A Qualitative Case Study Describing the Relationship of Physical Activity And
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Managing Adult ADHD What Is ADHD?
Managing Adult ADHD What is ADHD? Attention-deficit hyperactivity disorder (ADHD) is a brain condition that makes it hard to concentrate and be organized. It can also cause fidgeting and other restless activity. There may be problems with family and other relationships. It used to be thought of as a children’s disorder, but we now know it can last into adulthood. What are the Symptoms of ADHD? Symptoms of ADHD vary, but may include: Trouble getting things organized to start a task Problems remembering appointments or things you are supposed to do How will your doctor or healthcare professional figure out if you have ADHD? Some of the information your Fidgeting or feeling like you always have to be on doctor or healthcare professional may need to make the move the diagnosis include: Trouble working on a task until it is done Problems with sleep, work, school or relationships Surveys you fill out in the office or at home to look Many people have symptoms of ADHD from time to for ADHD symptoms you may be having now and time, however people with ADHD find these to think about symptoms you may have had when symptoms don’t go away and interfere with their you were younger. function and ability to have relationships with others. Surveys you fill out in the office or at home to look for other conditions, such as depression, anxiety, substance abuse, post-traumatic stress disorder, How is ADHD diagnosed? and bipolar disorder. Adults think they have ADHD for various reasons. Discussion about how well you function day-to- Sometimes parents have children who are day. -
ADHD Newsletter
DR. JONES UPDATE© MENTAL FITNESS Vol. 4, 2008 ATTENTION DEFICIT/HYPERACTIVITY DISORDER “Do I have ADD?” No, Hallowell and other experts point out that ADD is not Wayne C. Jones, M.D. but you may be ADD. so much a deficit of attention as it is a “variability of at- tention”. This means that a person is able to pay atten- A board certified Psychiatrist with 30+ ADD/ADHD is a group years of clinical, research, and teaching of different combina- tion to things that they have a high interest in. An exam- experience. He is among the first tions of temperament ple of this theory would be the child that cannot read a Psychiatrists in the U.S. to be certified extremes. The intensity history assignment no matter how hard they try. Their as a Psychopharmacologist. His varies from mild to mod- mind frequently wanders and the task is not completed. specialties include anxiety and mood But the same child can play a video game, or watch car- disorders, stress management, ADHD, erate to severe, and is innovative medication management, unique for each person. toons with total concentration. Why does this happen? sleep and women’s issues. Many people say they Is it because the child chooses to do one thing and not don’t believe in ADD. the other? The answer is, “NO”. The more interesting, Good! ADD is not a religion. Attention Deficit Disorder is a exciting activities stimulate, or turn on the brain’s con- phrase, (like Learning Differences), that is officially desig- centration, and therefore satisfy the need for internal nated to represent a combination of symptoms that are fre- stimulation. -
ADHD in Adults
FACT SHEET FOR PATIENTS AND FAMILIES ADHD in Adults What is ADHD? ADHD stands for attention-deficit/hyperactivity disorder. ADHD is a biological disorder that affects how the brain works. While there is no cure for ADHD, there are treatments and strategies for managing your symptoms to live a more satisfying, successful life. People with ADHD often have trouble paying attention, sitting still, and controlling their impulsive behavior. Symptoms start in childhood and often continue into adulthood. ADHD may affect some areas of life more than others. If left untreated, What do I need to do next? ADHD can cause you to lose your job, drop out of school or training, or have relationship problems. 1 Consider taking a class or joining a support group (see page 3 for resources). What are adult ADHD symptoms? 