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The information to follow is for medical professionals seeking online clinical articles and CME courses relating to diagnosis and treatment of ADHD in children teens and adults. They are either links or PDF downloads.

Why I created this page.

Many adults with ADHD have complained that it's very difficult finding someone who knows enough about ADHD to accurately diagnose and/or treat it. Also, if they do find someone, they may wait months to see them IF they're accepting new patients.

It was created it because it seems there are a lot of people out there that could potentially diagnose and/or treat both adults and children with ADHD who don't because they haven't really been trained enough in recognizing and treating ADHD, or don't have access to adequate resources on the condition.

Some may not be doing it because they have no interest in learning about ADHD or working with us.

But for those who might be interested in learning about ADHD and being more effective in helping their ADHD patients, this page was created to help give them access to clinical resources to learn more about the diagnosis and treatment of ADHD in adults and children.

These clinical articles and Continuing Medical Education (CME) online credit courses are fairly detailed and comprehensive. The information is intended for the ADHD clinician, not the patient, and is derived from medical journals or other recognized medical sources.

I know several people personally who were treated for depression with medication and therapy for years and suggested to their psychologist/ psychiatrist/ doctor that they might have ADHD. Those suggestions were quickly dismissed by their medical professionals, and they later saw someone that really knew ADHD, got diagnosed and treated for it, and their depression went away. This was because they were depressed mainly because they were not managing their ADHD symptoms.

If you understand the symptoms of ADHD, it's not hard to figure out that if you had ADHD and didn't get diagnosed and learn to manage it properly, it could easily lead to depression and anxiety.

The biggest problem for adults and children with Attention Deficit Hyperactivity Disorder is that, in general, medical and psychology schools are not properly training their students on ADHD in adults and in children.

The second biggest problem is people with ADHD and their family members don't demand adequate treatment from their doctors, psychologists, psychiatrists, the health system, their politicians and the media.

They expect others to do it for them, but most other people don't care about people with ADHD. Some still don't even believe ADHD exists.

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ADHD Diagnostic and Treatment Guidelines


While Pete is not a medical professional, he hope these links will be of use to medical professionals. If you want to recommend a site that you think should be added to this page, please email Pete.

The CADDRA (Canadian ADD Resource Alliance) Canadian ADHD Practice Guidelines 2011

Even if you’re not Canadian, they are definitely worth a look. This site has 22 documents with 103 pages of great information. As Vancouver Psychiatrist and BC ADHD Clinic director Dr. Margaret Weiss said , “it’s all you need to know to diagnose and treat ADHD.”

This is an ABSOLUTE GOLDMINE of Free comprehensive ADHD information for medical professionals to diagnose and treat ADHD medically in Adults, children and teenagers.

 

 

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Clinical Articles dealing with ADHD in Children and Adolescents

Practice Parameter for the Assessment and Treatment of Children and Adolescents with Attention Deficit Hyperactivity Disorder PDF

Very detailed, full version. From the American Academy of Child & Adolescent Psychiatry. This practice parameter describes the assessment and treatment of children and adolescents with attention deficit hyperactivity disorder based on the current scientific evidence and clinical consensus of experts in the field. This parameter discusses the clinical evaluation for ADHD, comorbid conditions associated with ADHD, research on the etiology of the disorder, and psychopharmacological and psychosocial interventions for ADHD. J. Am. Acad. Child Adolesc. Psychiatry, 2007;46(7):894Y921

 

ADHD in Primary Care for School Age Children and Adolescents, Diagnosis and Management of PDF

From The Institute for Clinical Systems Improvement (ICSI) A very detailed and very informative PDF on ADHD in children and adolescents up to grade 12. Includes pharmacological and other treatments for ADHD. Great management algorithm overview chart

 

ADHD Clinical Support Module

From The University of Virginia Children's Medical Center. Lisa Samson-Fang M.D. Current evidence for the biologic basis of ADHD, patient evaluation and treatment will be discussed with opportunities for clinical correlation and self assessment. You will also find information about AD/HD resources on and off the net.

This module will be useful to the student of basic science and the experienced clinician who desires further knowledge about AD/HD. The practicing physician will find information that can be printed from the computer and used in the patient care setting.

 

Does Stimulant Therapy of ADHD Beget Later Substance Abuse?

A Meta-analytic Review of the Literature. By the Clinical Research Program in Pediatric Psychopharmacology, Massachusetts General Hospital, Boston, Harvard Medical School, Pediatrics 2003. Conclusion? No. They found it actually reduced the risk of later substance abuse.

 

What We Know About ADHD and Driving Risk: A Literature Review, Meta-Analysis and Critique

J Can Acad Child Adolesc Psychiatry. 2006 August; 15(3): 105–125. By Laurence Jerome, MB.Ch.B., M.Sc., M.R.C., Psych., F.R.C.P.C.(C),1 Alvin Segal, Ph.D.,2 and Liat Habinski. Results:
Current data support the utility of stimulant medication in improving driving performance in younger ADHD drivers. A conceptual model of risk factors in young ADHD drivers is offered.

