ADHD (4) Flashcards
What are the different types of ADHD?
ADHD combined
ADHD inattentive
ADHD hyperactive/ impulsive
Other/ unspecified
According to the DSM-5, at what age must ADHD start before?
12yo
What are some additional criteria for ADHD diagnosis?
Symptoms must be in multiple settings
Must cause social disability
What type of ADHD do these symptoms correlate to?
Poor attention to detail, cannot sustain attention, does not listen, does not follow through, does not organize avoids tasks, loses things, is distracted, is forgetful
ADHD inattention…need 6 symptoms for 6 months
What type of ADHD do these symptoms correlate to?
Fidgets, leaves seat, runs/ climbs, not quiet, talks a lot,, blurts out, cannot wait turn, interrupts
ADHD hyperactivity/ impulsive…need 6 symptoms for 6 months
T/F: Mild/ more inattentive cases may not be noticed until later in life when demands are greater
True
T/F: Hyperactivity tends to persist into adulthood than inattentiveness
False…the inattentiveness usually persisits
What genetic abnormality is associated with ADHD?
Chromonome 16 mutation that leads to defects in dopaminergic or noradrenergic system
Explain the neuronal/ brain developmental delay seen in ADHD?
Develops 2 years slower…improper synapse pruning
What happens to the anterior cingulate activation in ADHD?
Decreases
What are the key neurotransmitters involved in ADHD?
Decreased NE and DA in the PFC
What should be on the differential Dx when considering ADHD?
Autism spectrum disorder, learning disability, substance use disorder personality disorder, bipolar disorder, anxiety
What are two main ways to control ADHD?
Psychotherapy (behavioral modification and training) and medication
What types of medication work well for ADHD in adults, teens and children?
Stimulant class…promotes DA and NE activity
What are the risks of stimulant use in ADHD?
Risk of addition, paranoia, stunt growth/ weight loss and possible cardiac issues
