ADHD

Question 1

What are the risk factors for ADHD?

Answer 1

FH
Male
Epilepsy
Other mental health disorder

Question 2

What % of adults with ADHD have a co-existent mental health condition?

Answer 2

75%

Question 3

What is the presentation of ADHD?

Answer 3

Onset <12yo
Developmentally abnormal inattention:
-easily distracted, forgetful
-organisational difficulties, doesn’t follow instruction well
Hyperactivity:
-on the go, fidgety
-talks excessively
-gets out of chair when sitting expected
Impulsivity present across time and situations:
-thrill seeking behaviour

Question 4

How is ADHD diagnosed?

Answer 4

Clinically- require collateral history

Causing functional difficulties

Question 5

What is th management of ADHD?

Answer 5

Stimulant, psychoedication and behavioural therapy

Treat co-existing mental health problems

Question 6

What are the stimulants used in ADHD?

Answer 6

1. Methylphenidate (Ritalin) or amphetamine- stimulants, can cause loss of appetite and insomnia
2. Atoxoxetine- non stimulant, 1st line with co-existing anxiety