to fit the criteria posited

above (in regard to food/alcohol/tobacco). Parents’ consumption of alcohol and nicotine during pregnancy promotes ADHD/also partner conflict/psychological disturbance in

the parents/parenting deficits/disorders in the parent-child relationship strongly influence and may impair children’s attention, impulse control and movement behavior.

The behavior modeled here seldom bears much relation to the paradigm of planned or considered action.

In fact it is technology: learning to drive safely, having an occupation in a technologically based modern society/that educates the adult towards a behavioral style with:

focused attention (shutting out surroundings as a whole in favor of exact, primarily visual attention to selected events)

planful action directed towards a future result

relinquishing one’s own physical activity, suppression of one’s own movement needs in favor of intellectual control by way of machines

The same is true of the economic necessities connected with technology/the style set by them penetrates into the upbringing and education of our children, into our approach to

dealing with patients and into the way hyperactive children are dealt with: Medical, pedagogical and social norms take on the value of technical norms

are implemented as a form of “management” or “self-management.” The ability “to function under normal circumstances” is thus an historically relative criterion.

Change in consciousness provoked by technology can also be experienced on the soul level as alienation from life/imprisonment in an outwardly imposed set of circumstances/loss

of the experience of one's own presence and capacity for spontaneity. The other side of the ADHD „coin“: fear of losing one’s creative potential. The style of perception,

impulsivity and driven motor activity that is labeled as ADHD today could represent advantageous behavior (fort he “hunter” of pre-industrial societies)/many creative

personalities in Western societies display traits of ADHD.

Negative traits: Positive traits:

Compulsive drivenness Dexterity in movement (“kinesthetic intelligence”) in many cases

Distractibility Boundless” interest in the world

Short attention span “Panoramic view” = quick grasp and great intensity of attention during this short span

Poor listening ability; Dominantly visual, deficient auditory processing frontally-oriented and relation to back-space perceptual style

Impulsiveness Great flexibility and open to what is new

Urge to assume Longing for trustworthy leadership over peers/authority; adults genuine leadership qualities in some cases

Examples: Winston Churchill. Son of a “suspected-ADHD” father who devoted almost no time or attention to his son, as a schoolboy/showed every sign of an attention disorder/

made progress only when motivated by a personal interest. Throughout his life military confrontations gave him most energy. In 1940, after an already turbulent political

career he led Great Britain through what seemed an irrational/hopeless confrontation with Germany, letting not even national bankruptcy stop him (which all previous

“normally functioning” British politicians wished to avoid)/had the longest and most successful political career in the history of Great Britain/was awarded the Nobel prize

in literature for his powerful literary achievements/was quite active artistically as a painter.

Thomas Alva Edison: successful inventor/received more than 1.000 patents/was always working on several inventions at once/saw sleep as a waste of time and permanently

revolutionized the life and sleeping habits of his contemporaries and future generations with his invention of the light bulb/was a total failure at school, at the age 12 he

left home and got by for a time working odd jobs.

Mozart

Astrid Lindgren created Michel of Lönneberga casting light on many facets of ADHD: his trying qualities/the suffering as well as the deep understanding of his parents/

the lack of understanding of his fellow townsmen wanting to buy him a one-way ticket to America (his mother throws this money out of the window)/finally becoming

chairman of the town council

und Pipi Langström

Peter Lustig

Pumuckl

The definition of C. Neuhaus is objectable: The moment abnormal behavior ceases to have positive repercussions and becomes a source of constant trouble for the individual,

it is not creativity but a disorder”. Since the days of the Pharisees we have been aware that getting into “constant trouble” is not just the fault of those who allegedly cause it, but

equally that of those in positions of societal responsibility who react negatively to abnormal behavior, seeing the mote in the other’s eye but not the beam in their own. Hence in

composing the definition of ADHD, the authority who defines what is normal must also be scrutinized. The reason this dimension goes unmentioned in much of the scientific medical

literature is that medical training today is dominated by the scientific paradigm. Yet there is no “normal value” that conclusively separates ADHD as a disorder or disease from

all the possible healthy paths of development in children. The diagnosis is based preponderantly on an act of understanding of child behavior. This is underscored by the

fact that there is no scientific test for a diagnosis of ADHD. The German pediatric guidelines make this perfectly clear: "The diagnosis is to be derived from the patient’s life story".

