The Effects of ADHD Medication Changes on a Child Who Stutters.
|
|
- Clara Davis
- 6 years ago
- Views:
Transcription
1 The Effects of ADHD Medication Changes on a Child Who Stutters. Joseph Donaher Ph.D., CCC/SLP The Center for Childhood Communication The Children s Hospital of Philadelphia University of Pennsylvania School of Medicine E. Charles Healey Ph.D., CCC-SLP Department of Special Education & Communication Disorders University of Nebraska-Lincoln Anneli Zobell B.A. Department of Special Education & Communication Disorders University of Nebraska-Lincoln Abstract: This case report describes a 10-year-old boy who presented with comorbid stuttering, ADHD and Tourette Syndrome. The focus of this case study is the child s favorable reaction to the non-stimulant Strattera versus the stimulant Adderall XR on stuttering behaviors. The family reported increased stuttering, tic behaviors, social anxiety and communication related frustration resulting in social isolation shortly after starting the stimulant medication. Consequently, the medical team discontinued the stimulant medication and prescribed the non-stimulant Strattera to manage the ADHD symptoms. After initiating the non-stimulant medication, the family reported an increased willingness to interact with peers and reduced aggressiveness while interacting with family members. Compared to the disfluency rate and speech patterning from the first evaluation, the child demonstrated a 63% reduction in disfluency rate and a 51% reduction in the proportion of speech behaviors typical of stuttering. However, the nonstimulant medication was linked with a noticeable increase in impulsivity and decrease in attention/focusing in the academic setting.
2 Donaher 2 Introduction: It is well established that the cause of stuttering is unknown but most experts agree that a complex interaction of multiple factors contribute to the onset and development of stuttering (Smith & Kelly, 1997). One factor that has been theorized to be a major contributing factor in maintaining stuttering in some people who stutter is increased levels of dopamine in the neural regions that modulate speech production (Wu, Maguire, Riley, Lee, Keator, Tang, Fallon, & Najafi, 1997). Pharmacological treatment studies have supported the role dopamine plays in maintaining stuttering by demonstrating a reduction in stuttering behaviors when dopamine blocking medications are prescribed (Wu et al, 1997; Maguire, Riley, Franklin, Maquire, Nguyen, & Brojeni, 2004; Burd, & Kebeshian, 1991; Lavid, Franklin, & Maguire, 1999). Additional factors, which can contribute to the development and maintenance of stuttering, are coexisting disorders such as language/phonological disorders, learning disabilities, Tourette Syndrome, and Attention-Deficit Hyperactivity Disorder (ADHD). For example, for over a decade, considerable attention has been paid to the link between stuttering and ADHD. Biederman and colleagues (1993) reported an 18% incidence of stuttering in adults with ADHD and a 4% incidence of stuttering in children with ADHD. Interestingly, a 2007 study of 45 adults who stutter reported that 40% demonstrated behavioral traits consistent with ADHD but not at levels that merited the actual diagnosis (Alm & Risberg, 2007). The literature shows that the prevalence of ADHD among children who stutter ranges from 4% to 26% (Healey & Reid, 2003).
3 Donaher 3 Pharmacological management of ADHD with stimulant medication such as Adderall XR increases the concentration of dopamine in specific neural regions and remains the most effective, well-researched single intervention for ADHD (Zuyekas, Vitiello, & Norguist, 2006). However, managing ADHD through stimulant medication may come at the risk of increasing stuttering when the two disorders co-exist. The lack of wellcontrolled studies describing the effects of ADHD medications on stuttering makes it difficult to draw any conclusions regarding a possible relationship. Case reports have shown that stimulant medications can significantly increase stuttering behaviors in some individuals who stutter (Maguire et al, 2004; Burd et al, 1991). Conversely, there is some empirical evidence and anecdotal reports that nonstimulant medication such as Srattera used to control the symptoms of ADHD may not have this effect and may, in some cases, actually reduce stuttering behaviors (Maguire et al, 2004; Burd et al, 1991). The following case study illustrates the impact on stuttering when a child who stutters was taken off stimulant medication and switched to a non-stimulant medication to manage his ADHD. Case Presentation: JV was a 10-year-old boy who presented with coexisting diagnoses of stuttering, ADHD and Tourette Syndrome. His medical history was significant for allergies, chronic ear infections, stuttering which began when he was 5 years of age and frequent phonic and motor tics. Family history was significant for persistent developmental stuttering demonstrated by his mother and maternal grandfather. JV s ADHD diagnosis was made when he was 7 years old and Tourette Syndrome was diagnosed when he was 9 years old.
4 Donaher 4 JV attended a regular education classroom with no support services. He had never received speech therapy and had no knowledge of strategies to reduce his stuttering behaviors. His ADHD and Tourette Syndrome diagnoses were made by a pediatric neurologist who subsequently prescribed Adderall XR (20mg) to manage the ADHD symptoms. During a routine follow-up with their neurologist, the family complained of increased stuttering behaviors over the past two weeks since starting the stimulant medication. Additionally, JV complained of increased tic behaviors, increased levels of social anxiety and communication related frustration resulting in social isolation. JV was referred for a stuttering evaluation, which was completed on that same day by the first author, a licensed speech language pathologist and board recognized specialist in fluency disorders (BRS-FD) by the American Speech-Language-Hearing Association (ASHA). During the initial speech evaluation while JV was still taking stimulant medication, a 491-word speech sample was obtained from a wordless picture book to determine the frequency and severity of stuttering. The child s utterances during the picture book description were transcribed verbatim by the third author and independently verified by the second author, a licensed speech-language pathologist and an ASHA BRS-FD. An analysis of the disfluent speech behaviors revealed a 21.5% disfluency rate, of which 58.4% were typical of stuttering (i.e., single word and syllable repetitions and audible/silent sound prolongations). Given the family s report of increased stuttering
5 Donaher 5 behaviors following the introduction of stimulant medication, the medical team discontinued the stimulant medication and prescribed the non-stimulant Strattera (10mg) to manage JV s ADHD symptoms. During a routine follow-up neurology appointment approximately eight weeks after initiating Strattera, JV s mother reported a significantly reduced degree of stuttering and an increased willingness and desire to socialize with his peers. JV requested several play dates with a new friend and began using the telephone to interact with peers outside of the school setting. JV s mother reported that he was less aggressive during interactions with family members and appeared to quarrel less with his younger sister. It should be noted that JV had still not received treatment for his stuttering at this point and the only apparent change was the switch from a stimulant to a non-stimulant medication for his ADHD behaviors. In order to determine whether JV s fluency had improved since being placed on Strattera, a 606 word speech sample was obtained using a wordless picture book. The sample was analyzed by the same individuals and in the same way as the previous sample. The results revealed an 8% disfluency rate, of which 28.5% of the behaviors were typical of stuttering. Compared to the disfluency rate and speech patterning from the first evaluation, this represented a 63% reduction in disfluency rate and a 51% reduction in the proportion of speech behaviors typical of stuttering.
6 Donaher 6 However, when the stimulant medication was discontinued and the nonstimulant medication was implemented, JV s teachers witnessed a noticeable increase in his impulsivity and decrease in his ability to attend and focus in the classroom. This finding is compatible with studies suggesting that non-stimulant medications are less effective at treating the core symptoms of ADHD. Discussion: This case report described a favorable reaction to a non-stimulant versus a stimulant medication on stuttering in a 10-year-old boy who presented with comorbid stuttering and ADHD. The non-stimulant medication was linked with decreased speech related apprehension, increased socialization, and decreased stuttering behaviors. However, these improvements came at the cost of increased impulsivity, reduced attention and reduced performance in the academic setting. The importance of this case report relates to the relative frequency with which clinicians report similar issues and the paucity of published research on this topic. Alm (2005) discussed two early studies evaluating the effects of stimulant medication on stuttering. Fish and Bowling (1965) reported that stimulant medication led to reduced stuttering in 50% of subjects who stuttered with coexisting mental retardation. Interestingly, for the subjects that did not initially improve with stimulant medication, a dopamine receptor blocker was administered. The results indicated that 67% of these subjects experienced reduced stuttering. In a separate study, Langova and Moravek (1964) reported that stimulant medication increased fluency in 88% of their subjects who stuttered. However,
7 Donaher 7 they reported that stimulant medication increased stuttering in 79% of the cases presenting with stuttering-cluttering or pure cluttering. In the cases identified as stuttering-cluttering or pure cluttering, 79% demonstrated increased fluency on dopamine receptor blockers. Further research is needed to better understand the relationship between stimulant medication and stuttering. Unfortunately, the nature of this single case report prevents generalizing the results prior to replication with a larger sample. With a larger sample, future studies may be able to identify subgroups of PWS based on reaction patterns to specific medications. This could provide insight into the underlying neuropathology and etiological basis of stuttering. Given that both stuttering and ADHD begin in childhood, and that the majority of studies on this topic have involved adults who stutter, future studies should include CWS to determine whether they demonstrate similar responses. From a clinical management perspective, this case illustrates the importance of the coordinated multidisciplinary management of children who present with complex medical profiles encompassing multiple diagnoses. Further exploration of how various management strategies for coexisting diagnoses can impact the efficacy of other interventions is warranted. This knowledge may serve to reinforce or refute the popular clinical perception that stimulant medication increases stuttering behaviors for a large proportion of CWS. Unfortunately, this belief, which remains unsubstantiated in the literature, has resulted in many professionals counseling families against ADHD
