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ADHD with Comorbid Disorders: Clinical Assessment and Management
     

ADHD with Comorbid Disorders: Clinical Assessment and Management

by Steven R. Pliszka
 

Treating a child or adolescent with ADHD is especially challenging when hyperactivity and inattention are accompanied by many other symptoms. It is not uncommon to encounter such complex ADHD cases as the child who also presents with aggression or antisocial behavior, the teen who has made a suicide attempt, or the hyperactive child with mental retardation.

Overview

Treating a child or adolescent with ADHD is especially challenging when hyperactivity and inattention are accompanied by many other symptoms. It is not uncommon to encounter such complex ADHD cases as the child who also presents with aggression or antisocial behavior, the teen who has made a suicide attempt, or the hyperactive child with mental retardation. Integrating the latest biomedical and psychosocial knowledge, this practice-oriented volume is designed to help clinicians meet the needs of these tough-to-treat clients. The authors review the evaluation and treatment of ADHD with major comorbidities including mood and anxiety disorders, conduct disorders, learning disorders, medical illnesses, and severe developmental disorders. Distinguishing clinical features of each condition are delineated, current psychopharmacological treatments are described, and effective approaches are presented for managing behavioral problems in the home, school, and playground. Filled with illustrative case examples that reflect the authors' extensive clinical experience, the book provides thoughtful coverage of knotty diagnostic and treatment issues.