2 Find out if your insurance will cover ADHD counseling. ADHD can look a little different in adults than it does in childhood and can look different from one 3 Make a plan for managing your ADHD (see page 4). person to the next. While not everyone faces these 4 Talk to your healthcare provider about challenges, adults with ADHD often struggle with: whether or not you should try an ADHD • Putting things off and not starting or finishing tasks medication to help manage your symptoms. on time • Avoiding or disliking tasks that require more thinking • Not recognizing hazards, or having attention gaps • Hurrying through work, making careless mistakes, that can increase driving risks and not noticing details • Talking too much, interrupting others frequently, • Losing or forgetting things frequently or not listening when someone speaks to them • Being late, taking long breaks, and missing meetings • Becoming frustrated or losing their temper easily • Not being able to plan and organize tasks and activities • Difficulty solving problems in relationships • Staying seated for long periods of time or feeling Many adults have symptoms like these from time-to- physically restless and tapping fingers or feet time, but if you have ADHD, they are more severe or happen regularly. -
Diagnosis of Adhd: Timeline
ADULT ADHD Approaches to Evaluation and Treatment Peter Roy-Byrne, M.D. University of Washington DIAGNOSIS OF ADHD: TIMELINE 1968 Hyperkinetic Reaction of Childhood (DSM-II) 1980 DSM-III: Age of Onset Criteria set at age 7 (committee) 1987 DSM-III-R: Age of Onset Criteria remains at age 7 (small field trial) 1993 Kate Kelly and Peggy Ramundo publish “You Mean I’m Not Lazy, Stupid or Crazy? A Self Help Book for Adults with Attention Deficit Disorder,” and Thom Hartmann publishes “Attention Deficit Disorder: A Different Perception” 1994 DSM-IV: AOC remains at age 7, but must also produce impairment; additional field trials 1994 Edward Hallowell and John Ratey publish “Driven to Distraction: Recognizing and Coping with Attention Deficit Disorder from Childhood through Adulthood” 1995 Kevin Murphy and Suzanne LeVert publish “Out of the Fog: Treatment Options and Coping Strategies for Adult Attention Deficit Disorder,” Hallowell and Ratey publish “Answers to Distraction,” and Sari Solden publishes “Women with Attention Deficit Disorder: Embracing Disorganization at Home and in the Workplace” A teenage patient recently told me his teacher makes fun of kids with ADD, saying all kids with ADD are lazy and use it as an excuse not to do their work. Such comments are inaccurate, and they are damaging. Amen, 1995 “It’s not everybody who’s a goof-off and can’t keep a job. It’s not everybody who didn’t study for the test and has now declared that they’re learning-disabled and ADHD and need two hours longer to take their exam. Pellock, 1995 ADHD: BOTH -
Diagnosis, Treatment and the Two of You
COUPLES THRIVE BOOK.WORKING FILE 2/18/14 12:26 PM Page 10 10 Diagnosis, Treatment and the Two of You “Lacking self-control robs you of free will. This is one of the most tragic consequences of ADHD. You might think that you’re doing what you desire. Yet if you can’t inhibit your behavior, you miss out on the delay between an event and your response. That delay is essential: It gives you the chance to think. Even more critically, that delay empowers you to choose freely .” —Russell Barkley Treatment is one of the first things couples think about when they discover one or both of them has ADHD. But managing ADHD is complex, as there is no one-size-fits-all treatment. Because of this complexity, our information about treatment can be found in two different places. This chapter provides a concise overview of what we think you need to know about optimizing treatment of ADHD. With this knowledge you can move on to the good stuff—creating a happy relationship. Our second resource is the Overview of Treatments for Adult ADHD on Melissa’s website (www.adhdmarriage.com). This site provides more in-depth information about specific treatment options and issues. Moreover, it is updated regularly and includes numerous links to important online information. COUPLES THRIVE BOOK.WORKING FILE 2/18/14 12:26 PM Page 11 Diagnosis, Treatment and the Two of You 11 Because we are not medical doctors, Dr. Edward Hallowell and Dr. John Ratey graciously agreed to review and approve this chapter. -
Managing Attention Deficit in Adults in Your Office
