ADHD Assessment and Treatment in Primary Care
|
|
- Alexander McKenzie
- 5 years ago
- Views:
Transcription
1 ADHD Assessment and Treatment in Primary Care Matthew Tolliver, Ph.D., Assistant Professor, ETSU Pediatrics Dr. David Wood, Professor and Chair, ETSU Pediatrics
2 ADHD in Teenagers We have no financial disclosures. 13 November 2018 David L. Wood, MD, MPH
3 What is Attention Deficit Hyperactivity Disorder? The term ADHD refers to Attention Deficit Hyperactivity Disorder, a condition that makes it difficult for children to pay attention and/or control their behavior.
4 AAP: Youth should meet DSM-5 criteria before making a dx A persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development Not just oppositional behavior, defiance, hostility, or failure to understand tasks or instructions. Sx prior to age 12 years and occur in 2+ settings Interfere with social, academic, or occupational functioning
5 Diagnose cont. Based on the these criteria, three types of ADHD are identified: 1. ADHD, Combined Type: if both criteria A and B are met for the past 6 months. Tigger type-hyperactive, restlessness, disorganized, inattention, impulsivity
6 Diagnose cont. 2. ADHD, Predominantly Inattentive Type: if criterion A is met but criterion B is not met for the past six months Pooh type- Inattentive, sluggish, slow-moving, unmotivated, daydreamer
7 Diagnose cont. 3. ADHD, Predominantly Hyperactive-Impulsive Type: if Criterion B is met but Criterion A is not met for the past six months. Rabbit Type- over focused, obsessive, argumentative
8 What ADHD is not Laziness Lack of Intelligence Bad attitude The parents fault Irresponsibility
9 Specific culture, age, gender features ADHD is known to occur in various cultures, with variations in reported prevalence among Western countries probably arising from different diagnostic practices than from differences in clinical presentation
10 Epidemiology CDC estimates 4.4 million youth ages 4-17 have been diagnosed with ADHD In 2003, 2.5 million youth ages 4-17 are currently receiving medication treatment for the disorder.
11 Difference in diagnoses between boys and girls ADHD Boys Girls (Pastor & Reuben, 2008)
12 ADHD by Race ADHD Hispanic White (not H) Black (not H) (Pastor & Reuben, 2008)
13 Percent of Youth 4-17 ever or currently diagnosed with Attention- Deficit/Hyperactivity Disorder: National Survey of Children's Health, Currently Diagnosed Ever Diagnosed
14
15
16 Lifetime Impairments of ADHD Disruptive behavior Low self-esteem Smoking Substance use Crime Car accidents Anxiety Depression ODD, CD Relationship failures Poor work history Chronic substance abuse and dependence Incarceration Pre-school School-age Adolescence College-age Adult Academic failure Poor socialization Self-esteem issues Injuries Academic failure Occupational failure Substance abuse Slide courtesy of Joseph Biederman, MD.
17 AAP Rec s for Assessment 1. Youth who present with inattention/hyperactivity should be evaluated 2. Youth should meet DSM-5 criteria before making a dx 3. Assessment requires direct evidence from parents and teachers regarding core symptoms, duration, and degree of impairment. 4. Assess for comorbid conditions. 5. Other diagnostic tests not indicated to establish diagnosis (evidence: strong, recommendation: strong). (AAP, PEDIATRICS Volume 128, Number 5, November 2011)
18 Inattention Scale Impulsivity Scale
19
20 AAP: Assess for comorbid conditions (Chankalal & Daily, 2014)
21 Prevalence of Comorbid Conditions (Larson, Russ, Kahn, & Halfon, 2011)
22 NIMH Multimodal Treatment Study of Children with ADHD Study Groups Med Management Behavior Therapy Combined TAU (medicated in community) -large 14 month RCT 7-9 y/o kids -19 outcome measures -all 4 groups improved (MTA Comparative Group, 1999) 22
