Excerpted and adapted from Creating Emotionally Safe Schools, by Jane Bluestein, Ph.D. © 2001, Health Communications, Inc, Deerfield Beach, FL.

Conditions with ADHD
“Look-Alike” Symptoms

by Jane Bluestein, Ph.D.

Several of the following conditions, problems or disorders can have similar symptoms to those frequently misdiagnosed as ADD or ADHD. This list includes the items presented in the book, as well as a number of other conditions brought to my attention by concerned workshop participants, readers and email correspondents.

Gold Square Highly Kinesthetic and Tactile Learners
Gold Square Strong in bodily-kinesthetic, spatial, musical intelligences
Gold Square Auditory Dominant (likes to talk)
Gold Square Communications-Limited (needs time to process, retrieve and articulate information)
Gold Square Sensory Integration Dysfunction
Gold Square Post-Traumatic Stress Disorder
Gold Square Depression
Gold Square Bi-polar Disorder
Gold Square Asperger’s Syndrome
Gold Square Sleep Disorder
Gold Square Absence Seizures (Petit Mal Epilepsy)
Gold Square Fetal Alcohol Syndrome/Fetal Alcohol Effects
Gold Square Chronic middle ear infection, Sinusitis
Gold Square Visual or hearing problems; sensitivity to fluorescent lighting
Gold Square Seasonal Affective Disorder (SAD)
Gold Square Lack of natural light
Gold Square Too-warm temperatures
Gold Square Thyroid problems
Gold Square Poor diet, food allergies, sensitivity to food additives
Gold Square Chemical, environmental sensitivities
Gold Square High extrovert; processes through social interactions, talking, writing
Gold Square Emotional problems
Gold Square Lack of clear guidelines or instructions
Gold Square Inadequate feedback
Gold Square Inadequate instructional stimulation (lack of novelty, relevance, choices or autonomy)
Gold Square Child abuse and neglect
Gold Square Reactive Attachment Disorder
Gold Square Oppositional-Defiant Disorders, Conduct Disorders
Gold Square Obsessive-Compulsive Disorder (OCD)
Gold Square Scotopic Sensitivity Syndrome
Gold Square Temperament-related patterns (oversensitivity to sounds or sights, difficulty sequencing movements or processing visual or auditory input, or a tendency to be distracted by details).
Gold Square Use of stimulants
Gold Square Deliberate misbehavior: Better to be seen as “bad” than “dumb”

The ever-increasing length of this list and growing number of kids being referred, diagnosed and treated as ADD or ADHD suggest the very real possibility that many, many children are being misdiagnosed, and that, in many cases, alternate and often less-invasive interventions are in order. I include this list as a plea to rule out other possible causes of the symptoms before automatically jumping to the assumption of ADD or ADHD. If you know of any other conditions that might be mistaken for ADD or ADHD, please do not hesitate to contact me.

Also adapted from Creating Emotionally Safe Schools:

Working With Different Sensory/Modality
Strengths and Limitations

The "Ideal" Student: Kids for whom traditional classrooms are ideally suited (and why so many non-traditional learners struggle in these instructional environments).

Ways to Reach More Students

Multiple Intelligences

Water and the Body

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© 2008, Jane Bluestein, Ph.D., Instructional Support Services, Inc.
Last updated on October 16, 2006 5:08 PM