ADD - ADHD (Attention Deficit Disorder - Attention Deficit Hyperactivity Disorder ).

Dr. Xxxxx : This group of chronic disorders is characterised by:

• Inattention
  Losing Focus or purpose in schoolwork, work, and other activities leading to failure to undertake or complete allotted tasks.
  
  
• Difficulty organizing tasks or activities: they can't do a sequence of planned activity with ease. For example, they would have difficulty in going to the back of the classroom and planning how to do a poster on the computer to present in class the next day after first borrowing pencils from one friend and getting paper from the teacher. They may walk to the back of the class, forget why they are there and then begin to play up and walk around the class, not knowing why they need to do so. (What they can achieve is of course age dependent. Teachers are a better judge of normal scholastic achievements).
  
  Difficulty organizing
  
  
• Avoiding tasks that require sustained mental activity.
  (They just can't sit still and do the same thing for a long time.)
• Easily distracted.
  (They often forget what they are supposed to be doing, and then become bored so filling their time doing something else.)
  
  
• Hyperactivity
• Fidgets or moves around a lot
  Activity is excessive for age appropriate norms “e.g. leaving classroom, climbing furniture
• Difficulty playing quietly, may be talking frequently often or loudly
• Active as if driven by a motor
  
  
• Impulsivity
• Difficulty waiting their turn, often interrupting others 
  ADHD- hyperactive children.

 
Erasmus : The ADD ADHD disorders in Paill Spectrum children cover a range of behaviours including being:
Hyperactive, Attention Disorder, Sleep Problems, Delay, Development Problems, Depression, Bad Behaviour, being Naughty, Impulsive, having Memory problems, Education issues, Learning Problems, Learning difficulty, Dyslexia. Children have a difficult time in life. However the behaviour is treatable using a number of therapies including vitamins, minerals, herbs , nutrition and antibiotics.

Predicted Gaps in Current Clinical Assessment Criteria Based on the Paill Spectrum Model in the Attention Deficit & Related Disorders

The one circumstance that Dr. Xxxxx believes should always be taken seriously is a mother who is concerned about some behaviour or quirk of her child.  Any changes in behaviour noticed by the world’s only expert in that child (usually the child’s mother), are always important and must always be followed up by assessment and investigation. All too often doctors tell concerned mothers in tones of wrongful righteousness, that there is nothing wrong with their child.

 Paill has a specific path of infection.

Dr. Xxxxx : The difficulty is that some of the complaints can be quite innocuous sounding, even embarrassing for a mother to mention.

My child doesn't listen to me, (Is this perhaps just poor memory or hearing?)

My child is naughty (Is this perhaps just impulsiveness?)

My child is very clumsy, (Is this perhaps just poor balance?)

My child sleeps very heavily. (Parents are often happy with this symptom).

He is always crying at night because he says his leg is sore. I looked at the leg. He often wakes up at night complaining about this. There is nothing wrong or sore with it, as far as I can tell.

My child fidgets a lot, (Is this perhaps just a childhood variant of the anxiety / tremors that adults get?)

He is not quite like the other children. There is something different about this one child. ( This one is one of Dr. Xxxxx's personal red flag favourites). Parents do not know what it is they have noticed, but there is some sort of difference between their child and other children they know, though they are not sure whether what they have noticed, is supposed to be there or not.

He is always getting out of bed at night, (Is this perhaps just broken sleep or restlessness?)

I always have to tell him twice: I told him not to play in the shop then had to tell him not to play as soon as we walked out of the shop.
(This is failure to generalise: The parent would expect that the child would realise that if they were told not to play in one particular situation, that other similar or nearby situations or places, are also places where the same behavioural restraint is expected.)

He always gets violent when he plays with his sister.

She won't sit still even to read a story.

He gets angry with his brother very easily and they fight a lot. (Is this perhaps just impulsiveness?). 

Erasmus : These problems all sound pathetically lame, even to the mother saying them. In children treated with the Paill Spectrum, formula Dr. Xxxxx claims that he has seen many children improve exactly these symptoms with Paill Spectrum type treatment. In every case, full points and congratulations to the mother.