23 NIMH Multimodal Treatment Study of Children with ADHD F/U Time Finding 14 months Meds > BT; combined brought no advantages 24 months -Med & Combined groups lost up to 50% of their effect (smaller differences between groups) 36 months -groups did not differ significantly on any measure 8 years -type/intensity of original tx did not predict current functioning -early ADHD sx trajectory most predictive Young adulthood -Extended use of medication associated with suppression of adult height, but not with reduction of symptom severity compared to other groups (Jensen et al., 2007; MTA Cooperative Group, 2004; Swanson et al., 2017)
24 Medication: Stimulants Most well-researched, effective, and commonly used medication treatment for ADHD. Methylphenidate (Ritalin, Concerta, and Metadate) Dextroamphetamine (Adderall) These medications reduce ADHD symptoms by: Blocking the reuptake of norepinephrine (NOR) and dopamine (DOP) and facilitating their release Enhances NOR and DOP availability in in certain brain regions: PFC and basal ganglia
25
26 Additional Medications Used Clonidine (Catapress and Kapvay) and Guanfacine (Tenex and Intuniv) Alpha-2 agonists Can help with sleep and aggression and attention/impulsivity Side effects Sleepiness, fatigue, Hypotension Constipation, Dry Mouth
27 Acupuncture Meditation Homeopathy Physical exercise Chiropractic care St. John s wort Music or play therapy Bach flower remedies Elimination diets Hypericum perforatum St. John s Wort
28 Treatment of ADHD in Primary Care
29 Active Ingredients in Behavioral Interventions Predictability/ consistency Practice/ repetition Differential reinforcement Proximity of consequences to bx
30 Preschool Elementary Adolescent Well Established Behavioral Parent Training Bx Classroom Management Combined Bx Mgt Intervent. Behavioral Parent Training Bx Classroom Management Bx Peer Intervention Organization Training Combined Bx Mgt Intervent. Organization Training Probably Efficacious Combined training treatments with relevant skills and extensive practice and feedback Possibly Efficacious Neurofeedback Training Behavioral Parent Training Experimental Cognitive Training Combined training treatments: skills relevant to daily functioning but with limited practice/feedback. CBT techniques & brief behavioral parent training Questionable Efficacy Social Skills Training Physical Activity Omega 3/6 supplements (Evans, Owens, Wymbs, & Ray, 2018)
31 Framework for Brief Bx Parent Training Psychoed about ADHD regular parenting approach vs. advanced ADHD parenting skills Message: Child behaviors are not caregivers fault, but they can play a special role to help
32 Behavioral Interventions to Address Home Behaviors Point/token systems Visual supports timers/clocks, posted rules/routines Reinforcement of + behavior Effective commands Planned ignoring Time out/loss of privileges Organizational skills, HW plan Establish house rules/structure When then contingencies
33 Interventions to Address School Problems Daily Report Card (home-school note) Request FBA Advocacy for IEP/504 plan Organizational skills Class-wide interventions (Good Bx Game) Encourage parent-teacher communication
34 Bibliography AAP. ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of ADHD in Children and Adolescents. Pediatrics CDC Resources: Cowan, D. (2007), The ADHD information library. Retrieved from Evans, S. W., Owens, J. S., Wymbs, B. T., & Ray, A. R. (2018). Evidence-Based Psychosocial Treatments for Children and Adolescents With Attention Deficit/Hyperactivity Disorder. Journal of Clinical Child and Adolescent Psychology, 47(2), doi: / Jensen, P. S., Arnold, L. E., Swanson, J. M., Vitiello, B., Abikoff, H. B., Greenhill, L. L.,... Hur, K. (2007). 