8 Donaher 8 medications even at times when the attention/focusing issues are the predominant impairment. REFERENCES Alm, P.A. (2005). On the Causal Mechanisms of Stuttering. Lund University, Sweeden, Alm, P. A., & Risberg, J. (2007). Stuttering in adults: The acoustic startle response, temperamental traits, and biological factors. Journal of Communication Disorders. 40, Biederman, J., Faraone, S.V., Spencer, T., Wilens, T., Norman, D., Lapey, K.A., Mick, E., Lehman, B.K., Doyle, A. (1993). Patterns of psychiatric comorbidity, cognition, and psychosocial functioning in adults with attention deficit hyperactivity disorder. American Journal of Psychiatry. Dec; 150(12): Burd, L. & Kebeshian, J. (1991). Stuttering and stimulants. Journal of Clinical Psychopharmacology. 11, 72. Guitar, B. (2006). Stuttering: An Integrated Approach to Its Nature and Treatment, 3 rd Edition. Baltimore, MD: Williams and Wilkins. Healey, E.C. & Reid, R. (2003). Tutorial on Stuttering and ADHD. Journal of Fluency Disorders. Volume 28, Number 2. Lavid, N., Franklin, D., L., & Maguire, G., A. (1999). Management of child and adolescent stuttering with Olanzapine: Three case reports. Journal of Clinical Psychiatry. 11, Maguire, G.A., Riley, G.D., Franklin, D.L., Maquire, M.E., Nguyen, C.T., & Brojeni,
9 Donaher 9 P.H. (2004). Olanzapine in the treatment of developmental stuttering: a doubleblind, placebo-controlled trial. Annals of Clinical Psychiatry, Apr-Jun;16(2): Smith, A. & Kelly, E. (1996). Stuttering: A dynamic multifactorial model. In Curlee, R. and Siegel, G. (Ed.) Nature and treatment of stuttering: new directions, (2 nd ed.) (pp ) Needham Heigts, MA: Allyn & Bacon. Wu, J.C., Maguire, G.A., Riley, G.D., Lee, A., Keator, D., Tang, C., Fallon, J., & Najafi, A. (1997). Increased dopamine activity associated with stuttering Neuroreport, 8: Zuyekas, S., Vitiello, B., & Norguist, G. (2006). Recent trends in stimulant medication use among U.S. children. American Journal of Pyschiatry. April; 163(4): CONTINUING EDUCATION QUESTIONS 1. The most effective, well-researched single intervention for ADHD is: A. Behavior modification B. Biofeedback C. Pharmacological management D. Cognitive Behavioral Therapy 2. Pharmacological treatment studies exploring a possible link between stuttering and ADHD have demonstrated: A. Consistent findings suggesting stimulant medications are never appropriate for CWS
10 Donaher 10 B. Inconsistent findings making it difficult to draw any conclusions C. Consistent findings which implicate the neurotransmitter norepinephrine D. Inconsistent findings suggesting no relationship exists 3. Speech and language intervention for CWS with coexisting diagnoses should include: A. Neuroimaging B. Transdisciplinary management C. Pharmacological treatment D. Multidisciplinary management 4. Pharmacological treatment studies have suggested that stimulant medications may increase the frequency of stuttering for some PWS by altering: A. The level of impulsivity, attention and focusing B. The level of serotonin in the neural regions that modulate speech production C. The level of dopamine in the neural regions that modulate speech production D. The level of speech related anxiety and social phobia LEARNING OBJECTIVES 1. To discuss the evidence base related to whether medications commonly prescribed for ADHD could have an effect on the speech skills of children who stutter 2. To determine the most appropriate treatment practices for children who stutter based on their individual patterning 3. To coordinate intervention with other professionals when CWS present with complex medical profiles encompassing multiple diagnoses and/or clinical management approaches
11 Donaher 11
Insurance Fact Sheet: Fluency
Department of Speech Pathology 513-636-4341 (phone) 513-636-3965 (fax) What is Stuttering? Insurance Fact Sheet: Fluency Fluency can be described as the natural flow or forward movement of speech which
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice 1 Guideline title SCOPE Autism: the management and support of children and young people on the autism spectrum 1.1 Short
More informationDiagnostic: 1. Parent-Child Interaction (PCI; 10 minute free play) Observe positive interactions
Clients Initials: XX Age: 4 years, 0 months Gender: M Diagnostic Plan Concern(s) (Referral Questions): Is there anything that the parents can do to help XX? Are there any other underlying causes/diagnoses
More information**Do not cite without authors permission** Beliefs and attitudes of children and adults who stutter regarding their ability to overcome stuttering
**Do not cite without authors permission** Beliefs and attitudes of children and adults who stutter regarding their ability to overcome stuttering Kenneth S. Melnick, Ph.D., CCC-SLP, BRS-FD 1 & Merlo,
More informationTreating Cluttered Speech in a Child with Autism: Case Study
Treating Cluttered Speech in a Child with Autism: Case Study Lynne W. Shields, Ph.D. CCC-SLP BRF-SD Fontbonne University Annual Convention of the American Speech- Language-Hearing Association November
More informationPRACTICE PARAMETERS FOR THE ASSESSMENT AND TREATMENT OF CHILDREN WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER
PRACTICE PARAMETERS FOR THE ASSESSMENT AND TREATMENT OF CHILDREN WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER Attention-Deficit / Hyperactivity Disorder (ADHD). (2017, August 31). Retrieved April 06,
More informationContents Definition and History of ADHD Causative Factors
1 Definition and History of ADHD................... 1 Brain Damage Syndromes........................ 1 Alternative Terms for ADHD...................... 2 Evolution of Present Concept of ADHD................
More informationWeek 2: Disorders of Childhood
Week 2: Disorders of Childhood What are neurodevelopmental disorders? A group of conditions with onset in the developmental period Disorders of the brain The disorders manifest early in development, often
More informationEligibility Criteria for Children with ASD
AUTISM SPECTRUM DISORDER SERIES Eligibility Criteria for Children with ASD Review the Characteristics of Children with ASD* The following are the most common signs and symptoms of a child with ASD: The
More informationThe shift in nosology from the Diagnostic PROCEEDINGS FROM CHILDHOOD TO ADOLESCENCE: DIAGNOSIS AND COMORBIDITY ISSUES * Thomas J. Spencer, MD ABSTRACT
FROM CHILDHOOD TO ADOLESCENCE: DIAGNOSIS AND COMORBIDITY ISSUES * Thomas J. Spencer, MD ABSTRACT Attention-deficit/hyperactivity disorder (ADHD) tends to manifest differently in adolescents than in children,
More informationOklahoma Psychological Association DSM-5 Panel November 8-9, 2013 Jennifer L. Morris, Ph.D.
