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Flashcards in ADHD Deck (13)

What are the baseic DSM5 Qualifications for ADHD? 


Inattentive symptoms

Hyperactive-impulsive symptoms 

Several symptoms evident by age 12

Impairment in functioning in >1 setting


6 symptoms over 6 months per category 


What are the "Inatettentive Symptoms"? 

Careless errors

Difficulty sustained attention in tasks or play

doesn't listen when spoken to directly

doesn't follow through on instructions

problems organizing

loses things

easily distracted

forgetful in daily activity 


What are "Hyperactive-Impulsive symptoms"?

Fidgets or squirs in seat

leaves sit when expected to stay in it

runs or climbs in inappropriate situations

unable to play quietly 

Often "on the go" as if "driven byt a motor"

talks excessively

blurts out answers

can't wait their turn

interrupts others


what things do you NOT want to miss when evaluating someone for ADHD? 

Learning disability

trauma exposure

adjustment disorder





What is the "clinical presentation" most commonly presented for ADHD?

underperforms to his/her potential - seen as Lazy or Unmotivated

Trouble prioritizing, organizing and sequencing tasks 


Can have concerns about high risk behaviors or aggression 


Who is more likely to continue to have ADHD as an adult? 

50% will continue it and predictors include: 

- combined symptoms of hyperactive and inattentive (Hyperactive symptoms tend to get better with age) 

- higher symptom severity

- comorbid depression

- Paternal anxiety mood disorder or antisocial personality disorder


What does the Pre-frontal cortex do with regards to ADHD? 

Region of Cognitive control - achieving a task in the face of distractions

Executive functioing - organizing, prioritizing, and sequencing tasks 


ADHD kids have difficulty with spresspression of normal activity once the task gets harder in this area


What is the Dimensional view on the cortex and ADHD and development vs the normal brain maturation process? 

Normal brain maturation process has Cortical Thinning that occurs over late childhood and early adolescence


Rate of Cortical Thinning: 

Slowest ADHD< ADHD Symptoms < No symptoms 


What is the pattern of reward on ADHD? 

ADHD kids have hypoactivity during reward anticipation and Hyper-responsiveness to rewards


They prefer smaller, immediate rewards over delayed larger rewwards 

Impairments in working memory and reduced ability to inhibit responses 


How to pts with ADHD Time perception differ? 

ADHD affects the ability to wait/delay response and to make predictions about environment 


ex. They have greater discrepancy errors when replicating a flishing light time sequence 


How do symptoms change over time in ADHD?

As kids brains mature, hyperactive symptoms get better but inattentive do not. 


What are the treatments for ADHD?

1) Psychoeducation

2) parenting skills training/behavior management (ex. smaller more frequent rewards etc) 

3) Stimulants of 2 general classes: Methylphenidate or Amphetamine based