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Biobehavioral > (A) ADHD- Bauer > Flashcards

(A) ADHD- Bauer Flashcards

1
Q

Criteria for diagnosis of ADHD?

A

Several observations before age 12

seen in multiple settings

clear evidence that symptoms interfere with/reduce quality of life

not due to psychosis, depression or anxiety

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2
Q

Types of ADHD/ specifiers

A

Inattentive
Hyper/Impulsive
Mixed

Also specify mild, moderate, or severe

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3
Q

How many symptoms do patients need and how long do they have to have them to be diagnosed with ADHD?

A

at least 6 symptoms, persisting at least 6 months

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4
Q

Is ADHD heritable?

A

Yes, but no exact gene is knonwn

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5
Q

Common comorbidities with ADHD?

A

Oppositional defiant disorder (seen in 50%)

Conduct disorders (25%)

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6
Q

Tests to diagnose?

A

Formal= CPT - continuous performance task

Practical= ask about video games, movies

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7
Q

Personalities commonly associated with ADHD?

A

Increased risk taking
decreased harm avoidance
reward dependence

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8
Q

Treatment for stage 0 ADHD only?

A

Adjunctive therapies, special education if associated with learning disabilities

Dietary treatment/holistic strategies

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9
Q

Treatment for stage 1 & 2 ADHD only?

A

Pharmacotherapy= psychostimulants

Methylphenidate
Dextroamphetamine
Amphetamine
Dexmethylphenidate

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10
Q

Treatment for stages 2 & 3 ADHD only?

A

Treat with non-stimulants = atomoxeitine

NonFDA= atypical antidepressants like buprorion, venlafaxine, duloxetine

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11
Q

Treatment for stages 4 & 5 ADHD only?

A

Treat with tricyclic anti-depressants

Desipramine, imimpramine, amitriptyline, mirtazapine

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12
Q

Treatment for stage 6 ADHD only?

A

Treat with alpha 2 agonist- blood pressure agents used to calm hyperactivity, impulsivity, little focus

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13
Q

Treatment for ADHD with depression?

A

Treat whichever disorder is more severe first then ad treatment for second disorder if monotherapy does no result in remission of both disorders

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14
Q

Treatment for ADHD with anxiety?

A

Atomoxetine

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15
Q

Parts of the brain involved with ADHD?

A

Prefrontal cortex
Basal ganglia
Cerebellum

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16
Q

Lower quantity of what NT can cause ADHD?

A

DA = reward, fine movement, focus, on task behavior

NE = fight/flight, motivation, dampens noise, executive funciton

17
Q

What part of the brain regulates selective attention?

A

Dorsal anterior cingulate cortex

18
Q

What part of the brain regulates sustained attention?

A

dorsolateral prefrontal cortex

19
Q

What part of the brain regulates hyperactivity?

A

Prefrontal motor cortex

20
Q

What part of the brain regulates impulsivity?

A

Orbital frontal cortex

21
Q

What percent of ADD persist into adulthood?

A

70-80%

Biobehavioral (23 decks)

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