Even questionnaires have a very relative value; and over extensive psychological testing, the guidelines give priority to making "a rough evaluation of the child's intellectual capacity

and attentional behavior in school based on teacher's evaluations and grades. Examination of school bag and notebooks (orderliness/completeness/handwriting/organization) will

provide an indication of disorders of visuomotor coordination (writing)/attention (careless errors)/weakness in reading and spelling." It becomes clear that what is being

measured by these criteria is the child's adaptation to conditions in the modern nuclear family/modern kindergarten (25 children/noise level around 85 dB) and the achievement

expectations of modern education; to apply the term "disorder" here is to move quite far from the concept of pathology as applied to a case of meningitis, oligophrenia or even a

psychotic illness.

The diagnosis of ADHD is predominantly applied to boys (boys : girls varies between 3 : 1 and 9 : 1)/for ADD without hyperactivity a ratio of 2 : 1 is assumed.

ADHD is considered to be genetically based to a high degree (recent studies put the inheritance rate at approx. 80%/the twin studies on which these results are based

show no "boy-preference"). On an historical and social background, some of the crucial traits of the growing-up experience in societies with a Western lifestyle today are that:

* modern media have dramatically affected family life/reducing children’s mobility/vanishing of alternation of speaking and listening, collective play and family rituals (meals).

* the great majority of girls and boys are brought up by women (mothers/kindergarden teachers/most elementary school teachers).

* children generally experience their fathers only during leisure time (if parents separated every other weekend/at visiting time/not at all).

* it is increasingly rare for children to experience their own movement as a meaningful necessity due to the mechanization of household and transportation.

* boys seldom experience “typically male” movement patterns = activities requiring physical strength and endurance/when they do these are usually optional athletic

activities/not ordered work with social significance and value and necessity.

* places of freedom (settings in nature/playgrounds/street) where children can experience their own movement/impulses/alternating attention disappeared.

Leading symptoms of a disorder requiring treatment may be:

Infancy:

* persistent recurrent symptoms of an overtired infant/protracted crying phases/motor unrest/irritability/difficulty falling asleep/difficult to calm

* child is trying and unsettling for the parents; difficulty establishing a satisfying emotional bond between child and parents

Early childhood:

* temporal dissociation between language acquisition, motor development and other learning (e.g. toilet training), marked prematurity/retardation of specific “behavior

competencies”, e.g. fine motor skills, language comprehension skills, etc.

* driven, restless motor activity, low endurance (usually with some significant exception!), unpredictable and frequent changes in activities, enjoys risky behaviors,

increased accident-proneness

* “socially difficult” due to bursts of impulsiveness, disinterest in listening (often not true when they are told stories alone), frequent rule-breaking behavior, early and

inappropriate need to lead, highly defiant assertion of autonomy. Because of this, child and family may find themselves socially isolated and siblings may be made into

enemies or victims. Disturbance in the ties of family and friendship

* situational aggravation of the problems (kindergarden). Kindergarden in its present form usually a particularly unfavorable setting for hyperactive and attentionally

disturbed children. (different in small groups/“forest kindergardens”)

* Any allergic illnesses and reactions (eating habits and digestion/dysbiosis/fungal illnesses)

* This behavior is often paired with special capacities (acrobatics/circus/circus games/climbing ability/creative gift)/hyperactive boys are also able to fish quietly with

their father for hours/in frightening or emergency situations (fire) do the right thing with amazing sureness and presence of mind and later show excellent recall of

even the smallest details.