3-Year follow-up of the NIMH MTA study. Journal of the American Academy of Child and Adolescent Psychiatry, (8), Key Findings: Trends in the Parent-Report of Health Care Provider-Diagnosis and Medication Treatment for ADHD: United States, See: Larson, K., Russ, S. A., Kahn, R. S., & Halfon, N. (2011). Patterns of comorbidity, functioning, and service use for US children with ADHD, Pediatrics, 127(3), doi: /peds M. T. A. Cooperative Group. (2004). National Institute of Mental Health Multimodal Treatment Study of ADHD follow-up: 24-month outcomes of treatment strategies for attention-deficit/hyperactivity disorder. Pediatrics, 2004(4), Molina, B. S. G., Hinshaw, S. P., Swanson, J. M., Arnold, L. E., Vitiello, B., Jensen, P. S.,... Houck, P. R. (2009). The MTA at 8 years: Prospective follow-up of children treated for combined-type ADHD in a multisite study. Journal of the American Academy of Child and Adolescent Psychiatry, 48(5), doi: /chi.0b013e31819c23d0 Russell Barkley Resources: Swanson, J., Arnold, L. E., Kraemer, H., Hechtman, L., Molina, B., Hinshaw, S.,... Wigal, T. (2008). Evidence, interpretation, and qualification from multiple reports of long-term outcomes in the Multimodal Treatment Study of Children with ADHD (MTA): Part II: Supporting details. Journal of Attention Disorders, 12(1), doi: / Swanson, J. M., Arnold, L. E., Molina, B. S. G., Sibley, M. H., Hechtman, L. T., Hinshaw, S. P.,... Kraemer, H. C. (2017). Young adult outcomes in the follow up of the multimodal treatment study of attention deficit/hyperactivity disorder: Symptom persistence, source discrepancy, and height suppression. Journal of Child Psychology and Psychiatry, 58(6), doi: /jcpp.12684
Toolkit for PCBH in Pediatric Primary Care
Session # PC 3 Toolkit for PCBH in Pediatric Primary Care Lesley Manson, Psy.D., Assistant Chair of Integrated Initiatives, Clinical Assistant Professor, Arizona State University, Phoenix, AZ Tawnya Meadows,
More informationPerspective Truth on ADHD & Medications. Thomas L. Matthews, M.D. Associate Dean of Student Affairs Professor of Psychiatry
Perspective Truth on ADHD & Medications Thomas L. Matthews, M.D. Associate Dean of Student Affairs Professor of Psychiatry Disclosures National Institute of Health ADHD and Aggression Study Co- Investigator
More informationAsk The Shrink: ADHD
Ask The Shrink: ADHD Theodore A. Petti, MD Professor of Psychiatry Division of Child and Adolescent Psychiatry Robert Wood Johnson Medical School PPC Hub Psychiatrist Hackensack Meridian Hubs @ Saint Peter'
More informationWhat are the most common signs of ADHD? And what are the most common medication interventions?
What are the most common signs of ADHD? And what are the most common medication interventions? Bennett Gertz, MD, FAAP Developmental Behavioral Pediatrician Children s Developmental Health Services Albertina
More informationAttention Deficit Hyperactivity Disorder State of the Art. Christopher Okiishi, MD
Attention Deficit Hyperactivity Disorder State of the Art Christopher Okiishi, MD What is ADHD? Three subtypes: Inattentive (under diagnosed, esp. in girls) Hyperactive Impulsive Combined Impairments must
More informationPsychopharmacology for Treatment of ADHD and ADHD with other co-existing psychiatric condition
Psychopharmacology for Treatment of ADHD and ADHD with other co-existing psychiatric condition Presented by Cat Dang, D.O Medical Director - Insightful Minds, Inc. Objectives Evaluation process Pharmacology
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 informationPharmacologic Management of ADHD
Pharmacologic Management of ADHD CHADD Presentation April 13, 2015 Peter J Chung, MD, FAAP Developmental-Behavioral Pediatrician* Assistant Clinical Professor of Pediatrics University of California Irvine
More information7/9/2013. Psychiatric medication treatment in children and adolescents: The good, the bad and the ugly. What ADHD is
Psychiatric medication treatment in children and adolescents: The good, the bad and the ugly Gabrielle A. Carlson, MD Professor of Psychiatry and Pediatrics Director, Child and Adolescent Psychiatry Stony
More informationstudied and the number of sources used to establish a diagnosis (home, school, clinics, etc.). The absence of laboratory tests or neuroimaging
LEND Brief Attention deficit hyperactivity disorder Fall 2013 1 LEND Brief Attention Deficit Hyperactivity Disorder Fall 2013 INTRODUCTION By Michael I. Reiff, MD, FAPP & Martin T. Stein, MD, FAPP Overactive
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 information5/16/2018. Pediatric Attention Deficit Hyperactivity Disorder: Do you get it?