Dr. Xxxxx : relates that one day , when he was writing out a list of symptoms of one of the Paill Spectrum behavioural disorders, a mother came into the surgery with her child. She complained her child had the exact same list of symptoms that had just been written up the night before by Dr. Xxxxx. "It was almost as if she had been reading a page from the book over his shoulder", stated Dr. Xxxxx. She even managed to add another symptom to the list that Dr. Xxxxx was writing at the time.

Kinkajou :
Whenever there is a long term change in a child's behaviour, there is an underlying reason
Paill Spectrum is likely to be the cause.
There is no such thing as an innocent long-term behavioural change or behavioural disturbance in a child. 

Erasmus : Subjective Assessment of Clinical Criteria of Attention Deficit Disorders

The Paill Spectrum model of disease as developed by Dr. Xxxxx suggests that the current criteria do not adequately define the deficits experienced by the children. 

"Short-term memory". 
It is not that the child is not paying attention.
It is because the child can't remember what it was, that he or she paid attention to.

Kinkajou :So what is Wrong with Current Models of ADD / ADHD? An example follows :-(

Dr. Xxxxx : One example involves a child, who was told by the teacher, to draw a picture.  The child proceeded to wander around the classroom, disrupting others and doing everything except what they were told.  Meanwhile, the other child at the same desk proceeded to do what the teacher instructed. 

On questioning the child, he responded that he could not remember what he had been told to do.  Lacking recurring reminders or instructions on what to do, the child entertained himself as best he might.  The key issues here are poor short term and sequencing memory, not bad behaviour and not disruption.  After all, what would you do if you were bored out of your own head: everyone was busy doing something and no-one giving you anything to do? 

"Normal", under the circumstances. The problem is the short term memory.
The diagnostic criteria also do not give an adequate depth, to the symptoms experienced by the child.  Impulsivity should also imply doing without thinking of the consequences, a lack of lateral thinking. It is not just difficulty waiting their turn, but a failure to realise that if they jump off the roof wearing a superman costume, they are going to be hurt: They are not really superman even if they pretend. It is a long way down. They have jumped and fallen before, and hurt themselves as well. Wearing a superman costume won’t make a difference. 

There is a failure to generalise consequences or a failure to associate consequences. It is a little more than just impulsiveness. In adults, this type of symptom is often called "narrow-mindedness". There is impulsiveness there as well, but the symptom is not just "impulsiveness".

Children with Paill Spectrum ADD / ADHD have a serious illness that requires nutritional and antibiotic therapy to change the course of the illness. Behavioural changes with treatment, can become obvious to people who know the child within two weeks of initiation of antibiotic therapy.

Kinkajou :So what symptoms may be found in patients with ADD ADHD like illnesses, that are currently not known to be present?

Dr. Xxxxx :

• Short term Memory Failure
  Failing ability to recall phone numbers, evident only in older "school age" children. A failure to recall appropriately short number sequences , will be seen in younger children.
• Sequence processing failure: The inability to perform an age appropriate sequence of actions to achieve an unfamiliar (circumstance specific) task.
• Associative Failure:
  A simpler description of this would be narrow mindedness
• Failure of Higher Processing:
  Such as abstract thought “: a persistence of concrete thought
  E.g. a hard headed person has a hard head. 

• Educative failures in terms of socialisation, maths, general learning

• Mood changes
• Depression,
  
  
• Loss of mood variability or the obverse rapid mood variability
  (Flattened facies are more common in crisis events, while mood lability is more common in general behaviour.
• Mood volatility means rapid escalations or changes in mood state with the affected people often being easily distracted)
  Capacity to show “rage”

• Dyslexia like symptoms. 
  Dyslexia is usually regarded as affecting spelling.  However, the speech symbol processing inversions.  Mirrors and flips are far more obvious when number recall; such as phone number recall is tested.  This symptom develops with older children.  Earlier affected children show severe broad-spectrum delays in growth and development often in many areas: including fine-motor, gross motor, speech and language, social performance areas.

Memory loss in adults : largely not inevitable.

• Sweaty Hands: a good reliable early symptom
  Sore regions of the body as occurs in older people with Paill Spectrum, are rare in the younger age group. Some pains may be however seen, notably shoulder, elbow or abdominal symptoms in the slightly older children.
  