* easily distracted, forgetful, lack of care and perseverance (unappealing homework/household chores), disruptive, impulsive, defiant social behavior,

* strikingly bad handwriting, trouble with reading/spelling, continual speaking/rushed speech, affective lability and low self-esteem, outsider position in contrast to mental

gifts.

Features of the picture in adolescence:

* leaving school prematurely/repeatedly

* social isolation, continual conflicts with others, few or no friends

* attraction to dangerous sports, risky behavior in driving, etc.

* continual need for distraction, inner unrest

* Issues relating to drugs, addictive dependency on media and computer games and socially problematic experiences with peers are of growing significance.

Important aspects to consider:

* The course of pregnancy/birth (quick or difficult/intubation at birth, etc. can cause lasting injnuries of the craniocervical transition)

thoughts and feelings experienced by the parents just before conception and during pregnancy will have a direct effect on the condition of the child

* Exposure to toxic substances (pharmaceuticals/nicotine/alcohol/drugs).

* Constitution of parents and grandparents (can display certain traits/as a child) which now confront them in their children. This realization can lead to new understanding

of how their child actually feels/can calm the situation, since in the course of their lives many parents have ultimately made something positive of their difficulties and

would not really want to be "completely normal"/often the learning and behavior change in the parents is the most productive.

For differential diagnosis, the primary focus is on reactive behavioral disorders caused by stress to the child from:

* family (problems in parents' relationship to child and in parenting, unrealistic expectations, parental relationship problems, occupational/economic stresses,

problems with siblings and close relatives; "family secrets" that were never talked about

* kindergarden or school (excessive demands for achievement/teacher with difficult personality/mobbing?)

* depressive disorders/among boys these may well be coupled with hyperactive behavior and in most cases (severely) impaired attention

* peripheral and central hearing disorders

* autistic disorder; psychose rarely

* endocrine disorder (thyroid/adrenals)

* disorder of the craniocervical transition area (Ostheopathie)

* competency deficits

Evaluation of the child's intelligence/gifts [with a judgment as to whether the demands placed on the child are appropriate (under-/overdemand)]. The use of labels such as

"highly gifted" may not always be productive here, since in these children largely suffer from great discrepancies [between their aptitude for mathematical/logical thinking and for

social learning/emotional intelligence")/between their artistic gifts and their reading/spelling ability].

Following ADHD-associated disorders have been found to be of diagnostic and therapeutic significance:

* Disorders involving a constitutional dominance of the metabolic-limb system which manifests as a hyperkinetic disorder (ADHS)

* Attentional disorders without hyperactivity (ADD). Competency deficits (acquired) have proven to be of considerable pathogenetic importance.

* Disorders in the area of the craniocervical transition.

* Vegetative lability, labile hypotonic circulation.

* Food intolerances; nutritional, digestive and metabolic disorders.

The treatment using stimulants (Methylphenidat/Ritalin®) has a purely symptomatic effect/apporoximately ¼ of all children considered to be affected do not respond to stimulants

or respond only negatively to them. It is not always possible to avoid the use of stimulants during the 2nd seven-year period/striven should at a path without stimulant therapy that

aims towards at least partial healing/rehabilitation i.e. a path towards progressive healing in the child's development.

Stimulants cannot accomplish this. The claim is made that stimulant therapy is a kind of substitution therapy for the metabolism of the central nervous system (largely

hypothetical justification for the therapy). As a general rule, any substitution of substances can have problematic effects on the equilibrium and ultimately weaken the autonomous

development of the child's metabolism (as insulin in diabetes). This in turn leads to continual medical checkups, with doctors warning their patients always to take their pills if they

wish to avoid a relapse. In adolescence at the latest, this frequently leads to massive self-doubts and mis-use of the substances to be taken or refusal/stimulants should be used in

acute treatment/a last resort when a child remains unresponsive, socially isolated or unmanageable despite every measure attempted/stimulants exercise a suppressive action on

many children (originality/creativity)/change in group size in kindergarden/options for individual help/academic achievement standards/time the child spends in the institution.

