Dr. Shaikh has been engaged in the management of ADD and ADHD for a long period of time. Since our practice is mostly adults, it was a bit problem to acomodate young children. Upon constant demand by families to see their children, Dr. Shaikh will see adolescents and adults during a special Neuroscience Clinic. Minimum age is 10 year old. Each individual is different, we must make an educated clinical correlation to make a fair diagnosis. many times simple seizures or behavior disorders are labeled as ADD and treated without any positive out come. Off course the age group we see are either refractory to treatment or have been overlooked. We can not ignore the impact of Adult ADD or ADHD on the personal and financial aspects of one’s life. Diagnostic Tests: Each patient is evaluated to document the clinical and social history. Psychological Tests, MRI or EEG and any other relevant tests are needed to rule out certain problems. Once the ADD and or ADHD criteria is met the treatment plan is made in presence of patient and or family. Symptoms: There are so many symptoms to list. You can read the books full of ADD elaboration. We have made short list without significance in the manner its written. A: Impulsiveness B: Restless C: Easy Distraction D: Poor Scholastic performance E: Procrastination F: Poor Organization G: Easy Frustration H: Mood Swings I: Excessive Worriness J: Disregard for the Rules and Law K: Inability to finish projects L: Too Talkative M: Abrupt Negative Responsiveness N: Tendency of substance abuse O: Trouble at Work P: Family History of ADD Q: Difficulty in Relationships During your first visit you will be given a detailed questionnaire if you are adult or to the family if you are a minor. Differential Diagnosis: Behavior Disorder Anxiety Disorder Seizure Disorder Autism Asperger’s Syndrome Bipolar Disorder Post-traumatic Stress Disorder Sleep Disorders and Parasomnias Depression and Dysthymic Disorder Post Traumatic Brain Injury or Closed Head Injury Hyperthyroidism Behavior Disorder with or without any of the above mentioned differential diagnoses has many contributing and aggravating factors. One thing that I have noticed frequently is the family circumstances and their role. Case A: 10 year old beautiful girl comes to the office with her mother after her primary physician has referred her for headache evaluation. Typical neurological evaluation would have given her a diagnosis of Migraine Headache and she could have been treated for it.Detailed history revealed that only mother and daughter live at home. The patient was taken away from mother for about one year due to her drug related rehabilitation.The patient has sleep disturbances (parasomnias) including sleep walking. Patient has developed very aggressive attitude towards her mother to the extent of physical violence. Mother thinks that patient has spells at times. Just looking at this limited information we can see a constant stress in her life and stress is one of the main trigger for Migraine Headaches. Not to ignore that the elder sister of the patient has been diagnosed of Bipolar disorder. I think such cases need more attention. Luckily she happened to come during Neuroscience Clinic. We making a comprehensive plan for her that will not only address her headaches but also the triggering and contributing factors. She needs attention now before she is too negative.