Kimmer Collison-Ris, MSN, FNP-BC, WOCN, MS CAM - ADD/ADHD
Spectrum Care - Kimmer Collison-Ris, MSN, FNP-BC, WOCN, MS CAM
ADD/ADHD & Integrative Medicine

ADHD is diagnosed by health professionals who form their opinion by observing a child's behavior. There are no brain scans, blood tests, or anything else definite that is used during a workup to form a diagnosis.
Confusing the issue is that there are many other problems that share the same symptoms of ADD/ADHD. An Integrative treatment program will assess for allergies/sensitivities, hormone imbalances, nutritional deficits, vision and eye problems, and sleep disorders, depression, and learning problems. 

It is easy to forget that nutritious foods and fluids are essential for assessing behavior and mood issues. Unknown to most healthcare providers is that water, food, blood and air imbalances contribute heavily to behavior problems. Once these are corrected many of the behaviors calm down or disappear altogether.

Integrative medicine providers combine nutritional support, botanical or homeopathic remedies, fresh water, rest, routines, and behavioral therapy along with medication management to manage ADD/ADHD.

Kimmer is qualified to provide evaluation, diagnosis, and management involving both nutrition and nutrient recommendations, prescriptions (when appropriate), and ADD/ADHD coaching for individuals and families.

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ADD/ADHD-like Syptoms and Hydration

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ADD/ADHD-like symptoms part 2

ADD/ADHD is considered a chronic, lifelong condition that begins typically before 7 years of age.              

Symptoms of inattention
  • fails to give close attention to details or makes careless mistakes in schoolwork, work, or other activities
  • has difficulty sustaining attention in tasks or play activities
  • does not seem to listen when spoken to directly
  • does not follow instructions and fails to finish schoolwork, chores, or duties in the workplace (not due to oppositional behavior or failure to understand instructions)
  • has difficulty organizing tasks and activities
  • avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort (e.g., schoolwork or homework)
  • loses things necessary for tasks or activities (e.g., toys, school assignments, pencils, books, or tools)
  • is easily distracted by extraneous stimuli
  • is forgetful in daily activities

Symptoms of hyperactivity
  • fidgets with hands or feet or squirms in seat
  • leaves seat in classroom or in other situations in which remaining seated is expected
  • runs about or climbs excessively in situations in which it is inappropriate (in adolescents or adults, may be limited to subjective feelings of restlessness)
  • has difficulty playing or engaging in leisure activities quietly
  • is “on the go” or acts as if “driven by a motor”
  • talks excessively 

Symptoms of impulsivity
  • blurts out answers before questions have been completed
  • has difficulty awaiting turn
  • interrupts or intrudes on others (e.g., butts into conversations or games) 
The presence of six or more symptoms under the category of inattention or hyperactivity and impulsivity may indicate a problem if they occur frequently, result in impairment, and are not caused by other conditions.

Conditions that look like ADD/ADHD

  • Allergies
  • Anemias
  • B vitamin deficiencies
  • Carbon Monoxide poisoning
  • Central Auditory processing Disorder
  • Cardiac conditions
  • Dietary Factors
  • Early-Onset Bi-Polar disorder
  • Early-onset diabetes
  • Excessive amounts of Vitamins
  • Genetic defects
  • Hearing and vision problems
  • Head injuries
  • Heart disease
  • High mercury levels
  • High manganese levels
  • Hypoglycemia
  • Hyper or hypothyroidism
  • Iron deficiency
  • Learning disabilities
  • Malnutrition or improper diet
  • Metabolic disorders
  • Mild to high lead levels
  • Post-traumatic stress disorder
  • Sensory Integration Dysfunction
  • Sleeping disorders
  • Spinal Problems
  • subclinical seizure/seizure disorders
  • Tourette's syndrome
  • Toxin exposures
  • Viral or bacterial infections
  • Worms

Other Conditions that mimic ADD/ADHD
  • Brain cysts
  • beta-hemolytic streptococcus
  • Candida Albicans infestation
  • Early stage brain tumors
  • Emotional problems
  • Fetal alcohol syndrome (FAS)
  • Gifted Children
  • Genetic Disorder XYY
  • Intestinal parasites
  • Intentionally or unintentionally
                 sniffing materials
  • Klinefelter syndrome
  • Lack of exercise
  • Lack of understanding and
                communication skills
  • Porphyria
  • Some medications
  • Temporal lobe seizures
  • Spirited children
  • spoiled children

American Academy of Pediatrics (AAP) published guidelines (2000) for assessment ADHD.

(1) the primary care clinician should initiate an evaluation of children ages 6 to 12 who present with inattention, hyperactivity, or impulsivity;

(2) the diagnosis of ADHD requires that a child meet the DSM IV criteria;

(3) the assessment requires evidence directly obtained from parents or caregivers regarding the core symptoms of ADHD in various settings, the age of onset of symptoms, duration of symptoms, and the degree of functional impairment;

(4) the assessment of ADHD requires evidence directly obtained from the classroom teacher (or other school professional);

(5) the assessment should include evaluation for associated conditions;

(6) other diagnostic tests are not routinely indicated to establish a diagnosis of ADHD but may be used for the assessment of co-existing conditions (e.g., learning disabilities, mental retardation).