Diagnostic Assessment & Treatment of Adult ADHD

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ADHD is a clinical diagnosis• Interview patient and partner: lifetime symptomsand impairment of ADHD and comorbiddisorders• Schoolreports if available• If possible, parents/sibs about childhood onset• Patient is best informant, though tends tounderreport severity• No neuropsychological diagnostic test (battery)• No validated instruments in EuropeKooij 2003, 2008; Ferdinand 2004
Dilemmas using childhoodDSM-IV criteria in adults• Formulation not applicable to adults• Selfreport in stead of informant report (parent)• Cutoff may be lower in adults• Age of onset criterium (< age 7) never validated inchildren and unreliable in adults• Current criteria lead to under-identification of adults• Age referenced criteria have to be developed andvalidated• DSM-V will use broader age of onset (before age 12 or16) and probably different criteria for different agegroupsBarkley 2002; Kooij 2005; Faraone 2000, 2004, 2006;www.dsm5.org
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 26 and 27: ConclusionsEpidemiological study Ke
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 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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