ADHD with Comorbid Disorders: Clinical Assessment and Management

Overview

The authors review the evaluation and tretment 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 delianeted, current psychopharm-acological treatments are discribed, and effective approaches are presented for managing behavioral problems.

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1999 Hard cover Illustrated. New in fine dust jacket. No remainder marks. Light scratches on back jacket.

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Overview

The authors review the evaluation and tretment 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 delianeted, current psychopharm-acological treatments are discribed, and effective approaches are presented for managing behavioral problems.

The book contains black-and-white illustrations.

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Editorial Reviews

From the Publisher

"This excellent text provides a comprehensive review of the diagnostic and treatment issues surrounding comorbidity in ADHD. Any clinician treating children and adolescents with these complex problems will find it useful and informative." --Jon McClellan, MD, Assistant Professor, Department of Psychiatry, University of Washington, Seattle, WA

"Informative, authoritative, thoughtful, and scholarly, ADHD with Comorbid Disorders is a 'must-have' book for all mental health professionals. The authors serve up the most encylopedic, well-informed review of pediatric psychopharmacology that I have read in a long time. The book is extremely well written, with vivid, real-life case histories. Rather than describing idealized patients, Pliszka and his colleagues present children who fail the 'easy' treatments, and who only start mending after they have been taken all the way through the authors' logical treatment algorithms. Run, don't walk, to get this book--you shouldn't practice child psychiatry without it!" --Laurence Greenhill, MD, New York State Psychiatric Institute

"Finally, a text that captures the clinical complexity of ADHD! Pliszka, Carlson, and Swanson have succeeded in systematically reviewing the clinical nuances and variations related to comorbidity in ADHD, and the result is a book of great importance and usefulness to clinicians and researchers alike. The field has long awaited a book of this kind, that integrates up-to-date research data on conditions co-occurring with ADHD with a systematic approach to treatment. The authors' rich accumulated clinical wisdom comes through in a variety of informative practice recommendations and guidelines throughout each section, with a balance of approaches that is rare. This text should be invaluable to a broad audience of child researchers and clinicians--child psychologists, child psychiatrists, pediatricians, pediatric neurologists--as well as forming an excellent framework for review of ADHD comorbidity for trainees."--James T. McCracken, MD, Neuropsychiatric Institute, University of California, Los Angeles

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.
From The Critics
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)

4 Stars! from Doody
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Product Details

  • ISBN-13: 9781572304789
  • Publisher: Guilford Publications, Inc.
  • Publication date: 7/2/1999
  • Edition number: 1
  • Pages: 325
  • Product dimensions: 6.31 (w) x 9.27 (h) x 1.09 (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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Table of Contents


I. Introduction
1. Overview of Issues in Comorbidity
II. Assessment
2. Psychiatric Assessment
3. Behavioral Assessment
III. Overview of Treatment Approaches
4. Psychopharmacology
5. Psychosocial Interventions
IV. Comorbid Conditions
6. Disruptive Behavior Disorders and Substance Abuse
7. Neurological Disorders
8. Affective Disorders
9. Anxiety Disorders
10. Mental Retardation and Severe Developmental Disorders
11. Medical Disorders
12. Learning Disorders
13. Tic and Obsessive-Compulsive Disorders
V. Addressing Specific Areas of Impaired Functioning
14. Home
15. Classroom
16. Playground
Epilogue: Future Directions
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