ADHD Flashcards
6 neurodevelopmental disorders
ADHD ASD communication disorders intellectual disability specific learning disability motor disorders (tics)
ADHD
symptoms for at least 6 months
present before 12 years
inconsistent with developmental level
symptoms not a manifestation of learning disorders
ADHD specifiers
combined- hyperactive, impulsive and inattentive
predominantly inattentive- not hyperactive/ impulsive
predominantly hyperactive- no inattention
signs of inattention
Fails to give close attention/careless Can’t sustain attention Does not listen Cannot follow through/tasks incomplete Difficulty organizing tasks Avoids mental effort Often loses things Easily distracted Forgetful
signs of hyperactivity/ impulsivity
fidgets leaves sit runs or climbs cant play quietly talks excessively blurts out answers interrupts cant stop or think before acting
ADHD in females
more inattention
less disruptive
STROOP TEST
to assess the ability to inhibit cognitive interference that occurs when the processing of a specific stimulus feature impedes the simultaneous processing of a second stimulus
what is important in the physical exam
fam hx of cardiac disease
cardiac exam
weight and height
medication for ADHD
STIMULANT; methylphenidate
short acting immediate release- ritalin (3-4 hours)
intermediate release- ritalin (8 hours)
non stimulant atomoxetine - (SNRI) extended-release (ER)-alpha 2 agonists guanfacine ER clonidine ER
Lisdexamphetamine
side effects for medication for ADHD
loss of appetite growth delay insomnia hepatotoxicity emergent suicidal behaviors
psychological treatment
parent training
parent-child- teacher training
CBT with child
attention and working memory training