Pediatric Attention Deficit Hyperactivity Disorder: Do you get it? Mashelle Jansen, DNP, FNP BC Clinical Assistant Professor SUNY Upstate Medical University ADHD is a Commonly diagnosed Childhood Neurodevelopmental
More informationADHD Part II: Managing Comorbities
ADHD Part II: Managing Comorbities Brett Johnson, MD Staff Psychiatrist Rady Children s Behavioral Crisis Center Assistant Clinical Professor (Voluntary), UCSD January 26, 2011 Financial Disclosure I have
More informationRecognition and Treatment of ADHD in Primary Care Settings. Disclosure 11/6/2013. Objectives
Southern California Permanente Medical Group Pediatric Symposium Hyatt, Long Beach CA. 11/1/13 Recognition and Treatment of ADHD in Primary Care Settings Martin T. Stein, M.D. Professor of Pediatrics Division
More informationADHD Treatment Update
ADHD Treatment Update Kyle Benner, MD Child and Adolescent Psychiatrist Medical Director, Ambulatory Behavioral Health Swedish Medical Group Disclosures None. No financial relationships. You will see brand-name
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 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 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 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 informationAttention Deficit/Hyperactivity Disorder (ADHD)
Disclaimers Attention Deficit/Hyperactivity Disorder (ADHD) Paul Glasier, Ph.D. Licensed Psychologist I have no relevant financial relationships with the manufacturers(s) of any commercial products(s)
More informationHumberto Nagera M.D. Director, The Carter-Jenkins Center Psychoanalyst, Children, Adolescents and Adults Professor of Psychiatry at USF Professor
The Carter Jenkins Center presents 1 Humberto Nagera M.D. Director, The Carter-Jenkins Center Psychoanalyst, Children, Adolescents and Adults Professor of Psychiatry at USF Professor Emeritus of Psychiatry
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 informationChildhood ADHD is a risk factor for some Psychiatric Disorders and co-morbidities
Childhood ADHD is a risk factor for some Psychiatric Disorders and co-morbidities By: Dr. Ehsane M. Gad M.B.B.Ch CABMSPsych. D.P.P Post-Fellow Aus. Consultant Child Psychiatry Childhood ADHD and emergence
More informationPsychiatric medication treatment in children and adolescents:
Psychiatric medication treatment in children and adolescents: The good, the bad and the ugly Gabrielle A. Carlson, MD Professor of Psychiatry and Pediatrics Director, Child and Adolescent Psychiatry Stony
More informationADHD: Management Update
4/5/17 Conflicts of Interest ADHD: Management Update I have no conflicts to disclose. Jennifer R. Walton, MD, MPH, FAAP April 7, 2017 ADHD: DSM-5 Definition Objectives To briefly review ADHD diagnostic
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 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 informationAttention Deficit/Hyperactivity Disorders: Are Children Being Overmedicated?
U.S. Department of Health and Human Services National Institutes of Health National Institute of Mental Health September 26, 2002 NOTE TO WRITERS AND EDITORS: Dr. Richard Nakamura, Acting Director of the
More informationADHD Getting the Diagnosis Right & Management of Complex Cases
Advances and Controversies in Clinical Pediatrics University of California San Francisco 2007 ADHD Getting the Diagnosis Right & Management of Complex Cases Disclosure I have the following financial relationship
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 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 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 informationAttention Deficit Hyperactivity Disorder Overview and New Perspectives
1st Annual Regional Psychiatry Conference Psychiatry for the Non-Psychiatrist Attention Deficit Hyperactivity Disorder Overview and New Perspectives Thomas B. Henry, MD Board Certified Child & Adolescent
More informationAn Overview of ADHD. Agenda. An Overview of Attention Deficit Hyperactivity Disorder (ADHD)
Image by Photographer s Name (Credit in black type) or Image by Photographer s Name (Credit in white type) An Overview of ADHD Presenters: Peter Entwistle, PhD Senior Educational Consultant Pearson 888-748-3828,
More informationDriving to Distraction
Driving to Distraction New Research on the Impact of ADHD and ADHD Medications on Driving performance Daniel J. Cox, Ph.D., A.B.P.P Professor, Departments of Psychiatric and Internal Medicine Director,
More informationBehavioral Health. Behavioral Health. Prescribing Guidelines
Behavioral Health Behavioral Health Prescribing Guidelines Attention Deficit/Hyperactivity Disorder (ADHD) Start with a first line medication, either from the methylphenidate or dextroamphetamine-amphetamine
More informationWhat is Tourette Syndrome?