Oklahoma Psychological Association DSM-5 Panel November 8-9, 2013 Jennifer L. Morris, Ph.D. DSM-5 continues developmental progression, starting with disorders that are observed in early life. Disorders
More informationIntroduction to Abnormal Psychology
Introduction to Abnormal Psychology Truth or Fiction? In the Middle Ages, innocent people were drowned as a way of proving that they were not possessed by the Devil. People with schizophrenia may see and
More informationGirls with ADHD: Disproportionately Disadvantaged Presented by: Leah K. Glynn, MA, MSN, RN, NCSN
Girls with ADHD: Disproportionately Disadvantaged Presented by: Leah K. Glynn, MA, MSN, RN, NCSN Conflict of Interest I have no conflict of interest pertaining to this presentation, materials, and/or content
More informationAttention-Deficit/Hyperactivity Disorder in Children and Adults Advances in Psychotherapy
Attention-Deficit/Hyperactivity Disorder in Children and Adults Advances in Psychotherapy Questions from chapter 1 1) For a diagnosis of ADHD, some symptoms that cause impairment must be present before
More informationSHARED CARE GUIDELINE
SHARED CARE GUIDELINE Shared Care Guideline for the treatment of Tourette s Syndrome and other tic disorders in children and adolescents. Scope: Version: Pennine Care NHS Foundation Trust NHS Bury NHS
More informationSpeech disfluencies of preschool-age children who do and do not stutter
European Symposium on Fluency Disorders 2014 Speech disfluencies of preschool-age children who do and do not stutter Victoria Tumanova, PhD Syracuse University Syracuse, New York, USA victoria.tumanova@gmail.com
More informationFor more than 100 years, extremely hyperactive
8 W H A T W E K N O W AD/HD Predominantly Inattentive Type For more than 100 years, extremely hyperactive children have been recognized as having behavioral problems. In the 1970s, doctors recognized that
More informationNon-Medical Treatments for ADHD. Susan D. Ayarbe PhD
Non-Medical Treatments for ADHD Susan D. Ayarbe PhD sayarbe@gmail.com www.susanayarbe.net Sources ADHD in Children and Adults: Advances in Psychotherapy Evidence Based Practice (Rickel and Brown, 2007)
More informationAttention-Deficit/Hyperactivity Disorder Nathan J. Blum, M.D.
ADHD in Preschool Children Preschool ADHD: When Should We Diagnose it & How Should We Treat it? Professor of Pediatrics Diagnosis of ADHD in Preschool Children: Impact of DSM-IV Is Preschool ADHD Associated
More informationTHE HOSPITAL FOR SICK CHILDREN DEPARTMENT OF PSYCHIATRY PARENT INTERVIEW FOR CHILD SYMPTOMS (P. I. C. S.
A Child s Name or ID: Date: 2013 THE HOSPITAL FOR SICK CHILDREN DEPARTMENT OF PSYCHIATRY PARENT INTERVIEW FOR CHILD SYMPTOMS (P. I. C. S. - 6) Revised for DSM-III - R (1989) and DSM-IV (1995, 2008) GENERAL
More informationSheryl R. Gottwald, Ph.D., CCC-SLP University of New Hampshire Charlie Osborne, M.A., CCC-SLP University of Wisconsin
Sheryl R. Gottwald, Ph.D., CCC-SLP University of New Hampshire Charlie Osborne, M.A., CCC-SLP University of Wisconsin Personal Construct Theory A Brief Introduction Personal Constructs Humans create their
More informationTheories, Treatment, and Ways to Promote Fluency of Speech at Home
Theories, Treatment, and Ways to Promote Fluency of Speech at Home Definition of Suttering: DSM 5 Disturbance in the normal fluency and time patterning of speech Inappropriate for the individual's age
More informationPediatric Psychopharmacology
Pediatric Psychopharmacology General issues to consider. Pharmacokinetic differences Availability of Clinical Data Psychiatric Disorders can be common in childhood. Early intervention may prevent disorders
More informationPsychopharmacology of ADHD. Copyright 2006 Neuroscience Education Institute. All rights reserved.
Psychopharmacology of ADHD Persistence (Predicted Value) Persistence of ADHD Into Adulthood 90 80 70 60 50 40 30 20 10 0 NA 10 15 20 25 30 Age at Follow-Up Syndromatic Persistence Symptomatic Persistence
More informationPractical Psychopharmacology for More Complex Mental Health Presentations
MINISTRY OF CHILDREN AND YOUTH SERVICES Practical Psychopharmacology for More Complex Mental Health Presentations Part 1: Stimulants Dr. Ajit Ninan & Joel Lamoure 1 Practical Psychopharmacology for More
More informationCurrent Research on the Effective Treatment of. Attention-Deficit/Hyperactivity Disorder. Carolyn Micheli
ADHD Treatment 1 RUNNING HEAD: ADHD Treatment Current Research on the Effective Treatment of Attention-Deficit/Hyperactivity Disorder Carolyn Micheli ADHD Treatment 2 Abstract This paper will explore Attention-Deficit/Hyperactivity
More informationFONTBONNE UNIVERSITY Department of Communication Disorders and Deaf Education
FONTBONNE UNIVERSITY Department of Communication Disorders and Deaf Education Eardley Family Clinic for Speech, Language and Hearing 6800 Wydown Boulevard, St. Louis, MO 63105-3098 (314) 889-1407 (314)
More informationNew Jersey Department of Children and Families Policy Manual. Date: Chapter: A Health Services Subchapter: 1 Health Services
New Jersey Department of Children and Families Policy Manual Manual: CP&P Child Protection and Permanency Effective Volume: V Health Date: Chapter: A Health Services 1-11-2017 Subchapter: 1 Health Services
More informationPsychosocial problems in attention-deficit hyperactivity disorder with oppositional defiant disorder
Psychiatry and Clinical Neurosciences (2002), 56, 365 369 Regular Article Psychosocial problems in attention-deficit hyperactivity disorder with oppositional defiant disorder YUZURU HARADA, md, phd, 1
More informationPrevalence of Comorbidity and Pattern Drug Use among Children with Attention-deficit hyperactivity disorder: A Single Center in Thailand
The 25th Federation Of Asian Pharmaceutical Association (FAPA) Congress 2014 Kota Kinabalu, Sabah, Malaysia 9th - 12th October, 2014 Prevalence of Comorbidity and Pattern Drug Use among Children with Attention-deficit
More informationThe Pre-School Child Who Stutters
The Pre-School Child Who Stutters Patricia Zebrowski, Ph.D. University of Iowa CONSIDER STUTTERING WITHIN THE CONTEXT OF FLUENCY AND DISFLUENCY FLUENCY: The smooth transitioning between sounds, syllables,
More informationA Mixed-Model Approach to Studying Treatment Outcomes
Unless otherwise noted, the publisher, which is the American Speech- Language-Hearing Association (ASHA), holds the copyright on all materials published in Perspectives on Fluency and Fluency Disorders,
More informationTherapy for Preschool and School Age Children who Stutter
Therapy for Preschool and School Age Children who Stutter Thank you! kleinjf@appstate.edu 828-262-2620 Goals for Today Seriously Participants will be able to: 1. List three factors that make children more
More informationAdvocating for people with mental health needs and developmental disability GLOSSARY
Advocating for people with mental health needs and developmental disability GLOSSARY Accrued deficits: The delays or lack of development in emotional, social, academic, or behavioral skills that a child
More informationF O C A L I N P R O D U C T M O N O G R A P H C H NO HCl
FOCALIN PRODUCT MONOGRAPH C 14 H 19 NO 2 HCl FOCALIN PRODUCT MONOGRAPH C 14 H 19 NO 2 HCl CONTENTS Introduction..........................................................................1 Background of
More informationMULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.
