Attention Deficit Hyperactivity Disorder In Adults

Overview

Attention Deficit Hyperactivity Disorder (ADHD) was once considered a childhood disorder that would be outgrown but is now recognized as a disease that can persist into adulthood and even for a lifetime. ADHD in Adults is a quick, easy-to-use reference for practitioners providing critical information about ADHD in adults.

Written by the leading authority on ADHD, Dr. Barkley discusses causes, assessment and diagnosis, and treatment options with clear explanations. This essential...

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Overview

Attention Deficit Hyperactivity Disorder (ADHD) was once considered a childhood disorder that would be outgrown but is now recognized as a disease that can persist into adulthood and even for a lifetime. ADHD in Adults is a quick, easy-to-use reference for practitioners providing critical information about ADHD in adults.

Written by the leading authority on ADHD, Dr. Barkley discusses causes, assessment and diagnosis, and treatment options with clear explanations. This essential guide features sidebars, definitions, references, and end-of-chapter key concepts review. ADHD in Adults is a must-have resource for every practitioner caring for adults with ADHD.

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Product Details

  • ISBN-13: 9780763765644
  • Publisher: Jones & Bartlett Learning
  • Publication date: 4/10/2009
  • Edition description: 1E
  • Pages: 81
  • Sales rank: 1,449,697
  • Product dimensions: 6.70 (w) x 9.80 (h) x 0.20 (d)

Table of Contents

Chapter 1 Adult ADHD in Perspective 1

What Is ADHD and How Does It Affect Adult Patients? 1

Health 3

Relationship Problems 4

Educational Achievement 5

Employment 6

Money 8

Driving Safety 8

How Does ADHD Change Its Presentation Across the Lifespan? 9

What Causes ADHD? 12

Genetics 12

Other Factors 12

The Neurobiology of ADHD 12

Conclusion 13

Chapter 2 Diagnosis and Assessment 15

What Current Diagnostic Criteria Exist for ADHD? 15

How May Clinicians Best Use the DSM-IV-TR Diagnostic Criteria When Working with Adults? 17

What Problems Exist in Using the DSM-IV-TR Criteria with Adult Patients? 18

Criteria Causing Concern in Adult ADHD Diagnosis 18

Age of Onset 18

Appropriateness of the Symptom List to Adults 19

Threshold for Diagnosis 20

Presentation of ADHD in Adults 20

Degree of Impairment 20

Challenges of Diagnosing ADHD in Adults 21

Lack of Specificity 21

Lack of Objective Quantitative Measures 21

Malingering 22

Under-Reporting of Impairment 22

Are There Better Criteria for Diagnosing Adult ADHD Than the Current DSM-IV-TR Criteria? 23

Differential Diagnosis 24

Bipolar Disorder (BPD) 26

Substance Use and Abuse 27

Major Depression 27

Anxiety Disorders 28

Borderline Personality Disorder 28

Comorbidity 29

What Assessment Tools Help Diagnose Adult ADHD? 30

Structured Interviews 30

Adult ADHD Interview 30

Barkley's Quick Check for Adult Diagnosis 30

Structured Clinical Interview for DSM-IV (SCID) 30

Self-Reporting Scales 31

Adult ADHD Self-Report Scale (ASRS) 31

Adult ADHD Investigator Symptom Rating Scale (AISRS) 31

Barkley's Adult ADHD Quick Screen 31

Brown ADD Rating Scale 31

Conners' AdultAttention-Deficit Rating Scale (CAARS) 31

The Symptom Checklist 90-Revised 32

Wender Utah Rating Scale (WURS) 32

Archival Records 32

Neuropsychological Tests 33

Behavior Rating Inventory of Executive Function (BRIEF) 33

Conners' Continuous Performance Task or Test (CPT) 33

Stroop Word Color Test 34

Wechsler Adult Intelligence Scale, Third Edition (WAIS-III)-Digit Span Subtest 34

Chapter 3 Pharmacological Treatment 37

What Medications Are Available to Treat ADHD? 37

Pharmacology of ADHD Stimulant Medications 38

FDA-Approved Medications for ADHD in Adults 39

Stimulant Medications 39

Dexmethylphenidate, Extended-Release 40

Lisdexamfetamine Dimesylate (LDX) 40

Methylphenidate, OROS Extended Release 41

Mixed Amphetamine Salts (MAS), Extended-Release 41

Nonstimulant Medications 42

Atomoxetine 42

Antidepressants 43

What Special Considerations Exist for Medication Treatment in Adults with ADHD? 44

Long-vs. Short-Acting Stimulant Medications 44

Medications Misuse and abuse 45

Contraindications and Adverse Events 45

Treatment of Comorbid Conditions 46

How Is ADHD Pharmacotherapy Managed? 46

Treatment Goals 48

Chapter 4 Nonpharmacological Treatment 51

What Are the Goals of Psychosocial Treatment of Adult ADHD? 51

What Psychosocial Treatments Are Available for Adults with ADHD? 53

Psychoeducation 53

Cognitive-Behavioral Therapy (CBT) 54

Other Treatment Modalities for Adults with ADHD 57

Support Person 57

Couples Therapy 57

Group Therapy 58

What Unique Challenges Face Adults with ADHD? What Can Be Done to Help Adults with ADHD Cope with These Challenges? 59

Health 59

Sexual Health 59

Relationships and Child-Rearing 60

Education 61

College and Vocational Training 61

Employment 62

Personal Coaching 62

Vocational Counseling 63

General Strategies for Success at Work 63

Finances 64

Driving Safety 65

Glossary 67

References 71

Index 78

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