ADHD - ADHD during adulthood
5 important questions on ADHD - ADHD during adulthood
Adult onset ADHD
ADHD diagnosis in older populations
The clinical approach:
- Are the target symptoms still present in adulthood?
- Were the target symptoms present during childhood?
- Do the symptoms cause significant functional impairment?
- Are the symptoms better explained by encironmental circumstances or another disorder?
- Is ADHD present among relatives?
a misdiagnosis can lead to drugabuse
Comorbidity and concequences of ADHD
- Has a high comorbidity with ASS, communocation and learning disorders, tic disorders, DCD, and tic disorders.
- It is often associated with intellectually gifted adults.
in adults
- mood disorders, substance abuse, bipolar disorders, control and eating disorders.
- associated with problems in the activities of daily living (ADL)
- higher divorce rates
- greater risk of criminal activities
- ADHD has a substantial economic impact.
A link between dementia and ADHD has not been proven, but a dew studies suggest that they are more vulnerable for neurodegenerative disorders such as LBD, parkinsons and posterior cortical atrophy.
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Neuropsychological profiles of adult ADHD
- executive problems
- attentional problems
- memory problems
Treatment of adult ADHD
- interventions (CBT)
- methylphenidate
- Atomoxetine
- antidepressants
Not much is known about the long-term effects of treatments or the effectiveness for adults. Proof for the beneficial effects come from observational studies
Treatment is associated with a better ADL compared to no treatment at all.
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