What is Tourette Syndrome? 42-40 Bell Blvd., Suite 205, Bayside, NY 11361 tourette.org 888-4TOURET Tics, Tic Disorders, and Tourette Syndrome Tics are involuntary, repetitive movements and vocalizations.
More informationOptions for Medication Management: Rx and OTC/Natural Treatments AMY NEWMEYER MD CHKD DIVISION OF DEVELOPMENTAL PEDIATRICS MARCH 24, 2018.
Options for Medication Management: Rx and OTC/Natural Treatments AMY NEWMEYER MD CHKD DIVISION OF DEVELOPMENTAL PEDIATRICS MARCH 24, 2018 Disclosures I have no conflicts of interest to disclose 1 Objectives
More informationPresented by the. National Resource Center on ADHD
Presented by the National Resource Center on ADHD www.help4adhd.org (800) 233-4050 Daniel Cox, PhD Director of the Virginia Driving Safety Laboratory Professor of Psychiatric & Internal Medicine, University
More informationChild & Adolescent Psychiatry (a brief overview)
Child & Adolescent Psychiatry (a brief overview) Lance Feldman, MD, FAPA, MBA, BSN Vice Chair Clinical Affairs, Department of Psychiatry Affiliate Clinical Assistant Professor, University of South Carolina
More informationFocusing in on Adult ADHD
Focusing in on Adult ADHD Diagnosis, Psychopharmacology, and Therapeutic Interventions Sharon Praissman Fisher, MS, APRN-A, APRN-PMHNP Balance Point Wellness Disclosures I have no financial/professional
More informationAttention-Deficit/Hyperactivity Disorder: Clinical Presentation and Treatment
Attention-Deficit/Hyperactivity Disorder: Clinical Presentation and Treatment Naomi Ornstein Davis, Ph.D. Assistant Professor Duke ADHD Program Department of Psychiatry & Behavioral Science Duke University
More informationFocusing in on Adult ADHD
Focusing in on Adult ADHD Diagnosis, Psychopharmacology, and Therapeutic Interventions Sharon Praissman Fisher, MS, APRN-A, APRN-PMHNP Balance Point Wellness Disclosures I have no financial/professional
More informationIndividuals with attention-deficit/hyperactivity
National Resource Center on AD HD A program of CHADD 3 WHAT WE KNOW Managing Medication for Children and Adolescents with AD/HD * Individuals with attention-deficit/hyperactivity disorder (AD/HD) experience
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 informationOH, Adolescents and Attention Deficit Hyperactivity Disorder (ADHD) How do you deal with them? Presented By: Todd Twogood MD, FAAP
OH, Adolescents and Attention Deficit Hyperactivity Disorder (ADHD) How do you deal with them? Presented By: Todd Twogood MD, FAAP Teenagers Time of Transformation Allergy to Parents The Real Self Looks
More informationADHD Explanation 5: Medications used in ADHD
ADHD Explanation 5: Medications The aim of treatment is efficient functioning and achieving goals in life It is most important to find the dose of medications that works best As children grow they may
More informationADHD in Children & Adolescents: AN OVERVIEW
ADHD overview toolkit 9_06 igen:layout 1 5/7/07 3:37 PM Page 2 ADHD in Children & Adolescents: AN OVERVIEW 1. BACKGROUND Attention-deficit/hyperactivity disorder (ADHD) is one of the most common chronic
More information11/2/2016 INSIDE THE MIND OF A CHILD PSYCHIATRIST: PROBLEM BEHAVIORS IN CHILDREN WITH AUTISM FACULTY DISCLOSURE
FACULTY DISCLOSURE INSIDE THE MIND OF A CHILD PSYCHIATRIST: PROBLEM BEHAVIORS IN CHILDREN WITH AUTISM KristinDawson, MD Assistant Professor University of Kentucky No commercial conflicts of Interest Salary
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 informationIndividuals with attention-deficit/hyperactivity
National Resource Center on AD HD A program of CHADD 3 WHAT WE KNOW Managing Medication for Children and Adolescents with AD/HD * Individuals with attention-deficit/hyperactivity disorder (AD/HD) experience