Abnormal Psychology Chapter 16: Disorders of Childhood and Adolescence Name MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question. 1) After her parents divorce,
More informationThe Experience of People Who Stutter
The Experience of People Who Stutter A Survey by the National Stuttering Association Executive Summary The National Stuttering Association (NSA) conducted a survey in May 2009 to gather information about
More informationSUBTYPES IN CHILDHOOD STUTTERING:CLINICAL APPLICATIONS. Subtypes in Stuttering. Subtypes in Stuttering. Subtypes in Stuttering. Subtypes in Stuttering
SUBTYPES IN CHILDHOOD STUTTERING:CLINICAL APPLICATIONS Patricia M. Zebrowski, Ph.D. Department of Communication Sciences and Disorders University of Iowa Iowa City, Iowa USA tricia-zebrowski@uiowa.edu
More informationResearchers probe genetic overlap between ADHD, autism
NEWS Researchers probe genetic overlap between ADHD, autism BY ANDREA ANDERSON 22 APRIL 2010 1 / 7 Puzzling link: More than half of children with attention deficit hyperactivity disorder meet the diagnostic
More informationADHD in the Preschool Aged Child
ADHD in the Preschool Aged Child (PATS) 11/2/2013 Stephen Meister MD, MHA, FAAP The Edmund N Ervin Pediatric Center (PATS) National Institute of Mental Health study First papers published in 2006 after
More informationForeword: Counting Sheep Harsh K. Trivedi. Preface Jess P. Shatkin and Anna Ivanenko
Pediatric Sleep Disorders Foreword: Counting Sheep Harsh K. Trivedi xiii Preface Jess P. Shatkin and Anna Ivanenko xv Normal Sleep in Children and Adolescents 799 Valerie McLaughlin Crabtree and Natalie
More informationDisruptive behaviour disorders Oppositional defiant disorder (ODD) / Conduct disorder (CD)
Disruptive behaviour disorders Oppositional defiant disorder (ODD) / Conduct disorder (CD) Professor Alasdair Vance Head, Academic Child Psychiatry Department of Paediatrics University of Melbourne Royal
More informationAttention Deficit Hyperactivity Disorder (ADHD) BY MARK FABER M.D.
Attention Deficit Hyperactivity Disorder (ADHD) BY MARK FABER M.D. PREVALENCE & STATISTICS 6-8% of all children have ADHD (CDC Statistical Data) Age of onset: 7 years old (Prior DSM-IV) 12 years old (Current
More informationUpdate on the Treatment of ADHD 2019
Update on the Treatment of ADHD 2019 James H. Beard, Jr., M.D, FAAP Developmental-Behavioral Pediatrician Division of Developmental Pediatrics The Rights of ADHD The right diagnosis of ADHD and co morbidities
More informationPediatric Traumatic Brain Injury. Seth Warschausky, PhD Department of Physical Medicine and Rehabilitation University of Michigan
Pediatric Traumatic Brain Injury Seth Warschausky, PhD Department of Physical Medicine and Rehabilitation University of Michigan Modules Module 1: Overview Module 2: Cognitive and Academic Needs Module
More informationOverview. Classification, Assessment, and Treatment of Childhood Disorders. Criteria for a Good Classification System
Classification, Assessment, and Treatment of Childhood Disorders Dr. K. A. Korb University of Jos Overview Classification: Identifying major categories or dimensions of behavioral disorders Diagnosis:
More informationSHS 716: SEMINAR IN STUTTERING
Spring 2018 SHS 716: SEMINAR IN STUTTERING Instructor: Steven J. Cloud, Ph.D., CCC-SLP Office #: 238 Telephone: (601) 266-5217 Office Hours: T-TH 11:00-12:30. I also will be in my office or in the clinic
More informationMCPAP Clinical Conversations:
MCPAP Clinical Conversations: After the screen: A Practical Approach to Mental Health Assessment in the Pediatric Primary Care Setting Barry Sarvet, MD Professor and Chair of Psychiatry, UMMS-Baystate
More informationDr. Jóhanna Einarsdóttir
Stuttering in Preschool Children: Identification and Measurement Dr. Jóhanna Einarsdóttir University of Iceland The thesis was based on following papers 1. Einarsdóttir, J., & Ingham, R.J. (2005). Have
More informationTreatment for Co-Occurring Attention Deficit/Hyperactivity Disorder and Autism Spectrum Disorder
Neurotherapeutics DOI 10.1007/s13311-012-0126-9 REVIEW Treatment for Co-Occurring Attention Deficit/Hyperactivity Disorder and Autism Spectrum Disorder Naomi Ornstein Davis Scott H. Kollins # The American
More informationAn Employment Interview Desensitization Program Addressing Speech, Attitudes, and Avoidance Behaviors of People Who Stutter
An Employment Interview Desensitization Program Addressing Speech, Attitudes, and Avoidance Behaviors of People Who Stutter Introduction: Amy C. Hohulin B.S. Jean Sawyer, Ph. D., CCC-SLP Illinois State
