ADHD Flashcards
what is ADHD
excessive inattention
hyperactivity
impulsivity
any combo of these
specific learning disorders
only 3 exist
specific learning disorder of reading
specific learning disorder of writing
specific learning disorder of math
neuropsycholigical deficits in ADHD
response inhibition (b/w two higher order decisions) delay aversion (don't like delayed gratification) executive functioning
attention networks
alertness (thalamus, ant and post cortical)
orientation (parietal lobes, frontal eye fields)
executive control (ant. cingulate, thalamus, frontal lobe)
*in ADHD your brain prefers to focus on things that it finds interesting (back brain cant get you away from the interesting thing = hyperfocus)
why a different prevalence of ADHD in men and women
some legit, but some b/c females tend to have inattentive symptoms and are less hyperactive so they are less annoying
3 types of ADHD
inattentive type
hyperactive/impulsive type
combined type
inattentive symptoms
careless mistakes
difficulty sustaining attention
often does not seem to listen when spoken to directly
poor follow through
often avoids dislikes or is reluctant to do tasks that require sustained mental effort
forgetful in daily activities
hyperactive/impulsive symptoms
fidgiting, difficulty sitting still often unable to play or take part in leisure activities driven by a motor (high energy level) often talks excessively trouble waiting their turn
criteria for diagnosis of ADHD
6+ symptoms in either or both categories, or if >17 y/o 5 symptoms
several must be present before 12y/o
several must be present in 2+ settings
symptoms must interfere with or reduce quality of social, school, or work functioning
developmental risks with ADHD
increased risk of not graduating high school, getting a college degree or being a professional. Higher incidence of being incarcerated.
higher risk of developing antisocial personality disorder, non-alcohol drug abuse, and tobacco use
comorbidities with ADHD
*need to treat by 7-17 to prevent
major depression, enuresis, oppositional defiant disorder, conduct disorder, anxiety, learning disabilities, relational problems
development of depression and OCD with ADHD
ADHD is annoying to others
frequently get negative messages
develop a negative sense of self
anger and devaluation = defensive
ADHD NNT
2
90% improve with appropriate treatment
ADHD in adulthood
at least 65% continue to have ADHD in adulthood
hyperactivity tend to decrease but inattention, restlessness, and impulsivity remain
most effective treatment for ADHD
stimulants