Following therapies have the advantage that the children acquire new capacities/physical obstacles are eliminated (craniosacral therapy and rhythmic massage).

* curative play and practice therapy,

* craniosacral therapy,

* artistic modelling (less often painting and speech or music therapy),

* ergotherapy in conjunction with breathing therapy exercises,

* therapeutic circus work, etc.

Constitutional Dominance of the Metabolic-Limb System Manifesting as a Hyperkinetic Disorder (ADHD)

Constitutionally hyperactive, impulsive behavior with attentional impairment (ADHD) has a marked relation to the male sex, rare in girls.

It is not unusual for the family anamnesis to reveal disturbed development in earlier generations (father/male ancestors)/Boys characterized by a relative dominance of the limb

forces over the centralizing head forces (mediating inner calm and concentration); in these predisposed cases, the dominance appears particularly marked.

This type of constitution favors a “short-circuiting” between environmental stimuli and limb activity along with deficient control (and guidance) of limb movement emanating from

the head (disturbed motor coordination is striking in many of these children).

From the embryological viewpoint it is noteworthy that the regulatory connection between the nervous system and the musculature does not emanate hierarchically from the

nervous system, but rather arises as structures of the central nervous system and the muscle blastemes are “brought into agreement” by the organism (is an unspecified

center). The central nervous system is: a reflective organ necessary to the steering of body movement and the limb system is: an independent system which together with digestive

and metabolic processes comprises the primary organ of the human will then does the mediating task become clear which the human being must accomplish during development.

It is in the area of body and limb development that the female and male sexes differ most markedly. An explanation based on brain metabolism (the dopamine hypothesis),

on the other hand, casts no light on the sex-specific character of ADHD.

1st effect of the nerve on the muscle cell is inhibition (= Hemmung)/while the original “modus” of every muscle cell is movement. In reality, the success of the mediating task

mentioned above is not a process of the nervous system at all, but depends on the rhythmic system that mediates between the nerve and limb systems and associated “soul”

processes (respiration/circulation/spinal function/craniosacral rhythm). Movement and consciousness must be “brought into congruence” out of one’s own forces - that is the task.

As a rule, abnormal behavior on the part children with hyperkinetic syndrome becomes esp. pronounced when they are in socially challenging situations. This too is connected

with insufficient development of the rhythmic system, resulting in insufficient connection and interpenetration of the head and limb forces: The rhythmic system, which provides

for a “breathing, resonating” kind of understanding, becomes “fragmented” by limb forces and impulses that take on a life of their own. The other children in a group/their parents

are soon aware of this and need to feel that their situation is understood by the doctor in detailed consultations. The hyperactive children themselves also suffer, overwhelmed by

their own limbs and their spontaneous actions.

In the metabolic area (children with food intolerances/labile blood sugar curve). Many of them display a marked labil blood sugar level, which

can lead to corresponding hunger phases (primarily in morning) with increased sugar consumption and correspondingly greater, reactive blood sugar vacillations. Diet and medication

can be effective here.

* It must be borne in mind that by its very nature, will-life (= Lebenswille?/= Wille zum Leben) proceeds without memory/comparison/plan; it moves from the now towards

the future. In order for this to occure, the past must be forgotten. In a child who is carried away by his will, this means that the function of conscience can be suppressed and

of value from the past can be destroyed without any feelings of regret or guilt. Even an ability to lie without a bad conscience stems from the unbalanced dominance of the

will-life (= Lebenswille?/= Wille zum Leben). At any moment, however, this state can switch to feelings of regret or guilt once the “intoxication of movement of will-lif

(= Lebenswille?/= Wille zum Leben)” has passed.

Crucial in hyperactivity is the child's relationship to the father: (presence/active in their lives)/by constitution his role lies in the use of his limb forces/the more harmoniously he does this

and models it, the more positive the effect on the child. It is important for the child father to be part of the child's upbringing.

