The diagnosis of ADHD should only be made after a comprehensive assessment including a medical, developmental and psychosocial history, and examination. The DSM-IV criteria are the minimum requirement for a diagnosis of ADHD.3 ADHD is not an etiologic diagnosis, and assessment of the impulsive, hyperactive, or inattentive child should always include a thorough history and examination for potential causes, including alcohol exposure in pregnancy. Although enquiry regarding alcohol exposure in pregnancy should be routine, many health professionals do not ask.24,25