Conclusion: The current state of screening instruments for identifying high risk subjects within this clinical group is summarized along with a final section on emerging trends and future prospects for intervention.

 

Attention Deficit Hyperactivity Symptoms and Internet Addiction.

Psychiatry Clin Neurosci. 2004 Oct;58(5):487-94. Yoo HJ, Cho SC, Ha J, Yune SK, Kim SJ, Hwang J, Chung A, Sung YH, Lyoo IK.

"The ADHD group had higher Internet addiction scores compared with the non-ADHD group. Therefore, significant associations have been found between the level of ADHD symptoms and the severity of Internet addiction in children. In addition, current findings suggest that the presence of ADHD symptoms, both in inattention and hyperactivity-impulsivity domains, may be one of the important risk factors for Internet addiction."

 

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Clinical Articles dealing with ADHD in Adults

Physiological and psychological stress responses in adults with ADHD.

Psychoneuroendocrinology. 2008 Mar 7. By Lackschewitz H, Hüther G, Kröner-Herwig B.Department of Clinical Psychology and Psychotherapy, Georg-August University of Göttingen, Goßlerstr. 14, 37073 Göttingen, Germany.

"In summary, the present findings are the first to demonstrate a significant alteration of a specific physiological stress measure (HR) and, more clearly, of psychological aspects of the stress response in adults suffering from ADHD. In regard to the physiological stress response, it is recommended that future studies employ larger sample sizes and a more comprehensive range of physiological stress parameters. Additionally, the issue of transferability of laboratory results to real life stressors needs to be addressed."

 

Managing ADHD in the presence of substance use disorder

J Clin Psychiatry. 2007;68 Suppl 11:23-30. Upadhyaya HP. Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, USA.

"Patients with ADHD and SUD have an earlier age at onset of SUD, may take longer to achieve remission than those with only SUD, and are likely to have a longer course, poorer outcome, and higher rates of other psychiatric comorbidities...Understanding the motives for drug use and misuse is important in treating patients with ADHD and comorbid SUD."

 

Adults With ADHD Benefit From Cognitive Behaviorally Oriented Group Rehabilitation: A Study of 29 Participants.

J Atten Disord. 2008 Jan 11. Virta M, Vedenpää A, Grönroos N, Chydenius E, Partinen M, Vataja R, Kaski M, Iivanainen M.

The authors present results from a cognitive-behaviorally oriented psychological group rehabilitation for adult ADHD... Results: Rehabilitation resulted in reduced self-reported symptoms in 16 ADHD-related items of SCL-90, BADDS total score, and BADDS subdomains of activation and affect. Conclusion: Results suggest that cognitive-behavioral group rehabilitation can be suitable in treating adult ADHD

 

Psychiatric comorbidity of internet addiction in college students: an interview study.

CNS Spectr. 2008 Feb;13(2):147-53. By Ko CH, Yen JY, Chen CS, Chen CC, Yen CF.Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung City, Taiwan.

"Results: This study revealed that adult ADHD and depressive disorders were associated with Internet addiction among college students. However, depressive disorders were associated with Internet addiction in the males but not the females. Conclusion: With these results, it seems reasonable to suggest that effective evaluation of, and treatment for, adult ADHD and depressive disorders is required for college students with Internet addiction."

 

International Consensus Statement on ADHD

From Attitude Magazine. 75 international scientists, were deeply concerned about the periodic inaccurate portrayal of ADHD in media reports. So they "created this consensus statement on ADHD as a reference on the status of the scientific findings concerning this disorder, its validity, and its adverse impact on the lives of those diagnosed with the disorder as of this writing (January 2002)"

 

Blood pressure changes associated with medication treatment of adults with ADHD

Clinical Research Program in Pediatric Psychopharmacology, Massachusetts General Hospital, Boston. “CONCLUSION: Both stimulant and nonstimulant catecholaminergic medications used in adults with ADHD are associated with minor, but statistically significant, changes in heart rate and blood pressure that were often observed in those receiving placebo. Given the minor pressor and chronotropic effect of these medications, adults with ADHD should have their blood pressure and heart rate checked at baseline and periodically during treatment.”

 

Trauma and Adult Attention Deficit Hyperactivity Disorder

J Int Med Res. 2008 Jan-Feb;36(1):9-16. Kaya A, Taner Y, Guclu B, Taner E, Kaya Y, Bahcivan HG, Benli IT.Department of Orthopaedics and Traumatology, Faculty of Medicine, Ufuk University, Ankara, Turkey.

"There were 36 (62.2%) cases of ADHD in the patient group compared with four (13.3%) in the control group; this difference was statistically significant. When the level of trauma was evaluated, ADHD was identified in 23 of the 26 (88.5%) patients with high energy traumas compared with 14 of the 32 (43.8%) patients with low energy traumas; this difference was also statistically significant. This study shows that patients with adult ADHD are more prone to injuries, particularly high energy traumas such as motor vehicle accidents. Patients who have repeated high energy traumas should be evaluated by a psychiatrist for ADHD."

 

 

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