DR. PATRICIA QUINN: Absolutely. One of the things we're finding, with the understanding that there could be an inattentive type of the disorder, where the children or adults are more hypoactive, more inattentive, trying to stay in the background, is that they actually may appear shy and withdrawn. When we started seeing the inattentive type and documenting that and finding it in boys, we found sitting right next to them was a little girl who also had inattentive type ADHD. And they don't call attention to themselves as the boys do, so people don't pick it up as readily. That's why we're not seeing it. But it certainly does impair their functioning, leading to a lot of self-esteem issues and a lot of more problems.
LISA CLARK: Since early intervention is critical with this, as with so many other things—early treatment helps a child learn to adapt to this situation and to be able to learn well and function well—what should parents and teachers be looking for om their child?
DR. PETER JENSEN: Well I think the teachers have to be very aware. And they usually are pretty good at this, of finding the children whose hyperactive symptoms or inattentive or distractible symptoms, are interfering with their functioning, actually causing them problems in getting on and getting by. Now if it's a girl, for example, or even a boy who's inattentive only, he or shemay not get picked up because he's not necessarily causing problems. But it may be a problem for that child if he or she isnot doing well in school and is suffering because of peer relationships or has other symptoms as well. And so a high level of awareness or recognition that, in addition to the hyperactive symptoms,we have to be on the look out for some of these other inattentive, less noticeable symptoms.