ADHD & Mental Health

Norman E. Segal is a board certified pediatrician a graduate of Northwestern University Medical School. He completed his pediatric residency at Mount Sinai Hospital in New York. Dr Segal is a specialist in ADHD and children’s learning problems. He is an instructor in outpatient pediatrics at Northwestern University Medical School. He is a member of the American Academy of Pediatrics, the Chicago Pediatric Society, CHADD and ADDA support groups for ADHD.

Our office offers a comprehensive evaluation and treatment of ADHD. Dr. Segal has been interested in ADHD since the 1970 before it was even recognized. By the 1990;s his interests widened to include children’s and adolescents emotional and behavior problems. Today his passion has extended to college students and adults with ADHD and associated comorbid disorders such as Anxiety, Depression, OCD, Learning Disabilities and Substance Abuse.

He evaluates and treats children, adolescents and also adults with AADHD. He utilizes the guidelines established by the American Academy Of Pediatrics. He uses a wide array of rating scales for both teachers and parents and for the past 10 years has utilized a unique computer test “The Quatient” which the FDA has cleared for the diagnosis and management of ADHD.

ADHD is a problem with inattentiveness, over-activity, impulsivity, or a combination thereof. For these problems to be diagnosed as ADHD, they must be out of the normal range for a child’s age and development.

Many children with ADHD may have other developmental or behavioral problems. They may also have a psychiatric problem, such as Depression or Bipolar Disorder. Depression, lack of sleep, learning disabilities, tic disorders, and behavior as problems may be confused with or appear with ADHD. Every child suspected of having ADHD should be carefully examined by a doctor to rule out possible other conditions or reasons for the behavior.

Normal, Active Child or ADHD?

Attention-Deficit/Hyperactivity Disorder (ADHD, or AD/HD) is a neurobehavioral disorder that affects the way an individual functions in different settings, like in school or at home. Approximately 9.5 million people have been diagnosed with ADHD. It can last through the teenage years and into adulthood in approximately 60% of people. For an individual to be diagnosed with ADHD, symptoms must be present at levels that are not in line with his or her stage of development and interfere with normal daily activities.

A person with ADHD may face lifelong challenges in school, work, and personal relationships, so identifying the disorder and finding the best treatment as early as possible is very important. With proper diagnosis and treatment, people with ADHD can and do lead successful lives. While the exact causes of ADHD are not fully known, research points to genetics (passed down through families) as a strong link to the disorder. Low birth weight, mothers smoking while pregnant, and other problems during pregnancy may also be possible risk factors that contribute to ADHD.

ADHD is divided into three different subtypes. Clinicians look for symptoms that last for six months or more.

Inattentive Type

  • Difficulty paying close attention to details
  • Makes careless mistakes in schoolwork and other activities
  • Hard for the child to organize activities or finish a task
  • Difficulty following instructions or conversations Is forgetful in daily activities

Hyperactive-Impulsive Type

  • Fidgets and talks a lot
  • Has difficulty sitting still for very long (like during meals or while doing homework)
  • Runs around or climbs at the wrong time and place.
  • Feels restless and has trouble with impulsive behavior (like interrupting others, grabbing things from people or speaking at the wrong time)
  • Has trouble waiting or taking turns

Combined Type Symptoms of both types are equally strong 

When Should You Consider an Assessment for ADHD?

The American Academy of Pediatrics recommends that any child between the ages of 6 and 12 who shows excessive signs of inattention, hyperactivity, impulsivity or behavior problems be evaluated for ADHD. If not treated, this potentially lifelong disorder can lead to significant problems for the child, including social difficulties, academic underachievement and low selfesteem. It’s important that ADHD be diagnosed and treated to prevent these future problems. A comprehensive diagnostic evaluation for ADHD may include the following:

  • History and physical examination
  • Neurological examination
  • Family assessment
  • School assessment
  • Objective testing with the Quotient® ADHD System
  • Multi-modal Treatment

Summary of Quotient

The Quotient® ADHD System is FDA-cleared for the objective measurement of impulsivity, hyperactivity and inattention as an aid in the assessment of ADHD. The system includes a data acquisition unit, a proprietary normative database, analytics and reports. The system collects data on the person’s ability to sit still, inhibit impulsivity and respond accurately to images on a computer screen. The clinician report displays graphical images and compares quantitative results to age and gender matched peers. The report is available to the clinician within minutes of the test completion.

The Quotient ADHD Test Report
Baseline tests help align Mom, Dad and patient, facilitate productive conversation and get everyone more fully engaged in the treatment planning process. Re-assessment during medication initiation helps to see the progress toward treatment goals. A patient may feel different on a stimulant, but that doesn’t always mean that the treatment is optimized. Objective data helps gets kids on track sooner.

Is the Quotient ADHD Test reimbursed by insurance?
Yes. Some doctors will bill the insurance company directly, while others will give the patient the codes and descriptions of services for them to submit to their insurance provider.

Treating ADHD can be a challenging process. For the best chance at a positive outcome, a plan should be developed based on the unique needs of your child and family. The best way to do that is to talk with your healthcare provider aabout all of the options and work together to find the most effective and appropriate program for your child.

Parent/Child Education—training programs that teach consistent parenting skills and help parents learn how to get the services they need to ensure their child’s success.

Behavior Management—programs that help children learn problem solving, communication, and selfadvocacy skills.

Medication—treating ADHD with prescribed medicines under the supervision of a medical professional.

School Programming and Support—federal law mandates certain programs and accommodations to help children with ADHDand other disabilities.

To schedule an appointment with Dr. Segal please fill out the form below: