Flashcards in ADHD Deck (20):
What are the defining criteria for ADHD?
Any combination of the following:
- Excessive inattention
Some things that commonly get confused with ADHD –that are not part of ADHD's diagnosis – are _________________.
oppositional behavior, intellectual disability, specific learning disorder, and other sources of inattention such as insomnia, poor nutrition
Some people note A&O x 3, but there are actually four criteria: _____________.
person, place, time, and situation
What is the prevalence of ADHD among school-age children?
3% - 8%
The male:female ratio of ADHD is __________.
between 2:1 and 5:1
Girls are less frequently recognized as having ADHD because ___________.
girls tend to have inattentive ("spacy") symptoms
What is Adderall?
Two enantiomers of amphetamine
What is Ritalin?
What are the three types of ADHD listed in the DSM-V?
- Inattentive type
- Hyperactive/impulsive type
- Combined type
A teenager presents to your office. Her mother says that she constantly makes careless mistakes and hates doing her homework – it's "a challenge every night." When you talk to her, she stares off at the books on the shelf behind you. What kind of ADHD might the child have?
(Characterized by careless mistakes; not listening when spoken to directly; difficulty sustaining attention; poor follow through; dislike of tasks that require mental effort and thinking; forgetful.)
Fidgeting, difficult sitting still, being "driven by a motor," and excessive talking is characteristic of ___________.
There are 18 symptoms listed on the screening form for ADHD. The first 9 are inattentive type; the second 9 are hyperactive type. How many do you need for a diagnosis?
Six of each type for unilateral diagnosis of inattentive or hyperactive, or six of both categories for combined type (only 5 for those older than 17)
Symptoms must be present before age ________ to qualify for a diagnosis of ADHD.
What caveats come with diagnosing ADHD symptoms?
The symptoms must be interfering with life, work, or school; must have been present since before age 12; and the symptoms must be present in multiple life settings.
What is the mechanism of guanfacine?
Vyvanse is _______________.
lisdexamfetamine (a drug that gets metabolized to amphetamines)
In general, if an ADHD medication is tolerated but ineffective, what should you do?
Increase the dose. If you increase it to the point where it is not tolerated and ineffective, then switch to the other class of stimulant. If neither class has a drug that is tolerable and effective, then consult psychiatry for a trial of an atypical drug (e.g., bupropion, atomoxetine, alpha agonists).
What is the best treatment for oppositional defiant disorder?
Parent management training
True or false: most children with ADHD will continue to have symptoms into adulthood.
True (roughly 65%)