ADHD

Question 1

What is ADHD?

Answer 1

Attention Deficit Hyperactivity Disorder

Question 2

What does ADHD involve?

Answer 2

Triad of difficulties: inattention, hyperactivity, impulsivity

-+ impairing symptoms pervasive across multiple settings

Question 3

Causes of ADHD?

Answer 3

• Multifactorial
• Genetic and environment
• Brain mapping shows those with ADHD tend to have underactive function within frontal lobe
• XSively efficient dopamine removal system in ADHD

Question 4

Diagnostic criteria in children for ADHD?

Answer 4

• 6 or more symptoms of inattentiveness and/or 6 or more symptoms of HA and impulsiveness
• Present before age 5 years
• Reported by parents, school and seen in clinic
• Symptoms get in way of day to day
• Criteria for adults is different

Question 5

General management of ADHD?

Answer 5

Psychosocial treatment for all severities

Pharmacological for mod-severe

Question 6

Psychosocial treatment for ADHD?

Answer 6

• Parent training (New forest)
• Social skills training
• Behavioural classroom management strategies
• Specific educational interventions

Question 7

Pharmacological treatment for mod-severe ADHD?

Answer 7

1st: Stimulants (methylphenidate, dexamfetamine, lisdexamfetamine)
2nd: SNRI: atomoxetine
3rd: Alpha agonist (clonidine, guanfacine)
4th: ADs, anti-psychs: imipramine, risperidone

Question 8

1st line drug for ADHD?

Answer 8

Stimulant

• Methylphenidate
• Dexamfetamine
• Lisdexamfetamine

Question 9

ADHD = underactive?

Answer 9

Frontal lobe

Question 10

Frontal lobe is captain of?

Answer 10

Reasoning 
Planning 
Impulse control 
Judgement 
Initiation of action 
Social/sexual behaviour 
Long term memory

Question 11

A functioning frontal lobe would be who on a night out?

Answer 11

Your sober friend/your sober conscience