Child and Adolescent Counseling Services, Tokyo Japan


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Treatment and Therapy for ADD & ADHD in Tokyo and Japan

ADD/ADHD assessment and treatment in Tokyo. Counseling, psychotherapy and educational intervention for children and adult ADD/ADHD in the Tokyo and Yokohama area of Japan.


 

The Child and Adolescent Counseling Services in Tokyo is experienced in the therapy and treatment of Attention Deficit Disorder (ADD) and Attention Deficit Hyperactivity Disorder (ADHD), located in the Shibuya-Ebisu area of central Tokyo, Japan (Meguro-ku, Shibuya-ku, Setagaya-ku, Minato-ku area) of Tokyo Japan.

 

While ADD/ADHD is thought of as a disorder of children and adolescents, a considerable number of adults also continue to experience many of the major symptoms of inattention, hyperactivity, or impulsivity seen in children. Approximately 5% of school-age children are thought to have ADD/ADHD. There is a familial pattern with more persons in the same family having ADD/ADHD then seen in the general population. There are two major forms of Attention Deficit Disorder, the Predominantly Inattentive Type and the Predominantly Hyperactive-Impulsive type.

 

In the Predominantly Inattentive Type, young children may make careless mistakes in schoolwork, they have trouble sustaining attention, have trouble finishing and organizing tasks. They loose things, are forgetful, and are easily distracted. In the Predominantly Hyperactive-Impulsive type, the child seems to be fidgety, constantly squirming in their seat, runs about and climbs excessively when it is in appropriate to do so and seems to always be "on the go". They impulsively interrupt others, can't wait their turn, and may have trouble controlling their aggression.

 

Although the intensity of the symptoms tends to lessen starting in adolescence, adults may also show significant impairment in social functioning. Adults with inattention often can not finish course work or job projects, they are distracted and often forget where they have placed important objects. They are not able to tolerate the concentration needed to enter university, may barely finish high-school or college. They gravitate to activities they have interest in and have trouble to engage in uninteresting tasks no matter how much of a priority they are (i.e., paying bills, studying for examinations, making applications, etc.) and they often work in jobs that are far below their actual intellectual abilities.

 

Adults with hyperactivity may be those persons who are constantly talking and get irritable when others have the floor, they are always making plans and doing exciting things. While they sleep well, they can't seem to relax when awake. They may be impatient with others who seem to do things slowly, and they can not tolerate slow activities (i.e., walking in the woods, uninteresting business meetings, etc.). If impulsivity is severe, these persons may gravitate to street-drug use and engage in dangerous or violent behavior.

 

The treatment of these persons first requires careful assessment of the problem and acceptance by the person that this is a problem they have had for many years, and if an adult, that they still have. Making the diagnosis in children requires careful evaluation as children by nature may have inattention or be very active as a part of development. Only after careful assessment of the child's behavior in school and at home should the diagnosis of ADD or ADHD be given. In adults, while the symptoms may be more subtle, a history of inattention and/or hyperactivity as a child along with some of the more common symptoms and behaviors as mentioned above can raise the suspicion of ADD/ADHD. In either case, there must be significant impairment in social functioning.

 

While other illnesses like depression can co-exist with ADD/ADHD, careful assessment and the lookout for symptoms of ADD/ADHD that remain after the depression is successfully treated is an effective way to make the diagnosis. Treatment consists of gaining insight and education, help with organization and planning, special educational programs for children, and possibly medication treatment when these other methods fail.