Adults with Childhood Illnesses: Considerations for Practice by J. Timothy Bricker

By J. Timothy Bricker

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E. , mood disorder, anxiety disorder, dissociative disorder, or personality disorder) Attention-Deficit/Hyperactivity Disorder, Combined Type: if both Criteria A1 and A2 are met for the past 6 months Attention-Deficit/Hyperactivity Disorder, Predominantly Inattentive Type: if Criterion A1 is met but Criterion A2 is not met for the past 6 months Attention-Deficit/Hyperactivity Disorder, Predominantly Hyperactive-Impulsive Type if Criterion A2 is met but Criterion A1 is not met for the past 6 months poor self-regulation of emotion; increased incidents of medical difficulties; and greater proneness to accidents are associated with ADHD (7).

A comprehensive clinical interview would determine if these symptoms have persisted since childhood, and thus might be suggestive of ADHD, or are a recent change in functioning that point to another psychiatric condition. The presence of comorbid psychiatric conditions must be assessed because they can have implications for the choice of treatment. The diagnostic criteria must not only be met with regard to current functioning, but establishment of the core symptoms of ADHD by at least the middle school years is also necessary (47).

As with children and adolescents, not all adults respond favorably to medication (53). 7 Treatment of ADHD in adults 17 not provide patients with adaptive coping strategies and skills (54). In addition, some adults may have comorbid psychiatric disorders. Therefore, as with young patients, adjunctive psychosocial treatments are an important component of a comprehensive treatment plan for adults with ADHD. The nature of these treatments for adults can take several forms. Adults with ADHD may benefit from education about their disorder (48) and a review of the role that it has played in their lives (49).

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