Diagnostic Assessment & Treatment of Adult ADHD

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ConclusionsEpidemiological study Kessler• 1 in 5 mood disorders are comorbid with ADHD• Depression is comorbid in 30% of ADHD• ADHD has an earlier onset than mood, anxiety orSUDs• ADHD is a riskfactor for a range of comorbiddisorders• Treatment/remission of ADHD leads to loweroccurence of mood-, panic disorder, and PTSDKessler APA 2007
ADHD or Borderline?Overlap• Impulsivity is hallmark of both• Frequent moodswings & irritability in 90% of adults with ADHDDifferential diagnosis• Inattention and hyperactivity only in ADHD• ADHD starts in childhood, borderline in adolescence• Emptiness, manipulative behaviour, all good-all bad patternsspecific to borderline• History of neglect or sexual abuse typical in borderline, not ADHDComorbidity• 6-25% of adults with ADHD also have cluster B personality disorder• 35% of borderline patients also have ADHDKooij 2006; van Dijk in prep, 2009
Page 2 and 3: Topics• Neurobiology of ADHD• P
Page 5 and 6: Neurobiology of ADHD• Highly heri
Page 8: Developmental trajectoriesof brainv
Page 11 and 12: The brain in ADHDcompared to contro
Page 13 and 14: Decrease of hyperactivityHyperactiv
Page 16 and 17: ADHD in DSM-IV• Attention-deficit
Page 18 and 19: ADHD and preferred jobs• Nightshi
Page 20 and 21: ADHD and drivingADHD is a danger on
Page 22 and 23: Comorbidity in ADHD?• Depression
Page 24 and 25: 12 month comorbidity with ADHDin ad
Page 28 and 29: Chance of addictionADHD vs controls
Page 30 and 31: ADHD and SUD• Medication treatmen
Page 32 and 33: Diagnostic Assessment• Screening
Page 34 and 35: NEW:DIVA 2.0Now available in Danish
Page 36 and 37: ADHD is a clinical diagnosis• Int
Page 38 and 39: Cutoff currentDSM-IV criteria in ad
Page 40 and 41: Treatment of ADHD andcomorbidity1.
Page 42 and 43: Available Methylphenidate (Mph)prep
Page 44 and 45: Place of medicationin treatment•
Page 46 and 47: Methylphenidate (Mph)• Best studi
Page 48 and 49: Long Acting Mph in adults• More s
Page 50 and 51: Combination treatmentthe rule in ad
Page 52 and 53: Light therapy and ADHD5 days - 30 m
Page 54 and 55: Contra-indicationsfor coaching• C
Page 56 and 57: Coaching?• Active and practical q
Page 58 and 59: Planning of time• Problem• Purp
Page 60 and 61: Dealing with chaos at home• Probl
Page 62 and 63: Reorienting on work• Problem• P
Page 64 and 65: Dealing with feelings of loss• Pr
Page 66 and 67: Coaching in groups• Target group:
Page 68 and 69: ADHD and impairmentaccording to Saf
Page 70 and 71: Support groups• Danish patient or
Page 72 and 73: Set up Program Adult ADHDand Dutch
Page 74 and 75: Adult ADHD is new in psychiatryand
Page 76 and 77:
2002 - Start Program Adult ADHDat P
Page 78 and 79:
April 200415 full time employees400
Page 80 and 81:
Team Program Adult ADHD, 20091300 p
Page 82 and 83:
What did this team do?• Develop s
Page 84 and 85:
Diagnostic Assessment• 3 hour int
Page 86 and 87:
Treatment Program Adult ADHDSix Tre
Page 88 and 89:
Content Treatment PathsAll consist
Page 90 and 91:
Adults want helpPsyQ, in the Hague
Page 93 and 94:
Adult ADHDDiagnostic Assessment and
Page 95:
European Network - UKAANSymposium,
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Diagnostic Assessment & Treatment of Adult ADHD

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