Dr Shabeer A' Jeeva

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Dr Shabeer A. Jeeva

• L.R.C.P LRCS (Ireland), D.Psych (ottawa),
  F.R.C.P (Canada)
• Specialist Child Adult Psychiatrist

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Copeland Symptom Checklist for Attentin Deficit
Disorders

• INATTENTION/ DISTRACTABILITY
• Has a short attention span, especially for low
  interest activities.
• Has trouble completing tasks.
• Daydreaming.
• Easily distracted.
• Nicknames such as Spacey or Dreamer.
• Forgetful.
• Starts many things finishes few.

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• 2. IMPULSIVITY
• Easily excited.
• Becomes frustrated easily.
• Does not think before acting.
• Is disorganised.
• Does not plan well.
• Constantly moves from one activity to another.
• Dislikes group activites that require patients
  and taking turns.
• Requires much supervision.
• Interrupts and talks out of turn.
• Constantly in trouble for doing things wrong or
  forgetting to do things.

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3.ACTIVITY LEVEL PROBLEM

• Overactivity/ Hyperactivity
• Restlessness either fidgets or is constantly on
  the go.
• Reduced need for sleep.
• Talks too much.
• Constantly running, jumping or climbing.
• Kicks covers off moves around constantly while
  sleeping
• Difficulty staying seated at meals, in class, etc.

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• B. Underactivity
• Sluggish low energy level.
• Daydreaming spaciness.
• Inattention due to low energy level rather than
  being distractable.
• Poor leadership ability.
• Has trouble getting started.

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4. NON-COMPLIANCE

• Repeatedly disobeys.
• Argues a lot.
• Ignores socially accepted standards of behaviour.
• Does not do what is asked of him/her.
• Deliberately annoys others.

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5. ATTENTION-GETTING BEHAVIOUR

• Often needs to be the centre of attention.
• Always asks questions or interrupts.
• Picks on other children and adults.
• Acts like the class clown.
• Uses bad or rude language to attract attention.
• Engages in other negative behaviours to attract
  attention.

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6. IMMATURITY

• Acts like a younger child (year to 2 years
  younger).
• Physical development is delayed.
• Would rather be around youger children and
  relates better to them.
• Often acts emotionally immature.

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7. POOR ACHIEVEMENT

• Achievements do not meet apparent ability.
• Loses books, assignments, etc.
• Has trouble understanding and/ or remembering
  things people say.
• Learning problems.
• Fails to complete assignments.
• Completes schoolwork too quickly (rushes).
• Completes schoolwork too slowly.
• Handwriting is messy or sloppy.
• Has trouble remembering diretions and
  instructions.

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8. EMOTIONAL DIFFICULTIES

• Unpredictable mood swings.
• Irritated easily by minor things.
• Insensitive to pain and danger.
• Hard to calm down once over-excited.
• Easily frustrated.
• Tempers, tantrums, angry outbursts (Pitches
  fits).
• Moodiness.
• Poor self-esteem.

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9. POOR PEER RELATIONS

• Hits, bits or kicks other children.
• Has trouble following the rules of games and
  social interactions.
• Is rejected and avoided by peers.
• Does not like group activities. Prefers to be
  alone.
• Teases peers and siblings too much.
• Bullies or bosses other children.

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10. FAMILY INTERACTION PROBLEMS PARENT(S) ONLY

• Frequent family conflict.
• Social gatherings are unpleasent.
• Parents argue over dicipline.
• Mother / father spends hours of homework with
  this child, leaving little time for others in the
  family.
• Meals are frequently unpleasent.
• Arguments occur between parents and child over
  responsibilities and chores.
• Family stress results from the childs social and
  academic problems
• Parents feel frustrated - alone
• - angry - afraid for child
• - helpless - sad and
  depressed
• - guilty - disappointed
• - hopeless

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Conners Assessment Rating Scale

• Use the folowing scale Not at all
• A little
• Pretty much
• Very much
• to assess the child.

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• 1. Sits fiddling with objects?
• 2. Hums and make other noises?
• 3. Falls apart under stress/ examination?
• 4. Co-ordination poor?
• 5. Restless and overactive?
• 6. Excitable?
• 7. Inattentive?
• 8. Difficulty in concentrating?
• 9. Over sensitive?
• 10. Overly seriouis/ sad?
• 11. Daydreams?
• 12. Selfish?
• 13. Sullen or sulky?
• 14. Disturbs other children?
• 15. Quarrelsome?

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• 16. Tells tales?
• 17. Acts smart?
• 18. Destructive?
• 19. Steals?
• 20. Lies?
• 21. Temper outbursts?
• 22. Isolates himself from other children?
• 23. Unaccepted by group?
• 24. Easily led?
• 25. No sense of fair play?
• 26. Appears to lack leadership?
• 27. Does not get along with the opposite sex?
• 28. Does not get along with same sex?
• 29. Teases/ interferes with other children?
• 30. Submissive?

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• 31. Defiant?
• 32. Impudent?
• 33. Shy?
• 34. Fearful?
• 35. Excessive demand for attention?
• 36. Stubborn?
• 37. Overly anxious to please?

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The SNAP IV 26 Rating Scale

• For each item use the scale
• Not at all
• Just a little
• Pretty much
• Very much
• Not assessed.

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• Often fails to give close attention to details or
  makes careless mistakes in schoolwork.
• Often has difficulty sustaining attention in
  tasks or activities.
• Often does not seem to listen when spoken to
  directly.
• Often does not follow through on instructions and
  fails to finish schoolwork.
• Often has difficulty organising tasks and
  acivities.
• Often avoids, dislikes, or reluclantly engages in
  tasks requiring sustained mental effort.
• Often loses things necessary for activities (e.g.
  school assignments, pensils, or books).
• Often is distracted by extraneous stimuli

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• Often is forgetful in daily activities.
• Often fidgets with hands or feet.
• Often leaves seat in classroom when remaining
  seated is expected.
• Often runs about or climbs excessively in
  situation where it is inappropriate.
• Often has dificulty playing or engaging in
  leisure activities quietly.
• Often is on the go or acts as if driven by a
  motor.
• Often talks excessively.
• Often blurts out answers to questions before the
  questions have been completed.
• Often has difficulty awaiting turn.
• Often interrupts or intrudes on others.

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• Often loses temper.
• Often argues with adults.
• Often actively defies or refuses adult requests
  or rules.
• Often deliberately does things that annoy other
  people.
• Often blames others for his/her mistakes or
  misbehaviour.
• Often touchy or easily annoyed by others.
• Often is angry and resentful.
• Often is spiteful or vindictive.