Topic 1: Adult ADHD Flashcards
Characteristics of Huntington’s disease
- autosomal dominant inherited disorder
- cell loss in basal ganglia and cortex
- involuntary movements, dementia and psychiatric symptoms
ADHD presentations
ADHD-I = predominantly inattentive ADHD-H = predominantly hyperactive ADHD-C = combined
ADHD etiology
- significant heredity factor
- global morphometric alterations of the brain
- biochemical abnormalities of neurotransmitter functions
Core symptoms shift with development (ADHD)
- reduction of motor symptoms with adolescence
- reduction of impulsivity but remains deviant
- inattention more prominent with greater impact in adults
Clinical assessment of ADHD
1 establishment of diagnosis in childhood
2 presence of core symptoms
3 compromised functioning in at least two settings
4 persistence of condition
5 symptoms cannot be better accounted for by any other condition
Pharmological treatment ADHD
- stimulants
- antidepressiva
- antihypertensive agents
Non-pharmalogical treatment of ADHD
Non-pharmalogical treatment of ADHD
- counseling
- education
- psychotherapy
- skills training
- cognitive training
- coaching
Multi dimensional model of attention (van zomers)
- alertness
- vigilance/sustaint attention
- divided attention
- selective attention
- strategy/flexibility
Wat is het verschil tussen sustained attention en vigilance en welke is aangetast in ADHD
Sustained attention-> maintaining attention over a longer period of time
Vigilance-> stay attentioned during a boring task
ADHD: impairment of vigilance
On which kind of error has mph effect and what is that effect
Omission errors improve under mph but remain impaired
On which kind of attention has mph effect and what kind of effect
Vigilance: but remains impaired
Selective attention: but remains impaired
Divided attention: goes from impaired to unimpaired
Flexibility: but remains impaired
Alertness is not impaired
Problem solving; what kind of problems are there and what kind of thinking is needed
Closed problems: convergent thinking
Open problems: divergent thinking
On what kind of problem thinking has mph effect and what kind of effect
Mph has an effect on convergent thinking (closed problems) that goes from impaired to unimpaired
Mph has no effect on divergent thinking (open problems), that stays impaired
Why do boundaries between neurology and psychiatry melt away?
1: application of neurological methodology and diagnostics in psychiatric diseases
2: interest of neurology in complex mental functions and psychiatric symptoms in neurological diseases