More informationImpact of Comorbidities on Self-Esteem of Children with Attention Deficit Hyperactivity Disorder
The International Journal of Indian Psychology ISSN 2348-5396 (e) ISSN: 2349-3429 (p) Volume 3, Issue 3, No.1, DIP: 18.01.011/20160303 ISBN: 978-1-365-03416-9 http://www.ijip.in April - June, 2016 Impact
More informationADHD: A Life Script from Conception to Adulthood
Page 1 Attention Deficit Hyperactivity Disorder A Life Script from Conception to Adulthood A life script from conception to adulthood. Elizabeth A. Montagnese, M.D. Child and Adult Psychiatrist Speaker:
More informationabstract CLINICAL PRACTICE GUIDELINE FROM THE AMERICAN ACADEMY OF PEDIATRICS
FROM THE AMERICAN ACADEMY OF PEDIATRICS Guidance for the Clinician in Rendering Pediatric Care CLINICAL PRACTICE GUIDELINE ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment
More informationAttention Deficit Hyperactivity Disorder (ADHD) in Children under Age 6
in Children under Age 6 Level 0 Conduct comprehensive assessment and provide psychoeducation about ADHD, including clearly defined treatment expectations. Consider co-morbid developmental language disorder,
More informationADHD DIAGNOSIS AND MANAGEMENT
ADHD DIAGNOSIS AND MANAGEMENT Cesar Ochoa, MD Head, Developmental-Behavioral Pediatrics Rush University Medical Center Medical Director, Rush Neurobehavioral Center April 28,2017 LEARNING OBJECTIVES 1.
More informationADHD DIAGNOSIS AND MANAGEMENT LEARNING OBJECTIVES CASE 4/28/2017
ADHD DIAGNOSIS AND MANAGEMENT Cesar Ochoa, MD Head, Developmental-Behavioral Pediatrics Rush University Medical Center Medical Director, Rush Neurobehavioral Center April 28,2017 LEARNING OBJECTIVES 1.
More informationChelsea Murphy MS, NCC. Kennedy Health Systems
Chelsea Murphy MS, NCC Kennedy Health Systems What is ADHD? o Neurobiological Disorder deficit in the neurotransmitters (message senders within the brain) o Dopamine & Norepinephrine are not released as
More information2013 Virtual AD/HD Conference 1
Medication for & Coexisting Conditions Part 2 Dr. Kenny Handelman Child, Adolescent & Adult Psychiatrist Halton Healthcare Adjunct Professor of Psychiatry, University of Western Ontario www.drkenny.com
More informationADHD Medications: Basics. David Benhayon MD, PhD
ADHD Medications: Basics David Benhayon MD, PhD Goals & Objectives Understand basic classes of stimulants and equivalents Be exposed to role of nonstimulant alternatives Discuss the role of therapy in
More informationAttention Deficit Hyperactivity Disorder How to manage these disorganized and inattentive children.
Attention Deficit Hyperactivity Disorder How to manage these disorganized and inattentive children. One of the leading authorities on Attention Deficit Hyperactivity Disorder, Russell Barkley, PhD., defines
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 informationWonder Girls to Wonder Women: Lessons Learned from a Longitudinal Study of Girls with ADHD
Wonder Girls to Wonder Women: Lessons Learned from a Longitudinal Study of Girls with ADHD Christine Zalecki, Ph.D. Associate Clinical Professor, UC San Francisco Director, Berkeley Girls with ADHD Longitudinal
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 informationBRIEF. Attention-Deficit/Hyperactivity Disorder SEPTEMBER Diagnosis
BRIEF Attention-Deficit/Hyperactivity Disorder SEPTEMBER 2015 Lisa Jacobson, Ph.D., NCSP, ABPP-CN Kennedy Krieger Institute Diagnosis Attention-Deficit/Hyperactivity Disorder (ADHD) is one of the most
More informationAttention Deficit Hyperactive Disorder (ADHD)
E-Resource September, 2015 Attention Deficit Hyperactive Disorder (ADHD) Attention Deficit Hyperactivity Disorder (ADHD) is the most common childhood behavioral health concern noticed in primary care.
