Diagnostic Assessment & Treatment of Adult ADHD

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Long Acting Mph in adults• More stable effect during the day• Less rebound• Less chance of abuse (gel or small particles hard tosnore or inject)• Safer in traffic• Dose Concerta between 36-108 mg/day• Usually after wearing off Concerta, evening dose neededat 5 pm of Mph of intermediate duration (6 hrs)• In case of earlier wearing off: 2 nd dose Concerta neededin afternoon (8 am and 3 pm)• Combinations of Concerta and Equasym/Medikinet• Still waiting for stimulant with 16 hour efficacy to betterserve adults …
Duration of effect and dosing frequencyof the methylphenidates• Ritalin: 2 - 4 hrs (6 - 8 x/day)• Equasym and Medikinet: 5 - 8 hrs (1 - 2 x/day)• Concerta:8 - 12 hrs (1 - 2 x/day)Combinations now possible:• C 72 at 8 am and C 36 at 3 pm• C 72 at 8 am and E or M 30 at 5 pm• C 90 at 8 am and R 10 at 8 pm
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 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 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,

Diagnostic Assessment & Treatment of Adult ADHD

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