ADHD Flashcards
What is ADHD
Disorder of: Excessive Inattention, Hyperactivity, Impulsivity
neuropsychological deficits in ADHD
response inhibition, delay aversion, executive functioning
ADHD DSM-V criteria
6 or more symptoms in either (or both) categories of inattention or hyperactivity; 5 symptoms for >17 y.o. Several symptoms present before age 12. Several symptoms are present in two or more settings.
There is clear evidence that the symptoms interfere with, or reduce the quality of, social, school, or work functioning.
Comorbid conditions with ADHD
Depression, enuresis, oppositional disorder, conduct disorder, anxiety, social phobia, learning disabilities,
5 models for why comorbidity with othr psychiatric disorders is high in ADHD
- Underlying genetic vulnerability. 2. Developmental changes. 3. Psychological effects of having ADHD. 4. Living with others who are irritated by the ADHD. 5. Self-treating the problem (substance abuse)
List the categories of agents available for pharmacotherapy of ADHD
CNS stimulants (methylphenidate-amphetamines), NRIs (atomoxetine), NDRI (bupropion),tricyclics, α2 agonists (clonidine)
List amphetamine stimulants used in ADHD and duration of action
Adderall: 4-6 hrs. Dexedrine: 4-6 hrs. Dextrostat: 4-6 hrs. Dexedrine spansule: 6-8 hrs. Adderall XR: 8-12 hrs. Vyvanse: 10-12 hrs
List Methylphenidate stimulants and durations
focalin: 4-6hrs. Ritalin: 3-4hrs. Daytrana patch: 10-12 hrs
long term outcome of ADHD
65% have symptoms persisting into adulthood. Hyperactivity decreases by late adolescence though. Inner restlessness, impulsivity and attention problems remain