Yet despite this awareness, many clinicians as well as the general
public continue to under-appreciate the significance of ADHD as it
manifests itself in adults. What happens to all these ADHD kids
when they grow up? ADHD isn t like a cold or the flu it doesn t
just go away all of the time. As a child grows and matures, it is
possible that the symptoms lessen, and in some cases adults are
able to overcome the disorder, but it doesn t usually just vanish
on its own. At least 40-70% of those diagnosed with this disorder
as kids will have it persist when they are adults; however, mental
health professionals often overlook ADHD symptoms and continue
calling their adult patients who suffer from it anxious or
depressed, or diagnose them with a personality disorder. Family
members may also consider adults with procrastination issues,
inattentiveness, and distractibility lazy or malingering, when in
fact they are suffering from ADHD. Here Joel Young MD, who has been
treating and researching ADHD for more than15 years, takes a
comprehensive look at ADHD in adults. As an accurate diagnosis is
essential to a patient s successful treatment, the book begins by
detailing how clinicians can provide the most accurate ADHD
diagnosis. Once established, the basic diagnostic process begins.
This includes obtaining a careful medical history to rule out
medical problems that may mimic the symptoms of ADHD, taking a
psychiatric history and carefully considering any family or genetic
history of medical and psychiatric problems. Some helpful tools
used to evaluate quickly and comprehensively distressed patients
are presented. Comorbidities are extremely common among patients
with ADHD. Emphasis in the book is placed on the most common ADHD
comorbidities, including mood and anxiety disorders, bipolar
disorder, oppositional defiant disorders, eating disorders and
learning disabilities. The book also details the different types of
ADHD that clinicians may encounter: ADHD (predominately
hyperactive/impulsive subtype) is manifested in people who are
hyperactive, and experience serious problems at work and at home.
They are fidgety and impatient and may be the most commonly
diagnosed adults. ADHD (predominately-inattentive subtype)
manifests itself in patients who are typically, but not
exclusively, female. As children, these women were inattentive and
distractible, underperforming but not demonstrating overt behaviors
typical of their hyperactive brethren. Their conditions may be
complicated by factors like anxiety, depression, and fatigue. Even
as adults, most clinicians overlook their symptoms. Other chapters
focus on diagnostic and treatment issues in specific populations:
adolescents and common adolescent mindsets; women with ADHD;
substance abuse; psychotherapy and coaching as treatments and
medications. The medications chapter will review the use of
antidepressant and mood stabilizing medications taken in concert
with stimulants or non-stimulants, and other medication
combinations need for conditions comorbid with ADHD. Finally, the
author concludes by presenting findings that self-referred patients
with fibromyalgia and chronic fatigue syndrome have high rates of
ADHD. Young proposes that extreme distractibility may intensify the
patient s pain perception. Overall this book provides clinicians
and family members with a concise yet comprehensive overview of the
many issues associated with ADHD throughout adolescence and
adulthood."
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