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However,

there is no specific definition or precise test to confirm that a child is

hyperactive. This syndrome is most frequently recognized when the child cannot

behave appropriately in the classroom. There are three characteristic courses.

In the first, all of the symptoms persist into adolescence or adult life...

In

the second, the disorder is self-limited and all of the symptoms disappear

completely at puberty. In the third, the hyperactivity disappears, but the

attentional difficulties and impulsivity persist into adolescence or adult life.

The relative frequency of the courses is unknown. The individual, accordingly,

does not grow out of the disorder...

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