Adult ADHD - Free CE Continuing Education online pharmacy ...

Page 3Adult ADHD: Fact or Fiction?© 2010 Pharmaceutical Education Consultants, Inc. unless otherwise noted. All rights reserved.Reproduction in whole or in part without permission is prohibited.Epidemiology of ADHD in Adults• Prevalence rate in adults is 4.4-5%• Not a U.S. phenomenon-studies in Europe andAustralia replicate these rates• M:F is closer to 3:2• Adults have similar expression of disordermale to femaleCurrent DSM-IV Criteria• Present in multiple settings• Prior to age 7• Must cause significant impairment• Must be present for 6 months• Not better explained by PDD, psychotic d/o,mood/anxiety disorders, dissociative disorder,or personality disorderPharmCon is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy educationPharmCon is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy educationDSM-IV ADHD Diagnostic CriteriaDiagnosis in ChildrenEither (1) inattention(6 or more for > 6 months)• Inattention to detail/carelessmistakes• Difficulty with sustained attentionto tasks or play• Doesn’t listen• Doesn’t follow through with tasks• Disorganized• Avoids tasks requiring sustainedeffort• Loses things necessary for tasks• Easily distracted by extraneousstimuli• Forgetful in daily activitiesOr (2) hyperactivity-impulsivity(6 or more for > 6 months)• Fidgets, squirms• Leaves seat inappropriately inclassroom• Runs around or climbs excessively• Doesn’t play quietly whenexpected• “on the go” as if “driven by amotor”• Talks excessively• Blurts out answers inappropriately• Difficulty with awaiting turn• Interrupts or intrudes on others• No single test, no imaging study to confirm diagnosis• Clinical diagnosis• Synthesis of info from multiple sources: parents,teachers, caregivers• Structured interviews-in depth• Rating scales: Conners, ADHD Rating Scale IV, CBCL:become familiar with one brief, standardized checklist• Observation and interview of child• Psychoeducational testing is helpfulPharmCon is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy educationPharmCon is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education