Ergotherapy/artistic therapies/curative education/school-preparatory work in small groups should always be considered and used at the right moment. How deeply they can change

the constitution depends on the age of the child at the time of their use. The aim is to enable the rhythmic system to mature in the 2nd seven-year period, and in hyperkinetic

children the ground must be prepared for this (particularly at pre-school age).

Concentration and perseverance is best learnt by these children through meaningful physical activity (can be very skilled and engaged in this area/in handicrafts).

Constitutional remedies can have a decisive effect on the symptoms. A selection of important remedies is presented below.

Behandlung:

?Zappelin:? (Cham D 12 + Staph D 12 + Valer D 6 + Calc-hp D 4 + Kali-p D 6 + Cupr-met D 10)

Clupea harengus = Hering

Ostheopathie

Neurophysiologische Behandlungstechniken, Neurofeedback, Eisen (siehe Anämie)/Magnesium/Vit. B6/Folsäure

Vitaminen + Mineralien + Omega-3-fettsäure + Aminosäure + Probiotika kombinationen + Lec + Gink-b; Elektrosmogbelastung untersuchen;

Buch: Dorothea Beigel, Flügel und Wurzeln

Calciumhydrogenphosphat = E 341b kann ADHS < +/o. auslösen (Calc-p).

Meteoriten?

Alle Zuckergebrauch ausschließen (verborgene Zucker).

Overview of therapy options with anthroposophical and homeopathic remedies

When a single remedy is not apparent, it is advisable to begin treatment with following anthroposophical composite remedy.

Aurum/Stibium/Hyoscyamus comp. Wala 5 - 10 globuli 2 - 3 x day,

(* hyperactive/driven + * aggressive/* prone to rivalries and physical confrontations/= basic therapy for a child)

Remedy stimulates the rhythmic system to overcome "one-sided tendencies" in both the nerve-sense system and the metabolic-limb system. Aur/Ant/Hyos potentized together.

Aur: heart and circulatory system, strengthens wakeful day-consciousness and as abundant experience has shown/esp. where the child has too little exposure to the father.

Ant = Stibium: gives structure to metabolic processes (promotes blood-clotting) as well as to mental life (psychiatrically valuable when the mind is flooded with an uncontrollable

mass of chaotic impressions).

Hyos. inhibits compulsive impulses from passing directly into movement and promotes the development of the rhythmic system (toxicity of this plant and its rhythmically structured form).

This remedy includes a mildly antidepressive component that is helpful to many of these children.

Use of this introductory therapy stimulates the rhythmic system/is reported effective.

Kent’s repertory 'restless children': Bufo. Rhus-t.

---------------- with behavioral problems: Bell. Carc. Cham. Cupr-met. Stram. Tub.

* vor dem Mittelnamen angegeben, bedeutet dass dieses Mittel vorkommt in der Liste von „Ergebnisse einer randomisierten, placebo-kontrollierten

Doppelblindstudie mit Crossover“ von Heiner Frei.

http://www.hahnemann-congress.org/en/02_bilder/Frei_HyperKinder.pdf

scientific_study_of_homeopatic_treatment

* Agar: Tics, hyperactivity, mild impairments of the central nervous system-

Leading symptoms: symptoms similar to ADHD.

* tics associated with ADHD or resulting from treatment with stimulants

* risky/impulsive/erratic but essentially well-intentioned behavior/child wishes to be helpful and good

* in fits of rage they can display tremendous strength

* Arg-n: Haste and drive/nerve-sense system does not exert a calming and guiding action in the organism but produces instead an undirected catabolic tension.

Leading symptoms:

* constantly feels driven and restless;

* loves movement in the fresh air, external cooling

* suffers from nervous anticipation

* tries to compensate with sugar consumption, which < nervousness (variable blood sugar level)

* Ars.