More informationClinical evaluation of children testing positive in screening tests for attention-deficit/hyperactivity disorder: A preliminary report
Eur. J. Psychiat. Vol. 23, N. 2, (115-120) 2009 Keywords: Attention deficit hyperactivity disorder; Diagnosis; Psychiatric assessment; Screening tests. Clinical evaluation of children testing positive
More informationAbout ADHD. National Resource Center on ADHD A Program of CHADD
About ADHD Everybody can have difficulty sitting still, paying attention or controlling impulsive behavior once in a while. For some people, however, the problems are so pervasive and persistent that they
More informationMedications in Autism: What We Know and Don't Know
Medications in Autism: What We Know and Don't Know Jeremy Veenstra-VanderWeele, M.D. Mortimer D. Sackler, M.D., Associate Professor Center for Autism and the Developing Brain Sackler Institute for Developmental
More informationThe Nature And Treatment Of Stuttering: New Directions (2nd Edition) By Gerald M. Siegel
The Nature And Treatment Of Stuttering: New Directions (2nd Edition) By Gerald M. Siegel If looking for the ebook The Nature and Treatment of Stuttering: New Directions (2nd Edition) by Gerald M. Siegel
More informationASHA Comments* (ASHA Recommendations Compared to DSM-5 Criteria) Austism Spectrum Disorder (ASD)
DSM-5 (Criteria and Major Changes for SLP-Related Conditions) Individuals meeting the criteria will be given a diagnosis of autism spectrum disorder with three levels of severity based on degree of support
More informationSyllabus ASLS Stuttering Disorders
Syllabus ASLS 664-900 Stuttering Disorders Instructor: Patty A. Walton, M.A. CCC-SLP, BCS-F Patty.walton@unco.edu Course Description: This class will address advanced topics relating to the assessment
More informationCritical Review: The Effects of Self-Imposed Time-Out from Speaking on Stuttering in Adolescents and Adults Who Stutter
Critical Review: The Effects of Self-Imposed Time-Out from Speaking on Stuttering in Adolescents and Adults Who Stutter Docker, J. M.Cl.Sc SLP Candidate University of Western Ontario: School of Communication
More informationAdult ADHD for GPs. Maria Mazfari Associate Nurse Consultant Adult ADHD Tina Profitt Clinical Nurse Specialist Adult ADHD
Adult ADHD for GPs Maria Mazfari Associate Nurse Consultant Adult ADHD Tina Profitt Clinical Nurse Specialist Adult ADHD I m a Believer.. Are You? What is ADHD? ADHD is a valid clinical condition defined
More informationCitation for published version (APA): Jónsdóttir, S. (2006). ADHD and its relationship to comorbidity and gender. s.n.
University of Groningen ADHD and its relationship to comorbidity and gender Jónsdóttir, Sólveig IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite
More informationTitle: ADHD: Symptom Reduction in Follow up Period CMS ID: PP3 NQF #: N/A
Source(s) Office of the National Coordinator for Health Information Technology/Centers for Medicare & Medicaid Services Measure Domain Effective Clinical Care: Outcome Brief Abstract Description Percentage
More informationADHD and Comorbid Conditions A Conceptual Model
ADHD and Comorbid Conditions A Conceptual Model Thomas E. Brown PhD. Assistant Clinical Professor of Psychiatry, Yale University School of Medicine and Associate Director of the Yale Clinic for Attention
More informationAD/HD Across the Lifespan. Michael F. Finkel MD, FAAN. Department of Neurology. Medical and Surgical Specialists Naples, Florida.
AD/HD Across the Lifespan Michael F. Finkel MD, FAAN. Department of Neurology. Medical and Surgical Specialists Naples, Florida. Worldwide Prevalence of ADHD Is 3% to 7% Studies of ADHD prevalence United
More informationNaomi Hertsberg Rodgers, M.A., CCC-SLP Curriculum Vitae October 2018
Naomi Hertsberg Rodgers, M.A., CCC-SLP Curriculum Vitae October 2018 CONTACT Dept. of Communication Sciences & Disorders Email: naomi-hertsberg@uiowa.edu Phone: (847) 309-3868 250 Hawkins Dr., 222 SHC
More informationORIGINAL INVESTIGATION. Attention-Deficit/Hyperactivity Disorder in Adults. A Survey of Current Practice in Psychiatry and Primary Care
ORIGINAL INVESTIGATION Attention-Deficit/Hyperactivity Disorder in Adults A Survey of Current Practice in Psychiatry and Primary Care Stephen V. Faraone, PhD; Thomas J. Spencer, MD; C. Brendan Montano,
More informationThis guideline has not undergone previous surveillance.
