The prevalence of ADHD in the general population as Bilderman studies, is in a 8 to 12% of children, likewise we know that 50% of children with ADHD child is present in adulthood. For this reason it is expected that adults have by 4.4 to 5% at least in adult patients. In Spain we have that 75% of children with ADHD are undiagnosed and in the case of adults the figure is higher by 97% being undiagnosed. We have also noted that most adults with ADHD reciendiagnosticados has been diagnosed after a child with ADHD.
risk factors for developing ADHD, this genetic load, in population studies as we can see the photo blog Biderman in 1990 stands at 25% the presence of ADHD in the parents children with ADHD, this means that out of four parents of children with ADHD disorder, a or they also presented. Recent genetic studies confirm this theory and previous studies.
Prognosis of ADHD children will depend on many factors, first place is in itself
ADHD, a child with ADHD with a large component of impulse disorder and a major component of disorder negative. Oppositional along with a low average level of intelligence, have worse prognosis, but also we consider the patient's environment, a well-structured family with an early diagnosis and good adherence to pharmacological and psychological tramientos. Supporting the child from school and a family committed, reduce risks and coomórbidas pathology that may arise in the future, study confirmed the diagnosis and early treatment with stimulants, methylphenidate, reduces the risk of addiction, and is presented with the same frequency rate of drug abuse in the general population, for Instead it has been shown that patients with ADHD who have not taken the treatment, follow-up ten years the rate of drug abuse was twice as many patients with ADHD treated with methylphenidate and the general population 
eral, so which suggests that treatment with methylphenidate is not only not a risk but a high prevalence of substance abuse in children with ADHD, but instead has a protective effect. According to the latest data of patients newly diagnosed adults with ADHD 20% have no symptoms or comorbidity. With regard to this consideration we must not forget that ADHD causes the patient fails to achieve 100% of their abilities, so for example in relation to the studies, patients with ADHD alcnacarían a level below that which could be achieved, for example if they were able to get a bachelor's come to get a diploma, and if he could take a high school diploma would get the top and so on.
The other 80% of patients newly diagnosed adults, 20% would be seriously affected, such as personality disorder with a large component oppositional and the other 60% presented other co morbid conditions associated with ADHD, such as anxiety, dysthymia, or depression or drug use. The latter have previously said the child diagnosed with ADHD and treated with methylphenidate, have a risk of consumption of drugs
like the rest of the population. ADHD in adults are not diagnosed or treated it will affect three areas that are in the family area, where we found a higher rate of marital separations, the cause of this can be an accumulation of misunderstandings , that are interpreted as "indifference" or lack of love, when you really are attention deficits, such as not remembering significant dates for the couple because of their poor management of time control or appointments. Likewise, the fata of organizational capacity can be interpreted as lack of cooperation in the duties and responsibilities at home, and without forgetting that patients with ADHD have a rough character with oscillations. Finally the couple also may be affected by ADHD not only one of them but may also affect when a child diagnosed with ADHD do not significantly affect the couple mostly when the blame of being poorly educated to know that the child is ADHD. To avoid affecting the couple is important to have an early diagnosis of ADHD both adult and children, and training that consists the attention deficit disorder, its clinical and psychological stimulants and combination therapy.
Another area that is affected in untreated adult is working, impulsivity, hyperactivity with him will lead to a continuous search for change, new sensations leading to a change of position work, thereby affecting the relationship especially if it involves a change of address or location of housing family in addition to the economic insecurity of not having a steady job or discontinuous, but this case is by
change the worker. The other area that is affected is the personal, with all those processes associated with ADHD such as depression or dysthymia and anxiety.
TREATMENT OF ADHD IN ADULTS
Little defers to the child, the pharmacological treatment of choice is the first choice methylphenidate and atomoxetine as election followed, and is currently the first choice also including atomoxetine ka.
In adults diagnosed late, we must treat co morbid conditions such as dysthymia or depression, anxiety, when they are present. When presented dual pathology, ADHD is YOUR drug abuse, treatment with methylphenidate or atomoxetine always be used to equalize their chances of relapse prevention and drug exit as another addict patient who does not have ADHD.
Couching The primary care diabetic minimum follow-up according to protocol, is at least two complete blood and urine study of glycated hemoglobin, every six months in all patients that well controlled in the same way in a patient with ADHD guess would be followed up every three or six months with a couching, where he follows the patient to guide, monitor and take their adherence to treatment, as it uses its resources to minimize the effects ADHD child who suffers. Finally we do not have a negative vision of the future of adults with ADHD, since as we have seen an early diagnosis and the trtamietno adeherncia buiena cloinica minimize the associated diseases and makes a good coaching to achieve the patient reaches the maximum possibilities.
CONCLUSIONS
1 º ADHD is inherited one in four parents is when a child is diagnosed with ADHD, we must consider whether either parent has it too.
2 The diagnosis and treatment in children, prevent or minimize comorbidities in adults with ADHD.
3 In adults with ADHD, not ADHD affects the family area, with more ruputuras matrimonianes (doubling the number of separations) affects the area work with discontinuidd and personal area affected, with comorbidities among which we cite as anxiety, dysthymia, or depression, personality disorder and use of toxic, these comorbidities puenden reduce or cancel and leave a rate in the general population, if we have an early diagnosis and treatment in children with ADHD
4 The treatment in adults is the same as the child with ADHD, atomoxetine or methylphenidate as a first choice, with combination therapy the piscologo. Finally the coaching, and counseling or monitoring is necessary in adults with a follow up at least two or three times a year.
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