Editorial Reviews

Doody's Review Service
Reviewer: Renee Mehlinger, MEd, MD (Rush University Medical Center)
Description: This is an informative and interesting book that provides guidelines to assist in making a diagnosis, a review of the pertinent literature, and psychopharmacologic, behavioral, and psychosocial educational treatments of the disorder.
Purpose: The purpose is to assist clinicians in the development of skills that will aid in the diagnosis, management, and treatment of ADHD and comorbid disorders. The challenge is met through the presentation of real life issues faced by clinicians in practice including the difficulty in making a diagnoses in the context of diagnostic ambiguity, treating within the constraints of the current healthcare environment, and integrating the multitude of factors — biologic, psychosocial, environmental, and genetic — that must be examined, analyzed, and considered.
Audience: Targeted primarily to clinicians working in the mental health field, this book is valuable and informative reading for residents in psychiatry and pediatrics as well as teachers, medical students, and students at the graduate school level. The design of the book makes it a useful teaching and training resource.
Features: It is divided into five parts that address psychiatric and behavioral assessment, psychopharmacologic and behavioral treatment approaches, comorbid diagnosis and treatment, potential areas of impairment, and specific treatments in the home, classroom, and other settings. Algorithms for differential diagnosis, case examples, assessment instruments, psychopharmacological and other treatment decision trees and tables, and suggestions for cost effectiveness are all provided. Future directions for research and treatment are addressed in the epilogue.
Assessment: This is an interesting and informative book that provides useful, cogent, and highly practical information. It is easy to read and organized in a way that allows the clinician to use it in a practical manner to assist in patient care. Of particular importance is the logical presentation of information that provides a structure and format for understanding ADHD and the comorbid disorders that so often complicate the clinical presentation. The integration of the rich clinical material with theoretical, treatment, and practical real life issues provides clarity and a useful reference for the clinician, practitioner, student, and teacher facing diagnostic and treatment challenges.
Reviewer: Renee Mehlinger, MEd, MD (Rush University Medical Center)
Description: This is an informative and interesting book that provides guidelines to assist in making a diagnosis, a review of the pertinent literature, and psychopharmacologic, behavioral, and psychosocial educational treatments of the disorder.
Purpose: The purpose is to assist clinicians in the development of skills that will aid in the diagnosis, management, and treatment of ADHD and comorbid disorders. The challenge is met through the presentation of real life issues faced by clinicians in practice including the difficulty in making a diagnoses in the context of diagnostic ambiguity, treating within the constraints of the current healthcare environment, and integrating the multitude of factors — biologic, psychosocial, environmental, and genetic — that must be examined, analyzed, and considered.
Audience: Targeted primarily to clinicians working in the mental health field, this book is valuable and informative reading for residents in psychiatry and pediatrics as well as teachers, medical students, and students at the graduate school level. The design of the book makes it a useful teaching and training resource.
Features: It is divided into five parts that address psychiatric and behavioral assessment, psychopharmacologic and behavioral treatment approaches, comorbid diagnosis and treatment, potential areas of impairment, and specific treatments in the home, classroom, and other settings. Algorithms for differential diagnosis, case examples, assessment instruments, psychopharmacological and other treatment decision trees and tables, and suggestions for cost effectiveness are all provided. Future directions for research and treatment are addressed in the epilogue.
Assessment: This is an interesting and informative book that provides useful, cogent, and highly practical information. It is easy to read and organized in a way that allows the clinician to use it in a practical manner to assist in patient care. Of particular importance is the logical presentation of information that provides a structure and format for understanding ADHD and the comorbid disorders that so often complicate the clinical presentation. The integration of the rich clinical material with theoretical, treatment, and practical real life issues provides clarity and a useful reference for the clinician, practitioner, student, and teacher facing diagnostic and treatment challenges.
Renee Mehlinger
This is an informative and interesting book that provides guidelines to assist in making a diagnosis, a review of the pertinent literature, and psychopharmacologic, behavioral, and psychosocial educational treatments of the disorder. The purpose is to assist clinicians in the development of skills that will aid in the diagnosis, management, and treatment of ADHD and comorbid disorders. The challenge is met through the presentation of real life issues faced by clinicians in practice including the difficulty in making a diagnoses in the context of diagnostic ambiguity, treating within the constraints of the current healthcare environment, and integrating the multitude of factors — biologic, psychosocial, environmental, and genetic — that must be examined, analyzed, and considered. Targeted primarily to clinicians working in the mental health field, this book is valuable and informative reading for residents in psychiatry and pediatrics as well as teachers, medical students, and students at the graduate school level. The design of the book makes it a useful teaching and training resource. It is divided into five parts that address psychiatric and behavioral assessment, psychopharmacologic and behavioral treatment approaches, comorbid diagnosis and treatment, potential areas of impairment, and specific treatments in the home, classroom, and other settings. Algorithms for differential diagnosis, case examples, assessment instruments, psychopharmacological and other treatment decision trees and tables, and suggestions for cost effectiveness are all provided. Future directions for research and treatment are addressed in the epilogue. This is an interesting and informative bookthat provides useful, cogent, and highly practical information. It is easy to read and organized in a way that allows the clinician to use it in a practical manner to assist in patient care. Of particular importance is the logical presentation of information that provides a structure and format for understanding ADHD and the comorbid disorders that so often complicate the clinical presentation. The integration of the rich clinical material with theoretical, treatment, and practical real life issues provides clarity and a useful reference for the clinician, practitioner, student, and teacher facing diagnostic and treatment challenges.
Booknews
This guide is designed to help clinicians meet the needs of clients with ADHD in addition to other disorders such as aggression or anti-social behavior, mental retardation, suicidal tendencies, or depression. The authors, teaching at UT-San Antonio, UT-Austin, and UC-Irvine, use numerous case examples to provide practical pointers for time and cost-effective treatments. The authors also incorporate criteria for multiple diagnoses, and include treatment suggestions for managing behavioral problems in the home, school, and playground. Annotation c. Book News, Inc., Portland, OR (booknews.com)

Product Details

ISBN-13:
9781572304789
Publisher:
Guilford Publications, Inc.
Publication date:
07/02/1999
Pages:
325
Product dimensions:
6.00(w) x 9.00(h) x (d)

Meet the Author

Steven R. Pliszka, MD, is Associate Professor and Chief of the Division of Child and Adolescent Psychiatry at the University of Texas Health Science Center at San Antonio. The recipient of a National Institute of Mental Health Physician Scientist Award, he conducts research in the areas of psychopharmacology and the comorbidity of psychiatric disorder with ADHD.

Caryn L. Carlson, PhD, is Associate Professor at the University of Texas at Austin. She received her doctorate in psychology from the University of Georgia and completed her postdoctoral training at Indiana University. Her research has been funded by the National Institute of Mental Health, and she has published widely on the assessment and treatment of children with ADHD.

James M. Swanson, PhD, is Professor of Pediatrics and Cognitive Sciences at the University of California, Irvine. In 1983, Dr. Swanson founded the UCI Child Development Center, which offers specialty programs for children with ADHD and also conducts research in this area. His work with children with ADHD has been supported by an array of leading foundations as well as the U.S. Department of Education, the National Institute of Mental Health, and the National Institute of Child Health and Development.

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