Attention-Deficit Hyperactivity Disorder in Adults

Overview


Most people still think of attention-deficit hyperactivity disorder (ADHD) as a psychiatric disorder affecting only young children and adolescents. During the past decade, however, researchers have become convinced that ADHD is not always outgrown with age. Instead, they insist, it very often persists in later life and is a common psychiatric disorder in adults.
Paul H. Wender, who has been studying and writing about this disorder for more than 25 years, is the ideal candidate ...
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Overview


Most people still think of attention-deficit hyperactivity disorder (ADHD) as a psychiatric disorder affecting only young children and adolescents. During the past decade, however, researchers have become convinced that ADHD is not always outgrown with age. Instead, they insist, it very often persists in later life and is a common psychiatric disorder in adults.
Paul H. Wender, who has been studying and writing about this disorder for more than 25 years, is the ideal candidate to sort out the current controversy surrounding the often undiagnosed ailment. When Wender's acclaimed The Hyperactive Child, Adolescent, and Adult, directed at both lay readers and clinicians, was published in 1987, the American Journal of Psychiatry greeted it as "very clearly written and free of technical jargon," and declared that it "should be in the personal library of every clinician of any discipline who deals with children with attention deficit disorder, adolescents, or adults on a regular basis." Now, in Attention-deficit Hyperactivity Disorder in Adults, Wender for the first time gathers together the important new breakthroughs he and others have made in the diagnosis and treatment of ADHD in adults. Written for psychiatrists and non-medical therapists, but also of interest to the lay reader, the book emphasizes the commonalities that emerge from the research literature and winnows the factual from the sensational or overly simplistic reports in the popular media. Wender points to possible relationships between ADHD in adults and other psychiatric disorders, and discusses the impact of the disorder which can produce marital discord, academic failure, and disrupted careers.
Reviewing what we know about ADHD, its symptoms, its life course, its etiology, the usefulness of various drug treatments, and the value to the patient of education about the disorder, Wender brings together a wealth of information not available in any other volume. A clinician who has treated patients with ADHD for many years, he offers compelling firsthand accounts from men and women who offer dramatic insight into what it feels like to have ADHD and how it responds to medical treatment. Combining the insights of his clinical practice with his innovative research on pharmacological treatments of psychiatric disorders, Wender builds a powerful case that ADHD in adults is a common genetically transmitted disorder. However, he also offers evidence that drug treatments can dramatically reduce symptoms and, when necessary, render patients more amenable to treatment for any residual psychological symptoms. Further progress, Wender maintains, requires that more precise clinical trials go hand in hand with molecular genetic research.
Destined to become a classic in the field, Attention-Deficit Hyperactivity Disorder in Adults is an indispensable guide for clinicians and family counselors, and a source of help, hope, and understanding for adults who suspect that they or someone they care about may suffer from this much misunderstood disorder.

Discusses signs & symptoms commonly misdiagnosed as other emotional/psychological problems, trmt, stimulants

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Editorial Reviews

From the Publisher

"For anyone interested in ADHD in adults, this book is the place to start."--Journal of Personality Assessment

Library Journal
Attention Deficit Disorder (ADD), or Attention Deficit Hyperactivity Disorder (ADHD), is the diagnosis given heretofore to the "overactive" child who acted out in school, got poor grades, and couldn't sit still. Three decades ago, such children were often held back in school and thought to be lacking in self-control. Two decades ago, it was found that the stimulant Ritalin inexplicably calmed hyperactive children. It was believed that they eventually "grew out of it," usually by puberty. However, new research suggests that they do not grow out of ADD but instead learn to adapt and struggle with the disorder well into adulthood. Two new books address this premise. Wender (The Hyperactive Child, Adolescent, and Adult, Oxford Univ. Pr., 1987), professor of psychiatry and Director of Psychiatric Research at the University of Utah School of Medicine, has written Attention Deficit Hyperactivity Disorder for professionals, but informed lay readers will appreciate the case histories. In thorough, if quite technical manner, Wender synthesizes the overlapping research and possible relationships between ADHD and learning disorders, as well as alcohol abuse as those afflicted try to self-medicate. Out of the Fog, written by the chief of the Adult ADHD Clinic at the University of Massachusetts Medical Center, is written for a popular audience and could serve to "self-diagnose" readers by using "Self-Exploration Exercises." Murphy also gives lists for simplifying and improving life for the adult with ADD, using concrete examples of time management and organizational skills. Written from a personal perspective (Murphy also has ADHD), it provides much insight into the world of the hyperactive adult. Both books are highly recommended.Nina Wikstrom Aguilar, Melbourne, Fla.
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Product Details

  • ISBN-13: 9780195119220
  • Publisher: Oxford University Press, USA
  • Publication date: 1/28/1998
  • Edition description: Reprint
  • Edition number: 1
  • Pages: 304
  • Product dimensions: 7.60 (w) x 5.30 (h) x 0.80 (d)

Meet the Author

Paul H. Wender is Distinguished Professor of Psychiatry and Director of Psychiatric Research at the University of Utah School of Medicine. He isthe author of The Hyperactive Child, Adolescent, and Adult, and co-author ofUnderstanding Depression and Mind, Mood, and Medicine, both with Donald F.Klein.

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Table of Contents

1 Introduction 3
2 Signs and Symptoms 13
3 The Prevalence of ADHD in Adults 41
4 Etiology 76
5 Diagnosis of ADHD in Adults 122
6 The Treatment of ADHD in Adults 144
7 The Experiences of Adult ADHD Patients on Stimulants 198
8 Conclusion 228
App. A. Evaluation Measures Frequently Used in Studies 235
App. B. Parents' Rating Scale 237
App. C. Utah Criteria for ADHD in Adults 241
App. D. Wender Utah Rating Scale 245
App. E. Targeted Attention-deficit Disorder Symptoms Rating Scale 249
App. F. ADHD Symptoms and Other Psychiatric Symptoms in Families of Representative Patients from the Utah Studies 255
References 259
Name Index 283
Subject Index 287
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