  
• Poor balance is a common early symptom but difficult to assess in the younger child as standards for performance are not well appreciated by the medical fraternity.  Developmental or childhood physiotherapists are better geared up to perform this type of assessment.
  Falling and balance- a problem in Paill Spectrum. Clumsy kids are common.

Kinkajou :If the standard medical model of ADD ADHD is correct, none of these symptoms should be found.

Dr. Xxxxx : The Paill Spectrum model predicts that these symptoms will be found in patients with ADD ADHD . The only requirement of finding these symptoms is to go looking. For many parents, the standard medical model may give no other explanation of these often unsuspected problems that their child may have.

Kinkajou : So what other symptoms may be found in patients with ADD ADHD like illnesses, that are currently not known to be present?

Dr. Xxxxx :

• Stepwise not smooth deterioration
• “Crisis: events": Previously well children often show rapid stepwise patches of deterioration followed by prolonged periods of recovery, then further deterioration events.  The “facies” of a child in crisis is quite distinctive.  They have a flat unresponsive appearance often with a dearth of speech.
  
  
• Sleep disturbance: hypersomnia or insomnia (Link)
  The symptoms are very variable in each child and there is substantial overlap with autistic spectrum traits and other childhood developmental syndromes. In fact there is a substantial overlap between many if not all of the childhood behavioural disorders in terms of symptoms and signs of illness. 
  
  Using the Paill Spectrum model, many of the "symptoms" can be interpreted in different ways to give a more standardized descriptive model of these illnesses, with much more emphasis on similarities not differences between these conditions.

Children with ADD / ADHD often have socialisation issues. They may quit tasks they are given, often due to memory problems, not simple distractibility.

Kinkajou : Is there anything else the PaillSpectrum model of ADD / ADHD may predict?

Dr. Xxxxx :
The occasional rare and unfortunate child may have intense thoughts or beliefs: no other piece of toilet paper is ever going to be like this piece of toilet paper.  This leads to strange behaviours in the context of the ADD ADHD.  Alternately some children may experience the singing bird scenario (of illness).

 A definite slow but subtle response with nutritional interventions occurs.

Erasmus : Patients respond to both nutritional and antibiotic therapies.  Relying solely on antibiotic therapy is unwise with Paill Spectrum.  Dr. Xxxxx believes that current psychiatric medications are excellent for symptomatic relief in much the same way that Paracetamol (Panadol) gives relief from headaches or fever.  These medications make people feel better quickly.  They do not change the progress of the depressive illness. Commonly used medications include Dexamphetamine, Ritalin (Methylphenidate).

Erasmus : Prognosis for Attention Deficit & Related Disorders in the Paill Spectrum Model
There is no magic cure for people who have a long history of ADD ADHD illness.  Only long term symptom minimisation.  The damage has already been done. 

Dr. Xxxxx : Without treatment however, this Paill Spectrum condition continues to progress. 

The next phase of the progression of a long term Paill Spectrum Illnesses variably involves:

• Development of psychotic intensity ideas or beliefs, though these are often “normal” enough to be considered just a bit odd to people who know the affected person.
• Progressive Deterioration of memory
• Loss of Sequencing ability, in terms of planning
  
  Maths skills cover a complex range of abstract activities.
  
  
• Further attacks of depression with episodes of jitters, panic, and anxiety. These psychiatric conditions are very difficult to diagnose in children, as their concept of "self" and what is normal, how and to what extent are much well defined than in adults. 

Symptoms of Paill Spectrum in the young are different to those in older patients.

Dr. Xxxxx :  Prediction: Treatment “Effects” in the Paill Spectrum Model
Paill Spectrum treatment also causes a predictable range of effects and side effects. These symptoms or reactions indeed confirm that things are going exactly as expected. If the standard medical model of ADD or ADHD is correct, they should not even exist.  All of the types of nutritional and antibiotic therapy are critical to the long-term treatment success.  Bizarre events may occur with treatment, though predominantly with second line therapies.  The therapies promoted on this web site are freely promoted because they are the safest first line treatments that can change the course of the Paill Spectrum Illnesses causing the ADD ADHD like symptoms. The Paill Spectrum model of disease as developed by Dr. Xxxxx suggests that these reactions or effects, are signposts on the road to recovery, not reasons to abandon treatment.