Surveillance report 2016 Autism spectrum disorder in under 19s: support and management National Institute for Health and Care Excellence Surveillance programme Surveillance proposal consultation document
More informationGuidelines for the Care of Children and Adolescents with a Seizure Disorder
Guidelines for the Care of Children and Adolescents with a Seizure Disorder Basic Team The special care needs of children with a seizure disorder can be met by an experienced primary care physician working
More informationObsessive-Compulsive Disorder Clinical Practice Guideline Summary for Primary Care
Obsessive-Compulsive Disorder Clinical Practice Guideline Summary for Primary Care CLINICAL ASSESSMENT AND DIAGNOSIS (ADULTS) Obsessive-Compulsive Disorder (OCD) is categorized by recurrent obsessions,
More informationADHD and Behavioural Paediatrics. Dr Tsui Kwing Wan Department of Paediatrics and Adolescent Medicine Alice Ho Miu Ling Nethersole Hospital
ADHD and Behavioural Paediatrics Dr Tsui Kwing Wan Department of Paediatrics and Adolescent Medicine Alice Ho Miu Ling Nethersole Hospital DSM V Diagnostic Criteria Inattention and/or Hyperactivity impulsivity
More informationGOALS FOR THE PSCYHIATRY CLERKSHIP
GOALS FOR THE PSCYHIATRY CLERKSHIP GOALS - The aim of the core psychiatry clerkship is to expose students to patients with mental illness and to prepare them to provide psychiatric care at a basic level.
More informationAna Apolónio (ARSA)& Vítor Franco (U. Évora)
1 ᶳᶵ International Early Childhood Conference Eurlyaid Annual Conference 2012 Braga, 14.09.2012 Ana Apolónio (ARSA)& Vítor Franco (U. Évora) Projecto PTDC/CPE-CED/115276/2009 Fragile X Syndrome Most common
More informationProcedia - Social and Behavioral Sciences 193 ( 2015 ) th Oxford Dysfluency Conference, ODC 2014, July, 2014, Oxford, United Kingdom
Available online at www.sciencedirect.com ScienceDirect Procedia - Social and Behavioral Sciences 193 ( 2015 ) 266 273 10th Oxford Dysfluency Conference, ODC 2014, 17-20 July, 2014, Oxford, United Kingdom
More informationThe Speech-Language Pathology Situation in Palestine: Focus on Stuttering
The Speech-Language Pathology Situation in Palestine: Focus on Stuttering Hisham Adam American University of the Middle East-Kuwait P.O. Box: 220 Dasman, 15453 Kuwait Tel: 965-222-51-400 Ext.: 1145 Received:
More informationStuttering therapy based on what PWS say they want
John A. Tetnowski, Ph.D., CCC-SLP, BRS/M-FD University of Louisiana-Lafayette & Charlie Osborne, M.A., CCC-SLP University of Wisconsin, Steven s Point Stuttering therapy based on what PWS say they want
More informationCase presentation Body Function and Structures:
Case presentation: o 14-year-old male adolescent (Sam) presents with an 11-year history of stuttering. increased speech disfluencies (repetitions, prolongations, blocks) avoidance of words/speaking situations
More informationAN INVESTIGATION OF FAMILY RELATIONSHIPS FOR PEOPLE WHO STUTTER. Charles D. Hughes. A Thesis
AN INVESTIGATION OF FAMILY RELATIONSHIPS FOR PEOPLE WHO STUTTER Charles D. Hughes A Thesis Submitted to the Graduate College of Bowling Green State University in partial fulfillment of the requirements
More informationThe Use of ADHD Medication in the Pediatric Population
The Use of ADHD Medication in the Pediatric Population Shirin Madzhidova, PharmD Pediatric Pharmacotherapy Fellow Nova Southeastern University Objectives Discuss the importance of treatment with medications
More informationA guide to Getting an ADHD Assessment as an adult in Scotland
A guide to Getting an ADHD Assessment as an adult in Scotland This is a guide for adults living in Scotland who think they may have ADHD and have not been diagnosed before. It explains: Things you may
More informationPediatric Primary Care Mental Health Specialist Certification Exam. Detailed Content Outline
Pediatric Primary Care Mental Health Specialist Certification Exam Detailed Content Outline Description of the Specialty The Pediatric Primary Care Mental Health Specialist (PMHS) builds upon the Advanced
More informationADHD SIV FASCI, MD FAAP DEVELOPMENTAL-BEHAVIORAL PEDIATRICS DELL CHILDREN S MEDICAL CENTER 9TH ANNUAL PEDIATRIC CONFERENCE - MARCH 24, 2016
ADHD SIV FASCI, MD FAAP DEVELOPMENTAL-BEHAVIORAL PEDIATRICS DELL CHILDREN S MEDICAL CENTER 9TH ANNUAL PEDIATRIC CONFERENCE - MARCH 24, 2016 Objectives Epidemiology Risk Factors Diagnosis Co-morbidities
More informationBrief Notes on the Mental Health of Children and Adolescents
Brief Notes on the Mental Health of Children and Adolescents The future of our country depends on the mental health and strength of our young people. However, many children have mental health problems
More informationThe image part with relationship ID rid3 was not found in the file. Susan Cochrane, M.A., CCC SLP, BRFS Sheryl R. Gottwald, Ph.D.
