ADHD Flashcards
Define Attention deficit hyperactivity disorder
- persistent pattern of inattention and/or hyperactivity-impulsivity that is more frequently displayed and more severe than is typically observed in individuals at a comparable level of development
Attention deficit hyperactivity disorder is characterized by what 4 criteria? For how long?
- inattention and/or hyperactivity-impulsivity
- 6 or more symptoms for at least 6 months
- symptoms present prior to age 12
- symptoms present in 2 or more settings
- clear evidence symptoms interfere with, or reduce quality of social, academic or occupational functioning
what is the most common age of diagnosis for Attention deficit hyperactivity disorder
- elementary school aged children
List the conditions that can co-occur in ADHD
- learning disorder
- oppositional defiance disorder
- conduct disorder
- substance abuse
List the pediatric scales that are used to rate Attention deficit hyperactivity disorder
- Vanderbilt Assessment scales: > 4 yo
- Conners comprehensive behavior rating scales: okay for preschool age
- ADHD rating scale IV: okay for preschool age
List the adult scales that are used to rate Attention deficit hyperactivity disorder
- ADHD self report scale (ASRS)
- Conners adult ADHD rating scale (CAARS)
Attention deficit hyperactivity disorder can be caused by a decrease in availability of what neurotransmitters in the cortex
- norepinephrine
- dopamine
treatment of Attention deficit hyperactivity disorder in preschool children (aged 4-5 yo)
- behavior therapy is intial therapy
- medication only if needed
treatment of Attention deficit hyperactivity disorder in children > or = 6 yo
- medication
- behavioral interventions added
treatment of Attention deficit hyperactivity disorder in adults
- medication > psychotherapy
- atomoxetine if substance abuse is a concern
- antidepressants
- cognitive behavior therapy
List the three stimulants that are used in Attention deficit hyperactivity disorder to increase release of dopamine and norepinephrine
- methylphenidate
- dextroamphetamine
- mixed amphetamine salts
stimulates come in what two formulations
- short and long acting
list side effects of stimulants
- appetite disturbance, weight loss
- social withdrawal
- irritability
- nervousness
- sleep disturbance
- headache, abd pain
- tics
- contact dermatitis
- Increased HR and BP
MOA of Atomoxetine
- selective norepinephrine reuptake inhibitor
When is Atomoxetine used
- used in tx of ADHD for people with h/o substance abuse