Impulsivity

Abstract

This chapter describes impulsivity (the difficulty in being able to think before acting) in ADHD. The chapter describes behavioural inhibition mechanisms in the brain and related theories, manifestations of impulsivity (e.g. the tendency to act without thinking, compulsive destruction tendencies, situations or games requiring sharing, cooperation, and restraint), and the management of impulsivity. Management options includes cognitive therapy, which has limited success, and medication, which usually plays a dramatic role in controlling impulsivity. Furthermore, environmental changes and modification of goals are important ways of helping the child with ADHD. Those who come interact with the child with ADHD need to understand that impulsive behaviour is not completely under the child’s control.