Ars-i: das „Orkanmittel“/nach einer Konsultation ist die Praxis ein „Trümmerfeld“;

* Bell: Strong awareness, uncontrolled emotional impulses/aggressive behaviour.

Leading symptoms:

* early awakening of consciousness; children who listen to conversation of adults („kleine potjes hebben grote oren“); one can speak intelligent with them

* are aware of their uncontrolled behavior at an early age without being able to control it

* have acute attacks of rage (similarly, suddenly developes high fevers during acute infections) with biting (young children)/hitting/autoaggressive behavior.

Many of their illnesses occur in attacks, with pain occurring as acute colic pains

* hate being touched (head)/wrapping or constriction

* fears [thunderstorms/dogs (fear of being attacked the way they might attack others)/water/darknesss].

congestion of the head and flushes, restless, aversion for warm food/vegetables/milk/aggressive with striking and kicking/waking from fright/bed wetting (Sacch.)

Might reject touch/diapers/tenderness in daytime, may run to parents' bed in a sweat 2 hours after falling asleep: When the life-organization expands upwards in sleep

and the soul releases its hold, the child enters in a crisis of neediness. The soul does not unite harmoniously with their own body and surroundings, instead appearing suddenly

and overpoweringly like a demon ready to pounce: children are carried away by it without being able to guide the process.

* Bar-c.

Borx.

Brom-r. BB.

* Bry.

Cand.?

* Calc: Nach Frei: Unruhe/zappelig; Schreiben erschwert, verkrampft, ermüdend

EMPfindlich gegen (helles) Licht, < angestrengtes Sehen. Gehör überempfindlich. Geschmackssinn vermindert (würzt alles nach). Ist schnell zu heiß, Bedürfnis zu entblößen. < abends (Schauder und Furcht wenn der Abend hereinbricht.); Begreift, versteht langsam: vergesslich/verdreht Worte und hat Mühe sich richtig auszudrücken. Denken fällt schwer. Arbeit abgeneigt, niedergeschlagen, Melancholie, weinerlich. „Als ob ein Unglück eintreten müsste“. ANGST mit Herzklopfen. Reizbar ohne Ursache, Empfindlich und Eigensinn.

Unruhige Stimmung mit Trübsinn und Angst.

Blonde, gut genährte Kinder, zu Übergewicht geneigt. Schwitzt

Lippe: Furchtsam und schnell beleidigt, weint leicht, Kinder sind eigensinnig, ängstlich bezüglich

Gesundheit, Angst vor Unglück, Verzweiflung, Mühe zu Denken.

Guernsey: „Leukophlegmatische Konstitution“ mit großem Kopf, großes Gesicht, blasse Haut mit kreidigem Aussehen, später Fontanellenschluss bei Säuglingen.

Calc-p indicated for both sexes. Weak rhythmic system, dissatisfaction and frustration/Hyperactivity takes the form of a chronic (frustrated) dissatisfaction/is synthesized out of

Ca + P, corresponding to the problems between the nervous system and the metabolic-limb system.

Leading symptoms:

* continual dissatisfaction/compare themselves with others/worRIED they will be negatively judged (intelligence/appearance)/critiCAL of others and

express this/wants to be the best (generally are not). Bursts of rage result from this inner dissatisfaction and are manifested around learning

difficulties. They are not very creative themselves and thus are dependent on others, yet they do not behave in a way that generates much sympathy.

* the soul life with its catabolic action does not unite in a positive way with the metabolic-limb system, resulting in belly aches/growing pains/poor and fluctuating appetite;

sleepless until late at night/in the 2nd seven-year period tendency to headaches triggered by physical and mental exertion.

* tendency to disorders in region of the cervical spine as well as development of idiopathic scoliosis (girls)/an expression of poor integration of the upper and lower person

in the rhythmic region. In older children, the motor unrest can find an outlet in prolonged athletic activities; quite often with this constitution, impairment of the epiphyse

(Apatite D6 = Calc-p in an other form)

* during puberty initial signs of restrictive anorexia may appear.