Managing attention deficit in adults in your office Nick Kates MB.BS FRCPC MCFP(hon) Chair, Dept. of Psychiatry, McMaster University Cross Appointment, Dept. of Family Medicine, McMaster University Quality Improvement Advisor, Hamilton Family Health Team No funding or support from Industry for any aspect of this presentation or my work Except my lifelong commitment to Self-referred - concerned about his mood Recent life stresses Inconsistent work and relationship history Met criteria for ADD + PHQ score was 14 Was also depressed – poor response to Buproprion Seen a year later – mood was brighter and wanted to start a stimulant Positive response to Methylphenidate Referral for assessment of Bipolar Affective Disorder Mood swings consistent with cyclothymia Consistent history of problems with attention, distractibility, academic underachievement Two diagnoses eventually established Some overall improvement with Lithium Reluctant to start Ritalin 6 - 9 % of all children 25-78% continue to have problems as adults 4-5% of all adults Could be third most prevalent psychiatric disorder ? 50 – 60 adults in an average family practice Democratic Male : female 2:1 ◦ Self-perception Changing prevalence with age 70 adults in your practice 20% of mothers, 25-30% of fathers have ADHD 20-45% co-morbid depression (genetic link) 25% have alcohol and drug problems 0-27% Bipolar affective disorders (one way co-morbidity) 10-40% have anxiety disorders Significant increases in incarceration rates Increased likelihood of being -
The Amphetamine Years: a Study of the Medical Applications and Extramedical Consumption of Psychostimulant Drugs in the Postwar United States, 1945-1980
THE AMPHETAMINE YEARS: A STUDY OF THE MEDICAL APPLICATIONS AND EXTRAMEDICAL CONSUMPTION OF PSYCHOSTIMULANT DRUGS IN THE POSTWAR UNITED STATES, 1945-1980 A Dissertation Presented to The Academic Faculty By Nathan William Moon In Partial Fulfillment Of the Requirements for the Degree Doctor of Philosophy in History and Sociology of Technology and Science Georgia Institute of Technology December 2009 Copyright © Nathan William Moon 2009 THE AMPHETAMINE YEARS: A STUDY OF THE MEDICAL APPLICATIONS AND EXTRAMEDICAL CONSUMPTION OF PSYCHOSTIMULANT DRUGS IN THE POSTWAR UNITED STATES, 1945-1980 Approved by: Dr. Andrea Tone, Advisor Dr. Steven Usselman Social Studies of Medicine and School of History, Technology & Department of History Society McGill University Georgia Institute of Technology Dr. Douglas Flamming Dr. John Krige School of History, Technology & School of History, Technology & Society Society Georgia Institute of Technology Georgia Institute of Technology Dr. Jonathan Metzl Date Approved: November 2, 2009 Women’s Studies Program and Department of Psychiatry University of Michigan For Michele ACKNOWLEDGEMENTS Even if it has but a single author, a dissertation is the product of many people. This one is no exception, and I am extremely grateful to all of the people who made mine a reality. First, I wish to extend my sincere thanks to my advisor Andrea Tone. She has been a model mentor in every way imaginable. Andrea guided me through the scholarship and shepherded this dissertation project with the utmost diligence and care. Although she had many other responsibilities, Andrea never failed to make time for me. She read my chapters and conference paper proposals, attended my talks, and introduced me to leading scholars in our field. -
Anxiety: Identification and Management for Canadian Primary Care Professionals
ADHD Identification and management for Canadian primary care professionals Compiled by Peter M. Kondra, MSc, MD, FRCPC, and Brenda Mills, C&Y MHC Hamilton Family Health Team Child & Youth Mental Health Initiative in collaboration with Helen R. Spenser MD, CCFP, FRCPC, Children’s Hospital of Eastern Ontario, Ottawa, Ontario and Blair Ritchie MD, FRCPC, Alberta Health Services, University of Calgary Disclaimer The content of this document is for general information and education only. The accuracy, completeness, adequacy, or currency of the content is not warranted or guaranteed. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should always seek the advice of physicians or other qualified health providers with any questions regarding a health condition. Any procedure or practice described here should be applied by a health professional under appropriate supervision in accordance with professional standards of care used with regard to the unique circumstances that apply in each practice situation. The authors disclaim any liability, loss, injury, or damage incurred as a consequence, directly or indirectly, or the use and application of any of the contents of this document. (Disclaimer is copied from www.drcheng.ca) This work is “licensed” under a Creative Commons License Attribution-NonCommercial-No Derivatives 4.0 Canada https://creativecommons.org/licenses/by-nc-nd/4.0 Attention Deficit Hyperactivity Disorder Understanding ADHD in Primary Care Visit 1 History and Information