Flashcards in Behavioral Science - ADHD - Thomas L. Schwartz Deck (16)
What inattention symptoms must a patient have had for 6 months in order to consider a diagnosis of ADHD?
Poor attention to details --> mistakes
Does not listen
Cannot sustain attention
Does not follow through
Does not organize
What impulsive/hyperactive symptoms must a patient have had for 6 months in order to consider a diagnosis of ADHD?
Talks a lot
T/F: Most milder cases of ADHD are not noticed until later in life when the demands (ie academic) are greater.
Symptoms of inattentiveness persist longer than impulsive/hyperactive symptoms
How heritable is ADHD?
Dopaminergic genes, NE genes
What activation in the brain is missing in ADHD?
What environmental factors might be associated with ADHD?
Cigarette smoking in pregnancy
Food color additives
Reaction to stress
What other disorders should be in the differential when diagnosing ADHD?
Autism Spectrum Disorder
Substance Use Disorder
What are the non-stimulant treatments for ADHD?
Atomoxetine (Strattera) (Norepi reuptake inhibitor)
BP meds (alpha-2 NE agonists)
carry no addiction risk
can be sedating
What are the goals of psychotherapy with ADHD?
Behavioral parent training
What is first line ADHD therapy for little kids?
More aggressive stimulants recommended for younger kids
How do Guanfancine ER and Clonodine ER work for ADHD if they are BP meds?
In the brainstem they may dampen NE release and lower BP as an autoreceptor;
In the frontal cortex, these receptors are located on the glutamate pyramidal neurons and help to improve the signal to noise ratio, allowing the neuron to fire appropriately when faced with multiple environmental stimuli. This fine tunes the frontal cortex and helps with prioritizing, response inhibition and vigilance
ADHD patients tend to have what differences from the general population?
Lower self esteem
Greater addiction rates
Greater antisocial behavior
same rates of medical illness
A 19 yo college student presents and meets criteria for ADHD inattentive type. What other psychiatric disorder will he most likely have outside of his ADHD?
A 30 yo ADHD patient has failed to respond to methylphenidate, which of the following likely has a stronger effect on dopamine release in the brain?
A. Guanfancine ER
D. Clonodine ER
always the strongest on dopamine
A 15 yo with ADHD combined type has a functional MRI scan. What is the most likely finding?
A. Hyperactive amygdala
B. Hypoactive cerebellum
C. Hyperactive orbitofrontal cortex
D. Hypoactive orbitofrontal cortex
Hypoactive orbitofrontal cortex