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)
Which other disorder needs to be considered in both the initial assessment and ongoing management of children with ADHD?
Chronic Tic Disorder
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
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
According to the DSM-5 what are the sx’s that fit the hyperactive type of of ADHD?
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
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
What is a potential AE associated with Bupropion?
↑ risk of seizure
Which stimulant used for ADHD is a re-uptake inhibitor of catecholamines AND also releases catecholamines?
Amphetamines
