Lecture 7: ADHD Flashcards
Females with ADHD present more commonly with which subtype; why is this a problem?
- Inattentive subtype
- Less disruptive behavior in females may contribute to referral bias causing under identification and lack of tx
What is the tourette’s syndrome triad?
- Tics
- ADHD
- Obsesseive compuslive sx’s (OCS)
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Which other disorder needs to be considered in both the initial assessment and ongoing management of children with ADHD?
Chronic Tic Disorder
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ADHD is an information processing dysfunction where in the brain; primarily due to deficinecy of which 2 NT’s?
- Within prefrontal cortex
- Deficiency of dopamine and norepinephrine
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According to the DSM-5 how many sx’s should a child vs. patient >17 y/o have for making dx of ADHD?
- Children: should have 6 or more
- Adults: should have at least 5 sx’s
According to the DSM-5 what are 9 sx’s of the inattentive type of ADHD?
- Fails to give close attention to details or make careless mistakes
- Difficulty sustaining attention
- Does not appear to listen
- Struggles to follow through on instructions
- Difficult with organization + loses things + easily distracted
- Avoids or dislikes tasks requiring a lot of thinking
- Is forgetful in daily activities
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According to the DSM-5 what are the sx’s that fit the hyperactive type of of ADHD?
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What are the clinical practice guidelines for treating preschool-aged children (4-5 years of age) with ADHD?
- Prescribe evidence-based parent- and/or teacher-administered behavior therapy as the 1st line tx
- Prescribe methylphenidate if the behavior therapy does not provide significant improvement and the child continues to have moderate to severe sx’s
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What are the clinical practice guidelines for treating elementary school-aged children (6-11 years of age) with ADHD?
- Prescribe FDA approved meds for ADHD and/or evidence-based parent and/or teacher-administered behavior therapy as tx for ADHD
- Preferably both medication and behavior therapy should be used together
- Evidnce is particularly strong for stimulant medications
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What is a potential AE associated with Bupropion?
↑ risk of seizure
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Which stimulant used for ADHD is a re-uptake inhibitor of catecholamines AND also releases catecholamines?
Amphetamines
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