Hyperkinetic Disorder Flashcards
A neuropsychiatric condition characterised by diminished sustained attention, increased impulsivity, and hyperactivity interfering with attention or development
Attention-Deficit/Hyperactivity Disorder
T or F: ADHD affects only children
F. Adolescents and adults may also manifest.
Main neurotransmitter implicated in ADHD
Dopamine
Brain area said to be involved in ADHD
Prefrontal cortex
Maximum age of presentation of ADHD symptoms according to DSM 5
12 years
T or F: Autism spectrum disorder must be excluded in order to diagnose ADHD
False. Both disorders may be diagnosed together.
T or F: Genetics plays a role in the development of ADHD
True, the heritability of ADHD is about 75%
What may be expected in the EEG results of a person with ADHD?
Increased theta activity in the frontal regions and increased beta activity
What will the MSE of a person with ADHD likely show?
Depressed mood, distractability and perseveration, signs of visua-perceptual, auditory-perceptual, or language-based learnng disorders.
Medical problems that produce symptoms overlapping with ADHD 1
. Petit mal epilepsy
- Hearing and visual impairments
- Thyroid abnormalitites
- Hypoglycemia
The first choice in the pharmacotherapy of ADHD
CNS stimulants, eg. Methylphenidate, Dexmethylphenidate, Dextroamphetamine, Lisdexamfetamine, COmbined Dextroamphetamine/amphetamine salts
A non-stimulant norepinephrine reuptake inhibitor used in the treatment of ADHD
Atomoxetine
Recommmended workup beforeusing stimulant medications in ADHD
- Complete physical exam
- Blood pressure
- Weight
- Height
- Pulse
Psychosocial interventions for ADHD
- Psychoeducation
- Academic organsation skills remediation
- Parent training
- Home and classroom behaviour modification
- Cognitive behavioural therapy
- Social skills training
True or false: Punishment can worsen ADHD behaviour
True