More informationAD/HD is a mental disorder, and it often lasts from
short version10 WHAT WE KNOW Managing Medication for Adults with AD/HD AD/HD is a mental disorder, and it often lasts from childhood into adulthood. Medication is the basic part of treatment for adults.
More informationUnderstanding Students with Attention-Deficit/ Hyperactivity Disorder
Understanding Students with Attention-Deficit/ Hyperactivity Disorder At the end of this presentation you should be able to: Define and identify the characteristics of students with attention-deficit/hyperactivity
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 informationADHD: Overcome misconceptions and treat with confidence
ADHD: Overcome misconceptions and treat with confidence Dr. Joan Flood Family Physician, The Shoniker Clinic, Scarborough Board Member, The Canadian ADHD Resource Alliance (CADDRA) Chair, Advocacy Committee,
More informationHelping Children at Home and School III S8-04.3d 5/11/09 14:46:37 The Charlesworth Group, Wakefield +44(0) Rev 7.51n/W (Jan )
ADHD: A Primer for Parents and Educators BY ANNE M. HOWARD, PHD, Chicago School of Professional Psychology STEVEN LANDAU, PHD, Illinois State University Attention-deficit/hyperactivity disorder (ADHD)
More informationThe relationship between ADHD and substance use disorder: Evidence based treatment and clinical implications
Society for the Study of Addiction, York The relationship between ADHD and substance use disorder: Evidence based treatment and clinical implications November 12.th 2010 Soren Dalsgaard, MD, PhD, associate
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 informationStudents With Attention Deficit Hyperactivity Disorder
On January 29, 2018 the Arizona State Board of Education approved a list of qualified professionals for identification of educational disabilities as developed by the Arizona Department of Education. Categories
More informationAttention Deficit Hyperactivity Disorder
Page 1 of 5 Attention Deficit Hyperactivity Disorder ADHD is a common condition that mainly affects behaviour. Children with this condition show persistent restlessness, impulsiveness and/or inattention.
More informationAttention Deficit Hyperactivity Disorder The Impact of ADHD on Learning. Miranda Shields, PsyD
Attention Deficit Hyperactivity Disorder The Impact of ADHD on Learning Miranda Shields, PsyD mshields@murrieta.k12.ca.us Definition DSM V Three types 1. Inattentive Type 2. Hyperactive Impulsive Type
More informationCE on SUNDAY Melville, NY September 20, 2009
CE on SUNDAY Melville, NY September 20, 2009 Date: Sunday, September 20, 2009 Time: 8:00 AM 9:00 AM Location: Melville Marriott Long Island Title: Speaker(s): ADHD: A Life Script from Conception to Adulthood
More informationPresented by the National Resource Center on ADHD
Presented by the National Resource Center on ADHD www.help4adhd.org (800) 233-4050 Help4ADHD@CHADD.org James J. Crist, PhD, CSAC Call the National Resource Center on ADHD (800) 233-4050 Send us your feedback
More informationParents Guide to ADHD Medications. Copyright Child Mind Institute
Copyright 2017. Child Mind Institute Children with attention-deficit hyperactivity disorder (ADHD) find it unusually difficult to concentrate on tasks, to pay attention, to sit still and to control impulsive
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 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 informationADHD Overview and Update
ADHD Overview and Update David Camenisch, MD Child and Adolescent Psychiatrist Seattle Children s Hospital Origin of ADHD Evolutionary/societal advantages? Past could risk-taking, reactivity, novelty seeking
More informationCritical Analysis of the Total Transformation Program (TTP) of Legacy Parenting for Helping Behavior Disordered Children and Teens
Critical Analysis of the Total Transformation Program (TTP) of Legacy Parenting for Helping Behavior Disordered Children and Teens Patricia O. Quinn, MD, FAAP Director, National Center for Girls and Women
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 informationADHD: A Focus On Drug Therapy