Paill Spectrum therapy gives distinct identifiable and measurable feedback to both parents and treating doctors at every step of a therapy cycle.  Symptoms improve and these are usually obvious to parents and people around the child, usually starting from within two weeks of initiation of the treatment cycle.

There is a classical immune response evident over three months. This is readily visible on blood testing post significant intervention. Again this confirms that things are going exactly as expected in a treatment cycle. :-]

Symptoms return in some patients in three to nine months, if underlying nutritional risk factors remain unchanged. :-[ 

Disclaimer: :-|
Dr. Xxxxx's personal opinion on the causation of these medical conditions varies substantially from current medical thinking.  Until research and further assessment of these concepts validates the concepts proposed, you must make your own mind up about what treatment regime you follow. Your doctor will undoubtedly give you advice on what the medical profession currently believes. Some few may mention what they believe themselves, often with good reason. Erasmus and Kinkajou ask : Is Paill Spectrum fact or just Science Fiction? Can you afford to wait to find out? What is belief in the standard medical model costing you , your family and your child?.

Don't be the last one to put your hand up for treatment.

Case II: ENKPAILL.COM  is a description of a child with acute onset dyslexia, but the typical mood problems , as might occur in pure ADD / ADHD children is present.
The clinical symptoms that appear as ADD in children can have a more serious expression in adults. The basic symptoms pattern remains the same.: See Case V ENKPAILL.COM

www.enkpaill.com  :-o

www.enkpailltalk.com  :-o

Erasmus and Kinkajou in looking at Dr. Xxxxx's work see the crux of DR Xxxxx's issue with the standard medical model. Parents of children with Paill Spectrum ADD see their children on a round robin of medical assessments and treatments that don't seem to get them anywhere.

Dr. Xxxxx : ADD ADHD: This group of syndromes includes:
Attention Deficit,
(Inattention subtype, Combined Subtype)
Hyperactivity Disorder,
Disruptive Behaviour Disorders,
Conduct Disorder
They really look simply like bad naughty inattentive unhelpful children. :- <

Other commonly used Names for these Disorders / Diseases or for Related Diseases / Disorders included above Developmental Delay, Speech Delay, language Difficulties, Learning Difficulties, School Problems, Educational Issues
Disorder 

Notes on the assessment of Developmental Disorders of Children.
 Developmental Delays are "usual" in children with ADD ADHD associated with Paill Spectrum.

Developmental timelines are important: If your child is falling behind, it is important to look for a reason.

 Paill Spectrum Aspergers: causes memory problems, behaviour problems, problems with impulsivity, learning difficulties as well as spelling problems.
Tips for teachers:
Make sure the child has your attention: Make eye contact
Clear simple instructions
Tasks to be performed in small simple stages if task is complex
Child should stand still while listening to an instruction and before the start of an activity
Keep them on task: you may need to remind them what the task is as the children can forget.

Kinkajou : Do You Think this can Effect Older Children, Perhaps  Adolescents?

Erasmus : The Paill Spectrum theory as proposed by Dr. Xxxxx et al, states that ADD ? ADHD is a form of brain damage resulting from the activity of the Paill Spectrum organism, caught by children , early in life. Childcare early in life, especially places children at risk of severe catastrophic damage. But the progress of the infection can be altered , if you pay attention and keep an open mind.

There is no accepted cause but the Paill Spectrum model predicts specific clinical findings and problems in children with ADD, currently not expected to be present as they are not part of the ADD syndrome. Taking notice may enable you to advance new strategies to save your children’s minds.

Dr. AXxxxx : It's what they deserve.

Erasmus :
This page discusses an alternate explanation for ADD or hyperactive children, often described as bad or naughty children. New diagnostic tests including blood tests for ADD and new treatments for ADD are discussed. Teacher strategies, parent actions, educational help feature. Behaviour / Behaviour can be changed.

Erasmus : ADD affects children and even adults. Symptoms are inattention, hyperactivity ,being impulsive, leading to behavioural problems affecting employment, social relationships and lifelong achievement. Others have chosen to look for new treatments and an alternative to the inevitable downward path mapped out by modern medicine.