Painting therapy can be very helpful for children with this constitution in the 2nd seven-year period.

Carc: D.D. Calc-p; frustrated by failure at school/unmotivated, restless/girls and boys/primary weakness of the rhythmic system/fundamentally ambitious in the aims they set

themselves (often unconsciously adopted from others)/lacks the energy to achieve/disappointed by the outerworld/continually drive themselves into a corner.

Leading symptoms:

* restLESS and poor concentration, coupled with

* a mood of pronounced frustration and lack of motivation which cannot be dispelled

* works hard without satisfactory results until they reach the point where they stop doing anything for school.

* has great difficulty undertaking anything on their own initiative and need a social context in order to become active

* oppressed at school/acting out at home

They attach great importance to acceptance by their peer group and like to travel.

* Caus.

* Cham.: Wutausbrüche/schmerzempfindlich

* Chin.

Ephe-sinica ?brauchbar für ADHS?

Fenoterol = Partusisten wann Mutter Fenoterol als Wehenhemmer bekommen hat Quelle: remedia.at

Gaertner = Darmnosode

Gall-ac ?brauchbar für ADHS? Rabiat/destruktiv. Symptome entwickeln, nachdem die Mutter nach der Geburt wieder arbeiten geht (durch Trennung von der engsten Bezugsperson)

Helo-s Gilatide (= peptide in saliva has shown effect in the treatment of Alzheimer/Diabetes/ADD)/improves memory and learning: Novel Nootropic (= smart drugs/memory enhancers/

cognitive enhancers)

Peptide (= Exenatide®).

* Hep.

* Hyos.

Ict-f.: asthmatische Beschwerden durch Staub;

* Ign.

* Lach.

* Lyc.Anxious/bullying behavior/primary digestive weakness/frail, develop slowly, feels quickly satiated at meals, do not like to chew and crave sweet foods/breaking-down processes in upper

abdomen deficient, resulting in a tendency to bloating and constipation as well as a high amount of allergies/chronic stuffy nose.

(Zu) früh im Kindergarten gekommen.

Leading symptoms:

* boys

* who are clingy to their mothers but need validation from peers

* are afraid when alone and may sleep with a sibling to avoid being alone

* prefers to hide weaknesses,

* yet are ambitious, expecting a great deal of themselves or having the feeling that others do.

dictatorial behavior/want of self confidence/need of approbation/fear undertaking new things/sensiTIVE to pain/irritable and sad in the morning on waking/

desires sweets/insatiable appetite, defiance, disobedience, insolence, unrefreshed sleep, restless while sitting. (Sacch)

Moderate hyperactive, taking the rather subliminal form of nervous unrest with attentional weakness due to metabolic weakness and inner nervous tension.

Parental expectations can be high (father). Supportive measures: Mill.-yarrow compresses on liver/adequate fluid intake and use of Hepatodoron

Magnesite (= Mag-c): constitutional remedy (kindergarden/pre-school age). Like Sulph., primarily action the life-organization (etheric body)/most suitable for boys/"stick out"

by their willful behavior and physical and emotional assimilation problems. One gets the impression of a stunted etheric organization with poorly developed coherence.

Mg plays a crucial role in living organisms in the absorption of sunlight (chlorophyll), making it a central element in the development of an independent etheric organization

and the capacity for growth and assimilation. Irritable/aggressive pre-school children, short and thin, tendency to abdominal colics, restless sleep.

Leading symptoms:

* children are short-statured and thin (1st year)

* will not eat before 9 - 10 h. in the morning

* in most cases do not like vegetables (greens)

* bristly, contrary, irritable, oversensitive

* tendency to abdominal colics and acid-smelling diarrhea

* frequently restless sleep

* in many cases such children suffer from family discord/seek argument

Sacch.

Med?

Merc/Merc-v