ADHD: A Focus On Drug Therapy MARY WORTHINGTON, PHARM.D., BCPS MCWHORTER SCHOOL OF PHARMACY BIRMINGHAM, ALABAMA SEPTEMBER 13, 2013 Outpatient Prescription Drug Utilization in US Children, 2002-2010 90
More informationA Closer Look: NH Primary Care Clinician Perspective on Caring for Pediatric Patients with ADHD
A Closer Look: NH Primary Care Clinician Perspective on Caring for Pediatric Patients with ADHD W. Burleson Daviss, MD Dept. of Psychiatry / DHMC Molly O Neil University of New Hampshire Objectives 1)
More informationHolistic approach in management of ADHD
Holistic approach in management of ADHD Outline Historic timeline Prevalence ADHD development Treatment modalities Current guidelines for management ADHD Historical Timeline Described in 19 th century
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 informationBig Lots Behavioral Health. Prescribing Guidelines for Behavioral Health
Big Lots Behavioral Health Prescribing Guidelines for Behavioral Health Prescribing for Behavioral Health This document was developed by Nationwide Children s Hospital in conjunction with Partners For
More informationADHD: Child. Gail A. Mattox, MD, FAACAP Morehouse School of Medicine Russell E. Scheffer, MD University of Kansas School of Medicine- Wichita
ADHD: Child Gail A. Mattox, MD, FAACAP Morehouse School of Medicine Russell E. Scheffer, MD University of Kansas School of Medicine- Wichita Learning Objective Implement assessment tools for accurate diagnosis
More informationAttention Deficit Hyperactivity Disorder: Module 3
Attention Deficit Hyperactivity Disorder: Module 3 The information in this training module was taken from an online article by the National Institute of Mental Health. (http://www.nimh.nih. gov/health/publications/adhd/complete-publication.shtml)
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 informationAttention Deficit and Disruptive Behavior Disorders
Attention Deficit and Disruptive Behavior Disorders Introduction Attention deficit and disruptive behavior disorders are commonly known as child behavior disorders. A child behavior disorder is when a
More informationEDUCATORS TOOLKIT FOR DEALING WITH ADHD IN THE CLASSROOM
EDUCATORS TOOLKIT FOR DEALING WITH ADHD IN THE CLASSROOM Linda Miller-Dunleavy Old Dominion University Communication Disorders & Special Education lmillerd@odu.edu UNDERSTANDING STUDENTS WITH ATTENTION-DEFICIT
More informationDOWNLOAD OR READ : PARENTING ADD ADHD CHILDREN PDF EBOOK EPUB MOBI
DOWNLOAD OR READ : PARENTING ADD ADHD CHILDREN PDF EBOOK EPUB MOBI Page 1 Page 2 parenting add adhd children parenting add adhd children pdf parenting add adhd children â œmindful Parenting for ADHD represents
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 informationDrug Class Review. Pharmacologic Treatments for Attention Deficit Hyperactivity Disorder
Drug Class Review Pharmacologic Treatments for Attention Deficit Hyperactivity Disorder Final Update 5 Report July 2015 The purpose of reports is to make available information regarding the comparative
More information4/11/2018. Attention Deficit Hyperactivity Disorder. ADHD is not a real disorder. History of ADHD and Stimulants. Disclosure.
Disclosure I have no conflicts of interests to disclose Attention Deficit Hyperactivity Disorder No affiliations or financial disclosures with pharmaceutical manufacturers Off-label use of drugs will be
More informationAugust 16, Miracle of Living Lecture. Focus on Attention Deficit... It s Not Just for Kids Speaker 1. Jack H. Schnel, EdD
Miracle of Living Lecture August 16, 2017 Focus on Attention Deficit.... It s Not Just for Kids Speaker 1 Jack H. Schnel, EdD ADHD PRESENTED BY: DR. JACK H. SCHNEL In people diagnosed with Attention Deficit
More informationPHARMACY COVERAGE GUIDELINES ORIGINAL EFFECTIVE DATE: 3/15/18 SECTION: DRUGS LAST REVIEW DATE: 3/15/18 LAST CRITERIA REVISION DATE: ARCHIVE DATE:
DYANAVEL XR (amphetamine) extended-release oral suspension Coverage for services, procedures, medical devices and drugs are dependent upon benefit eligibility as outlined in the member's specific benefit
More information