Canadian ADHD Practice Guidelines, 4Th Edition, Is Dedicated to Children, Adolescents and Adults with ADHD, and Their Families
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Copyright Notice and Permitted Uses of the Guidelines No material available at www.caddra.ca (the "Materials") may be copied, reproduced, republished, uploaded, posted, transmitted, or distributed in any way, except that you may: (a) Download one copy of the Materials on any single computer for your personal or medical practice use only, provided you keep intact all copyright and other proprietary notices. Where stipulated, specific “tools and patient handouts”, developed for physicians and other medical professionals to use in their practice, may be reproduced by medical professionals or on the advice of medical professionals; (b) Give a presentation using the Materials, so long as: (i) the purpose of the presentation or distribution is for public education; (ii) you keep intact all copyright and other proprietary notices in the Materials; and (iii) the presentation or distribution is completely non-commercial and you or your organization receive no monetary compensation. If monetary compensation is involved, you must provide notice to CADDRA at least ten (10) business days before the presentation and request permission. Modification of the Materials or use of the Materials for any other purpose, without the prior written consent of CADDRA, is a violation of CADDRA's copyright and other proprietary rights. CADDRA Information Current contact details for the Canadian ADHD Resource Alliance (CADDRA) and information on ordering copies of the Canadian ADHD Practice Guidelines are available on the CADDRA website: www.caddra.ca Guidelines Citation The correct citation for this document is: Canadian ADHD Resource Alliance (CADDRA): Canadian ADHD Practice Guidelines, Fourth Edition, Toronto ON; CADDRA, 2018. French Edition This document is available in French under the title: Lignes directrices canadiennes pour le TDAH, quatrième édition. Feedback Reader suggestions can be provided through our website (www.caddra.ca) or by emailing [email protected]. Liability While great effort has been taken to assure the accuracy of the information, the Guidelines Committee, CADDRA and its members, designer, printer and others contributing to the preparation of his document cannot accept liability for errors, omissions or any consequences arising from the use of the information. Since this document is not intended to replace other prescribing information, physicians are urged to consult the manufacturers' product monograph and other available drug information literature before prescribing. Please Note: The CADDRA website (www.caddra.ca) will always have the latest version of the Guidelines available free to download and print. ISBN: 978-0-9738168-4-6 © 2018 Canadian ADHD Resource Alliance (CADDRA) TABLE OF CONTENTS INDEX OF TABLES AND FIGURES / USB CONTENTS ........................................................................................................... i GUIDELINES EDITORS AND CONTRIBUTORS .................................................................................................................... ii PREFACE ......................................................................................................................................................................... 1 CHAPTER 1: DIAGNOSIS OF ADHD ................................................................................................................................... 3 CHAPTER 2: DIFFERENTIAL DIAGNOSIS AND COMORBID DISORDERS ............................................................................. 14 PREVALENCE OF COMORBIDITIES .................................................................................................................................. 14 OPPOSITIONAL DEFIANT DISORDER ............................................................................................................................... 16 CONDUCT DISORDER/AGGRESSION ............................................................................................................................... 17 ANTISOCIAL PERSONALITY DISORDER ............................................................................................................................ 18 BORDERLINE PERSONALITY DISORDER .......................................................................................................................... 19 ADDICTIONS ................................................................................................................................................................... 20 SUBSTANCE USE DISORDER ........................................................................................................................................... 20 ANXIETY DISORDERS ...................................................................................................................................................... 21 MAjOR DEPRESSIVE DISORDER ...................................................................................................................................... 22 BIPOLAR DISORDER ........................................................................................................................................................ 23 DISRUPTIVE MOOD DYSREGULATION DISORDER .......................................................................................................... 24 OBSESSIVE-COMPULSIVE DISORDER .............................................................................................................................. 25 TOURETTE SYNDROME AND TIC DISORDERS ................................................................................................................. 26 EATING DISORDERS ........................................................................................................................................................ 26 AUTISM SPECTRUM DISORDER ...................................................................................................................................... 27 SPECIFIC LEARNING DISORDER ...................................................................................................................................... 28 SPECIAL PRESENTATIONS ............................................................................................................................................... 29 Intellectual Giftedness ............................................................................................................................................... 29 Psychological Trauma ................................................................................................................................................ 30 Developmental Coordination Disorder ...................................................................................................................... 30 Epilepsy ...................................................................................................................................................................... 30 Brain Injury ................................................................................................................................................................ 31 Sleep .......................................................................................................................................................................... 31 Incontinence .............................................................................................................................................................. 32 CHAPTER 3: SPECIAL CONSIDERATIONS ACROSS THE LIFESPAN ...................................................................................... 33 OVERVIEW ...................................................................................................................................................................... 33 IMPACT/FUNCTIONAL DISABILITY ACROSS THE LIFESPAN ............................................................................................. 37 ACCIDENTS/RISKS ........................................................................................................................................................... 38 DRIVING ......................................................................................................................................................................... 39 CHAPTER 4: PSYCHOSOCIAL TREATMENT OF ADHD ...................................................................................................... 41 PSYCHOEDUCATION ...................................................................................................................................................... 41 PSYCHOSOCIAL INTERVENTIONS OVERVIEW ................................................................................................................ 45 What can be done at home? ..................................................................................................................................... 45 What can be done at school? .................................................................................................................................... 47 What can be done in the workplace? ........................................................................................................................ 50 MANUALIZED INTERVENTIONS ..................................................................................................................................... 51 Parent Management Training Models ..................................................................................................................