The image part with relationship ID rid3 was not found in the file. Susan Cochrane, M.A., CCC SLP, BRFS Sheryl R. Gottwald, Ph.D., CCC SLP, BRFS Disclosure My name is Susan Cochrane. I am here to talk
More informationIndividuals with attention-deficit/hyperactivity
3 W H A T W E K N O W Managing Medication for Children and Adolescents with AD/HD * Individuals with attention-deficit/hyperactivity disorder (AD/HD) experience chronic problems with inattention and/or
More informationEstablishing long-term fluency goals when working with adults who stutter
Establishing long-term fluency goals when working with adults who stutter Dr. Kim R. Bauerly Northeast Hearing and Speech, Portland, Maine Dr. Robert Kroll The Speech and Stuttering Institute, Toronto,
More informationAsperger s Syndrome. severe difficulties interacting socially (Gillberg 2002). He named this difficulty
Julie Burton 7.16.2012 ED 243 Paper Asperger s Syndrome History In 1944 an Austrian pediatrician named Hans Asperger wrote an article about a group of school- aged boys when he discovered that some of
More informationDSM Comparison Chart DSM-5 (Revisions in bold)
317.0-318.2 DSM Comparison Chart DSM-IV-TR DSM-5 (Revisions in bold) Multi-axial system s Usually First Diagnosed in Infancy, Childhood and Adolescence Single line diagnosis with specifiers Neurodevelopmental
More informationCase Report Neuropsychiatric Outcome of an Adolescent Who Received Deep Brain Stimulation for Tourette s Syndrome
Case Reports in Neurological Medicine Volume 2011, Article ID 209467, 4 pages doi:10.1155/2011/209467 Case Report Neuropsychiatric Outcome of an Adolescent Who Received Deep Brain Stimulation for Tourette
More information5 COMMON QUESTIONS WHEN TREATING DEPRESSION
5 COMMON QUESTIONS WHEN TREATING DEPRESSION Do Antidepressants Increase the Possibility of Suicide? Will I Accidentally Induce Mania if I Prescribe an SSRI? Are Depression Medications Safe and Effective
More informationThe Neurofeedback Approach to Attention Deficit Hyperactivity Disorder
The Neurofeedback Approach to Attention Deficit Hyperactivity Disorder Steve Kapusta, Owner - BrainTraining of Hampton Roads, Inc. e - Originally from Pittsburgh, PA; resident of VA Beach for 4 years -
More informationIndividuals wishing to seek an evaluation for ADHD
9 WHAT WE KNOW Diagnosis of ADHD in Adults Individuals wishing to seek an evaluation for ADHD should use this information and resource sheet as a set of guidelines for what to expect from the clinician
More informationINCREASING KNOWLEDGE AND SKILLS OF STUDENTS IN A FLUENCY DISORDERS GRADUATE CLASS. Nicole Amanda Steyl. Honors Thesis. Appalachian State University
INCREASING KNOWLEDGE AND SKILLS OF STUDENTS IN A FLUENCY DISORDERS GRADUATE CLASS by Nicole Amanda Steyl Honors Thesis Appalachian State University Submitted to The Honors College in partial fulfillment
More informationADHD Training for General Practitioners
ADHD Training for General Practitioners Learning Objectives Understand the stigma surrounding ADHD and develop ability to challenge stigma. Understand your role in the ADHD pathway. Understand what you
More informationCASE 5 - Toy & Klamen CASE FILES: Psychiatry
CASE 5 - Toy & Klamen CASE FILES: Psychiatry A 14-year-old boy is brought to the emergency department after being found in the basement of his home by his parents during the middle of a school day. The
More informationMore boys than girls with attention deficit hyperactivity
Why More Boys Than Girls With ADHD Receive Treatment: A Study of Dutch Twins Eske M. Derks, 1 James J. Hudziak, 2,3 and Dorret I. Boomsma 1 1 Department of Biological Psychology,Vrije Universiteit,Amsterdam,
More informationUsing Children s Stories in Stuttering Treatment. Craig E. Coleman, M.A. CCC-SLP, BRS-FD Mary E. Weidner, M.S. CCC-SLP
Using Children s Stories in Stuttering Treatment Craig E. Coleman, M.A. CCC-SLP, BRS-FD Mary E. Weidner, M.S. CCC-SLP ABC Model of Treatment Affective: feelings and emotions related to stuttering Behavioral:
More informationSTAFF DEVELOPMENT in SPECIAL EDUCATION
STAFF DEVELOPMENT in SPECIAL EDUCATION Tourette Syndrome AASEP s Staff Development Course TOURETTE SYNDROME Copyright AASEP (2006) 1 of 6 Course Objectives To provide a definition of Tourette syndrome
More informationAttention deficit hyperactivity disorder (ADHD) and
Parenting Adolescents with Attention Deficit Hyperactivity Disorder: Analysis of the Literature for Social Work Practice Lynn McCleary Parenting an adolescent with ADHD presents a number of unique challenges
More informationChildhood Stuttering and Temperament. Children Who Stutter: Easy, Difficult, or Slow to Warm Up?
Childhood Stuttering and Temperament Temperament is a psychological construct that relates to the style with which a person interacts with his/her environment (Kristal, 2005). Children Who Stutter:,, or
More informationA Paper Investigating Stuttering and Second Language Acquisition. Abdulah S. AlAsiri. Grand Valley State University. Department of English.
Running head: A PAPER INVESTIGATING STUTTERING AND SLA 1 A Paper Investigating Stuttering and Second Language Acquisition Abdulah S. AlAsiri Grand Valley State University Department of English. Author
More informationEFFECTS OF ADHD ON EARLY LEARNING AND ACDEMIC PERFORMANCE 1
EFFECTS OF ADHD ON EARLY LEARNING AND ACDEMIC PERFORMANCE 1 The Effects of ADHD on Learning and Academic Performance in the Pre- and Elementary School Years. Christopher Kalogeropoulos November 19, 2012
More information