ADHD Flashcards
what does ADHD stand for?
attention deficit hyperactivity disorder
what are the triad of difficulties present in ADHD?
inattention
hyperactivity
impulsivity
when do difficulties in ADHD present?
before age 5
what lobe shows underachieve function in children with ADHD?
frontal lobe
how are children assessed for ADHD?
ideally a school observation
screening and diagnostic questionnaires
what are the five diagnostic criteria for ADHD in children?
6+ symptoms of inattentiveness and/or
6+ symptoms of hyperactivity and impulsiveness
present before 5
reported by parents/school/seen in clinic
symptoms interrupt daily life
what are the two criteria for diagnosis of ADHD in adults?
5+ symptoms of inattentiveness and/or 5+ symptoms of hyperactivity and impulsiveness
history of concerns since a young age
impact on life
when are psychosocial interventions used for ADHD?
mild, moderate and severe cases in children
name five psychosocial interventions that can be used for ADHD
parent training social skills training sleep and diet behavioural classroom management strategies specific educational interventions
when are pharmacological treatments used for ADHD?
moderate and severe cases only
what is the first line pharmacological management for ADHD?
stimulants
methylphenidate, dexamphetamine, lisdexamphetamine
what is the second line pharmacological management for ADHD?
SNRI - atomoxetine
what is the third line pharmacological management for ADHD?
alpha agonist
clonidine, guanfacine
what is the last line pharmacological management for ADHD?
antidepressants (imipramine) and antipsychotics (risperidone)